ier; he had slept a little in the Night, and could
lie on his right side, but not on his left. He was ordered the Squill
Mixture. 4th. His Breathing was worse; he was blooded a second Time;
had a large Blister applied to his Side, and was ordered to continue
the Use of the Squill Mixture. On the 5th, 6th, and 7th, he seemed
easier, though the Breathing was still much affected, and his Pulse
quick and low, attended with a hectic Heat. On the 8th, he told me
that his left Side was swelled: On examining, I observed a Fullness in
that Side of the Thorax; and on pressing with my Fingers between the
Ribs, I thought I felt an obscure Fluctuation of a deep-seated Fluid.
From these Appearances, and the History of the Case, I judged that
there was a Collection of some Fluid within the Cavity of the Chest;
and that the only Means left to give Relief, was to make an Opening
into the Cavity, and so evacuate the Fluid. I therefore proposed to
him the Operation of the Empyema, to be performed immediately; which
he several Times obstinately refused to submit to: He allowed a Seton
to be put in his Side, but that did not answer the End proposed: He
languished six Days longer; and died the 14th of _March_. Next Day an
Opening was made in the Thorax, in the Part where the Operation was
proposed to have been performed; as soon as the Pleura was cut
through, some Quarts of Water rushed out. We then opened the Thorax,
and found still some Water in the left Cavity. The Pericardium was
thickened, and slightly inflamed, and adhered to the Diaphragm; which
was likewise a little thickened and inflamed in the adhering Part; the
Lungs on that Side were much compressed, and contracted by the
Pressure of the Water; but on being inflated and cut, seemed in a
sound State, except that they were slightly inflamed. The Lungs of
the left Side adhered every-where firmly to the Thorax, but seemed
otherwise sound; having no Tubercles, Suppuration, or other Disorder,
that we could observe in cutting them. The Heart and Blood Vessels
were sound, and no other polypous Concretions were observed within
their Cavities, but such as we find in most dead Bodies; which seem to
be formed of the coagulable Lymph in _articulo mortis_. The Viscera of
the Abdomen were in a sound State.

We treated the Peripneumony nearly as the Pleurisy. We bled freely in
the Beginning, till the Breathing became easier, or the Pulse began to
sink; taking Care not to be deceived by a low opp