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not promote his expectoration, which still continued viscid.
From a careful consideration of this diseafe, I was of opinion, that it was confined to the lungs: that these, especially on the right side, adhered to the pleura: that their substance was occupied by tubercles, or something analogous thereto, which greatly disturbed their functions. The feverish heat and quick pulse I considered as symptomatic of, and occasioned by, his extremely laborious respiration.
As I was very desirous of seeing the state of his lungs after death, my request to satisfy myself was complied with; and this examination was sufficiently convincing, that the disease was of too severe a kind to admit of a cure.
Upon lifting up the sternum, the lungs were enormously distended with air, which no pressure could force back through the windpipe. This air was extravasate, had burst through the extremities of the bronchia and vesicular substance, and had insinuated itself throughout the whole substance of the lungs, in which it was detained by the membrane investing them. In a word, the whole substance of the lungs was in a state truly emphysematous. In several parts this air had formed large bladders, which, though no pressure upon the surface of the lungs could force back, a sight incison into them permitted to escape, and caused the whole lobe to collapse.
Besides this emphysematous affection of the whole substance of the lungs, the pulmonary vein was in all its parts distended into numberless varices, many
