in the most
comfortable nights he passes, he sits up once in an hour or two. The
appetite is keen. The legs begin to swell again.

Some organic disease of the heart exists in this case. The
indistinctness of the palpitations, the want of hardness in the pulse,
and the slow progress of the disease, indicate a loss of power in the
heart, the effect of the distention and thinness of its parietes. The
irregularity of the pulse affords some reason to suspect disorder of
the aortal valves, which is not yet very considerable.

ENUMERATION _of the principal morbid changes, observed in the organization
of the heart, in the preceding cases_.

Enlargement of the volume of the heart, or aneurism.[12]
Increase of the capacity, or aneurism of the right auricle, } with
of the right ventricle,} thickened,
of the left auricle } or thin,
of the left ventricle, } parietes.
of the aorta, with thickening of
its coats.

Fleshlike[13] thickening of the mitral valves.
of the aortal valves.
of the aorta.

Cartilaginous thickening of the internal membrane of the heart, and
generally of its valves.

Ossification of the parietes of the heart.
mitral valves.
aortal valves.
aorta.
coronary arteries.

[Footnote 12: Morgagni uses this term, which he borrows from
Ambrose Pare, to express dilatation of the cavities of the
heart. It seems to be as applicable to the dilatation of the
heart, as to that of an artery. I have therefore adopted it
in this enumeration.]

[Footnote 13: The term fleshlike is employed to express that
roughness of the valves, which somewhat resembles flesh in
its appearance, but which is very different from the
thickening of the parietes of the heart.]

ENUMERATION _of the principal morbid appearances, observed in these
cases of disease of the heart, which may be considered secondary_.

IN THE CAVITY OF THE CRANIUM.

Inflammation of the meninges.
Water between the meninges.
Water in the ventricles.

IN THE PLEURA AND ITS CAVITY.

Inflammation and thickening of the pleura.
Collection of water in its cavity.
Lungs dark coloured.
generall