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Dr. Parry on Mr. Bell's Anatomy.

319 the pulse of the femoral artery with my fore- which I have never forined. He makes foyer, I couli not command its blood with

me say that I can entirely compreis the the whole itrength of my body, but have

carotids with iny finger and thumb. This seen it, with horror, ruh as freely as if 'is a total misrepresentation of my words, my hand had not been there.” Vol. 2.

which must greatly mislead all those who P. 256, 257,

are inclined to repeat the experiment. In: Tirere is nothing new under the fun. Of reality, after having remarked the difficulty the truth of this general principle, our of compressing one carotid in men; and the author affords an excellent illustration. It itill greater difficulty of compresling both, is not new for a man to treat with ridi, especially in a state of convullious, I add, cule what he has not the opportunity, “ In women, however, who have genethe capacity, or the inclination to under- rally longer and slenderer necks than inen, ftand. If Mr. Bell had read the paper one can often, without difficulty, produce which he criticises, he would have feon, a coinplete compression of the artery against and then possibly might have believed, 01 the vertebræ of the neck,” &c. Medical niy assertion, that my idea of compresiing Memoirs," vol. 3, p. 100. Initead of the carotid arteries was suggested by the the carotids, I speak of one carotid oniy ; actual phenomena of the disease before and instead of using my finger, or my me, and not by the tales which he repro- finger and thumb, for the purpose of prel bates; whether those tales were well or sure, I have never been able effectually to ill-grounded. But the knowledge of this succeed in any other way than by using fact would not have suited his purpose. the thumb only, while the neck is at the It would have taken away an opportunity fame time kept firmly in its place by for much declamatory invective. It pressure on its back with the unemployed would have been something new to Mr. fingers of the same hand. With ine, who BELL under the sun.

have probably made the experiment a In reality, at the time of my writing hundred times as often as any other

per. the paper alluded to, I had never read son, all attempts to make a competent thelé histories and remarks in Galen, Ru- pressure on an artery with my finger, have fus Ephesius, Morgagni, or any other uniformly failed: Neither, it seems, have author; and if I had, I should not have the effects of Mr. Bell in this way been formed from them the conclusions which more succesful. When he makes the exI have related. Physicians, in all fuc- periment in a proper manner, the event ceeding ages, have read them without may possibly be different. any such application; nay, Mr. Bell But we will for the present suppose him himself, who cannot, surely, be suspected to deny the possibility, on any occation, of giving another inore credit for faga- of completely compressing with the thumb city than she does himself, has studied one carotid artery. The evidence on them with great attention; and yet, at which I founded my assertion was, that this moment, he is so far from having in the instances to which I alluded, all deduced from them any valuable conclu- pulsation in the temporal artery was deLions, that he derides the important theory itroyed by the compreslion of the correto which he ignorantly afferts that they fponding carotid. But Mr. Bell inhave given birth.

forms us, that though he could fuppress It is true, that I have mentioned ftupor the pulse of the femoral artery with his and feep, as produced by compression of fore finger, he could not command its the carotids. I have mentioned them, blood with the whole strength of his body because I saw them; and could I have (I should be curious to know how he apanticipated the critique of Mr. BELL, I plied the whole strength of his body by fhould not have omitted to mention them, ineans of his fore finger), but saw it with out of compliment to the scepticisin of horror rush as freely as if his hand was himself, or any other human being. Now, not there. Does he in the first part of however, that he cannot controvert the this sentence mean, that he suppreiled the fact, he may congratulate himself on hava pulse with the compressing finger, fo as ing found jímething new under the sun. no longer to feel it with that finger, in the

so much for the origin of this dif- point w...re the compression was made? covery. Next as to its effects; as Mr. He certainly cannot have this meaning. BELL has, in the first paragraph which I The conclufion wonld be too frivolous. have quoted, accused me of drawing from He muft with us to understand, that a source which I had never visited, fo in when he had compressed the artery above, the second he ascribes to me words which so as to obliterate the pulse below, the I have never employed, and deductions blood still continued to rush from below



Dr. Parry on Mr. Bell's Anatomy. as strong as if there was na pressure. Credat are derived from the internal carotide, Judrus Apella! Till I have myself seen a which anastomose with each other, and firun compression on the femoral artery within the vertebral arteries with the with the finger, or any other fixed power, cranium. Mr. Bell quotes Acrel, who obliterate the pulsation of the popliteal says, that he stopped a hæmorrhage of artery, and yet the blood rush through the femoral artery, after every other meathat artery when divided, as freely as sure had failed, hy strongly refting with when the pressure thall have been re- his thumbs against the external iliac in moved, I thall beg leave to doubt. I the groin. Page 456. The compression of will not affront your readers by demon- the carotid is at least as practicable as that strating, that such an assertion cannot be of the external iliac artery, not only on true. Mr. BELL must have been deceived. account of the interpofition of very little If the fame quantity of blood pafted fuft fubftance, but because the vertebra through the artery in a given time as be- of the neck form an extensive, hard, and fore, he could not have diminithed its immoveable pillar, against which the presarea by compression. That the femoral sure may be made. artery, deeply seated as it is in its least That some circulation continues in covered part, and imbedded in yield- certain cases of Syncope, whether from ing, muscular, and cellular subitance, surgical operations, or other causes, there fhould be much affected by the compression is little doubt. I will not however admit of the finger, is what indeed I should not that what Mr. BelL calls wa hyfterical à priori have expected; though Mr. faint," is a case of Syncope ; the face in BELL himself, after having, as from his that state, is all the while more or less own experience, denied the possibility, in ruddy and warm, the respiration free, the the words which I have quoted, acknow- pulse good, and the circulation in other ledges,on a subsequent occasion, page 456, respects perfect; it is an example of that “ though it is not an easy thing, it ftupor, of the same nature as that which is, perhaps, not impossible." To obli- follows the Epilepsy. I beg leave to terate the pulse below from compression point out to Mr. Bell, that this distincabove, is, on many occasions, sufficiently tion between these two cases, founded on caly. Leaning the arm over the back of the actual phenomena, is a third instance a chair will stop the pulse in the radial of something new to him under the fun. artery; and the same thing has often When I spoke of compressing the carotid been done by persons, for fraudulent pur- arteries, it was with a view to thew that poses; merely by pressing the inward manydiseases arise from too great a momeilpart of the humerus Itrongly against the tum of the blood, through those vessels into lide. The effect of a tourniquet in this the head; and I pointed out the effects which view, even on the largest arteries to which I had observed from pressure on the caroWe have access, is tolerably well known tids, and certain beneficial conclusions in to MF. BELL; and I, who do not pro- practice, which had resulted from those obfuss surgery, am acquainted with no cri- servations. Whether I could entirely in. terion by which we are to judge that the tercept the blood that passed through the purpose of that instrument has been an carotids to the head, or not, was to me Iwered, but the failure of the pulle in of no importance. For my purpose it was some part, or branch of the artery more sufficient, that I could intercept a considerdistant from the heart. It is possible that able part. All this Mr. Bell does not the flow of blood through the compressed appear to have understood ; but, begging artery, is, in neither of these cases, en the question that the whole was a filly old tirely impeded ; and whether the area of tale, tantalizing by an affectation of the carotid artery can be so diminished novelty, proceeds to examine the merits of by the pressure of the thumb, as to the operation, as it might be applied to answer the purposes of a surgical opera Surgery, of which, at the time, I never tion, I will not pretend to decide ; and I thought. This irresistible direction of all prefume no one, except in a case of sudden the ideas to one point, is neceffity, will be hardy enough to try. serious malady. But when the object is It is, however, true, that I have often innocent, the patient is suffered to walk most evidently moderated bleeding at the abroad unattended. Every one has heard nofe by imperfect pressure for a few of Jedediah Buxton; who, though urable seconds on one carotid; which is as either to read or write, multiplied nine much as can reasonably be expected by and thirty figures into each other by those, who consider that some of the ar- memory only: In London, they took terial branches distributed within the dose him to Drury Lane, and to St. Andrews

en 3 very

Dr. Parry, of Bath, on Mr. Bell's Anatomy. 351 Church in Holborn. It might be expect- others ; for I will venture to affert, that ed that he was astonished at the sublime no example can be produced, in which combinations of musical chords in the the practice had been designedly employed; blind Stanley, and melted by the unaf- except in confequence of my own verbal fected pathos of Garrick. Nothing less. communications to my

friends of my lucHe made himself master of the exact cefs; in some of those cases to which I number of words, syllables, and let- afterwards referred in my paper in the ters pronounced by Garrick; but the " Medical Memoirs." rapid execution of Stanley defied his Excuse my thus dwelling on myself. I powers of reckoning, and he returned am compelled to do so, lest hereafter, home abashed, as under irretrievable dif- when my method of cure in such diseases grace. Jedidiah Buxton was an Arith comes into general use, as it certainly will, metician. Mr. Bell is an Anatomist. some future Mr. Bell, envious of a dif

Although that Gentleman could not covery which chance allotted to another, advert to the consequences which I drew may rake out from amidst the dust and from the compreslion of the carotids, I mould of a Cullege library, some dark pafmust beg leave to repeat them for his fage, in which he may develope my whole. benefit

. I learnt from it, that all nervous system; and then, like his worthy predediseases depend upon irritation of the cessor of the present day, exclaim, THERE brain, either from inechanical ftimuli, or IS NOTHING NEW UNDER THE SUN. the fulness of its vessels ; and that in With this gentleman, so far as respects, every constitution, without exception, myself in particular, I have now done. they are to be cured, if at all, by those. But I beg leave to add a few words on means which diminish the Aow of blood behalf of science in general. It is usual to the head. I learnt from it, that all with authors to discuss grave fubjects in tonic medicines, as they are called, full a grave manner; and one would have diet, wine and all other cordials and thought, that the importance of pathologeneral stimulants, are injurious; and gical inquiries would have secured them that the only efficacious remedies, are as froin all admixture of levity. But Mr. low a diet as the digestion will allow, uni- Bell's constitution is such as to defy all form and gentle exercise, and perseverance common rules of conduct. Almost in the in evacuants, sedatives, and those remedies fame page he dictates, and pouts, and which are called febrifuge or refrigerant, scolds, and laughs, and cries; and each. I inferred that, among the evacuants, the so immoderately, or in so wrong a place, chief confidence was to be placed in blood- that one cannot avoid picturing to one's letting, not with a view of preparing for to 1ělf a fine lady in a fit of hysterics. It may nics, as recommended by Sydenham, nor in reasonably be hoped that age, and a little order to counteract accidental plethora, or wholesome mortification, will diminish this to relieve a particular fpecies of a genus, irritability of Mr. Bell's nerves; and as by my late revered master, Dr. Cullen; then, probably, medical science will owe but frequently, and in finall quantities, much future obligation to the acuteness as a radical, and generally indispensable of his genius. I am, fir, &c. &c. remedy, And during eleven succeeding Bath, April 22, 1798.

C. H. PARRY. years, I have had the satisfaction (one of the greatest which the human mind can For the Monthly Magazine. feel) of finding that my theoretical ex A DIALOGUE IN · EMPYRE U M. pectations have been infinitely more than answered by practical success. Thus a

LOUIS XVI. and CHARLES I. clats of diseases, which were before


: L. R fate, take me to thy embrace. dered as incurable, are now as absolutely within our power as the most obvious in- With thee at least I am secure of sympa. Aammations. Mr. Bell, if he would, or thy, the only alleviation my hard lot adif he could, might have profited from the mits. principles which I have laid down; C. Hail, brother ! and then he would have had no reason L. It comforts me that I have burst, to complain of iny having inflicted on although by death, my bonds, that I him the torments of Tantalus. Is it my breathe not in the fullied presence of those fault, if his mind is its own tormentor? wretches whom I remember the depend

At present it seems that this practical ants of my nod, the creeping flatterers system of nervous diseases is a thing new of my power, who won my confidence, to Mr. Bell under the fun. Permit me, like Dalila, to hear me of my strength, Gr, to add with confidence, that when and who have since announced their infirst published, it was equally new to fuence over my people by a climax of MONTHLY MAG, NO, XXXI.


Z z

352. A Dialogue in Empyreum, between Louis XVI. and Charles I. horrors, by plunder, by affaslination, by enemies applauded in the English parliaregicide.

ment, whilft he was borrowing capital to C. If sympathy be thy only wish, seek pay the interest of the French debt, and it rather among the kings who have feared thus, by the accelerated operation of comthan among those who have undergone thy pound interest, was fecuring that finanfate. A hundred and fifty years resi cial catastrophe. dence in Empyreum is a marvellous cor L. Which the church-lands and a tax rector of impaflioned judgments and upon noble estates might easily have fierce resentment, when we have much averted, conversed with men of other times.

C. Not expecting, however, the subL. Was ever prince misused like me ? mission of thelė powerful orders to your Always distinguiihed for love toward my authority, like vulgar bankrupts, you subjects ; did I not employ Turgot to fummoned a meeting of your more notaplease them--the Americans to please ble creditors, relations, and friends, who them-call the States-General to please advised the convention of the state; after them-accept the conftitution to please which, even CALONNE dared not help them; and for all this, their ingratitude you through without convoking them. annihilates my income, traduces my cha L. Ah! racter, and as my sources of influence C. Of all your boasted concessions thus abate, they drag me from the throne to a far, which of them could you have dungeon, and thence to a scaffold. avoided? Which of them was even made

C. Let us analyze the benefits you with a grace? Which of them was not enumerated. About the year 1774, the the obvious preference between two evils? philofophic feet of Phyfiocrates was L. The-the declaring for the Amealready organized into a political body, ricans. which had friends in most of the great C. And you will be rewarded for it by incorporations of France, in the cham- the generous pity of American and Engbers of commerce, the magistracies, the lish republicans. Yet, even in this case, parliaments. Some powerful families was you not a little eager to busy fome among the nobility, who pleased not at stirring fpirits among the more gallant your court, supported this faction. of your nobility? To avoid a civil, wage

L. Only the Rochefoucaulds---those a foreign war, is an old adage of profti. hereditary heretics.

gate state-craft. C. A fedition broke out in the metro. L. Some people about me might reason polis. You was alarmed, and accepted fo. at their hands Turgot for minister, under C. The states met. Is there a single conditions which you subscribed, like a boon they owe to your generosity? Your conquered enemy: Security was foon people pulled down the Bastille, or you restored, and reformation began. But would have iflued lettres de cachet againit Turgot having the weakness to believe, their members. Your foldiers retulid that the opinions of the wife will never their bayonets, or you would have overhe those of the people, continued the re awed their deliberations, and have strictions of the preis. He formed, there L. Not I, not i, others might with fore, no barrier of public opinion againtz C. In a word, you found that public court-mutability ; and, as soon as the opinion, and conte quently public force, Parisians had forgotten politics, to enter was at the command of thele national into Rousseau's quarrel about their mufic, affemblies. They raised Nicker to the

Turgot found his supporters purchased, clouds when you wanied to dismits him, undermined, deterred, distanced, diffia in order to thew him independent of you. pated--and had to refign.

Reitored at their bidding, they fuffered L. It was not I who disappointed this him to retiume his pompous importance. minister of influence, but the manage L. A curious proof of the caprice of ment of the queen's advisers.

popular affernblies: C. France is not the only country

c. The conftituting a popular afsembly! which a double cabinet has condemned to Yet De Retz said to me, after the 4th fluctuating counsels. Your next minifter Auguft, “ you fe all great bodies are was NECKER, a man whom Turgot had populace; when they are not puppets.". oppressed for writing in favour of limit 1. Puppets !--are senates ever 10? I ations upon the corn trade--a moderate feel that kings may-man in temper, in abilities, and in opi C. And sometimes, as in your case, nions. You chose him because the Paris should. Your vetos, when exerted at bankers would lend to no one else. His the request of a party, always drew attalents, as a financier, the enemy of your tention, even after your captivation

A Dialogue in Empyreum, between Louis XVI. and Charles I. 353 Without a party among your subjects, you would have been liberated—informed you had long ceased to be attended to. with as much indifference as had you L. They seemed to prize my accept- been a toll-gate-keeper, that your

services ance of the constitution.

were to be dispensed with-counselled to C. As if willing to revive an opinion pass your carnivals at Venice--and fufof indefeasible right, when it was likely fered to retire upon a pension, neglected to operate in their own favour. Was it and content. this which duped you into over-rating L. And content? You do not suspect your residuum of power so far, as to me of such vileness. think you could withstand an administra C. If contentment were the wiselt tion enjoying the confidence of the legisla- course, why not? tive assembly? Prince--prince !

L. O but I had friends! L. I only wished to second the Feuil C. You suppose then, that a strong lant party, who were not, like the Jaco- party in the country would at any time bins, aiming at my very being.

have marshalled around your name, would C. Had you taken the molt desperate have aflifted you to recover your fallen into pay, these Jacobin ministers, like dignity, and to replace the scutcheons of all others, would have endeavonred to your nobility among the civic honours Itrengthen an authority which made a of the country. Ellepart of their own. They would have L. Sutely I do. erected their statue To the restorer of French C. And if the members of the convenliberty, which their antagonists voted you. tion were also aware of the existence of

They would have increased a civil list, this party—if the superstition about kings which was to buy them creatures. But had given way rather to an opposite enyour eternal blind preference of whatever thufiaim, than a national indifference for men promised you molt oppeorance of them if the exittence of a man believed to power, naturally led the people to believe, have innate, indweļling, or divine rights, that even a constitutional king would op was really dangerous to that unanimous pose them all he could.

submislion to the newer powers, which L. And the accursed 10th of August! could alone enable them to direct the

C. The right of nations to decree the public force with fufficient energy against forfeiture of a crown, my good people of the foreign foeEngland acknowledged, you know, in L. You are not daring to palliate the 1688.

last act of our common ill-usage. L. But their motives

C. I think as ill as ever of such as C. Were chiefly to unseat an admini- thought by my exécution to secure per. stration. Wildman, Fletcher, and the fonal impunity. or individual advancedisinterested friends of freedom, would ment; but I have had so much 'conversaliave preferred James with a diminished tion with Hampden, Bradshaw, Milton, prerogative, to William with an in- and the rest of that itamp, that I begin creafed influence. Burthenfome church- to enter into the grounds of their party. inen of the time could not abide a mil L. Which were creant king, willing, perhaps, out of C. That, although no previously ex. bigotry, to tolerate both Catholics and isting law justified my removal, yet that Diffenters. William, indeed, had the my acting in concert with perfons hoftile like with, but lie krew better than to to the progress of popular influence upon facrifice his crown to his liberality. government, which they call liberty,

L. I gave no grounds of alarm or pro- tended to defer the improvement of the vocation, religious or civil.

conftitution—that opinions of hereditary C. The obitinate detention of a fo- right cannot, by their very nature, be reign guard, which the constitution for- compounded with, but must either be bad, which the legislative assembly ad- allowed to establish their superstitions (the vised you to disinils, and which seemned monarchy or feigniorage of certain familikely to co-operate with the Duke of lies), which is unjust to the opposite opiBrunswick, then rapidly approaching to. nions, or inust be coerced in the exercise wards Paris; was this 110 ground of of their claims--that the fe&tators of nealarm; of provocation? A sovereign bility, having acquiefced in the fupprefThould never excite jealousy, if he cannot fion of


and thus concentered command acquiefcence.

their wishes upon the retention of kingly L. They imprisoned me in avowed power, would have 110 pretext to revolt contempt of my constitutional inviolabi- against the inore general wi!l, if deprived lity. Atrocious, faithleis monsters! of their crly pcllible leader and that C. I fail not defend it. I expected the backward minority of iny

fon that, at the meeting of the convention, 2 2 2


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