the 18th and 19th years of his age, this young nobleman, having travelled through France and Italy, came to London, having at this time a very large open cavity in his side, through which the lungs, as it was believed, could both be seen and touched. When this circumstance was told as something miraculous to his Serene Majesty King Charles, he straightway sent me to wait on the young man, that I might ascertain the true state of the case. And what did I find ? A young man, well grown, of good complexion, and apparently possessed of an excellent constitution, so that I thought the whole story must be a fable. Having saluted him according to custom, however, and informed him of the king's expressed desire that I should wait upon him, he immediately showed me everything, and laid open his left side for my inspection, by removing a plate which he wore there by way of defence against accidental blows and other external injuries. I found a large open space in the chest, into which I could readily introduce three of my fingers and my thumb ; which done, I straightway perceived a certain protuberant fleshy part, affected with an alternating extrusive and intrusive movement ; this part I touched gently. Amazed with the novelty of such a state, I examined everything again and again, and when I had satisfied myself, I saw that it was a case of old and extensive ulcer, beyond the reach of art, but brought by a miracle to a kind of cure, the interior being in- vested with a membrane, and the edges protected with a tough skin. But the fleshy part, (which I at first sight took for a mass of granulations, and others had always regarded as a portion of the lung,) from its pulsating motions and the rhythm they observed with the pulse, when the fingers of one of my hands were applied to it, those of the other to the artery at the wrist as well as from their discordance with the respiratory movements, I saw was no portion of the lung that I was handling, but the apex of the heart ! covered over with a layer of fungous flesh by way of external defence, as commonly happens in old foul ulcers. The servant of this young man was in the habit daily of cleansing the cavity from its accumulated sordes by means of injections of tepid water ; after which the plate was applied, and, with this in its place, the young man felt adequate to any exercise or expedition, and, in short, he led a pleasant life in perfect safety.
