The symptom of pulsation in tumors, which take their rise from a partial wound, or from a general weakness, and subsequent dilatation of the coats of an artery, is not confined to this species of aneurism, but is frequently attendant upon false aneurisms (that is, such tumors, as are occasioned by extravasated arterial blood), supposing the disease to be a recent one of either of the preceding vessels, or of any other arterial vessel not deeply situated: and this symptom of pulsation in false aneurisms will sometimes be accompanied with a discoloration, or variegated appearance, of the integuments dependent upon the insinuation of the blood underneath them. But if the extravasation be confined under an aponeurosis, or if the disease has been of so long standing, as to admit of the thinner parts of the extravasated blood being absorbed, or by any other means dispersed, and the fibrous parts, which are left behind, should be accumulated in considerable quantities, and acquire so compact and solid an appearance, as to resemble brown macerated leather in their colour and texture, which I have always observed to be the case in old diseases of this kind; under these circumstances, the original symptoms of pulsation on the swelling, and a discoloration of the integuments, for the most part become imperceptible: for which reasons the true nature of the disease must be attended with a degree of uncertainty. It must be acknowleged by all those, whose experience has given them opportunities of examining into these diseases, that the symptoms of a pulsation, and a discoloration of the teguments from extravasated blood, are not only very often wanting in old aneurisms, but in the most recent ones: which proves the non-existence of these symptoms to be no certain characteristics of tumors not being aneurismal: and the reason why this often happens may be readily explained, and conceived of, from demonstrating the very deep or low situation of many arteries, that are known to be liable to these injuries; such as the femoral arteries, the _arteriæ tibiales posticæ_, the _arteriæ peroneæ_, and some others. Notwithstanding I have treated of pulsation on tumors, and a discoloration of the integuments or coverings of the part, when they do exist, as being the truest marks of aneurisms; yet it must not be inferred from what has hitherto been advanced, that the appearances of these symptoms are unexceptionable rules of tumors being aneurismal; seeing it does happen, that mere imposthumations, or collections of matter, arising from external as well as from internal causes, are sometimes so immediately situated upon the heart itself, and at other times upon some of its principal arteries, as to partake in the most regular manner of their contraction and dilatation (systole and diastole).