2. In February 1752. I was called to relieve a poor woman of this place, Sarah Ewdall, aged 30 years and upwards, and the mother of several children. She laboured under the jaundice, and complained of a severe acute pain striking thro’ from the right _hypochondrium_ to her back, with frequent vomitings. A præternatural hardness, of a compass not exceeding the hollow of the hand, was then plainly to be felt at the pit of the stomach, or a little nearer to the right _hypochondrium_. When that particular part was pressed, she complained of great pain. The pain at this part was always increased by attempting to lie upon the left side. She was blooded, fomented externally, had emollient saponaceous clysters injected, and a nitrous apozem, and pills composed of _galban. & sap. Castillens._ and soon after recovered. She had frequent returns of the same complaint after this; but I saw her not again till Jan. 1755, when she lay insensible in a fit, which for several days deprived her of the use of her speech and of all her senses, only she tossed her limbs about. About a quarter of a year after she had recovered from this fit, Mr. Cooper of this place, her apothecary, informed me, that from a small sore at the pit of her stomach, which came since her last illness, she had voided several gall-stones. Curiosity prompted me to inquire into the matter of fact from herself. She shewed me the sore, which was now almost cicatrized. She said, that soon after her last illness a little pimple arose upon that part of the pit of the stomach, which had been hard ever since she had been subject to the jaundice. This pimple broke, ran matter, and at different times the _calculi_, which she shewed me, had come out with the matter. Her stomach had been somewhat painful before it broke, but was now easy. The _calculi_, which she shewed me, had the appearance of being fragments of larger ones, and some were almost dust; tho’ she assured me they all came from the sore in that condition. Of these fragments I have two or three of the largest now in my custody: they are light, swim on water, smooth like soap; are of a yellow colour, and in some parts brown like snuff; and consist of similar concentrical layers. The poor woman has since then been troubled with returns of pain and jaundice, in the intervals of which her skin is perfectly clear and white. She is still alive, and ready to attest the truth of this narrative. J. Johnstone. Kidderminster, Sept. 11th, 1757. LXXII. _A remarkable Case of Cohesions of all the Intestines_, &c. _in a Man of about Thirty-four Years of Age, who died some time last Summer, and afterwards fell under the Inspection of Mr._ Nicholas Jenty. [Read Feb. 9, 1758.]