A Clinical Treatise on Diseases of the Liver, Part 1

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New Sydenham Society, 1860 - Electronic books - 4 pages
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Page 158 - to all appearances the jaundice is here the result of an impaired consumption of bile in the blood, arising from an abnormal condition of the metamorphic processes which go on in that fluid." Abdominal pain is sometimes complained of; but generally it is local, and the result of inflammatory processes going on in the internal organs (as the liver and spleen) and of circumscribed peritonitis in connexion therewith.
Page xii - It is declared by some as probable that, even in a state of health, all the bile formed in the liver does not pass into the bile ducts, but that a portion of it enters the hepatic veins, along with the sugar ; the quantity which thus enters, varying with the distribution of the blood in the gland, and with the relative degrees of pressure exerted by the contents of the veins, and of the minute bile ducts upon the secreting cells, being largest, when the pressure on the sides of the veins is least,...
Page 312 - ... distinctly described by Dr. Stewardson, of Philadelphia, in a paper published in the number of the American Journal of Medical Sciences, for April, 1841. f His observations were carefully confirmed by extended observations of other American writers.J Meckel, in 1837, ascertained that the dark color of the organs depended upon an accumulation of pigment in the blood, and Virchow a little later discovered some additional facts; but the subject was first brought prominently before the profession...
Page 96 - When this is the case, the urine is at one time of a brown or brownish-red colour, and becomes red on the addition of nitric acid; at another time it is of a deep red, which is converted by nitric acid into a dark bluish-red.
Page 172 - ... shows that these derangements are not of a limited character, but that their products pass into the blood and the excretions. The pathological importance of these processes, however, cannot be determined with any degree of certainty, until the nature and extent of the implication in the general metamorphosis of matter of the parenchyma of the several organs and tissues, the varying character of which has only been recently investigated, is completely understood both in health and in disease....
Page 372 - In most cases, we may succeed without any difficulty iu moderating or removing the hyperaemia of the liver by means of a carefully regulated diet, by avoiding all indigestible, fatty, and over-nutritious articles of diet, by increasing the waste of material by means of active exercise in the open air, riding, &c., as well as by the use of bitter laxative medicines, the solvent extracts with salines, rhubarb, aloes, and similar substances, by the application of leeches to the anus, and still better,...
Page 4 - ... &c. No wonder that in this way, the liver came to be regarded as the centre of a large proportion of pathological processes. Throughout the pathological works which appeared from the time of Galen down to the middle of the seventeenth century, this organ was looked upon as the seat of the mind itself. No one dared to question the grounds of this dogma, although in a few instances it was extended or modified. Even in the year 1626, Riolan called upon physicians diligently to study the liver, as...
Page 313 - The liver presents a steel-gray, or blackish, or not unfrequently a chocolate color; brown insulated figures are observed upon a dark ground. This change of color is produced by pigment-matter which is accumulated in the vascular apparatus of the gland.
Page 115 - When these are removed, there is seldom any necessity for further treatment directed against the jaundice itself. As might be expected, the means to be employed for accomplishing these indications for treatment, vary greatly according to the nature of the primary causes of the disease ; they will subsequently occupy our attention, when we come to treat of the individual forms of jaundice and of the corresponding affections of the liver and of the bile ducts. Not unfrequently, the cause of the jaundice...
Page 156 - Cases of this kind are met with in which the disease takes on a malignant character, and in which death ensues after a few days, amid severe nervous symptoms, such as delirium and convulsions. Cases of the kind are recorded in the works of Morgagni and Villerme. The milder form of this kind of Jaundice soon disappears under the administration of Acon., Cham., Ign., Nux Vom., followed by Sulph.

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