OF HYDATIDS. ^ 285 



is very deeply tinged. The alvine excretion is said 

 to be of a white colour, and rather thick consist- 

 ence. ' He is affected with occasional sickness, and 

 inclination to vomit ; but he has never complained 

 of pain in the epigastrium. He complains of great 

 dyspnoea, which is always most severe in the 

 morning, and is induced on stooping forward or 

 making any exertion. 



" He is also much affected in the evening, par- 

 ticularly at first lying down, with a severe cough, 

 which, by his account, is extremely urgent, except 

 when lying on the left side ; and is accompanied by 

 a different, though copious viscid expectoration, hav- 

 ing a bad taste and smell. It excites the dyspnoea 

 to a great degree, which then requires the erect pos- 

 ture. ' Pulse one hundred ; tongue white ; great 

 thirst ; heat moderate ; urine very scanty ; belly 

 costive ; and he is distressed with frequent tenes- 

 mus; appetite much impaired ; sleep disturbed by 

 frequent startings.' 



<^ Dissection. The dropsical water in the ab- 

 domen was as dark coloured as the urine of the pa- 

 tient was on his admission, and gave a deep yellow 

 tint to cloth immersed in it. The impregnation from 

 bile had indeed gone further, than in any case Ire- 

 collect to have seen ; for the cartilages of the ribs 

 were coloured by it to the centre. The surface oi 

 the liver had somewhat of a mottled green colour, 

 very like to many marbles, and more especially to 

 the Portsoy serpentine. The substance of the liv- 

 er had also the same appearance, witli the excep- 



