18 THE LIVER. 



over the region of the liver ; a cold compress, worn both 

 night and day ; horse, running, and gymnastic exercise ; 

 early rising, followed by a cold sitz bath, and a resort 

 to some of the deobstruent and aperient mineral waters, 

 such as the SEIDCHUTZ and PULNA, in Germany ; CHEL- 

 TENHAM, in Gloucestershire ; LEAMINGTON, in Warwick- 

 shire ; and the celebrated SULPHO-SALINE of Llandrin- 

 dod, in Radnorshire. 



2. INCREASED OR EXCESSIVE SECRETION OF BILK. 

 This is the very opposite of the foregoing morbid con- 

 dition, and may be defined as copious fluid fu.-cal evacua- 

 tions, highly charged with bile, which is sometimes 

 greeii, at other times slate-coloured ; and often prec- 

 by griping, tormina and nausea, and sometimes by vomit- 

 ing, and an accelerated pulse. 



An inordinate secretion of bile is more frequently 

 inferred from circumstances, than proved by uneqniv 

 evidence: for accumulations of bile may form in the, 

 gall bladder and hepatic ducts, ;m<l when suddenly 

 barged into the alimentary canal, give rise to the same 

 iir-Mip of symptoms which char. an increased 



secretion ; when in fact only an i: flow of 



previously obstructed or accumulated bile has taken 

 place. In this country, particularly during the sum- 

 Lier and autumnal months, this form of biliary 

 rangement is of frequent occurrence, and known as bilious 

 diarrhoea bilious or English cholera and merely form 

 minor grades, as it were, of the same pathological con- 

 ditions often met with in warm and Eastern climates. The 

 further symptomological phases of this form of biliary 

 derangement is recognized by the evacuations being at 

 first feculent, and commonly of a green, or greenish 



