36 THE LIVER. 



ditions of the system, substances are formed in the 

 blood, without the co-operation of the liver, which in 

 colour and other properties resemble the ingredients of 

 bile, if they are not identical with them, but which 

 only assume a pathological importance from their 

 quantity being in excess. But, whichever theory be the 

 correct one, this however we do know, that most, 

 although perhaps not all, cases of Jaundice do arise 

 from the reabsorption of the bile already secreted. 

 As a general rule it is not a very difficult mutter to 

 point out the anatomical nature <>(' the mechanical 

 obstruction 1 natural excretion of Mle; as the 



experiments of Saunders in 171'-, followed l.y those of 

 Tiedemann, (iniclin, and others, go to prove that by 

 applying a li-ature to the 



"the common Mle duct," Jaundice i< 'in such 



obstruction, and of the secretion into the 



lymphatics and veins follows. From these and 

 experimental iir. coupled with ti. 



vations of many able men, Jaundice from reabsOT] 

 forms a fair Btartil 



and in all ca06l and forms of tl our chief 



object will be to search for all kinds <>! 

 obstructions which tend to prevent the escape of the 

 bile, or for other causes, which promo- issage of 



this fluid into the blood. Before, however 

 to investigate this pathol" as well 



to point out certain groups of symptoms, connected 

 with other diseases, which may, to a casual observer, 

 be mistaken for Jaundice. 



Firstly, There is that anaemic condition of y> 

 women, known as Chlorosis, or the green sickness, easily 



