JAUNDICE. 51 



stomach and bowels, which last for some days before 

 the yellow colour of the eyes and skin can be distin- 

 guished. The region of the liver is painful on pressure, 

 and the dimensions increased. The urine assumes a 

 brownish colour, the fseces are pale and totally devoid 

 of bile-pigment, the pulse is slow, and there is a general 

 itchiness of the skin. This form of Jaundice will 

 generally yield to Aconite, followed by Podophyllum, a 

 cold compress over the region of the liver, and a spare, 

 non-stimulating diet. 



2. Jaundice may result from the impactment of gall- 

 stones in the common biliary duct, thus preventing the 

 escape of bile into the intestine and its consequent re- 

 absorption into the system. This form of Jaundice is 

 generally of short duration, and disappears so soon as 

 the calculi have passed through the canal. But it some- 

 r, happens that a gall-stone becomes per- 

 manently iixed in the duct, or closure of the canal may 

 take place from adhesive inflammation, each of which 

 may terminate in Jaundice of a permanent character. 

 The temporary form of this type is best treated by warm 

 baths, friction, the application of hot compresses over the 

 all'ected region, and the administration of Bell., Calc.-C., 



Lijcop. ; and in the more protracted and aggravated 

 forms by the inhalation of chloroform, which should be 

 repeated from time to time as circumstances may require. 



3. Jaundice may take place as the result of violent 

 mental emotions, such as vexation, anger, or fright. 



Physicians, in all ages, have recognized this form of 

 , Jaundice, and so far as our present knowledge extends, 

 derai. of t he nervous system may lead to accumu- 



lations of bile in the blood in two ways : 



