JAUNDICE. 59 



matter in the transverse portion of the large intestines, 

 acting as a foreign body, and pressing against the bile- 

 ducts with sufficient force to impede the further flow of 

 bile. The same form of Jaundice may likewise take 

 place during the early months of pregnancy, which can 

 generally be traced to sudden emotions of the mind, as 

 grief, vexation, or that kind of anger which we sometimes 

 find associated with those domestic broils which will 

 occasionally take place in the best-regulated families ; 

 this form, however, is quickly removed by such remedies 

 as Ignatia, or Nux Vomica; the former, by the lady 

 reclining, as a rule, on her left side, either in the recum- 

 bent or half-sitting posture; and when caused by 

 constipation, by the administration of such remedies as 

 Alum., Bry., Nux- Vorn., Sepia, or Sulph. These failing, 

 resort should be had to the administration of an enema 

 of tepid soap-and-water (soapsuds), or weak gruel, to 

 which may be added a dessert or tablespoonful of salad 

 or castor oil. 



The second form is distinguished by serious derange- 

 ments of the nervous system, and, so far as cases of it 

 have as yet been examined, depends upon acute wasting 

 of the liver, the result of inflammation of the spongy 

 substance (parenchyma) of the organ ; the kidneys also, 

 as a rule, are affected at the same time. 



12. Finally, there is another kind of Jaundice which 

 I am unwilling to omit in this brief sketch, a reference 

 to which I have been unable to find in the voluminous 

 works of Frerichs, the fascinating lectures of Murchison, 

 or the practical treatises of Budd, Saunders, and others 

 namely, the green or black Jaundice. Synonymously: 

 The MeAm'va VOUCTOC of the Greeks ; the Icteritia nigra of 



