JAUNDICE. 61 



on the subject in the Transactions of the College of 

 Physicians, vol. v. p. 143, entitled : " Observations on 

 Green Jaundice" The symptoms are briefly these : 

 The colour of the skin varies in depth from a yellowish- 

 green to a deep green or olive colour. The temperature 

 of the surface is not increased, but burning heat is felt 

 in the palms of the hands and soles of the feet. The 

 evacuations are often pale ; but sometimes they are 

 dark-coloured pitchy with grumous coffee or cho- 

 colate-like matter, and slight diarrhoea. The urine is 

 occasionally clear, but oftener very dark and loaded, 

 imparting to the linen a dark, tawny hue. The patient 

 is greatly depressed, physically and morally ; complains 

 of anxiety at the epigastrium, and of tenderness either 

 in that situation or in one or both hypochondria. A 

 sensible enlargement of the liver is often felt, and some- 

 times also of the spleen. The pulse is usually natural 

 or slow vertigo, sickness, and vomiting of a green acid 

 colluvies, occasionally are present. In the intervals, 

 the appetite is either capricious or but little affected. 



This form of Jaundice seldom affects young persons. 

 It is commonly met with in the aged, and is much 

 more frequent in males than females, particularly in 

 those who have lived long in unhealthy inter-tropical 

 countries, or who, with great anxiety and fatigue, have 

 been tried by frequent changes of climate. It is gene- 

 rally connected with the most chronic and profound 

 nic lesions of the liver, especially those which in- 

 volve, or destroy, its secreting structures, and obliterate 

 the minuter ramifications of the ducts through the 

 organ. It seldom admits of more than a partial re- 

 moval, but usually terminates in either a fatal exhaustion, 



