JAUNDICE. 67 



second form is distinguished by serious derangements of 

 the nervous system, coupled with acute wasting of the 

 liver, which will demand prompt and energetic treatment. 

 This should consist of Aeon., to subdue inflammatory 

 action ; Bell., Cham., Coff., Hyos., or Nux Vom., to cope 

 with the exalted sensibility of the nervous system. 

 Curari and Lack, are also worthy of trial. 



In the twelfth and last form, which is one of the most 

 terrible and obstinate types of Jaundice we have to 

 contend with, being generally connected with the most 

 chronic, and profound organic lesions of the liver and 

 other adjacent viscera, no radical cure can be looked for ; 

 but much may be done by properly-chosen medicines, 

 a carefully-selected diet, a series of pack, compresses, 

 and Turkish baths, change of air and scene, and a resort 

 to some of the mineral waters adapted to that class of 

 complaints ; such as the waters of Karlsbad, Marienbad, 

 Kissengen, Homburg, Vals, Vichy, Ems, Cheltenham, 

 or Llandrindod in Kadnorshire. Independently of the 

 effects of the water itself, which, when taken in large 

 quantity, finds its way through the walls of the portal 

 vein, and gives rise to an abundant secretion of thin bile 

 these mineral waters are chiefly indebted for their 

 action to the soda and neutral salts which they 

 contain. 



They are with difficulty replaced by any other reme- 

 dies, in cases where the Jaundice owes its origin to 

 chronic congestions of the liver, with obstinate catarrh 

 of the bile-ducts and mucous membrane of the stomach 

 and duodenum, to gall-stones, etc. 



Their selection must, however, always be determined 

 by the nature of the fundamental affection of the liver, 



