TREATMENT. 95 



brain, which we generally encounter in the form of 

 DELIRIUM, COMA, and CONVULSIONS, all known measures 

 calculated to promote the elimination of those poisonous 

 properties, UREA and URIC ACID, from the system, 

 should be called into action. 



It is in this way, perhaps, that the purgatives, as 

 prescribed by Griffin and Hanlon ; the laxatives by 

 Budd ; and the purgatives and mineral acids by Frerichs, 

 have done some good. We have, however, in our own 

 mlra and Podopli ;////>?/?-, potent aids MEDICINES 

 which not only penetrate into the inmost recesses of 

 the liver, but act as purgatives as well ; consequently, 

 the action of these drugs should be assiduously kept up ; 

 the skin also should be submitted to the influence of 

 warm baths, and more particularly the " Turkish bath." 

 In fact, I would not hesitate to keep my patient in the 

 latter for from two to three hours at a time, followed by 

 the cold douche, which should be played up and down 

 the spine, and over the whole of the hepatic region, for 

 three or four minutes each time, and even longer. The 

 Kidneys which have not hitherto received that attention 

 they deserve, ought not to be forgotten in the treatment 

 of Acute Atrophy of the Liver, as microscopic examina- 

 tions have revealed in these organs the deposit of bile- 

 icnt ; the glandular epithelium infiltrated with 

 uinmil<-> ; and in most cases in a state of fatty degenera- 

 i the tissue itself flabby and shrivelled. The 

 urine also undergoes important changes ; as we have the 

 almost tufa! ///'x^,/,, //,-,/,// of the Chlorides, Sulphates, 

 i Ate8, 1'mc ACID, and UKEA from that fluid; 

 and the accumulation of the latter in large quantities 

 in the blood; the temporary occurrence of albuminuria 



