98 CIRRHOSIS OF LIVER. 



" But if, after the inflammation, the liver does not 

 suppurate, the pain does not go off, its swelling, changing 

 to a hard state, settles down into scirrhus." In which 

 case, indeed, the pain is not continuous, and when pre- 

 sent is dull, and the heat is slight ; there is loss of 

 appetite, delight in bitter tastes, and dislike of sweets ; 

 they have rigors ; are somewhat pale, green, swollen 

 about the loins and feet, forehead wrinkled, belly dried 

 up, or the discharges frequent. The cap of all these bad 

 symptoms is dropxy." 



u In the dropsy, provided there is a copious discharge 

 of thick urine, having much re-crementitious sediment, 

 there is hope that the dropsical swelling \ n \\ run 

 but if the urine be thin, without sediment, and scanty, 

 it conspires with the dropsy. The chief causes alludi-d 

 to by this ancient and eminent author are primarily " 

 iNTEMi'i: proof that teetotal ism was not in the 



ascendency at that remote epoch ; and protracted 

 diseases especially from dysentery and c'nlliquative 

 wasting, and it was customary to call such pers<>: 

 who died emaciated from ulcers and atrophy of the 



llVfl. 



Hippocrates, who flourished 450 B.C., makes mention 

 of something similar, for in the 4L ; iul Aphorism of his 

 masterly work we find the following : " In cases of 

 jaundice and dropsy they are bad symptoms when the 

 liver becomes indurated." What form of induration, 

 however, he does not say ; but it is a well-known patho- 

 logical fact that jaundice or dropsy, attended with 

 scirrhus, or cirrhosis of the liver, is necessarily all but 

 hopeless. 



Vesalius, a celebrated Belgian anatomist of the fifteenth 



