SYMPTOMS. 1 31 



liver and large eater. On first landing in that country 

 he was smitten with yellow-fever. A few years after this 

 he had dysentery, which continued to harass him for 

 many months. He at last became unfitted for business, 

 and was ordered home invalided. On his arrival in London 

 he consulted one of the ''head physicians" to the "London 

 Homoeopathic Hospital," who treated him for Dyspepsia. 

 Finding no relief he consulted me on the above date. 



Here are the symptoms, as roughly sketched at the 

 time : There is a darkish hue of the countenance ; he 

 complains of great debility, and is unable to walk any 

 distance ; there is considerable dyspnoea ; talking 

 fatigues him ; and there is a peculiar anxiety depicted in 

 the face. The tongue is thickly coated with a yellowish 

 brown slimy deposit ; he is much troubled with flatus ; 

 he eats but little at a time, as it creates nausea; the 

 pulse is quick, and jerks ; the bowels are tolerably 

 regular in colour of a dark brown. The urine is scanty, 

 high-coloured, and deposits a heavy pinky sediment. 

 There are signs of anasarca round the ankles; he sweats 

 freely, and the sleep is restless and disturbed. A careful 

 examination of the chest and abdomen revealed the fol- 

 lowing : The chest is well developed, and has no 

 abnormality beyond the dyspnoea, which was distressing. 

 The ri^ht hypochondriac region is greatly distended ; the 

 skin is tense and shining ; percussion- marks extensive 

 dulness, and pain which extends through to the inter- 

 scapular region ; and palpation yields distinct fluctua- 

 tion. To take Aeon, and Ars, at stated intervals. 



September 8. There is no change beyond an increased 

 pain over the surface of the liver, which I look upon as 

 peritoneal. To take Bryonia ^xA Aconite in alternation. 



