138 THE ACUTE STAGE. 



A painful feeling of swelling in the pit of the 

 stomach, want of appetite, and paroxysms of dyspnoea- 

 Violent constriction, tightness, pressure, fulness, and 

 weight in the hypochondriac region. 



Tensive, painful swelling under the ribs, shocks, 

 and pressure in the region of the liver, with oppression, 

 and arrest of breathing. 



Pricking pains in the liver and bowels. 



Constrictive pains in the region of the gall, bladder, 

 arresting the breathing. 



The abdomen is distended and swollen as in dropsy. 



These indications might be increased by a number of 

 other symptoms from the urinary and alvine group, which 

 would fairly complete the picture of Hepatitis. This 

 medicine should be administered in the matrix form ; 

 3 or 4 drops dissolved in a tumblerful of water ; a 

 table-spoonful to be taken every hour, gradually in- 

 creasing the intervals to two or three hours. If the 

 peritoneum becomes involved, which is known by 

 stinging, tensive, burning pains, increased on pressure 

 or inspiration, Bryonia* should b<* jjivrn in alternation 

 with the Aconite ; and great benefit will be derived from 

 the application of a hot compress to the hypochondriac 

 region, sprinkled over wit h the tincture of Aconite. These 

 medicines should be assiduously administered at regular 

 intervals for at least 30 to 36 hours, as well as the 

 outward application. When the hepatitis is accom- 

 panied by gastric catarrh, a coated tongue, nausea, 

 vomiting, distention, and tenderness of the epigas- 

 trium, Nux. Vom. in quarter-drop dose dissolved in 

 filtered or distilled water will have a most beneficial 

 effect. When dysentery is known to have preceded 



