146 SYMPTOMS OF WAXY LIVER. 



bility of transmitting fluids through their walls, and 

 cease to furnish the materials necessary for nutrition and 

 secretion. These injurious consequences become more 

 marked, the farther the degeneration has extended 

 throughout other organs which play an important part in 

 the elaboration of the blood, and the process of nutrition, 

 viz., the spleen, stomach, kidneys, intestinal canal, and 

 lymphatic glands, all of which are frequently found im- 

 pregnated with the same disorder. Hence we can clearly 

 see, how individuals suffering from a waxy liver present 

 a pale, sallow, cachetic appearance, general ana-mia, and 

 debility. A waxy liver does not often obstruct the 

 portal circulation, hence jaundice is not a common 

 symptom; hut enlargement of tin* spleen is very common. 

 The functions of the stomach become more or less de- 

 ranged; the a). petite may cease, and vomiting with a clean 

 tonguu may supervene from time to time. The bowels 

 are irregular; are sometimes relaxed, sometimes cos 

 sometimes pale, at other times dark or pitehy, with 

 troublesome tympanitis and tenesmus. The urine is pale, 

 and is voided in large quantity, as mueli as :; to .", 

 in the U4 hours; specific gravity is about. HUli, and holds 

 in solution a ^.nsiderable amount of albumen : this 

 continues, and towards the termination of the disease 

 only is the quantity diminish 



DURATION AM I'K<><;KI:SS. This disease is alwa 

 lingering one, its duration, as a rule, extending over 

 many months, and its commencement obscure. 



DIAGNOSTIC ALLY the disease presents but few difli- 

 culties. The uniform enlargement of the gland, its linn 

 consistence, its association with enlarged spleen, albu- 

 minous urine, and its succeeding to disease of the bones, 



