TREATMENT. 153 



a sensation resembling that experienced on handling a 

 piece of the softest satin. These appearances are chiefly 

 met with in females/' There is dyspepsia, flatulence, 

 and hypochondriasis, with an irregular action of the 

 bowels, which are sometimes costive, at other times 

 profusely relaxed from very slight causes. Enlarge- 

 ment of the spleen in the fatty-liver is rarely present. 



TREATMENT. It is not often, says Murchison, " that 

 fatty enlargement of the liver causes such a derange- 

 ment of functions as in itself to call for any special 

 treatment. As a rule, the treatment must be specially 

 directed against the conditions in which the enlarge- 

 ment in question is known to occur. When for 

 instance, the fatty degeneration is developed in persons 

 who are large and gross feeders, and of indolent habits, 

 the fat will generally disappear from the liver, as well as 

 from all other parts of the body, if the individual adopts 

 an opposite mode of living. He should rise early, take 

 plenty of active exercise in the open air, he should 

 take Turkish baths three or four times a week, drink 

 freely of cold water, seltzer or the Vals water, night 

 and morning, and live principally on lean meat, fowl, 

 rabbit, and fish, green vegetables, with light claret, 

 hock, or water, mineral or plain ; no salmon, eels, or 

 herring. He should avoid butter, milk, cream, and all 

 fat meats, fermented liquors, strong and rich wines, and 

 all substances rich in starch or sugar. In fact, he must 

 adopt a regular system of " Bantingism." Under such 

 a diet the fat will not only disappear, but the tone and 

 nutrition of the muscles will be much improved, and 

 the patient's general strength much increased. 



When a fatty liver is the result of alcoholism, a simple 



