OF THE LIVER. 157 



any actual structural disease. Similar observations may 

 be made with regard to malarious districts of the tem- 

 perate zone, as I have met with five cases of enlarge- 

 ment of the liver and spleen in persons who came to 

 consult me from the fen districts below Cambridge, and 

 the Isle of Ely. 



TREATMENT. In the treatment of simple enlargement 

 of the liver, we must be guided by the circumstances 

 connected with each particular case, as enlargement may 

 take place from many different causes ; consequently, 

 each case will command a special mode of treatment, 

 which must be left to the judgment and discretion of 

 the practitioner. 



