186 SYMPTOMS OF 



but secondary, which may engage the exclusive atten- 

 tion of the physician, and cause the disease going on in 

 the liver to be entirely overlooked. Still these are 

 exceptional cases, and in the main we encounter a group 

 of symptoms so clear and characteristic, as to lead us 

 without doubt or hesitation to a correct diagnosis. \V,- 

 will review these symptoms under the following 

 heads : 



1. DYSPEPSIA. Many of the symptoms of cancer of 

 the stomach are observed in cancer of the liver. The 

 reason of this is tolerably clear, as the stomach and 

 intestines are themselves very often implicated in the 

 mischief; and as a rule the gastric as well as the 

 intestinal functions are much d i in cases of 



hepatic cancer. 



There is frequent eructation of air more or less fo-tid. 

 There is an impaired appetite, followed by ;i sensation 

 of fulness and uneasiness in the ej and hepatic 



ivginn after each i: 



There is obstinate constipation, which somet .: 

 changes into a diarrhu-a of a very off 

 and in the advanced stage the vince a deficiency 



of bile, are clay-colon red, and attended with a con- 

 siderable amount of flatus, at other times dyseir 

 stools and bleeding piles. 



There is vomitii Uiry mucus, bloody matters, 



or, the food. 



There is a gradual emaciation of the whole frame, 

 with an equally gradual loss of strength. 



There is excessive depression of spirits and morose- 

 ness of temper. There is a pale and earth-coloured 

 tint of the countenance, with a light straw-coloured 



