JAUNDICE. 103 



gall-bladder, like many other animals, and for this reason he 

 is not liable to have jaundice from the bile becoming hardened 

 in it. It must be caused by some obstruction in the one duct, 

 or tube, which conveys the bile from the liver to the gut as 

 fast as it is formed, or in the substance of the liver itself. 

 Jaundice may follow inflammation of the liver, and, I think, is 

 generally the result of a mild attack of inflammation of the 

 liver. It may accompany inflammation of the stomach or 

 lungs, the liver being affected by sympathy. 



Treatment. — The object is to arouse the liver to the healthy 

 performance of its office; or, if the disease results from ob- 

 struction in the biliary duct, to relax it so as to let the bile 

 flow freely into the bowels. As it can not be ascertained 

 which of these objects is the one to aim at, I make use of such 

 remedies as will accom23lish either, or both, at the same time. 

 In the first place, apply a blister over the liver. If the pa- 

 tient does not improve rapidly, reapply it every day. Intern- 

 ally give the following relaxing cathartic dose : 



Take — Powdered aloes 6 drams. 



Powdered May-apple root 4 drains. 



Powdered lobelia herb 1 ounce. 



Warm water 1 quart. 



Mix, and give as a drench. If it does not physic in twelve hours, repeat 

 the dose. 



After the action of the physic, follow up with the following: 



Take — Powdered May-apple root 2 ounces. 



Powdered golden-seal 2 ounces. 



Mix, and divide in twelve papers ; one to be given twice a day in warm water. 



The above physic may be repeated every third day, if the 

 horse does not improve. 



