HEPATITIS — PATHOLOGY. 693 



epizootic fever, or where they appear intimately associated with 

 or dependent on some other well-estabhshed visceral disease, 

 the bleeding, and also the aloes, are better left unemployed, and 

 our dependence to remove the congestion thrown entirely on 

 other and less hazardous remedies. 



Following the employment for some days of these salines, I 

 have often thought that benefit has resulted from alternatmg 

 them with a moderate quantity of some mineral acid, as the 

 nitro-muriatic ; and where pain was unmistakably shown by 

 pressure over the region of the liver, by the assiduous employ- 

 ment of warm- water applications. 



CHAPTER XLVI. 



HEPATITIS — INFLAMMATION OF THE LIVER. 



Pathology, a. Varieties of this Morbid Condition. — Hepatitis 

 or inflammatory action connected with the liver, seems to occur 

 in more forms than one, and to exhibit rather different textural 

 results. Judging from the extensive alteration of tissue which 

 we often observe in examinations of horses which have died 

 from other affections, there seems little reason to doubt that 

 during life hepatic inffammations of particular characters are 

 not marked by a prominent exhibition of symptoms. 



From these post-mortem examinations, and from comparing 

 the structural changes which we observe with corresponding 

 conditions of other organs, and Avhat we know of the develop- 

 ment of their morbid states, it seems tolerably certain that 

 inflammatory action may develop itself in connection with two 

 distinct situations, and probably of various degrees of intensity. ' 

 (1) As inflammation of the investing and penetrating fibrous 

 Glissonian membrane ; (2) As inflammation of the true gland- 

 structures throughout the organ. 



1. As Inflammation of an Acute and Circumscribed 

 Character of the Fibrous Covering of the Liver, we occasionally 

 encounter the diseased action as a concomitent or sequel of 

 pleuritic inflammations, the liver participating in these instances 

 from the contiguity of structures; a similar condition may 

 follow an attack of enteric disease or of peritonitis. From the 



