leech: book. ii. 199 



imtients. The liver is extended ou the right side as Book II. 



far as the pit of the belly, it hath five lohes or lappets, 



it has a hold on the false ribs, it is the material of 



the blood, and the house and the nourishment of the 



blood ; when there is digestion and attenuation of the 



meats, they arrive at the liver, and then they change 



their hue, and turn into blood ; and it casteth out the 



uncleannesses which be there, and collects the clean 



blood, and through four veins principally sendeth it to 



the heart, and also throughout all the body as far as 



the extremities of the limbs. Of the six things which 



work liver pain : first swelling, that is, puffing up of 



the liver; the second is the bursting of the swelling ; the 



third is wound of the liver ; the fourth is a burning heat 



with sensitiveness and with a sore swelling ; the fifth 



is a hardening of the maw with sensitiveness and with 



soreness ; the sixth is a hardening oi" the liver without 



sensitiveness and without soreness. Thou mayest thus 



understand swelling or puffing up of the liver ; on the 



right side is under the nesh ^ rib first the swelling of the " Read laM. 



liver observed, and the disordered man there first feeleth 



heaviness and sore, and from that place the sore riseth 



over all the side as far as the collar bone, and as far as 



the right shoulder, and the mans mie is bloodred as if 



it were bloody ; loss of appetite is incident unto him, 



and his hue is pale, and he is somewhat feverish, and 



he suffereth remarkable chill, and quaketh as a man doth 



in lent addle or typhus fever ; his meat will not keep 



down, the liver enlarges, and he may not touch the 



sore with his hand, to that degree is it strong, and 



he hath no sleep when it is strongest. When the 



swelling bursteth then is the mie purulent, as ratten ; 



if it runneth ofi" then is the sore less. 



