INFLAMMATIONS. 81 



through these, and be discharged outwardly : or, if the adhe- 

 sion should have been to the diaphragm, the pus may penetrate 

 through this, and into the cavity of the thorax, or of the lungs ; 

 and through the latter may be discharged by coughing. When 

 the abscess of the liver is seated on its concave part, then, in 

 consequence of adhesions, the pus may be discharged into the 

 stomach or the intestines ; and into these last, either directly, 

 or by the intervention of the biliary ducts. 



CCCCXXII. The prognostics in this disease are estab- 

 lished upon the general principles relating to inflammation, upon 

 the particular circumstances of the liver, and upon the particu- 

 lar state of its inflammation. 



The cure of this disease must proceed upon the general plan; 

 by bleeding, more or less, according to the urgency of pain and 

 pyrexia ; by the application of blisters ; by fomentations of the 

 external parts in the usual manner, and of the internal parts by 

 frequent emollient glysters ; by frequently opening the belly by 

 means of gentle laxatives ; and by diluent and refrigerant 

 remedies. 



CCCCXXIII. Although, in many cases, the chronic he- 

 patitis does not clearly discover itself; yet, upon many occa- 

 sions, it may perhaps be discovered, or at least suspected, from 

 those causes which might affect the liver (CCCXVI.) hav- 

 ing been applied ; from some fulness and some sense of weight 

 in the right hypochondrium ; from some shooting pains at times 

 felt in that region ; from some uneasiness or pain felt upon pres- 

 sure in that part ; from some uneasiness from lying upon the 

 left side ; and, lastly-, from some degree of pyrexia, combined 

 with more or fewer of these symptoms. 



When from some of these circumstances a chronic inflamma- 

 tion is to be suspected, it is to be treated by the same remedies 

 as in the last paragraph, employed more or less, as the degree 

 of the several symptoms shall more distinctly indicate. 



CCCCXXIV. When from either kind of inflammation a 

 suppuration of the liver has been formed, and the abscess points 

 outwardly, the part must be opened, the pus evacuated, and 

 the ulcer healed, according to the ordinary rules for cleansing 

 and healing such abscesses and ulcers. 



CCCCXXV. I might here consider the Splenitis, or in- 



VOL. n. F 



