84 DISEASES CLASS I. 2. 3, 9. 



M. M. Metallic injections, partial cold bath, internal method 

 as in the fluor albus above described. Balsam of copaiva. Tinc- 

 ture of cantharides. Introduce a few inches into the urethra a 

 bougie smeared with balsam of copaiva. See Home on Urethra, 

 p. 105. 



9. Hepatis tumor. The liver becomes enlarged from defect 

 of the absorption of mucus from its cells, as in anasarca, espe- 

 cially in feeble children; at the same time less bile is secreted 

 from the torpid circulation in the vena porta3. And as the ab- 

 sorbents which resume the thinner parts of the bile from the 

 gall-bladder and hepatic ducts, are also torpid or quiescent, the 

 bile is more dilute, as well as in less quantity. From the ob- 

 struction of the passage of the blood through the compressed ve- 

 na porta these patients have tumid bellies, and pale bloated coun- 

 tenances; their paleness is probably owing to the deficiency of 

 the quantity of red globules in the blood in consequence of the 

 inert state of the bile. 



These symptoms in children are generally attended with 

 worms, the dilute bile and the weak digestion not destroying 

 them. In sheep I have seen fluke-worms in the gall-ducts them- 

 selves among the dilute bile; which gall-ducts they eat through, 

 ami then produce ulcers, and the hectic fever called the rot. 

 See Class I. 1. 4. 10. and Article IV. 2. 6. 



M. M. After a calomel purge, crude iron filings are specific 

 in this disease in children, and the worms are destroyed by the 

 returning acrimony and quantity of the bile. A blister on the 

 region of the liver. Sorbentia, as worm-seed, santonicum. Co- 

 lumbo. Bark. 



The nitrous acid has been strongly recommended by Mr. Scot 

 in tumours of the liver, which frequently occur in the east, where 

 this gentleman resides; he gives two drachms of strong nitrous 

 acid mixed with two pounds of water, to be drunk daily at in- 

 tervals. See Syphilis, Class II. 1. 5. 2. 



10. Chlorosis. When the defect of the due action of both the 

 absorbent and secerning vessels of the liver affects women, and is 

 attended with obstruction of the catamenia, it is called chlorosis; 

 and is cured by the exhibition of steel, which restores by its spe- 

 cific stimulus the absorbent power of the liver; and the men- 

 struation, which was obstructed in consequence of debility, 

 recurs. 



Indigestion, owing to torpor of the stomach, and a consequent 

 too great acidity of its contents, attend this disease; whence a 

 desire of eating chalk, or marl. Sometimes a great quantity of 

 pale urine is discharged in a morning, which is owing to the in- 

 action of the absorbents, which are distributed on the neck of 



