Jaundice! * °4 [Jaundice 



worms ; or the opening of the duct into the 

 bowel may be stopped by thickening of the 

 bowel membrane. The attack generally com- 

 mences with sickness, dulness, loss of appetite ; 

 and the membranes of the mouth and eyes turn 

 yellow, and so does the skin. There is generally 

 obstinate constipation, and what is passed from 

 bowel is usually grey or slate colour. The urine 

 is scanty and high-coloured. 



Jaundice is also a symptom of organic disease 

 of the liver. 



Treatment : When the result of congestion 

 caused by a chill, I have found, after many 

 years' experience, that the homoeopathic pre- 

 parations of Nux Vomica 3 x and Merc. Sol. 

 3 x act well in these cases. Of the trituration 

 give from two 1 to ten grains of each every three 

 or four hours. If the bowels do not operate on 

 the second day, give an enema of from two 

 tablespoonfuls to half a pint 1 of warm soapy 

 water ; repeat daily if necessary. Hot linseed- 

 meal poultices may be applied to abdomen. 



Diet : Mutton broth (in which some green 

 vegetables have been cooked), with toast or 

 stale bread ; milk and Vichy water in equal 

 parts to drink ; later boiled fish or tripe. 

 When the condition is the result of obliteration 

 of the duct, there is nothing to be done ; relief 

 may occur spontaneously, or an operation may 

 be performed, but it is not recommended. 

 When jaundice is due to organic disease of 

 the liver, it cannot be cured, but the Nux 



1 According to the size of the dog. See p. 86. 



