292 THE NATURE AND TREATMENT OF 



ficulty is opposed to the progress of the gall-stones, and 

 there is some return of pain, and in a few cases the pain is 

 evidently more intense than in the early stage. At length, 

 this sphincter muscle of the duodenum dilates, the calculus 

 enters the intestinal canal, the pain ceases, and the natural 

 color of the skin returns. In this species of jaundice, we have, 

 in addition to the yellow skin, the heaving of the flanks, the 

 hard, concentrated pulse, the diminished appetite, the insatiable 

 thirst, and the other symptoms of fever. Then, too, we have 

 the alternate cold and heat of the ears, the roughness of the 

 coat, the urine becoming first of a transparent yellow, and then 

 opaque red, saffron-colored, or brown, and the sediment brown. 

 The bowels are constipated, the faeces seldom evacuated, and, 

 when appearing, are hard and black." 



Treatment of Jaundice. — Very little can be done for that 

 form of jaundice occasioned by gall-stones, with the exception 

 of giving a dose of glauber salts and a few bran mashes, for 

 we have no means of dissolving the calculi, nor of removing 

 them. 



Sympathetic jaundice, or that occasioned by functional de- 

 rangement of the digestive organs (including the liver), may 

 be treated as follows : — 



Powdered Mandrake, 2 drachms. 



'' Iodide of Potassium, 15 grains. 



'' Goldenseal, 1 drachm. 



Mix in a quart of warm water, and drench. This quantity 

 is to be given daily, until the visible surfaces assume a more 

 natural color. Scalded shorts seasoned with table salt is the 

 best diet, and the patient will not require much of this, for it is 

 very likely that the stuffing process has been practised, and if 

 so the stomach wants some rest. 



The jaundiced animal should always be turned out for exer- 

 cise. It often happens, however, that he is either unwilling or 

 too lazy to move about. If the disease occur in the grass sea- 

 son, let the patient have some ; it is the best medicine in the 

 world for stall-fed jaundice. 



