MEDICINE. 



37 



The indication! of cure are not very obviout. and 

 the effect of remedies U uncertain. Tue u-ual method 

 "* has been to employ tonics and stimulants ; but we are 

 frequently dippointed in our expectationi of benefit 

 from them, and, under certain circumstances, it would 

 appear, that the opposite plan of treatment M more uc- 

 ces>ful. We occasionally derive advantage from the 

 topical application of atrhi (rents, such aa solution* , t' 

 tan, alum, or sulphate of line ; bat it may be doubted, 

 whether the effect of thre *ubstance*. as essentially 

 contMtinu of cold fluid*, is not a* powerful as any tpe- 

 cific operation <cn the nature ol their m^re- 



dieot*. Cantharide* have lately been recommended in 

 Leucorrhoea. both t .ken internally, . nd applied exter- 

 nally in the form of bliter*. to the parts contiguous to 

 the iitrni- ; but it may be doubted how Ur they will 

 be found to c.' ith the high character that 



has been given of them. As there is generally a tor- 

 por of the miestmea, it is obviously aicmafj to 

 ploir purgatire* ; and it is supposed that m 

 far benefit is obtained from tho*7thet are of a 



Uting na'ure. as the resin* and extract*, but we are 

 disposed to doubt the conectmss of this opinion. Vio- 

 lent exemte of sll kinds appears to be injurious ; and 

 we should avoid all those liitumslaneu which excite 



of the 





is ObMipatio, MI 

 ia gcnersJiy ymptomatic of i 



i_.. t 



DW VBMB may oepma upon 



cmrul ittelf. an-l 



Won of pa 



IK- K .,.dl 



gion of the liver, and the patient experiences an unu- ? 

 lual degree of lassitude and general weakness. In "V"' 

 what way the phenomena of Jaundice are connected 

 together, whether a mere obstruction to the passage of 

 the bile from the liver to the intestines is the primary 

 cause of all the other symptoms, whether there is some 

 original defect in the secretion of the bile itself, or 

 torpor in the digestive organs or their appendages 

 be doubted ; nor supposing it proved that the 

 proceeds from a mechanical cause, are we able 

 to determine how the deficiency of bile in the intestinal 

 canal can produce the effects that we observe on the 

 digestive pumas ? In many cases Jaundice evidently 

 depends upon some disease in the structure of the 

 liver, by which its functions are permanently injured, 

 sometime* by an extraneous body filling uji the duct, 

 or pressing upon it; but therr are cases in which, so 

 far as we can Judge, it appears to arise from some 

 that is more strictly idiopathic, and of a less me. 



In the cure of this complaint we are first to ascertain Trttimcnt. 

 whether it depends upon a scirrhus of the IIM 

 any other eunumal disease of this organ, in wlm-li 

 mat be obviously directed to this 

 It we suspect it to arise from a mere 

 obstruction, we generally have recourse 

 three remedies are probably the 

 we on employ in Jaundice that is more 

 strictly idiopathic 1 be more active purgatives are 

 ueuaUr found to be the most efficacious, and it is gene- 



j i,. Ml rMm'.u'wr M^flmtJUiajfmj 



... h, |*m 



a torpor of the 



to be obviated by 



in the sc4ertton of which we 



tnr paaTticuiif cimiBMCmm of inty CM? t Uimjb by my 

 general raWa that can be laid down upon the .ubject. 

 Tin? opvTBtmn of taMw mD4MnM M iwyt mttcn pvo* 

 tnnt^a by Mi *tt*fitio*i to diet, par* Mr, Mia cMtcMF 



have placed leteras in the aame order, although 



produced by the act of vo- 

 r removes obstructions from the ducts 

 I he' disease I* 



re necessary; and be- 

 ey afford, they inma 



! !.. t!.. nMh ,: , .r. ..I W , ...up, ,mr b\ rr. 



ntractions of the parts 



*.tM- }>\ iirriM-nt^' t!.r tli-tmr- 



the bile along its natural chan- 

 ee itself has been subdueil. the 



>lhr 



it. a i 



ally happen, in 



.),,.,! I,,- 



One of the 



i and tonics, of 

 to be the most useful, ton. 

 byalongcon. 

 of the saline mineral waters, to 

 md exerdee which form a part of 

 i such cases will materially conin- 



imniili the peculiar colour of the .kin and the cornea, 



Mver. To the same came, the bile bring actually pro. 

 ' ascribe the bitter taste of the 



..! *| 



amt m the bload, we may 



saliva, and the yttttm CT 



to the urine, ae well m its 



* r '5L'L&* "* ** 



i it. rhe bue beimr thus maa 



that are imm I in it. The bile'berm 



course, the rlofciumi <>i 

 a train of siaiptians in the dt. 

 - of a 

 while the 



and the whole process of digestion and 

 Ibere u also pain in the re. 



depending upon a Cholcliihia 



the 



calculi, 



of I hoWithia or Gallttotie, a 

 properly belongs to the order of the 

 but the consideration of which we have 

 deferred to this place, on account of its connexion with 

 These sonstances are partly composed of 

 and hardened bile, and partly of a crysul- 

 BOimetes into rounded 

 i i*. < r-. :ir,i . | .< - r --(! t [ 



properties. In what way they are 

 generated, or what particular states of the liver ai 

 secretion* are favourable to tbrir production, is not as- 

 certained, nor are we acquainted with any method by 

 which their formation can be prevented \' 

 are impacted in the ducts^of the liver, they cause very 



