INFLAMED LIVER. 139 



distinguished from peripneumony, or inflamed lungs, by the absence 

 of an intense coldness of the nose and mouth ; neither is there a 

 watery exudation from them, as in pneumonia ; nor is the head 

 held up to facilitate breathing. From inflamed bowels it may be 

 distinguished, by the general symptoms being, although not very 

 unhke, yet less severe, with less prostration of strength ; neither 

 is the region of the belly so hot and tense, although I have ob- 

 served the right side considerably enlarged, and tender to the touch 

 in some cases. On the second day of the inflammation, the urine 

 becomes of a deep yellow : the skin appears Kkewise universally 

 tinged, but the coverings of the eyes and mouth particularly so. 



This disease is sometimes attended with purging, but much 

 oftener with constipation. When active purging is present, the 

 complaint usually degenerates into the bilious, or fourth kind of 

 inflammation of the bowels. — See Inflamed Bowels. In most in- 

 stances it proves fatal, unless attended to sufficiently early ; and 

 such a termination is at hand when the sickness becomes frequent, 

 when the limbs appear paralytic, and the mouth is pale as well as 

 cold. 



The proper treatment of hepatitis consists in early and plentiful 

 bleeding; a stimulating or blistering application applied to the 

 belly, particularly towards the right side, with opening medicines ; 

 and, if circumstances should prevent the application of any sti- 

 mulant to the region of the liver, the dog should be put into warm 

 water twice or thrice during the day. After the bowels have been 

 well opened, give the following, every three or four hours : — 



Powdered foxglove 8 grains 



Antimonial powder 16 grains 



Nitrated potash (nitre) in powder '. 1 drachm. 



Mix, and divide into seven, nine, or twelve powders ; or make into 

 as many balls, according to the size of the dog. If, under this 

 treatment, amendment does not become apparent, repeat the bleed- 

 ing, and stimulate the skin more actively. 



Chronic inflammation of the liver arises sometimes spontane- 

 ously, and is idiopathic. In other cases it is brought on by the 



