JAUNDICE. 135 
former variety can often be made out, the hard tumors being felt through the 
abdominal walls ; but the other form can rarely be detected during life. 
Treatment can have no other result than palliation merely. 
BILIOUSNESS. 
The term biliousness is of vague meaning, and so often is it misused, it 
ought to be expunged from the medical vocabulary. But still, its use has so 
long been widely prevalent, it can scarcely be ignored now, and the conditions 
to which it is generally applied must be briefly considered. 
The disorders of the liver which might possibly without impropriety be 
included under this head have been defined in the discussion of diarrhcea; but 
it is only comparatively rarely used with them, and in most cases subjects are 
termed bilious when they are suffering from indigestion merely, or from a dis- 
order induced by poisons generated in foods while undergoing digestion. 
The symptoms of biliousness from these causes are foul breath, capricious 
appetite, furred tongue, dinginess of the whites of the eyes, a hot nose, and 
dulness and lassitude. The manner, however, generally speedily brightens under 
excitement. Constipation may also exist for a time, to be followed by diarrhcea. 
These symptoms in some instances last only a day or two, while in others 
they are prolonged several weeks; in which case the coat loses the gloss of 
health and becomes lustreless and rough, and very often the sufferers are 
victims of eczema. 
The so-called starvation treatment is the proper one to apply in cases where 
this trouble has just set in. That is, to either withhold food altogether for two 
or three days or limit it to very small quantities, and always to the simplest 
and most easily digestible articles, as milk and lime-water, skimmed milk or 
butter-milk, or thin beef-teas. But aside from dietetic restrictions, it will gen- 
erally be advisable to administer a cathartic ; and it matters little which of the 
drugs that act as such is chosen. 
As for cases of long standing, to give skimmed milk for breakfasts, and 
only one hearty meal daily, at night, should be the rule. This should consist 
of meat, green vegetables, and Graham bread, crackers, boiled rice, or other 
light starches. At the same time ample exercise should be allowed. 
JAUNDICE. 
Jaundice, sometimes called yellows, is not a disease in itself, but is due 
to the circulation in the blood of elements of the bile, sufficient in quantity to 
