a 
the liver are common to ‘the two difeafes ; mammelys 
eae and even to the contiguous —— of the Jong 
be of little ufe to difcriminate between thofe difeafes in prac- 
tice, becaufe the remedies to be employed in both are the 
“fame.” (Loe. cit. p. 2 
ever, is confined to the liver, and efpecially in its fubftance, 
the following circumftances of diftinCtion ate this and 
pulmonic inflammation, as pointed out b emberton, 
are wort ation, 
though it increafes the pain: /econdly, that the pre is in- 
thong by gentle preflure under t in of the ribs, 
which would not be the cafe if the infla tion was within 
the cheit ; and ¢hirdly, that the cough, (if it is prefent,) is 
found to have /ucceeded the pain feveral days, and not to have 
een coeva it, as_in pleurify.”’ 
eo 
aifected, cdi, after 
O it, as well as he great and 
fies § ficknefs which is 0 =e in the fame way. (See 
Beey sae Nor is the prottration of ftrength fo great in 
ce on of the liver as in = of t 2 
on i % 
ny thing whatever int 
r the diaphr agm and SR, Ba fee: is little 
or no fever; the pain is more diffufed, frequently moves 
fronr one place to another, and is much influenced by chan 
ing the pofture of the body. Such pain, too, is pees 
accompanied by, or alternates with, rheumatic pain in one or 
more joints or mufeular parts of the body. 
Fr of the gall-duéts inflammation of the liver may 
be diitinguithed, as Dr. Pemberton has ftated, by there 
being no naufea, by the pain being permanent, by the pulfe 
oe upwards of one hundred. 4 in a 
of the liver, it is not frequently Rasher ever the whole of it, 
put commonly takes place in that part which covers the 
anterior or convex part of the liver. But he adds, that he has 
evesar inflammation, or at leaft its effects, not mr wae 
‘on meh nd fide of the liver lead is in contact. w he fto- 
when in- 
a great number of very minute 
pelials: which carry florid ee and is thicker ie: in its 
natural ftate. ‘There is al 
layer of coagulable ian ‘this layer is thicker on fome 
“eecations than others, << often glues the liver more or lefs 
oe 
here the inflammation, how- Wh 
xD 
The difficulty, he dake. will be i 
- is attended occafionally with a iomnilined colour of the id 
-arifing from 
n out upon its furfacea k: 
happenin this peer ry 
that the fubftan 
inflammation. ‘in warmer countries the fubftance of. the 
liver is much more liable to inflammation than in 
metimes it is not. 
the bile not getting readily into the common 
c&, on account of the preffure a the inflamed liver on the 
port bilariit, When this inflammation has contin for fom 
am e, abcefles are formed. Thefe are fometimes of a large 
» fo as even to contain fome pints of pus ; fometimes 
ot salacdn of the liver is almoft oe = a bag con- 
taining pus. (See Morbid Anatomy, p. 
The caufes of A Sate are mors — ays cally difeerned, ‘ud 
fome have been a 
[om 
s 
of life. 
jeer the former 
Bei may be mentioned, ( ae xternal —— from 
tufions and falls, and a Sa as Dr. 
i 
thofe which have — a fraGure : rr the cranium? ‘ 
(2) fudden ee of 
whence. the. fame 
expofure schich Megas paar inflammation may alfo 
times joined t r. Among the latter clafs of caufes we © 
ay notice (3) violent bodily labour or exercife ; (4) ¥ 
hu : Sa ne ee 
marks, fist the accelera feof fh Cae fecretion 
region 
in 
y thing to 
booweter on the fabject, or to improve 0 our. preci 
lources 
Of the Cure v <comaamaes firfl obje& oes 
tuitous, and not tending nae 
a 
