HEPATITIS. 
ti the ‘application — for pee cure of acute hepa- 
ft s before that of 
the bod or t 
pofe, every part of what is termed the aif lae pie practice 
muft be purfued; but it will require confiderable attentio 
and difcernment to determine, according to dee circumftances 
of the cafe, to what extent this age fhould be carried, 
and at what period it is moft'ufeful; or ceafes to be fafe. 
For it muft be obvious, that no con ideale advantage 
cap be expected from the practice, except in the early 
ftage of the difeafe, when the inflammation has not advanced 
beyond the probability of refolution; if the ai oot 
aesing the commencement of the formation of pus, 
y appear ed, depletion mutt be reforted to with ruth 
a 
og 
In the commencement of hepatitis, however, blood-letting 
mutt be confidered as the mott effectual method of fubduing 
the inflan imation, 
importance in the cure of ieee fae Swe ation 
times, and conn t be too ftrongly urged. When the blood 
trickles from all orifice in the vein, - ributes little 
to the relief of the inflammatory it robs the 
patient of that vital fluid, Eiich, fn hs eee ttages of the 
difeafe, sade tend to fupport his ftrength, and aid his con- 
As a ‘puide;4 in determining the propriety” . ‘repeating the 
bu oat, or crult of coa- 
degree of pain, and other fymptoms. For 
Pens, as Dr. Pem Deri has meer that the blood firft 
I “beginning buff. | 
this fubje& are important : « 
fays the laft mention ie ry gt the: pralesigh or is 
fence of buf o ought not of infelf to decide our as 
ractice 
Pe future oe. inafmuch as the moft trifling circumftance 
ie sc 00d’s flowing will prevent its een 
ss gether, “— during active i inflammation ; 7 
* is p pent I think that an attentive obfervation © 
| me) appears —— ur : i oe i 
and has a greenifh-yellow colour, with a ftriated filamentous mamma, 
sos ae through it, we mu‘ not again have 
recourfe seawng te 
to general bleeding, but place all our gong on topical 
bleeding, agile a purging.”’ (Loc. c ee 
When the nces of the the blood, ‘ait ‘lade Bate or 
the debility of “i pation’ 3 contlitution, forbid t 
eeding,. 
the 1 iste of the schlg 
events, indeed, dlifers Sper with the’ views 5 of blood- 
letting ; and, therefore, in attempting 
inflammation, recourfe fhould be ha 
after the blood-lettin 
cation 
There is soap ke of the antiphlogiftic treatment, 
ene although tant in all difeafes in which this treat- 
or n * 4 
patic inflammation ; we allude to the evacuati 
afling on to the ve. 
rl nee 
immediately adminiftered, at 
and the evacuation kept 
with refpeét to the nature of 
moft beneficially exhibited for 
rienced practitioners are not a 
embe 
ete. 
e time of the firlt sg 
up re a repetition of it. 
cathartic, which may be 
on, and others, give the preference to 
faline pea and Dr. Saunders thinks that their efficacy 
is no! ee 7” exhibiting them in a diluted 
ftate, in h they no eem io be more ftriétly anti- 
phlogittic, are le fs liable to occafion pees and ‘ot 
ac a 
in infufion of ea and keeps u 
by giving adrachm of this ail in infufion of rofes or other. 
aqueous vehicle, every three hours. » 
‘There are other practitione 4: ‘Howe ver;, and amon. divi 
a very intelligent phyfician of Guy’s hofpital,. Dr. came 
Curry, who has had ample Sr eetiee of treat pa- 
titis both in this country and in India where ‘i me is Flok 
endemic, who give a decided: pre digee to mere ur- 
gatives, and ef 5 to calor In ftating the a » of 
his ieaeeesicgy in-a letter to Dr. Saunders, (publith by the 
latter, in the book to which ) 
Dr. exprefsly attributes its vey th in the cure of 
hepatitis, to its qualities as an 3 for he pe we 
the opinion: of the belt writers, t iat the 
mereury on ‘sabe conititution, were it practicable with : fof 
: may 
he. t ipeed, would be poe ® in the early and highly in- 
=. The fuperior tieicy of 
ders its operation in 
the nce of of 
vantage of 
cone 
u 
co ae or teens gh rg " 
« emulging hee biliary ducts,” by wag: to the gr cae 
vas afforded. b drawin, opt the-milk from 
period of Sead in many cafes of ; 
indeed,, 
