‘ 
tives, he fa 
HEPATITIS. 
indeed, <¢ little elfe 1s neceffary, than emptying the laGtiferous 
‘duéts at the beginning, and repeating it from time to time 
cas the milk re-accumulates ; the inflammatory action of the 
veffels often fubliding” SPREE COUH Re when this caufe of dif- 
.tenfion and irritation is remove nd he exprefles his 
conviction in the ftrongeit terms 
adminiftration of calomel, he hac faved many a und 
blood ; which mutt others have been taken away, to 
viate the urgent fymptoms of hepatic inflammation. Dr. 
Curry’s plan is to give three or four grains. of calomel 
every. four or fix hours, according to the urgency of the 
fymptoms. The bowels may be cleared by. other purga- 
without ge relief i ae even calomel is 
if any, if i 
pas very {peedi  throligh the oe Its cholagogue 
fiects in acute catia he afcribes to <¢ its leffening or re- 
ereg, in the firft inftance, that inflammatory conftriétion 
of the du¢ts, which occafions the bile to be retained in the 
liver ; for other medicines, the general. pete effect of 
which is much greater than that of ealomel, are by no means 
of equal fervice. ;’ when calomel itfelf pafles {peedily, 
he Ne been often obliged “to aflift its relaxing power on 
the biliary ducts,’’ by joining it with opium and antimonial 
Benes efpecially the set ; giving a grain or more of it 
ery fix hours, or acco the. urgency of the pain. 
"The concluding bie are important in a practica 
view. 
“ Under this management, I have frequently found the 
urgent fymptoms abate confiderably, many hours. before any 
dlvine evacuation took place, an of c 
mel could be fai 
‘s. 
a 
catha:tic medicines afterwards, in order to fecure the relief 
which the calomel had — ‘e 
and opium. It n 
pens, that the fons partakes fo. nak of 
tory condition of the liver, and becomes in ire fo 
extremely irritable, as to rejeét every thin ng by vomiting al- 
mott as foon as owed. In this bate of comfeel retch- 
pirat cinereus of the 
f t Pomond in making Plenck's folu- 
tion, iiach ys firft emplo yed and recommended in 
t.is fo much 
, and other urgent fymptoms in, hepatic in- 
ve been often € nifhing to myfelf, 
who have hud .an opportunity of inveltigating a 
‘practice, which was emai new to them."’ (Dr. Curry’s 
setae » Dr. in the ‘Treatife onthe Liver, 
Spat are thus balanced, it is awit weer to de- 
Fetes ap aa fide the cy € cannot 
doubt that. fuccefs,has attended both the shatr sa of evacuating 
pari Vids whieh: we have, above, deferibed : but niga 
= ls i 
ee 
rt 
, that, by the early and free amends 
und @f —ence’’. “ot calomel appears to be 
ciently afcertained. At all ev 
of the Lice fymptoms fhall be obtained. 
ourfe before the calo- , 
feem more confiftent with the general principles of practice 
eftablithed in the treatment of acute inflammation of the in- 
.ternal organs, to trult more to the depletion of the blood. 
veflels, and to be.more cautious in the adminiltration of 
opium, than the author of the preceding paflage recom. 
ot to mention, that the allege d « relaxing influ- 
or at leaft an hypothetical expreffion of a fact not yet fuffi- 
events, it feems to be eitablithed 
by the moft able praitioners, that thefe three remedies, 
blood-letting, blifters, and cathartics, are the principal eX- 
pedients .by which the acute hepatic inflammation 
dubdued in its early flage ; and. that they are to be ate 
mployed, until a diminution of .the pain and an -sbassiant 
the fame 
time, a light and chiefly liquid nutriment m adhered 
to, and every. fpecies of fermented, vinous, and ron 
e 
tion, in this country, we may generally fucceed in checking 
every tendency to the fuppurative procels. But in warm 
climates, and efpecially in the Eaft Indies, where Se oasis 
great, as fcarcely to be.refifted even by the molt active 
practice: therefore, if an early and vigorous purfuit of on 
antiphlogiftic plan of treatment be neceffary in this country, 
where the courfe of t 
Pp. 318, 
Phyf. Journ 
We have as eae, ag to mention the ad- 
miniftration of mercu in the treatment of hepa A 
ractitioners 1m 
een forms of the ee which 
their Bi than in the name impofed upoa Ave 
there can fearcely be a-doubt, from the known effets of 
mercury on the body, that, if it be incautioufly employed 
in the active “sas of inflammation, it will increate_ 
action of the arterial ete fe me much quicke 
and therefore tend dire@ly and not to retards 
5; és oe ir apne d, that many ju- 
us and Fucceiafl pridiioners in India do n et admin 
mi itie plan of treatment. We are ie ig 
the adminiftration of mereury in pies a ay e: 
ge the peculiar effeGs of that metal on the conttitution 
at : 
oon as an abatement is_ perceive =; the A 
Gee fymptoms, then the perio Lee is Bis er at which. the 
ufe of mercu be reforted to with great einen 
It appears, on attentive obfervation, that the tranfition 
ftate. of ; 
active inflammation fo a ate-of ‘refolution,. is not imm ? 
ately followed by a healthy condition of the ps ae 
ins for a.time debilitated, and. difpofed to nto 
Repent to the peculiarity 
re 
chronic ftate. ‘This may pobibly be on 
wees 
of the verave circulation hough the ata 30 te 
a gratuitous fuppofition, © 
