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HINTS TO TRAVELLERS. 
constant desire to pass urine. The vomit and motions rapidly become 
like rice-water in appearance, and the urine is more or less suppressed. 
There are severe cramps in the legs, belly, and other parts of the body. 
If then the pulse becomes weak, the temperature low, and the countenance 
dusky, the patient will probably sink. On the other hand, reaction may 
set in, all the symptoms abating, and the pulse, temperature and colour 
becoming natural; the water is passed more freely, vomiting is less 
frequent, and the motions become more natural in colour. 
Treatment .—Isolate the patient, keep him warm, and give stimulants, 
such as brandy or ammonia, in small quantities, but frequently. Apply 
hot bottle to the feet, and mustard leaves to the pit of the stomach. 
Give one drop of carbolic acid, together with twenty drops of spirit 
of camphor (or peppermint, or a little brandy), five grains of bismuth, 
and ten grains of soda, suspended in one ounce of gum water, every four 
hours. Chlorodyne may be given to allay severe pain. 
In the early stages, food, such as milk, must only be given in very 
small quantities. All water used for drinking purposes must be boiled. 
The motions, etc., must be thoroughly disinfected. 
Congestion of the Liver. 
The Liver , which is mainly on the right side, lies below the right lung, 
and is protected by the lower ribs. In health it extends vertically from 
one and a half inches below the right nipple to the lower edge of the 
ribs; in certain diseases it is enlarged, and its edge can be felt well 
below the ribs. 
Congestion of the liver is frequent in the tropics, and is often due to 
malaria or dysentery. Very frequently it is caused by abuse of alcohol, 
over-indulgence in food, and the excessive use of hot condiments, or by 
constipation and want of exercise. In the tropics the liver is more 
easily affected by excesses than in temperate climates. 
Symptoms .—A furred tongue, sallowness of the face, headache, lassi¬ 
tude, disinclination lor work, loss of appetite, tendency to vomit, occasional 
slight jaundice, and a sense of oppression about the region of the liver. 
Treatment .—Light diet, abstinence from alcohol and spices, and the 
use of calomel or other aperient will usually effect a cure. Bicarbonate 
of soda, five to ten grains, three times a day, should be given. 
