Part 224

Lithæmia, 968

Lithæmic theory of origin of gout, 112

Lithia salts, use of, in gout, 132

Lithium bromide, use of, in chronic articular rheumatism, 74

Liver, action of, in process of digestion, 623 amyloid degeneration of, in rachitis, 153 changes in, from occlusion of biliary ducts, 1086 condition of, in catarrh of bile-ducts, 1053 degeneration of, complicating simple ulcer of stomach, 503

LIVER, DISEASES OF, 965 Functional Disorders, 965 Biliousness, 965 Definition, 965 Pathogeny, 965 Malarial poison, effect on functions of liver, 965 Metals, effect on functions of liver, 965 Food, improper, influence of, on causation, 966 Alcoholic and malt liquors, 966 Symptoms, 966 Physiognomy, 966 Tongue, state of, 966 Breath, state of, 966 Appetite, impaired, 966 Nausea, 966 Bowels, state of, 966 Headache, 966 Vertigo, 966 Conjunctivæ, yellow, 966 Jaundice, 966 Course, 967 Duration, 967 Termination, 967 Treatment, 967 Prophylaxis, 967 Diet, 967 Skimmed milk, use of, 967 Blue-pill, 967 Rochelle and Epsom salts, 967 Euonymin, use of, 968 Ipecacuanha, 968 Podophyllin, 968 Calomel, dose of, 968 Phosphate of sodium, 968 Mineral waters, 968 Lithæmia, 968 Definition, 968 Pathogeny, 968 Hepatic action in formation of uric acid, 969 Albuminoid food, over-consumption of, 969 Luxurious habits, 969 Sedentary life, 969 Alcoholic and malt liquors, 969 Symptoms, 969 Digestive disturbances, 969 Appetite, capricious, 969 Tongue, state of, 969 Bowels, state of, 970 Oxaluria, 970 Nervous symptoms, 970 Headache, 970 Nausea, 970 Mental depression, 970 Vertigo, 970 Skin, state of, 970 Urticaria, 970 Urine, state of, 970 Pain in back, 970 Course, 970 Duration, 970 Termination, 970 Prognosis, 970 Diagnosis, 970 from gastro-duodenal catarrh, 970 from organic brain disease, 971 Treatment, 971 Diet, 971 Avoidance of fatty, starchy, and saccharine articles, 971 of wine and malt liquors, 971 Food, allowable, 971 Exercise, 971 Sea-bathing, 971 Nitric acid, use of, 972 Alkalies, use of, 972 Purgative mineral waters, 972 Phosphate of sodium, 972 Mercurials, 972 Podophyllin, 972 Euonymin, 972 Arsenic, 973 Quinine, 973 Sponge-baths, 973 Iodide of mercury, locally to hepatic region, 973 Electricity, 973 Of hypochondriasis, 973 Hepatic Glycosuria, 973 Definition, 973 Pathogeny, 973 Symptoms, 973 Digestive disturbances, 974 Increased urination, 974 Urine, condition of, 974 specific gravity of, 974 tests for sugar in, 974 Course, 974 Duration, 974 Termination, 974 Prognosis, 974 Diagnosis, 974 From gastro-duodenal catarrh, 974 From lithæmia, 974 From diabetes, 974 Treatment, 974 Diet, 975 Exercise, 975 Medicinal, 975 Nux vomica, 975 Fowler's solution, dose, 975 Phosphate of sodium, 975 Carbolic acid, 975 Bismuth, 975 Tr. iodine, 975 Jaundice (Icterus), 975 Definition, 975 Etiology, 975 Disorganization of the blood, 975 Non-disposal by liver of biliary material, 976 Absorption of biliary material by blood, 976 Emotions, influence of, on causation, 976 Obstruction from hyperæmia of bile-ducts, 977 from spasm of muscular fibre of ducts, 977 gastro-duodenal catarrh, 977 errors in diet, 977 rich food, 977 cold and wet, 977 malaria, 977 Symptoms, 977 Premonitory, 977 Signs of gastro-duodenal catarrh, 977 Yellowness, seat of appearance, 977 mode of extension, 978 Feces, discoloration of, 978 Urine, condition of, 978 color of, 978 tests for bile, 978 albumen in, 978 urea in, 979 Liver, condition of, 979 Epigastrium, tenderness of, 979 Pulse, state of, 979 Heart, slowing of, 979 cause, 979 Temperature, 980 Fever, 980 Nervous disturbances, 980 Nutrition, disturbances of, 980 Vision, modifications of, 980 Xanthopsy in, 980 Headache and vertigo, 980 Mental depression, 980 Wakefulness, 980 Pruritus of skin, 980 Boils and carbuncles, occurrence of, 980 Xanthelasma vitiligoidea of skin, 980 plane form, 980 tuberose form, 981 Hemorrhagic diathesis, 981 Course, 981 Duration, 981 Prognosis, 981 Diagnosis, 981 Importance of ascertaining condition of gall-bladder, 982 Treatment, 982 Of nausea, 982 Diet, 983 Rectal irrigation, 983 Emetics, use of, 982 Ipecacuanha, 982 Calomel, 982 Cholagogues, use of, 982 Podophyllin, 982 Euonymin, 982 Phosphate of sodium, 982 Arseniate of sodium, 982 Mineral waters, 982 Nitric acid, 983 Nitro-muriatic acid, 983 locally, 983 Electricity, use of, 983 Structural diseases of liver, 983 Hyperæmia of Liver, 983 Definition, 983 Etiology, 983 Digestive process, 984 Food, over-indulgence in, 984 Sedentary life, 984 Sudden suppression of hemorrhages, 984 Menstrual period, 984 Mechanical, 984 Heart disease, organic, 984 Pulmonary disease, chronic, 984 Climate, 984 Malaria, 984 Pathological anatomy, 985 Enlargement of liver, 985 Portal vein, changes in, 985 Extravasations of blood in hepatic tissue, 985 Mechanical form, 985 Nutmeg liver, 985 Cyanotic atrophy of, 985 Atrophy of hepatic cells, 985 Sclerosis of central vein, 985 Symptoms, 986 Signs of gastro-intestinal catarrh, 986 Hypochondrium, right, fulness of, 986, 987 pain in, 986, 987 Increased hepatic dulness, 986 method of determining, 986 Urine, state of, 986, 987 Jaundice, 986, 987 Stools, condition of, 986, 987 Ascites in nutmeg liver, 987 Mental depression, 987 Course, 987 Duration, 987 Termination, 987 Prognosis, 988 Diagnosis, 988 Treatment, 988 Diet, 988 Skim-milk, 988 Exercise, 988 Bathing, 988 Mineral waters, saline laxative, 988 Phosphate of sodium, 988 Cholagogues, 988 Digitalis, use of, when due to organic heart disease, 988 Perihepatitis, 989 Definition, 989 Pathogeny, 989 As an extension from other parts, 989 Passage of gall-stones, 989 Traumatic causes, 989 Tight-lacing, 989 Symptoms, 989 Pain in right hypochondrium, 989 Hepatic colic, 989 Jaundice, 989 Friction sound, 989 Course, 989 Duration, 989 Termination, 989 Diagnosis, 989 From pleuritis, 990 Treatment, 990 Leeching, 990 Turpentine stupes, 990 Bandage, use of, 990 Morphia for pain, 990 Interstitial Hepatitis--Sclerosis of Liver: Cirrhosis, 990 Definition, 990 Etiology, 990 Age, influence of, on causation, 990 Sex, influence of, on causation, 991 Alcohol, influence of, on causation, 991 Syphilis, influence of, on causation, 991 Malaria, influence of, on causation, 991 Obstruction of bile-ducts, 991 Closure of hepatic vein, 991 portal vein, 991 Arsenic and antimony, 991 Phosphorus, 991, 992 Extension of inflammation in perihepatitis, 992 Pathological anatomy, 992 Increased size of liver, 992 Development of new connective tissue, 992 Monolobular form, 992 Multilobular form, 992 Contraction of connective tissue, 992 Decreased size of liver, 992 Hobnail appearance of surface, 992 Portal veins, lesions of, 992 Atrophy of hepatic cells, 992, 993 Symptoms, 993 Insidious development, 993 Digestive disturbances, 993 Jaundice, 997 Appetite, capricious, 993 Nausea and vomiting, 993 Bowels, state of, 993 Stools, state of, 994 Hemorrhoids, 993 Fissure of anus, 994 Abdomen, state of, 994 Flatus, accumulation of, 994 Hemorrhages, 994 Spleen, enlargement of, 994 Ascites, 995 Blood, watery condition of, 995 Anasarca, 995 Oedema, general, 995 Anastomoses of veins, 996 Physical signs, 996 Auscultation, 996 Mode of examining liver, 996, 997 Size of area of dulness, 997 Physiognomy, 997 Skin, color and state of, 997, 998 Urine, state of, 998 Ulcers of stomach and intestine, 999 Thrombosis of portal vein, 999 Nervous disturbances, 999 Cerebral symptoms, 999 Coma in, 999 Emaciation, 999 Kidneys, atrophy of, 999 Cerebral sclerosis, 999 Course, 998 Duration, 999 Terminations, 999 Prognosis, 999 Diagnosis, 999 From amyloid disease, 1000 hydatids, 1000 cancer, 1000 acute yellow atrophy, 1000 Treatment, 1000 Prophylaxis, 1000 Diet, 1000 Of malarial cause, 1000 Of overgrowth of connective tissue, 1000 Of gastro-intestinal catarrh, 1002 Of dropsical effusions, 1001 Of ascites, 1001 Of diarrhoea, 1002 Local, 1002 Of hemorrhage, 1002 Chloride of gold and sodium, 1001 of mercury, 1001 Phosphate of sodium, 1001 Vapor bath, 1001 Digitalis stupes, 1001 Copaiba, 1001 Pilocarpine, 1001 Hydragogue cathartics, 1001 Tapping, 1002 Bismuth, 1002 Opium, 1002 Ergotin, 1002 Iron, 1002 Counter-irritation, 1002 Dry cups, 1002 Blisters, 1002 Ung. hydrarg. iod. rubri, 1002 Suppurative Hepatitis--Abscess of Liver, 1002 Definition, 1002 Etiology, 1002 Climate, influence on causation, 1002 Sex, influence on causation, 1003 Age, influence on causation, 1003 Temperament, influence on causation, 1003 Traumatism, 1003 Wounds, 1003 State of portal and hepatic veins, 1004 embolism, 1004 Source of emboli, 1004 Ulceration and dilatation of bile-ducts, 1005 Proctitis, 1004 Dysenteric ulceration, 1004 Food, improper, 1005 Alcohol, 1005 Malarial influence, 1005 Pathological anatomy, 1005 Initial lesions, 1005 in cells, 1005 in vessels, 1005 From embolism, lesions of, 1005 Tropical form, lesions of, 1006 development of, 1006 Size of purulent collections, 1006 Formation of limiting membrane, 1006 Number of abscesses, 1006 Seat of abscesses, 1006 Contents of abscesses, 1007 Presence of bile in pus, 1007 Absence of limiting membrane, 1007 Pointing of abscesses, 1007 method of, 1007 Formation of adhesions, 1007 Pus, modes of escape, 1007 escape into neighboring organs, 1007 Processes of healing, 1008 Condition of liver outside of abscess, 1008 Symptoms, 1008 Systemic, 1008 Onset of, 1008 Chills, 1008 Temperature, 1008 Pulse, 1009 Fever, type of, 1008 typhoid form of, 1009 Sweating, 1009, 1010 General malaise, 1009 Flesh, loss of, 1009 Skin, color of, 1009 Jaundice, 1009, 1013 Mental condition, 1009 Cholæmia, 1010 Stupor, 1010 Wakefulness, 1009 Hypochondria, 1010 Urine, state of, 1010, 1014 Absence of general, 1010 Local, 1010 Change in size of liver, frequency of, 1010 Enlargement, 1010 Seat of purulent collection, 1011 Tumor of epigastrium, 1011 Fluctuation, 1011 Pain, 1011, 1012 seat of, 1011 character of, 1012 in right shoulder, 1012 Decubitus, characteristic, 1012 Nausea and vomiting, 1013 Tongue, state of, 1013 Relation to dysentery, 1014 Cough, 1014 Respiration, 1014 Pleuritis, 1014 Pleuro-pneumonia, 1014 Singultus, 1015 Pericarditis, 1015 Course, 1014 Usual point of discharge, 1016 Discharge into pleural cavity, 1016 pericardium, 1016 peritoneal cavity, 1016 intestines, 1016 Duration, 1017 Termination, 1017 Effect of mode of discharge upon, 1017 Recovery by absorption of pus, 1018 Fatty degeneration of pus, 1018 Mortality, 1017 Prognosis, 1018 Diagnosis, 1018 From echinococcus, 1018 dropsy of gall-bladder, 1019 cancer of liver, 1019 abscess of abdominal wall, 1019 empyema, 1020 intermittent fever of hepatic colic, 1020 Value of puncture of right lobe in, 1020 Treatment, 1020 Aborting, 1020 use of quinia in, 1020 Of septicæmic fever, 1020 Of dysentery in, 1020 Of vomiting, 1021 Local, 1021 Evacuation of pus, 1021 Puncture, exploratory, 1021 harmlessness of, 1021 effects of, 1022 mode of, 1022 Aspirator, use of, 1022 mode of using, 1022 Poultices, use of, 1023 Quinia, use of, 1020 Ipecacuanha, 1020 Soda powders, 1020 Bismuth, 1021 Creasote, 1021 Diet, 1021 Stimulants, 1021 Nutrient enemata, 1021 Acute Yellow Atrophy, 1023 Definition, 1023 History, 1023 Etiology, 1023 Frequency, 1023 Age, influence on causation, 1024 Sex, influence on causation, 1024 Pregnancy, influence on causation, 1024 Depressing emotions, 1024 Syphilis, 1024 Pathological anatomy, 1025 Change in size, 1025 Capsule, state of, 1025 Hemorrhagic extravasations in liver-tissue, 1025 Bile-ducts, lesions of, 1025 Microscopic appearance of hepatic tissue, 1025 Cell-degeneration, 1025 Connective tissue, increase of, 1025 Spleen, lesions of, 1026 Peritoneum, lesions of, 1026 Mesenteric glands, swelling of, 1026 Stomach and intestines, lesions of, 1026 Kidneys, lesions of, 1026 Heart, lesions of, 1026 Brain, lesions of, 1026 Symptoms, 1026 Prodromata, 1026 Duration of, 1027 Signs of gastro-duodenal catarrh, 1027 Jaundice, 1027 Toxæmic period, 1027 Dilatation of pupil, 1027 Excitement with delirium, 1027 Coma, 1027 Convulsions, 1027 Sensibility, disturbances of, 1028 Motility, disturbances of, 1028 Hemorrhages from mucous surfaces, 1028 Epistaxis, 1028 Hæmatemesis, 1028 Temperature, 1028 Pulse, condition of, 1028 Tongue, condition of, 1028 Nausea and vomiting, 1026, 1027, 1028 Constipation, 1028 Skin disorders, 1028 Urine, state of, 1027, 1028 Blood, changes in, 1029 Course, 1029 Duration, 1029 Termination, 1029 Diagnosis, 1029 From catarrhal jaundice, 1029 Acute phosphorus-poisoning, 1029 Treatment, 1030 Quinia, use of, 1030 Phosphate of sodium, 1030 Euonymin, use of, 1030 Iridin, use of, 1030 Purgatives, 1030 Bismuth, 1030 and carbolic acid, 1030 Ergotin, use of, 1030 Alcohol, use of, 1030 Iron, 1030 Phosphorus, 1030 Gold and silver, chloride of, 1030 Of nausea and vomiting, 1030 Of hemorrhage, 1030 The Liver in Phosphorus-poisoning, 1030 Definition, 1030 Pathogeny, 1030 Age, 1030 Women, frequency in, 1030 Tissues, biliary staining of, 1031 Extravasation of blood in mucous and serous membranes, 1031 Spleen, enlargement of, 1031 Liver, hyperplasia and atrophy of, 1031 cell-degeneration, 1031 Bile-ducts, lesions of, 1031 Mucous membrane of stomach, lesions of, 1031 Kidneys, lesions of, 1031 Symptoms, 1031 Resemblance to acute yellow atrophy, 1031 Of local irritation of poison, 1031 Burning in gullet, 1031 Nausea and vomiting, 1031 Systemic, 1031 Vomiting, 1031 Vomit, characters of, 1031 Stools, characters of, 1031 phosphorescent, 1031 Hepatic dulness, increase of, 1032 Jaundice, 1032 Liver, enlargement of, 1032 Nervous disorders, 1032 drowsiness, 1032 delirium, 1032 convulsions, 1032 Temperature, 1032 Pulse, state of, 1032 Urine, state of, 1032 Course, 1032 Duration, 1032 Termination, 1032 Diagnosis, 1032 From acute yellow atrophy, 1032 Treatment, 1033 Emetics, 1033 Decoction of flaxseed, 1033 Slippery elm, 1033 Oil of turpentine, 1033 Sulphate of copper, 1033 Transfusion, 1033 Diet, 1033 Of inflammatory symptoms, 1033 Carcinoma of Liver, 1033 Definition, 1033 Etiology, 1033 Heredity, 1033 Age, 1034 Sex, 1034 Morbid anatomy, 1034 Primary form, 1034 Hepatic enlargement, 1034 Microscopic appearances, 1035 Secondary form, 1034, 1035 frequency of, 1035 Metastasis in, 1035 forms of, 1035 from face, 1035 stomach, 1035 intestines, 1035 nodes, number of, 1035 size, 1035 changes in, 1036 Atrophy of hepatic structure, 1035 Infiltrating form, 1034 Pigment form, 1035 Tumors, shape and size, 1034 Sarcomas, 1036 Symptoms, 1036 General history of, 1036 Liver, condition, 1037 mode of examining, 1037 Ascites, 1037 Peritonitis in, 1037 Pain, seat and character, 1038 Vomiting in secondary form, 1038 Jaundice, frequency, 1038 Skin, state, 1038 Physiognomy, 1038 Emaciation, 1038 Strength, loss, 1038 Urine, condition, 1038 Signs of gastro-intestinal catarrh, 1038 Appetite, impaired, 1038 Course, 1039 Duration, 1039 Termination, 1039 Diagnosis, 1039 From amyloid disease, 1040 From echinococcus, 1040 From cirrhosis, 1040 From syphilis, 1040 Treatment, 1040 Amyloid Liver, 1040 Definition, 1040 Etiology, 1040 Suppuration of bone, 1041 Syphilis, 1041 Chronic malarial infection, 1041 Pulmonary cavities, 1041 Age, 1041 Sex, 1041 Cachexia from development of new formations, 1041 Temperament, 1041 Frequency in lymphatic individuals, 1041 Pathological anatomy, 1041 Origin of amyloid deposit, 1042 Mode and order of deposit, 1042 Size and shape of liver, 1042 Consistence of, 1042 Iodine test for, 1043 Mode, 1043 Condition of hepatic tissues not invaded, 1043 Symptoms, 1043 Liver enlargement, 1043 Cachexia, 1043 Jaundice, frequency, 1044 Ascites, frequency, 1044 Hemorrhoids, 1044 Diarrhoea, 1044 Stools, 1044 black, 1044 Vomiting in, 1044 Vomit, bloody, 1044 Spleen, enlarged, 1044 Kidney, enlarged, 1044 General dropsy, 1044 Hydræmia, 1044 Urine, state, 1044 Emaciation, 1044 Course, 1044 Duration, 1044 Prognosis, 1045 Diagnosis, 1045 From fatty liver, 1045 hydatid disease, 1045 cancer, 1045 Treatment, 1045 Of cause, 1045 Alkalies, use of, 1045 Iodides, use of, 1046 Ung. hydrarg. iod. rubri, 1046 Chloride of gold and sodium, 1046 silver, 1046 arsenic, 1046 iron, 1046 Diet, 1046 Of nausea and vomiting, 1046 Fatty Liver--Fatty Degeneration of Liver (Hepar Adiposum), 1046 Definition, 1046 Etiology, 1046 Sex, 1047 Phthisis, 1047 Cachexiæ, 1047 Alcoholism, 1047 Poisoning by phosphorus, 1047 arsenic, 1047 antimony, 1047 Pregnancy, 1047 Deficient oxidation of fat, 1046, 1047 Sedentary life, 1047 Pathological anatomy, 1047 Liver, enlargement of, 1047 shape and size, 1047 anæmic condition of, 1047 seat of fatty deposit, 1047, 1048 Symptoms, 1048 Dyspeptic disturbances, 1048 Stools, character, 1048 Circulation, feeble, 1048 Pulse, condition, 1048 Sleeplessness, 1048 Mental depression, 1048 Hypochondria, 1048 Jaundice, 1049 Urine, state, 1049 Area of hepatic dulness, 1049 Course, 1049 Duration, 1049 Termination, 1049 Prognosis, 1049 Diagnosis, 1049 From amyloid liver, 1049 cancer, 1050 Treatment, 1050 Of digestive disturbances, 1050 Diet, 1050 Cholagogues, 1050 Phosphate of sodium, 1050 Sulphate of manganese, 1050 quinia, 1051 iron, 1051 Tinct. nux vomicæ, 1050 Nitric acid, 1050 Alkalies, 1050 Permanganate of potassium, 1051 Affections of Biliary Passages, 1051 Catarrh of Bile-ducts, 1051 History, 1051 Definition, 1051 Etiology, 1051 Peculiarity of constitution, 1051 Climate, 1051 Malaria, 1051 Cold and wet, 1051 Disturbances of portal circulation, 1052 Extension from duodenum, 1052 Food, improper, 1052 Condiments and sauces, 1052 Alcoholic and malt liquors, abuse, 1052 Pathological anatomy, 1052 Seat of catarrh, 1052 Mucous membrane of ducts, lesions of, 1053 swelling of, 1053 Finer ducts, lesions of, 1053 Liver, condition of, 1053 Symptoms, 1053 Signs of gastro-duodenal catarrh, 1053 Tongue, state of, 1053 Appetite impaired, 1053 Epigastrium, fulness of, 1053 Abdomen, state of, 1054 Intestinal canal, state of, 1054 Diarrhoea and constipation, 1054, 1055 Stools, characters of, 1054, 1055 Urine, state of, 1054, 1055 Nervous disturbances, 1054, 1055 Headache, 1054, 1055 Vertigo, 1054, 1055 Febrile movement, 1054 Jaundice, 1054 Course, 1055 Duration, 1055 Termination, 1055 Diagnosis, 1055 Treatment, 1056 Diet, 1056 Diarrhoea, 1056 Constipation, 1056 Mercury, use of, 1056 Calomel, use of, 1056 Phosphate of sodium, 1057 Silver and zinc salts, 1057 Arsenic, 1057 Iron, 1057 Quinia, 1057 Permanganate of potassium, 1057 Mineral acids, 1057 Enemata, 1057 Electricity, 1057 Biliary Concretions, Gall-stones, Hepatic Calculi, etc., 1058 Definition, 1058 Formation, 1058 From inspissated bile, 1058 Of calculi, 1059 shape, 1059 number, 1059 color, 1059 size, 1059 composition, 1060 nucleus, 1060 body of, 1061 rind, 1061 specific gravity, 1061 origin and formation, 1061-1063 composition of bile, 1062 reaction, 1062 Etiology, 1063 Age, 1063 Sex, 1064 Social state, 1064 Malarial influence, 1064 Season, 1065 Obesity, 1065 Starchy, fatty, and saccharine foods, 1065 Irregular meals, 1065 Retardation to flow of bile, 1066 Mental emotion, 1066 Situation and destiny of gall-stones, 1066 Spontaneous disintegration of, 1066 Gall-ducts, dilatation of, from, 1067 -bladder, changes in, from, 1066 dilatation of, 1067 adhesions, 1067 cancer of, 1067 hypertrophy of, 1067 -stones, migrations of, 1067, 1068 ulceration into neighboring organs by, 1068 Formation of fistulæ, 1068 Symptoms due to presence of gall-stones at their original site, 1069 Uneasiness in hypochondrium, 1069 Pain, 1069 in shoulder, 1069 in right side of neck, 1069 Gastralgia, 1069 Vertigo, 1070 Migraine, 1069 Headache, 1070 Digestive disturbances, 1070 Symptoms due to migration by natural channels (hepatic colic), 1070 Time of occurrence of paroxysms, 1070 Paroxysm, onset of, 1070, 1071 Pain, seat and characters of, 1070 Physiognomy, 1071 Nausea and vomiting, 1071, 1072 Pulse, state of, 1071 Collapse, 1071 Duration, 1071 Nervous disturbances, 1071 Hysteria, 1071 Convulsions, 1071 Chills, 1071, 1072 Periodicity of paroxysms, 1071 Relation to malaria, 1071, 1072 Fever, 1072 Constipation, 1072 Jaundice, 1072 duration of, 1073 After paroxysm, 1073 Stools, 1073 search for calculi in, 1073 method, 1073 Passage of inspissated bile, 1073, 1074 Recurrence of attacks, 1074 Impaction of calculi, 1074 point of, 1074 peritonitis from, 1074 adhesions, 1074 Migration by artificial routes, 1074 into neighboring organs, 1074 into stomach, 1074 into intestines, 1074 into duodenum, 1074 Biliary fistulæ, formation of, 1075 Course, 1075 Migration without symptoms, 1075 Obstruction of bowels from, 1075 Symptoms of presence in intestinal canal, 1076 Vomiting of gall-stones, 1076 Complications, 1076 Local inflammation, 1076 Dropsy of gall-bladder, 1077 Angiocholitis, 1077 Relation to cancer of ducts, 1077 Heart disturbance, 1077 Initial murmurs, 1077 Reflex nervous disorders, 1078 Herpes zoster, 1078 Death from lodgment of calculus in Vater's diverticulum, 1078 from vomiting, 1078 Diagnosis, 1078 From gastralgia, 1078 hepatalgia, 1079 flatulent colic, 1079 renal colic, 1079 Treatment, 1079 Of calculus state, 1079 Of inspissated bile, 1079 by sulphate of soda, 1079 Diet, 1079 Exercise, 1079 Bathing, 1079 Alkaline mineral waters, 1079 Phosphate of sodium, 1080 Of biliary calculi in situ, 1080 Manipulation of gall-bladder, 1080 Faradization, 1080 Ether and turpentine (Durande's remedy), 1080 Chloroform, 1081 Cholate of sodium, 1081 Ox-gall, 1081 Puncture of gall-bladder, 1081 Removal of contents of gall-bladder by puncturing, 1081 Of paroxysms of hepatic colic, 1081 Of pain, 1081 Morphia and atropia, hypodermically, 1082 dose of, 1082 Emetics, 1082 Hot fomentations, 1082 Hot baths, 1082 Chloroform, 1082 Ether, 1082 Chlorodyne, 1082 Chloral, 1082 Purgatives, 1082 Cholagogues, 1082 Ipecacuanha, 1082 Euonymin, 1082 Iridin, 1082 Occlusion of Biliary Passages--Stenosis of Ductus Communis Choledochus, 1082 Definition, 1082 Pathogeny, 1082 Of cystic duct, 1083 Of common duct, 1083 Passage of calculi, 1083 Catarrhal inflammation, 1083 Cicatrization of ulcers, 1083 Impaction of biliary calculi, 1084 Foreign bodies, 1084 Of hepatic duct, 1084 Seat and cause of occlusion in common duct, 1083, 1084 Pressure of tumors, 1085 Cancer of gall-bladder, 1085 of pylorus, 1085 Enlarged lymphatic glands, 1085 Effects of occlusion of cystic duct, 1085 Retention of secretion in gall-bladder, 1085 Effects of occlusion of hepatic duct, 1085 Catarrhal state, 1085 Distension of hepatic tubes with sero-mucus, 1085 Dilatation of ducts, 1086 Rupture of ducts, 1086 Changes in liver, 1086 Cell-degeneration, 1086 Symptoms, 1086 Of cystic duct, 1086 Dropsy of gall-bladder, 1086 Of hepatic duct, 1086 Jaundice, 1086, 1087 sudden disappearance of, 1087 Pruritus, 1087 Eczema, 1087 Xanthelasma, 1087 Increased area of hepatic dulness, 1087 Tenderness of hypochondrium, 1087 Enlargement of liver, 1087 Hepatic secretion, state of, 1087 Atrophy of liver, 1088 Enlargement of gall-bladder, 1087 Digestive disturbances, 1088 Appetite, state of, 1088 Tongue, state of, 1088 Thirst, 1088 Nausea and vomiting, 1088 Vomit, characters of, 1088 Bowels, irregular, 1088 Stools, characters of, 1088 color of, 1088 Kidneys, state of, 1090 Urine, state of, 1089, 1090 Albuminuria, 1090 Casts, 1090 Pulse, state of, 1089 Hemorrhages, 1089 Epistaxis, 1089 Hæmatemesis, 1089 Fever, 1090 intermittent form, 1090 distinguished from malaria, 1090 temperature, 1091 duration, 1091 Cholæmia, 1091 Nervous disturbances, 1092 Headache, 1092 Mental depression, 1092 Xanthopsia, 1092 Paralysis, 1092 Convulsions, 1092 Course, 1092 Duration, 1092 Termination, 1092 Prognosis, 1092 Diagnosis, 1092 Puncture of gall-bladder in, 1092 Exploration of gall-bladder, 1093 Mode of puncture, 1093 Of dilated gall-bladder from aneurism, 1093 from hypertrophic cirrhosis, 1093 Treatment, 1094 Fracture of impacted calculus, 1094 mode of, 1094 Solution of impacted calculi by puncture of gall-bladder, 1094 Diseases of Portal Vein, 1095 Thrombosis and Embolism of Portal Vein; Stenosis; Pylephlebitis, 1095 Definition, 1095 Causes, 1095 Coagulable state of blood, 1095 Weak heart-action, 1095 Impeded circulation from external pressure, 1095 Of adhesive pylephlebitis, 1095 Symptoms, 1096 Sudden formation of ascites, 1096 enlargement of spleen, 1096 passive congestion of gastro-intestinal mucous membrane, 1096 Catarrh of gastro-intestinal mucous membrane, 1096 Nausea and vomiting, 1096 Hemorrhages, 1096 Abdominal veins, abnormal anastomoses of, 1096 Course and termination, 1097 Diagnosis, 1097 Treatment, 1097 Copaiba, 1097 Pilocarpine, 1097 Leeches, 1097 Suppurative Pylephlebitis, 1097 Pathogeny, 1097 Ulceration and suppuration of intestinal tube, 1097, 1098 Multiple abscess of liver, 1097, 1098 Typhlitis, 1097, 1098 Traumatic injuries of intestine, 1097 Formation of emboli, 1097, 1098 Changes in vein-wall, 1098 Production of thrombi, 1098 Formation of secondary hepatic abscesses, 1098 Suppuration of cæcum, 1098 of rectum, 1098 Symptoms, 1099 Of primary lesion, 1099 Of secondary result, 1099 Chills, 1099 Pain, seat and character, 1099 Fever, 1099 periodic form, 1099 Temperature, 1100 Digestive disturbances, 1100 Vomiting, 1100 Hemorrhages, 1100 Tongue, condition of, 1100 Irregular bowels, 1100 Jaundice, 1100 Course, 1101 Duration, 1101 Termination, 1101 Diagnosis, 1101 Treatment, 1101 Ammonia, use of, 1101 Quinine, 1101 Corrosive sublimate, 1101 Parasites of the Liver, 1101 Echinococcus of Liver, 1101 Definition, 1101 Etiology, 1101 Migration of embryo from intestine, 1102 Pathology, 1102 Symptoms, 1102 Number of, 1102 Seat of, 1102 Atrophy of liver, 1102 Jaundice, 1102, 1104 Growth, mode of, 1102, 1103 Characters of vesicles, 1103 Contents of vesicles, 1103 Multilocular form, 1103 Hydatid tumor, characteristics of, 1104 Ascites, 1104 Enlargement of spleen, 1104 Digestive disturbances, 1104 Diagnosis, 1104 Characters of fluid, 1105 Hooklets in fluid, 1105 From abscess of liver, 1105 Duration, 1105 Termination, 1106 Treatment, 1106 Prophylaxis, 1106 Boiling and filtering of water, 1106 Therapeutical, 1106 Removal of vesicle, 1107 by incision, 1107 Puncture, 1107 Aspirator, use of, 1107 Injection of iodine, 1108 Electrolysis, 1108 Acupuncture, 1109 Distomum hepaticum (liver-flukes), 1109 Description, 1110 Mode of access to man, 1110 Diagnosis, 1110 Symptoms, 1110 Treatment, 1110 Parasiticides, use of, 1110 Creasote, 1110 Bichloride of mercury, 1110 Thymol, 1110 Parasites in Portal Vein, 1111

Liver, diseases of, as a cause of ascites, 1173 of pancreatic hemorrhage, 1129 influence on causation of constipation, 641 of functional dyspepsia, 447 of acute gastritis, 464 enlargement of, in rachitis, 139 in hereditary syphilis, 283 functional disturbance of, in intestinal indigestion, 629 hyperæmia of, relation to causation of diabetes mellitus, 195 lesions of, in diabetes mellitus, 201 in dysentery, 801 in entero-colitis, 739 in gout, 117, 118 in acute intestinal catarrh, 677 in chronic intestinal catarrh, 705 in scurvy, 173 in tabes mesenterica, 1188 secondary growths of, in gastric cancer, 556

Lobe of ear, ulceration of, in scrofula, 246

Local causes of gastric cancer, 537 nature of dysentery, 796 peritonitis, 1159 symptoms, of superficial glossitis, 357 of abscess of liver, 1010 of chronic articular rheumatism, 71 of rheumatoid arthritis, 80, 81, 85 of thrush, 334 treatment of cancrum oris, 343 of enteralgia, 665 of parenchymatous glossitis, 365 of chronic parenchymatous glossitis, 368 of superficial glossitis, 357 of chronic superficial glossitis, 367 of glossitis parasitica, 359 of acute gout, 134 of intestinal obstruction, 864 of abscess of liver, 1021 of cirrhosis of liver, 1002 of morbid dentition, 376 of chronic oesophagitis, 417 of cancer of oesophagus, 428 of organic stricture of oesophagus, 425 of spasmodic stricture of oesophagus, 421 of ulceration of oesophagus, 418 of perihepatitis, 990 of acute peritonitis, 1151 of acute pharyngitis, 397 of syphilitic pharyngitis, 408 of purpura rheumatica, 194 of acute rheumatism, 68 of chronic articular rheumatism, 74 of muscular rheumatism, 76, 77 of gonorrhoeal rheumatism, 107 of rheumatoid arthritis, 100 of aphthous stomatitis, 330 of mercurial stomatitis, 348 of stomatitis ulcerosa, 338 of hereditary syphilis, 317 of thrush, 335 of tonsillitis, 387 of typhlitis and perityphlitis, 822

Locality, influence on causation of scrofula, 233

Loop-shaped form of stomach, 617

Lumbago, 77

Lumbar colotomy for cancer of rectum, 915

Lumbo-abdominal neuralgia, distinguished from enteralgia, 663

Lung disease, chronic, influence on causation of constipation, 641

Lungs, condition of, in rachitis, 152 in hereditary syphilis, 307 gangrene of, complicating cancrum oris, 341 gummata of, in hereditary syphilis, 307 hypostatic congestion and pneumonia of, in entero-colitis, 734 lesions of, in diabetes mellitus, 202 in entero-colitis, 740 in acute intestinal catarrh, 677 in chronic intestinal catarrh, 706 in scurvy, 172 in tabes mesenterica, 1188

Lupoid ulcer of rectum, 889

Luxurious living, influence of, on causation of gout, 110

Lymphangiectasis in Filaria sanguinis, 963

Lymphatic glands, caseation of, in scrofula, 239, 240 changes of, in scrofula, 239, 240 in tabes mesenterica, 1187 swelling of, in cancrum oris, 342 in parenchymatous glossitis, 361 in catarrhal stomatitis, 323 in mercurial stomatitis, 346 in tonsillitis, 382

Lympho-sarcoma of intestine, 868

Macroglossia, 349

Magnesium sulphate, use of, typhlitis and perityphlitis, 822

Malaria, influence on causation of biliary calculi, 1064 of catarrh of bile-ducts, 1051 of cholera morbus, 721 of diabetes mellitus, 203 of enteralgia, 660 of gastralgia, 460 of gastric hemorrhage, 582 of acute intestinal catarrh, 671 of chronic intestinal catarrh, 700 of jaundice, 977 of abscess of liver, 1005 of amyloid liver, 1041 of cirrhosis of liver, 991 of hyperæmia of liver, 984 of tabes mesenterica, 1186 relation to hepatic colic, 1072 to causation of rachitis, 145

Malarial form of acute pharyngitis, symptoms, 395 poison, influence on causation of biliousness, 965 of acute pharyngitis, 391

Malarious fevers, influence on causation of acute and chronic gastritis, 464, 470

Male fern, use of, in tape-worm, 941

Malformations, congenital, of anus and rectum, 837, 879