Domestic medicine : $b or, a treatise on the prevention and cure of diseases by regimen and simple medicines. With an appendix, containing a dispensatory for the use of private practitionersBuchan, William
Science
Domestic medicine : $b or, a treatise on the prevention and cure of diseases by regimen and simple medicines. With an appendix, containing a dispensatory for the use of private practitioners
Buchan, William
Medicine, Popular -- Early works to 1800
The liver is less subject to inflammation than most of the other
viscera, as in it the circulation is slower; but when an inflammation
does happen, it is with difficulty removed, and often ends in a
suppuration or scirrhus.
CAUSES.——Besides the common causes of inflammation, we may here reckon
the following, _viz._ excessive fatness, a scirrhus of the liver itself,
violent shocks from strong vomits when the liver was before unsound, an
adust or atrabiliarian state of the blood, any thing that suddenly cools
the liver after it has been greatly heated, stones obstructing the
course of the bile, drinking strong wines and spirituous liquors, using
hot spicy aliment, obstinate hypochondriacal affections, &c.
SYMPTOMS.——This disease is known by a painful tension of the right side
under the false ribs, attended with some degree of fever, a sense of
weight, or fulness of the part, difficulty of breathing, loathing of
food, great thirst, with a pale or yellowish colour of the skin and
eyes.
The _symptoms_ here are various, according to the degree of
inflammation, and likewise according to the particular part of the liver
where the inflammation happens. Sometimes the pain is so inconsiderable,
that an inflammation is not so much as suspected; but when it happens in
the upper or convex part of the liver, the pain is more acute, the pulse
quicker, and the patient is often troubled with a dry cough, a hiccup,
and a pain extending to the shoulder, with difficulty of lying on the
left side, &c.
This disease may be distinguished from the pleurisy by the pain being
less violent, seated under the false ribs, the pulse not so hard, and by
the difficulty of lying on the left side. It may be distinguished from
the hysteric and hypochondriac disorders by the degree of fever with
which it is always attended.
This disease, if properly treated, is seldom mortal. A constant
hiccuping, violent fever, and excessive thirst, are bad symptoms. If it
ends in a suppuration, and the matter cannot be discharged outwardly,
the danger is great. When the scirrhus of the liver ensues, the patient,
if he observes a proper regimen, may nevertheless live a number of years
tolerably easy; but if he indulge in animal food and strong liquors, or
take medicines of an acrid or irritating nature, the scirrhus will be
converted into a cancer, which must infallibly prove fatal.
REGIMEN.——The same regimen is to be observed in this as in other
inflammatory disorders. All hot things are to be carefully avoided, and
cool diluting liquors, as whey, barley-water, &c. drank freely. The food
must be light and thin, and the body, as well as the mind, kept easy and
quiet.
Public-domain text, read in full here on John Shaqi.
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