Jaundice: Its Pathology and Treatment: With the Application of Physiological Chemistry to the Detection and Treatment of Diseases of the Liver and PancreasHarley, George
Science
Jaundice: Its Pathology and Treatment: With the Application of Physiological Chemistry to the Detection and Treatment of Diseases of the Liver and Pancreas
Harley, George
Jaundice
From this it is seen, that the pathology of jaundice, according to
Frerichs, is very different from what we were formerly taught. For
while he has entirely laid aside the theory of jaundice as a result of
suppressed secretion, he has introduced two perfectly new
elements--namely, abnormal diffusion, and diminished consumption. The
latter theory, being, of course, founded on the supposition that bile,
after playing its part in the digestive process, is re-absorbed into
the circulation, again to perform another function in the animal
economy, before its final excretion from the organism as effete matter.
The theory of jaundice, hitherto most favoured in England, and which
found {7} such an able exponent in Dr. Budd, is, that the disease may
arise in two ways--firstly, by a mechanical obstruction to the passage
of bile into the intestines, and the consequent re-absorption of the
detained fluid into the blood; and secondly, by a suppression of the
biliary secretion arising from some morbid condition of the liver
itself, whereby the biliary ingredients accumulate in the circulation.
Now, although I am not prepared to admit the justice of the views held
regarding the origin and function of bile, on which these opinions are
based, I nevertheless believe that in the following pages I shall be
able, by the aid of modern medical science, to prove the correctness of
the conclusions themselves. In order to do this, however, it will be
necessary for me to begin by making a few remarks on the nature of
bile, and the physiology of its secretion.
ON THE NATURE OF BILE.
In a few words, bile may be said to be composed of the following
substances:--
Firstly,--Biliverdine, a green nitrogenized, non-crystallizable
colouring matter, analogous to the green colouring matter of plants,
and like it, leaving on incineration a distinctly ferruginous ash. This
colouring matter appears, like {8} urohæmatine, and all other animal
pigments, to be a direct derivative of the colouring matter of the
blood.[2]
[Footnote 2: _Vide_ papers by the author on the colouring matter of the
urine, Pharm. Journ., November, 1852. "Urohæmatine, and its combination
with animal resin." Verh. d. Phys.-Med. Gesellschaft zu Wurzburg, Bd.
V. 1854.]
[Illustration: FIG. 1. Crystals of Glycocholate of soda, a beautiful
polariscopic object. _(a)_ Fine needle-shaped crystals, separated from
a rosette-shaped group. _(b)_ Small rosette of crystals. _(c)_
Fan-shaped groups of crystals, which are merely portions of large
rosettes that have become broken up. _(d)_ A fragment of a bundle of
needle-shaped crystals. Mag. 90 diam.]
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