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
Pathological conditions with which jaundice is associated--Those
of the liver itself--Those of the bile-ducts--General
affections of other organs of the body exerting an influence
on the biliary secretion--Zymotic diseases--The effects of
certain poisons . . . . . . . . . . . . . . . . . . . . . . . 3
Frerichs's theory of jaundice--Theory of jaundice hitherto most
favoured in England--Dr. Budd as its exponent . . . . . . . . 6
Nature of bile--Biliverdine--Bile acids; glycocholic, and
taurocholic acids--Cholesterine--Bile resin--Sugar--Inorganic
constituents--Specific gravity, reaction, and colour of normal
bile . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Manner in which bile is secreted--Liver both a formative and
excretive organ--Animals without gall-bladders--Effects of
food on the colour and quantity of the bile . . . . . . . . . 11
Is bile essential to life?--Effect on the system of absence of
bile in the digestive process--Death from starvation as a
result--Benefit derived from an additional quantity of
food--Uses of bile in the animal economy--Necessary to the
absorption and assimilation of food--Bile as a digestive
agent--Its action on the chyme--Experiments on its influence
over the absorption of fatty matter--Its relation to the
pancreatic juice--Bile taken internally by Caffres . . . . . . 13
General view of the mechanism of jaundice--Two great
divisions--Jaundice from suppression, and jaundice from
re-absorption--1st subdivision: jaundice arising from
enervation, disordered hepatic circulation, and absence of
secreting substance--2nd subdivision: jaundice arising from
congenital deficiency of the bile-ducts, and from accidental
obstruction of the bile-ducts . . . . . . . . . . . . . . . . 19
General view of the pathology of jaundice from suppression,
showing how the coloration of the skin, and urine is produced
in such cases . . . . . . . . . . . . . . . . . . . . . . . . 20
Mechanism of jaundice as a result of enervation--Influence of
nervous system on secretion--Effect of mental emotion on
biliary secretion, as observed in dog with biliary
fistula--Action of fright in paralyzing nerve force . . . . . 22
Mechanism of jaundice from hepatic congestion--Active
congestion--General view of the effects of congestion on
glandular secretion--Reason why the biliary secretion is not
usually completely arrested--The absence of pipe-clay stools
explained--Example of jaundice from hepatic
congestion--Jaundice from zymotic disease, and other cases of
blood-poisoning, have a similar mechanism--Example of jaundice
following upon ague--Effect on the urine--Analysis of the
urine a clue to the nature of the case . . . . . . . . . . . . 24
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