Difficulties in the treatment of jaundice from obstruction pointed out--Derangements arising from absence of bile in the digestive process--Good effects of an additional quantity of food--Establishment of an artificial biliary fistula shown to be less hazardous than usually imagined--Mode of operation explained--Treatment of permanent jaundice by prepared bile--New mode of preparing bile pointed out--Theory of its action--Time of administration shown to be of much importance--Bile put into capsules--Benefits derived from bile given in this form . . . . . . . . . . . . . . . . . . . . . . 122 Tabular view of the pathology of jaundice according to the author's views . . . . . . . . . . . . . . . . . . . . . . . . 132 INDEX . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 133 DESCRIPTION OF PLATES AND WOODCUTS. PLATE I. Represents the condition of the parts in a fatal case of permanent jaundice, in which both the bile, and pancreatic ducts were completely occluded. _(a)_ Atrophied liver. _(b)_ Transverse section of the left lobe, showing the mouths of the enormously distended gall-ducts. _(c)_ Enlarged gall-bladder. _(d)_ Dilated cystic duct. _(e)_ Distended hepatic, and common duct. _(f)_ Ulceration in duodenum, in the situation of the opening of the gall-duct into the intestines. _(g)_ Pancreas with enlarged head _(h)_, and enormously distended duct. PLATE II. External surface of the left kidney, denuded of its capsule, in a case of permanent jaundice. _(a)_ Small specks of bile pigment deposited in the renal tissue, and blocking up the urine tubes. _(b)_ Small abscesses scattered throughout the tissue of the kidney. WOODCUTS. Fig. 1. Crystals of glycocholate of soda, mag. 90 diam.--Page 8. " 2. Taurocholate of soda, as found in the form of globules of various sizes.--Page 9. " 3. Crystals of cholesterine.--Page 9. " 4. Crystals of pure tyrosine.--Page 63. " 5. Spiculated balls of tyrosine, from the urine of a case of acute atrophy of the liver.--Page 64. " 6. Globules of leucine.--Page 66. " 7. Cholesterine crystals.--Page 82. " 8. _(a)_ Crystals of cystine. _(b)_ Hepatic cells, showing entire absence of fat globules. _(c)_ Caudate or spindle-shaped cells, from epithelial lining of hepatic ducts.--Page 86. {1} JAUNDICE: ITS PATHOLOGY AND TREATMENT. INTRODUCTION.