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
[Footnote 31: The capsules were made by Savory and Moore, and I have
every reason to be satisfied with the manner in which they accomplished
the object in view.]
[Footnote 32: Prepared bile, made up into an ordinary pill, dissolves
in gastric juice in a quarter of an hour. When the pill is silvered it
is dissolved in half an hour, and when gilded, in forty minutes.
Whereas, in the same specimen of gastric juice, the capsules prepared
for me by Savory and Moore, although swollen to more than three times
their original size, were nevertheless intact at the end of an hour and
a half. They readily broke on being gently squeezed between the finger
and thumb, it is not therefore probable that they would pass the
pylorus in this condition without giving way, and allowing their
contents to escape.]
Each capsule contains five grains of the prepared bile; and five grains
is equal to one hundred grains of liquid bile fresh from the
gall-bladder. Two capsules therefore represent two hundred grains of
pure bile, a quantity (though less, perhaps, than the healthy organism
consumes during each digestion) which in most cases would be sufficient
for the wants of the system. If, however, a larger amount be considered
necessary, there is no reason why three or more capsules should not be
given. By the administration of prepared bile in the manner here
described, the physician is enabled to imitate nature, and {131} supply
an important element to the system; which, although incapable of curing
the disease, can nevertheless ward off for a time the fatal
termination.[33]
[Footnote 33: It is not alone in cases of jaundice that the prepared
bile may be of service, but also in the various forms of duodenal
dyspepsia, so common among the literary classes, consequent upon either
a deficient quantity, or an abnormal quality of bile.]
{132} TABULAR VIEW OF THE PATHOLOGY OF JAUNDICE, ACCORDING TO THE
AUTHOR'S VIEWS.
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