The treatment should have strict relation to the real or supposed cause
of jaundice, and its most evident concomitant circumstances. Some of
these symptoms are constant and others variable. Among the first,
whatever be the cause of the disease, we reckon acceleration of the
pulse; fever, with paroxysms of occasional intensity; and a yellow or
reddish-yellow discoloration of the urine. Among the second are
constipation, diarrhoea, the absence or increase of colour in the faecal
matter, whether solid or fluid. When they are solid, they are usually
void of much colour; when, on the contrary, there is diarrhea, the fæces
are generally mingled with blood more or less changed. Sometimes the
dejections are nearly black, mixed with mucus. It is not unusual for a
chest affection to be complicated with the lesions of the digestive
organs, which are the cause of jaundice.
With these leading symptoms there are often others connected that are
common to many diseases; such as dryness and heat of the mouth, a fetid
smell, a staggering gait, roughness of the hair, and particularly of
that of the back; an insatiable thirst, accompanied by the refusal of
all food; loss of flesh, which occasionally proceeds with astonishing
rapidity; a tucked-up flank, with hardness and tenderness of the
anterior part of the belly.
The jaundice which is not accompanied with fever, nor indeed with any
morbid change but the colour of the skin, will require very little
treatment. It will usually disappear in a reasonable time, and M.
Leblanc has not found that any kind of treatment would hasten that
disappearance.
When any new symptom becomes superadded to jaundice, it must be
immediately combated. Fever, injection of the vessels of the
conjunctiva, constipation, diarrhoea, or the discoloration of the urine,
require one bleeding at least, with some mucilaginous drinks. Purgatives
are always injurious at the commencement of the disease.
"I consider," says M. Leblanc, "this fact to be of the utmost
importance. Almost the whole of the dogs that have been brought to me
seriously ill with jaundice, have been purged once or more; and either
kitchen salt, or tobacco, or jalap, or syrup of buckthorn, or emetic
tartar, or some unknown purgative powders, have been administered.
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