Chapter V: Parasites of the Liver (9)

INTESTINAL CATARRH, ACUTE, 667
Synonyms, 667
History, 667
Nature and classification, 668
Inflammatory nature, 668
Etiology, 669
Geographical distribution, 669
Race, 669
Sex, 669
Age, 670
Climate, 669
Summer heats, 669
Sudden changes of temperature, 670
Cold, 670
External burns, 670
Impure air, 670
Sewer gas, 670
Temperament and idiosyncrasy, 671
Previous attacks, 671
Sedentary, life, 671
Abuse of tobacco and alcohol, 671, 672
Constipation, 671
Eruptive fevers, 671
Uræmia, 671
Malaria, 671
Chronic wasting diseases, 671
Phthisis, 671
Improper and excessive food, 671, 672
Irritant and caustic poisons, 672
Drastic purgatives, 672
Foreign bodies, 672
Impure water, 672, 673
Injury, 673
Emotional influence, 673
Lesions of nerve-centres, 673
Micro-organisms, 673
Bacteria, 673
Morbid anatomy, 673
External appearance of intestines, 673
Distension of colon and cæcum, 673
of small intestines, 673
Color of intestines, 673
Serous membrane of intestines, lesions of, 674
Appearance of intestinal contents, 674
Intestinal mucous membrane, lesions of, 674
Mucous membrane, seat of inflammation of, 674
Ileo-colitis, 674
Duodenal mucous membrane, lesions of, 674
Hyperæmia of mucous membrane, 674
Swelling and softening of, 675
Villi, lesions of, 675
Solitary glands, lesions of, 675
Peyer's patches, tumefaction of, 675
Ulcers, catarrhal, 676
follicular, 676
seat of, 676
Mucous collections, 676
Vibrios and bacteria, 676
Mesenteric glands, enlargement of, 677
Liver, lesions of, 677
Spleen, lesions of, 677
Kidneys, lesions of, 677
Lungs, lesions of, 677
Heart, lesions of, 677
Brain, lesions of, 677
Pathological histology, 677
Congestion of capillaries, 677
Transudation of serum, 677
Rupture of small vessels, 677
Increase of mucus, 677
Origin of mucus, 677
Increased cellular growth, 677
Formation of ulcers, 677
Desquamation of epithelium, 677
Symptoms, 677
Mild forms of, 678
Onset of, 678
Pain, 678
Stools, character of, 678
Tongue, dryness of, 678
Duration of, 678, 681
Severe forms of, 678
Pain and colics, 679, 682
Borborygmi, 679
Tympanites, 679
Abdomen, intumescence of, 679
tenderness of, 679
soreness on moving, 679
pain in, 679, 682
Diarrhoea, 679, 681
Number of stools, 679
Character of stools, 680, 681, 682
Color of stools, 680, 681, 682
Blood in stools, 680, 681, 682
Odor of stools, 680
Tongue, condition of, 680, 681
Thirst, 680, 681
Nausea and vomiting, 681
Fever, 681
Urine, condition of, 681
Paraplegia and muscular contraction, 681
Delirium, 681
Physiognomy, 681
Emaciation, 682
Collapse, 682
Pulse, 682
Duration, 682
In children, 682
Loss of strength, 682
Choleriform diarrhoea, 682
Varieties due to seat, 682
Acute duodenitis, 682
relation to integumental burns, 682
symptoms, 682
ileitis, 683
jejunitis, 683
symptoms, 683
colitis, 683
symptoms, 684
bloody stools, 684
tenesmus, 684
Proctitis, 684
symptoms, 684
burning in rectum, 684
tenesmus, 684
mucous stools, 684
Diagnosis, 684
Of ileo-colitis, 685
Of follicular ulceration, 685
In children, 686
From typhoid fever, 676, 685, 686
dysentery, 686
enteralgia, 686
abdominal rheumatism, 686
lead colic, 686
peritonitis, 686
Prognosis, 687
Treatment, 687
Prophylactic, 687
Change of climate, 688
Disinfection, 688
Proper clothing, 688
When arising from cold, 688
heat, 688
undigested food, 689
Bright's disease, 689
phthisis, 689
Value of rest, 690
of counter-irritation, 688, 690, 698
Of thirst, 690
Of hyperpyrexia, 692
Of flatulence, 693
Of diarrhoea, 693
Of ulcers, 698
Of hemorrhagic form, 698
Of choleraic form in children, 698
in adults, 698
Of duodenitis, 698
By rectum, 697
Diet, 687, 688, 690
in children, 692
of convalescence, 692
Use of blood-letting, 690
of milk, 690, 691
of buttermilk, 691
of koumiss, 691
of eggs, 691
of beef-tea, 691
of raw-beef, 691
of milk, 690, 691
of poultices, 688, 690
of sinapisms, 688, 690
of ice, 689, 690, 693, 698
of warm and cold baths, 692
of aconite, 689
of quinia, 692
of jaborandi, 688
of bismuth, 693
of alkalies, 693
of mineral acids, 693, 694, 695
of opium, 689, 693, 698
of oxide of zinc, 694
of chalk mixture, 694
of lime-water, 694
of cassava-water, 694
of sugar of lead, 694
of calomel, 695
of bichloride of mercury, 695
of vegetable astringents, 695
of gallic acid, 695
of tannic acid, 695
of ipecacuanha, 695
of coto-bark, 696
of alum, 696
of sulphate of copper, 696
of nitrate of silver, 696, 698
of oxide of silver, 696
of iron, 696
of carbolic acid, 696
of creasote, 696
of salicylic acid, 696
of sulpho-carbolate of calcium, 696
of enemata, 697
of irrigation of large intestine, 697
of iced coffee in children, 698
of bromides, 698
of spirits of camphor, 698

INTESTINAL CATARRH, CHRONIC, 699
Etiology, 699
Age, 699
Sex, 699
Heredity, 699
Bad hygiene, 699
Overwork, 699
Chronic wasting diseases, 699
Phthisis, 699
Bright's disease, 699
Gout, 699
Addison's disease, 700
Syphilis, 700
Malaria, 700
Disease of heart and lungs, 700
liver, 700
Improper food, 700
Alcohol, 700
Foreign bodies, 700
Chronic lesions of bowels, 700
Morbid anatomy, 700
Intestines, seat of lesions, 700, 701
alteration in calibre, 700
Intestinal walls, hypertrophy, 700
Mucous membrane, lesions of, 700
alteration in color, 701
of ileum, swelling of, 701
hypertrophy of villi, 701
Solitary glands, alterations in, 702
Peyer's patches, alterations in, 702
Colon, ulcers of, 702
seat and character, 702
perforating, 702
Presence of pseudo-membrane, 702
Veins, varicose condition, 702
Duodenal ulcer from external burns and chronic Bright's disease,
703
from embolism, 703
Adhesions, peritoneal, 703
Suppuration of duodenum, 703
Chronic proctitis, lesions, 703
Mucous membrane, condition, 703
Inflammation of peri-rectal tissue, 703
Abscesses, 703
Fistulæ, 703
Pathological histology, 703
Increased cell-proliferation, 703
Hypertrophy of tissue, 703
Glands of Lieberkühn, elongation of, 703
Mode of formation of ulcers, 703
cicatrization of ulcers, 703
Formation of cysts, 704
origin, 704
polypoid growths, 704
seat, 704
Atrophy of intestinal walls, 704
seat, 704
mucous membrane in, 705
Amyloid degeneration of mucous membrane, 705
Peritoneum, lesions, 705
Mesenteric glands, enlargement, 705
Liver, lesions of, 705
abscess of, 705
Gall-bladder, lesions of, 705
Spleen, lesions of, 705
Pancreas, lesions of, 705
Kidneys, lesions of, 705
Heart, lesions of, 705
Lungs, lesions of, 706
Pleura, lesions of, 706
Cornea, lesions of, 706
Brain, lesions of, 706
Symptoms, 706
Mild forms, 706
State of bowels, 706
Signs of intestinal indigestion, 706
Time of appearance, 706
Fulness, 706
Colicky pains and borborygmi, 706
Constipation, 706
Diarrhoea, 706
Abdomen, state of, 706
Depression of spirits, 706
Hemorrhoids, 706
Severe forms, 707
Tongue, state, 707
Appetite impaired, 707
Time of appearance, 707
Pain, 707
Abdomen, state, 707
Tympanites, 707
Diarrhoea, 707
quantity, 707
Stools, appearance, 707
bloody, 707
mucous, 708
composition, 708
micrococci and bacteria in, 708
unaltered food (lientery), 708
Headache, 708
Depression, 708
Vertigo, 708
Sleeplessness, 708
Palpitation, 708
Urine, state, 708
Progress and termination, 709
Progressive emaciation, 709
Anæmia, 709
Cuticle, dryness of, 709
Fever, 709
Hectic, 709
Pulse, 709
Death, cause, 709
Complications, 709
Dropsy, general, 709
Oedema of one extremity, 709
Chronic bronchitis, 709
Phthisis, 709
Pneumonia, 709
Peritonitis, 710
Tuberculosis, 710
Bright's disease, 710
Intermittent and remittent fever, 710
Hepatic disease, 710
Ulceration of cornea, 710
Sequelæ, 710
Chronic intestinal indigestion, 710
Tabes mesenterica, 710
Constipation, 710
Stricture, intestinal, 710
Paralysis, 710
Para- and hemiplegia, 710
Diagnosis, 710
Of primary from secondary diarrhoea, 711
From chronic dysentery, 711
Of locality of lesion, 711
Of duodenal form, 711
Of catarrh of jejunum and ileum, 712
Of catarrh of colon, 712
Of stage of inflammatory process, 712
Of follicular ulceration, 712, 713
Of duodenal ulcer, 713
From tuberculous ulceration, 713
From cancerous ulceration, 713
Prognosis, 713
Treatment, 714
Preventive, 714, 715
Of cause, 714
Mild forms, 714
Diarrhoea, 715
Constipation, 714
Of follicular form, 715
ulceration, 718
Rest, 716
Change of residence, 715, 716
Baths, 714, 716
Sitz baths, 716
Permanent baths, 716
Exercise, 714, 716
Diet, 714, 716
Milk, 716
Use of stimulants, 716
wines, 716
purgatives, 714, 715
mineral waters, 714, 715
Rockbridge alum water, 714, 717
iron, 714, 715, 717
bitter tonics, 715
quinia, 715
mineral acids, 715
strychnia, 714, 715
medicated enemata, 714, 717, 718
rectal irrigation, cold water, 717
arsenic, 715
bismuth, 715, 717
liquor pancreaticus, 714
mineral astringents, 717
nitrate of silver, 717, 718
opium, 715, 718
turpentine and copaiba, 718
ergot, 718
cod-liver oil, 718
corrosive sublimate, 717
gallic acid, 717

Intestinal catarrh, complicating gout, 122
influence on causation of tabes mesenterica, 1186
colic. See _Enteralgia_.
contents, in acute intestinal catarrh, 674
dilatation, in constipation, 643
disorders, influence on causation of catarrhal stomatitis, 322
of thrush, 332

INTESTINAL INDIGESTION, 620
Nature, 620
Physiology of intestinal digestion, 620
Action of saliva, 620, 621
of gastric juice, 621
Chyme, composition of, 621
Action of bile, 621
of pancreatic juice, 622
of trypsin, 622
Peristalsis, cause of, 622, 623
Action of liver, 623
Absorption of peptones and sugar, 623
of oils and fats, 623
Etiology, 623
Sex, 623
Age, 623
Heredity, 623
Idiosyncrasy, 623
Anæmia, 623
Rachitis, 623
Syphilis, 623
Febrile diseases, 623
Strumous diathesis and phthisis, 624
Want of exercise, 624
Sexual excess, 624
Impure air, 624
Mental overwork, 624
Worry and anxiety, 624
Wealth, 624
Sedentary occupations, 624
Tight-lacing, 624
Hot climates, 624
Over-eating, 624
Indigestible food, 625
Excess of starchy food, 625
Alcohol, abuse of, 625
Condiments, abuse of, 625
Irregularity in meals, 625
Imperfect mastication, 625
Tobacco, abuse of, 625
Constipation, 625
Excess of gastric acid, 626
Obstruction of bile-ducts, 626
Pancreatic disease, 626
Disease of heart and lungs, 626
of intestines, 626
Symptoms, 626
Forms, 626
Acute form, 626
Chronic form, 627
Time of appearance after eating, 627
Pain, 627
character and seat of, 627
Tympanites and borborygmi, 627
Fulness after eating, 627
Gas, source of, 627
Abdominal swelling, 627
Constipation, 627
Stools, character of, 627
Diarrhoea, 627
Hemorrhoids, 627
Tongue, state of, 628
Nervous system, state of, 628
Depression of spirits, 628
Sleeplessness, 628
Headache, 628
Vertigo, 628
Anxiety and worry, 628
Mental power, impaired, 628
Paralysis, 628
Sensibility, modifications of, 628
Faintings, 628
Heart disturbance, 628
Palpitation, 628
Circulation, languid, 628
Cold extremities, 628
Urine, state of, 628
lithates in, 628
albuminuria, 628
Perversion of sexual function, 629
Anæmia, 629
Skin eruptions, 629
Liver, functional disorder of, 629
Course, 630
Duration, 630
Termination, 630
In deterioration of health, 630
In organic disease, 630
In phthisis, 630
Diagnosis, 630
From gastric dyspepsia, 631
Of varieties of, 631
Of pancreatic form, 631
Of biliary form, 631
Prognosis, 631
Treatment, 632
Of acute form, 632
Of chronic form, 632
Hygienic, 632
Change of climate, 632
Exercise, 632
Thorough mastication, 632
Swedish movements, 632
Bathing, 632
salt-water, 632
Russian, 633
Regularity in eating, 633
Diet, 633, 634
Milk, use of, 633
Koumiss, use of, 633
Beef-essences, 633
Foods to be avoided, 635
Use of wine, 634
Mineral waters, 634, 636
Use of pre-digested foods, 635
of pancreatic extract, 635
mode of administering, 635
Of deficient hepatic secretion, 635
Of flatulence and colics, 636
Of constipation, 636
Of strumous form, 636
Use of ipecacuanha, 636
of euonymin, 636
of sanguinarin, 636
of podophyllin, 636
of sulphate of sodium, 636
of benzoate of sodium, 636
of iron, 636
of quinia, 636
of strychnia, 636
of mineral acids, 636
of bitter waters, 636
of Friedrichshall waters, 636
of Hunyadi Jânos, 636
of cod-liver oil, 637

INTESTINAL OBSTRUCTION, 835
Classification, 835
Congenital strictures and malformations, 836
Strictures, 836
seat, 836
of colon, 836
sigmoid flexure, 836
duodenum, 836
malformations, 837
of anus and rectum, 837
_Impaction of Foreign Bodies_, 837
Nature of substances found in intestines, 837, 838
Stony concretions (enteroliths), 838
Gall-stones, 838
Symptoms, 839
Modes of discharge of, 839
By vomiting, 839
By ulceration, 839
Peritonitis from, 839
Of inflammation, 839
Remote results of, 840
Impaired health, 840
Emaciation, 840
Of impaction from gall-stones, 840
Pains, colicky, 840
Vomiting, 840
Prostration, 840
Signs of disordered liver, 840
_Acute Internal Strangulation, Twisting, etc._, 840
Seat of twisting, 840
Conditions necessary to production, 841
Elongated mesentery, 841
Increased weight of bowel, 841
Inflammation of elongated bowel, 841
Symptoms, 841
Prodromal, 841
Signs of intestinal disorder, 841
Actual attack, 841
Other modes of strangulation and twisting, 841, 842
Forms of internal strangulated hernia, 843
Diaphragmatic hernia, 843
Symptoms, 843
Suddenness of onset, 843
Nausea and vomiting, 843
Pains, 843
Tympanites, 843
Of peritonitis, 843
Delirium, 843
Duration, 841, 843
_Intussusception, Invagination_, 844
Without symptoms, 844
Morbid anatomy of, 844
Diminished lumen of bowel, 845
Inflammation, changes produced by, 845
Sloughing of invaginated parts, 845
Gangrene and ulceration in, 845
Seat, 846
Ileo-cæcal variety, 846
Method of production, 846
Frequency in relation to sex, 847
in relation to age, 847
Mechanism of, 847
Local paresis and tenesmus of bowel, 847
Length of, 848
Symptoms, 848
Onset of, 848
Pain, characters of, 848
effect of pressure upon, 848
Vomiting, 848
Vomit, fecal, 848
Diarrhoea, 848
Stools, characters of, 848
Abdominal tenderness, 848
Tumor, presence of, 848
Tympanites, 848
Urgency of symptoms, relation to locality and degree of
constriction, 848
Suddenness of acute cases, 848
Gangrene of invaginated portion, 849
Date of separation of sequestrum, 849
Of chronic cases, 849
Duration, 849
Abatement of symptoms before death, 849
_Constipation_, 850
Number of fecal evacuations in health, 850
Etiology, 850
Sex, 850
Sedentary life, 850
Rapid loss of fluid, 851
By kidneys, 851
lungs, 851
skin, 851
Food, improper, 851
Bile, deficiency of, 851
Dislocations of intestines, 851
Nervous diseases, 851
Hysteria, 851
Paralysis of muscular coat of intestine, 851
Chronic debilitating diseases, 852
Loss of sensibility of colon and rectum, 852
Fecal impaction, 852
Tumor, fecal, characters of, 852
Dilatation of colon and rectum, 852
Symptoms, 853
Torsion of cæcum, 853
Internal strangulation from, 853
Digestive disturbances, 853
Appetite, impaired, 853
Headache, 853
Pain, colicky, 853
Diarrhoea, 853
Evolution of gases, 853
Mental depression, 854
Nervous symptoms, 854
Pain in legs, 854
in back, 854
Strength, loss of, 854
of obstruction from, 854
_Stricture of bowel_, 854
Frequency of, 854
Seat of, 855
From cicatrization of ulcers, 855
cancer, 855
Symptoms, 856
Intestinal disorders, 856
Colicky pains, 856
Paroxysmal pain, 856
Of rectum, 856
Determination of, by digital examination, 856
_Compression and Contraction of Bowel_, 857
From abdominal tumors and cysts, 857
From adhesions of chronic peritonitis, 857
Seat of, 857
Symptoms, 857
Insidiousness of onset of, 858
Intestinal disorders, 858
Exhaustion, 858
Distinguished from stricture, 858
Differential diagnosis, 858
From external strangulated hernia, 858
functional obstruction of bowel, 859
Of congenital occlusion, 859
Of obstruction by foreign bodies, 859
by gall-stones, 860
by internal hernia, 860
by torsion, 860
uneven distension of abdomen in torsion, 860
fecal accumulation, 860
abdominal tumors, 861
Of seat of obstruction, 861
Of pain, significance of, 861
Significance of constipation, 862
of vomiting, stercoraceous, 862
Duration, 862
Mortality, 862
Relative frequency of deaths by different forms, 862
Treatment, 862
Purgatives, uselessness and danger, 862, 863
Quicksilver, use of, 863
Opium, use of, 863
method of administration, 863
Of fecal impaction, 863
Castor oil, use of, in, 863
Of invagination low in rectum, 864
Ice, locally, use of, 864
Bleeding, use of, 864
Electricity, use of, 864
Abdominal taxis, 864
Injection of warm water, 864
Replacement of pressing tumors or organs, 864
Stimulants, use of, 865
Quinia, use of, 865
Tapping of gut, in gaseous distension, 865
Surgical, 865
Laparotomy, 865
in invagination, 866
mortality, 866, 867
in internal hernia, volvulus, etc., 866
Entorectomy, 866
Enterotomy, 867
method of performing, 867

Intestinal tract, condition in rachitis, 153
trichina, 959
tube, ulceration and suppuration of, as a cause of suppurative
pylephlebitis, 1097, 1098

INTESTINAL ULCER, 823
Synonyms, 823
Definition, 823
Etiology, 823
Frequency, 823
Toxic form, 823
Mineral acids, 823
Syphilis, 823
Traumatic form, 823
From hardened feces and foreign bodies, 823
intestinal parasites, 823
use of enemata, 823
burns of skin, 824
dysentery, 824
tuberculosis, 824
typhoid fever, 824
arrest of circulation, 824
erosion of gastric juice, 824, 825
Of duodenal form, 825
frequency, 825
tendency to perforation, 825
cicatrization, 825
Symptoms, 825
Indefinite nature of, 825
Pain, 826
character, 826
Appetite, loss, 826
Failure of general health, 826
Digestive disturbances, 826
Nausea and vomiting, 826
Diarrhoea, 827
Stools, character, 827
effect of seat of ulcers upon, 827
Hemorrhage of bowel, 827
black and tarry stools in, 827
Duration, 827
Diagnosis, 828
From intestinal catarrh, 828
carcinoma, 828
enteralgia, 828
hemorrhage of gastric ulcer, 828
Prognosis, 828
Treatment, 828
Diet, 829
Of vomiting, 829
Of pain, 829
Of hemorrhage, 829
Of peritonitis, 829
Of constipation, 829
Alcohol, use of, 829
Bismuth, use of, 829
Sodium bicarbonate, use of, 829
Oxide of zinc, use of, 829
Purgatives, use of, 829
Ice, use of, 829
Hot-water injections, use of, 829
Cataplasms, use of, 829
Opium, use of, 829
Ergotin, use of, 829
Turpentine, use of, 829
Prophylaxis against recurrence, 829

Intestinal ulcers, in hereditary syphilis, 306

INTESTINAL WORMS, 930
Varieties, 930
Mode of access to body, 931
Frequency in relation to uncooked food, 931
unfiltered waters, 931
uncleanliness, 931
_Cestodes, or Tape-worms_, 931
Description of mature worm, 931
head, 932
Sexual apparatus of, 932
Description of embryo or proscolex, 932
Mode of dissemination, 932, 933
Species, 933
Tænia saginata, 933
Synonyms, 933
Characteristics, 934
Length, 934
Head, 934
Sexual organs, 934
Rapidity of growth, 934
Number of eggs, 934
Sources, 934
Eating of underdone beef, 935
Tænia solium, 935
Synonyms, 935
Characteristics, 935
Sexual organs, 934, 935
Head, 935
Source, 936
Rapidity of growth, 936
Tænia cucumerina, 937
elliptica, 937
nana, 937
tenella, 938
flavopunctata, 938
madagascariensis, 938
Bothriocephalus latus, 939
Synonyms, 938
Countries where most prevalent, 938
Characteristics, 939
Sexual organs, 939
Sources, 939
From fish, 939
Bothriocephalus cordatus, 939
cristatus, 939
Symptoms of tape-worms, 939
Local, 940
Pruritus ani, 940
Dyspeptic, 940
Headache, 940
Nausea, 940
Abdomen, queer sensation in, 940
Colicky pains, 940
Vertigo, 940
Tongue, state, 940
Fainting, 940
Chorea, 940
Epileptic fits, 940
Uterine disorders, 940
Treatment, 941
Importance of removal of head, 940
Method of examining evacuations, 940
Preliminary, 941
Oil of turpentine, use of, 941
mode, 941
Male fern, use of, 941
mode of, 941
Pomegranate-bark, use of, 941
mode, 941
Pelletierin, use of, 942
Kousso, use of, 942
Koussin, use of, 942
Pumpkin-seeds, use of, 942
Santonin, use of, 942
Quinia, use of, 942
Prophylaxis, 942, 943
Tænia echinococcus, 943
Synonyms, 943
Description of, 943
head, 943
sexual organs, 943
Shortness of life, 943
Mode of dissemination, 944
Migration from intestinal canal, 944
Hydatid tumors, seat, 944
varieties of, 944
Cysts, forms of, 944
characters of, 944
contents of, 944
effects of, 945
Infection, liability to, proportioned to association with dogs,
945
Treatment, 945
Tænia acanthotrias, 945
_Trematodes, or Fluke-worms_, 946
Varieties, 946
Distomum hepaticum, 946
Synonyms, 946
Tendency to inhabit liver, 946
Physical characters, 946
Snail as a home during youth, 947
Rarity in man, 947
Animals most affected, 946, 947
lanceolatum, 947
Synonym, 947
Physical characters, 947
sinense, 947
conjunctum, 947
Symptoms of fluke-worms, 947
Signs of obstruction of bile-ducts, 947
Treatment, 948
heterophyes, 948
crassum, 948
ringeri, 948
ophthalmobium, 948
Bilharzia hæmatobia, 948
Synonyms, 948
Geographical distribution, 948
Mode of introduction to body, 948
by water, 948
by vegetables, 948
Symptoms, 948
Hæmaturia, 948
Treatment, 949
Amphistomum hominis, 949
_The Acanthocephali, or Thorn-head Worms_, 949
Echinorhynchus gigas, 949
Limited to hog, 949
_The Nematodes, or Thread-worms_, 949
General description of, 949, 950
Varieties, 950
Oxyuris vermicularis, 950
Synonyms, 950
Physical characters, 950
of female, 950
of male, 950
Number of eggs, 950
Description of eggs, 950
Modes of dissemination, 951
of introduction to body, 951
Symptoms, 951
Itching of anus, 951
periodic, nature of, 951
Onanism from, 951
Nervous disturbances, 951
Intestinal catarrh, 951
Epileptic fits from, 951
Chorea from, 951
Treatment, 951
Purgatives, use of, 951
Epsom salts and senna, 951
Tincture of aloes, 951
Enemata, 951
Suppositories, medicated, 951
Ascaris lumbricoides, 952
Synonyms, 952
Physical characters, 952
of female, 952
of male, 952
Number of eggs, 952
Mode of infection, 952
by drinking-water, 952
Geographical distribution, 953
Small intestine, most frequent habitat, 953
Migrations of, 953
Symptoms, 953
Digestive disorders, 953
Flatulence, 953
Abdominal pains, 953
Tongue, state of, 953
Appetite, impaired, 953
Nervous disorders, 953
Epileptic fits, 953
Treatment, 953
Wormseed, 954
oil, 954
Santonin, 954
Ascaris mystax, 954
Triocephalus dispar, 954
Synonyms, 954
Physical characters, 954
Symptoms, 954
Treatment, 954
Leptodera stercoralis, 954
Synonyms, 954
Physical characters, 955
Mode of infection, 955
Treatment, 955
Anchylostomum duodenale, 955
Synonyms, 955
Geographical distribution, 955
Physical characters, 955
Mode of introduction to body, 955
Symptoms, 955
A source of wasting diseases, 955
Mode of onset, 955
Debility, 956
Palpitation, 956
Digestive disorders, 956
Emaciation, 956
Prognosis, 956
Treatment, 956
Calomel and turpentine, 956
Prophylaxis, 956
Strongylus longevaginatus, 956
Eustrongylus gigas, 957
Physical characters, 957
Animals infested by, 957
Trichina spiralis, 957
Mode of infection, 958
Date of discovery in muscles, 958
Animals most frequent in, 958
Hog, 958
Rat and mouse, 958
Cats, 958
Muscular trichinæ, 958
Appearance of infected meat, 959
of trichinæ in muscle, 959
Muscular trichinæ, decay of, 959
size of, 959
duration of life of, 959
Intestinal trichinæ, 959
Physical characters, 959
Embryos, method of migration to muscles, 959
Symptoms, 959
Initial, 960
Appetite impaired, 960
Thirst, 960
Diarrhoea, 960
Vomiting, 960
Headache, 960
Prostration, 960
Constipation, 960
Muscular, 960
swellings, 960
Muscles, pain in, 960
painful and difficult motion of, 960
Bronchial catarrh, 960
Fever, 960
Sweating, 960
Insomnia, 961
Formication, 961
Oedema, 961
Peritonitis, 961
Pleuritis, 961
In children, 961
mildness of, 961
Duration, 960
Diagnosis, 961
From gastro-intestinal catarrh, 961
From cholera, 961
From rheumatism, 961
Prognosis, 961
Treatment, 961
Purgatives, 962
Diet, 962
Prophylaxis, 962
Necessity of thorough cooking, 962
Filaria medinensis, 962
Synonyms, 962
Geographical distribution, 962
Physical characters, 962
Mode of introduction to body, 963
Symptoms, 963
abscesses, 963
Treatment, 963
Filaria sanguinis, 963
Synonyms, 963
Geographical distribution, 963
Physical characters, 963
Mode of entrance to blood, 963
Habitat in lymphatic vessels, 963
Symptoms, 963
Hæmaturia, 963
Chyluria, 963
Buboes, 963
Ascites, 964
Elephantiasis, 964
Lymphangiectasis, 963
Treatment, 964
Prophylaxis, 964
Filaria loa, 964
restiformis, 964
oculi humani, Filaria lentis 964
trachealis, 964

Intestinal worms, influence on causation of constipation, 643
of acute peritonitis, 1140
of proctitis, 887

Intra-uterine rachitis, 141-143

Intussusception. See _Intestinal Obstruction_.
complicating constipation, 648
and invagination as a cause of intestinal obstruction, 844

Inunctions of mercury in hereditary syphilis, 316
of oil in simple ulcer of stomach, 527

Invagination. See _Intestinal Obstruction_.
as a cause of hemorrhage from bowels, 831
intestinal, laparotomy in, 866

Invasion, order of, in gonorrhoeal rheumatism, 104

Iodide of iron, in tubercular peritonitis, 1168
use of, in rheumatoid arthritis, 98
in scrofula, 251
in tabes mesenterica, 1194
of mercury, ointment, in lithæmia, 973
in amyloid liver, 1046
in cirrhosis of liver, 1002
of potassium, use of, in diabetes mellitus, 228
in enteralgia, 665
in pseudo-membranous enteritis, 775
in amyloid liver, 1045
in chronic oesophagitis, 417
in organic stricture of oesophagus, 425
in tubercular peritonitis, 1168
in syphilitic pharyngitis, 408
in acute rheumatism, 62
in chronic articular rheumatism, 74
in muscular rheumatism, 77
in gonorrhoeal rheumatism, 107
in rheumatoid arthritis, 98
in hereditary syphilis, 316

Iodine, injection of, in hydatids of liver, 1108
use of, in diabetes mellitus, 228
in hepatic glycosuria, 975
in chronic pharyngitis, 405
in rheumatoid arthritis, 100
in scrofula, 251
in typhlitis and perityphlitis, 822
test for amyloid liver, 1043
for lardaceous degeneration, 875
and olive oil, locally, in tubercular peritonitis, 1168
salts, use of, in gout, 132

Iodoform, use of, in diabetes mellitus, 229
in tuberculous pharyngitis, 402
in aphthous stomatitis, 330

Ipecacuanha, use of, in biliousness, 968
in constipation, 654
in dysentery, 810
in functional dyspepsia, 456
as antiemetic, in entero-colitis and cholera infantum, 762
in pseudo-membranous enteritis, 775
in acute gastritis, 469
in hepatic colic, 1082
in acute intestinal catarrh, 695
in intestinal indigestion, 636
in jaundice, 982
in biliousness, 968

Iridin, use of, in hepatic colic, 1082
in acute yellow atrophy of liver, 1030
in hyperæmia of liver, 988

Iritis, complicating gonorrhoeal rheumatism, 106
in hereditary syphilis, 281

Iron, use of, in catarrh of bile-ducts, 1057
in constipation, 654
in functional dyspepsia, 457
in enteralgia, 665
in pseudo-membranous enteritis, 775
in gastralgia, 462
in parenchymatous glossitis, 365
in acute intestinal catarrh, 696
in chronic intestinal catarrh, 714, 715, 717
in intestinal indigestion, 636
in acute yellow atrophy of liver, 1030
in amyloid liver, 1046
in cirrhosis of liver, 1002
in fatty liver, 1051
in acute pharyngitis, 398
in purpura, 194
in pruritus ani, 917
in acute rheumatism, 63
in chronic articular rheumatism, 74
in gonorrhoeal rheumatism, 107
in rachitis, 162
in dilatation of stomach, 609
in simple ulcer of stomach, 528
and potash, use of, in gout, 132
tinct. of chloride, use of, in hemorrhage from bowels, 834
in pain of simple gastric ulcer, 524

Irrigation of bowel in dysentery, 809
in jaundice, 983
in typhlitis, 821
intestinal, in acute catarrh of intestines, 697
in intestinal obstruction, 863, 864

Irritable rectum, treatment, 919

Irritant poisoning, diagnosis from cholera morbus, 723

Irritating medicines as a cause of acute oesophagitis, 410

Itching of anus in seat-worms, 951
at extremities of alimentary canal in tape-worm, 940

J.

Jaborandi, use of, in acute intestinal catarrh, 688
in chronic pharyngitis, 406
effect on rectum, 911

Jaundice. See _Liver, Diseases of_.
in biliousness, 966
in catarrh of bile-ducts, 1054
in occlusion of biliary passages, 1087, 1089
from constipation, 646
complicating diabetes mellitus, 210
in chronic gastritis, 474
in hepatic abscess, 1009, 1013
in hepatic colic, 1073
in acute yellow atrophy of liver, 1027
frequency, in amyloid liver, 1044
in carcinoma of liver, 1038
in cirrhosis of liver, 993
in fatty liver, 1049
in hydatids of liver, 1102, 1104
in hyperæmia of liver, 986, 987
in disease of pancreas, 1116
in obstruction of pancreatic duct, 1131
in carcinoma of pancreas, 1125, 1126
in perihepatitis, 989
in phosphorus-poisoning, 1032
in suppurative pylephlebitis, 1100
complicating gastric cancer, 560

Jejunitis, 667, 683
and ileitis of chronic intestinal catarrh, diagnosis, 712

Jejunum, lesions of, in entero-colitis, 737

Joint, condition of, in acute gonorrhoeal arthritis, 105
in acute gout, 119

Joints, abscesses of, in gout, 116
alterations of, in chronic articular rheumatism, 71
condition of, in purpura rheumatica, 189
in acute rheumatism, 27
in chronic articular rheumatism, 71
in acute variety of general rheumatoid arthritis, 80
in chronic variety of general rheumatoid arthritis, 81
in partial form of rheumatoid arthritis, 85
lesions of, in dysentery, 801
in gout, 116
in acute rheumatism, 46
in chronic articular rheumatism, 70
in gonorrhoeal rheumatism, 103
in rheumatoid arthritis, 86
in scurvy, 172
most affected in gout, 116, 121
in acute rheumatism, 27
in chronic articular rheumatism, 72
in gonorrhoeal rheumatism, 104

K.

Keratitis, interstitial, in hereditary syphilis, 299

Kibbie's cot, use of, in acute rheumatism, 67

Kidneys, amyloid degeneration of, in rachitis, 153
condition of, in occlusion of biliary passages, 1090
in entero-colitis, 734
in acute rheumatism, 42
in hereditary syphilis, 308
enlargement of, in amyloid liver, 1044
in rachitis, 140
diseases of, as a cause of ascites, 1174
complicating dysentery, 806
influence on causation of hemorrhage from stomach, 582
lesions, in cholera morbus, 722
in diabetes mellitus, 202
in dysentery, 801
in gout, 117
in acute intestinal catarrh, 677
in chronic intestinal catarrh, 705
in acute yellow atrophy of liver, 1026
in phosphorus-poisoning, 1031
in rachitis, 154
in scurvy, 173
uratic deposits in, in gout, 117

Kidney-worm, 957

Koumiss, use of, in treatment of acute intestinal catarrh, 691
in intestinal indigestion, 633

Kousso and koussin, use of, in tape-worm, 942

Kyphosis in rachitis, nature of, 151

L.

Lactic acid, use of, in diabetes mellitus, 228
origin of acute rheumatism, 23

Lacto-peptin, use of, in cholera infantum and entero-colitis, 760

Lacto-phosphate of iron, in tabes mesenterica, 1194

Lacto-phosphates, use of, in scrofula, 252

Lancing, in morbid dentition, method of, 378

Languor and drowsiness, in functional dyspepsia, 451

Laparotomy in intestinal obstruction, 865
in perforating form of typhlitis, 822
question of, in perforation of gastric ulcer, 527

Lardaceous degeneration of intestine, 874

Laryngismus stridulus in rachitis, 149

Larynx, disease of, in hereditary syphilis, 308
displacement of, from hypertrophy of tongue, 351
oedema of, in mercurial stomatitis, 346
and pharynx, lesions of, in mercurial stomatitis, 347
gangrene of, complicating cancrum oris, 341

Latham's hyperoxidation theory of origin of acute rheumatism, 24

Laxatives, use of, in dysentery, 809
in pseudo-membranous enteritis, 774

Lead colic distinguished from acute intestinal catarrh, 686

Lead-poisoning, influence on causation of constipation, 641
of oesophageal paralysis, 429

Lead, sugar of, use of, in acute intestinal catarrh, 694
copper, and arsenic poisoning, as a cause of enteralgia, 660

Leeches to epigastrium in acute pancreatitis, 1120

Leeching, in parenchymatous glossitis, 364
in perihepatitis, 990
in acute pharyngitis, 398

Lemon-juice, use of, in acute rheumatism, 63

Leptodera stercoralis, 954

Leube's beef-solution, use of, in simple ulcer of stomach, 520

Leuchæmia, influence on causation of hemorrhage from bowels, 832

Liebig's foods for infants, 754

Lienteric stools, in chronic intestinal catarrh, 708

Ligaments, lesions of, in rheumatoid arthritis, 87

Ligation in fistula in ano, 922
in polypi of rectum, 921
in hypertrophy of tongue, 354
of hemorrhoids, 924

Ligature of upper extremities, in hemorrhage of simple gastric ulcer,
526

Lime, elimination of, in rachitis, 138

Lime-juice, use, in scurvy, 183, 184
salts, use of, in rachitis, 162
water, local use, in hemorrhoids, 923
use in entero-colitis and cholera infantum, 762
in acute intestinal catarrh, 694

Lip, upper, thickness of, in scrofula, 246

Lipæmia in diabetes mellitus, 207

Lipomata of stomach, 579

Lipuria, in diseases of pancreas, 1115
in carcinoma of pancreas, 1125

Liquor ferri nitratis, use of, in entero-colitis, 762

Lithæmia, 968

Lithæmic theory of origin of gout, 112

Lithia salts, use of, in gout, 132

Lithium bromide, use of, in chronic articular rheumatism, 74

Liver, action of, in process of digestion, 623
amyloid degeneration of, in rachitis, 153
changes in, from occlusion of biliary ducts, 1086
condition of, in catarrh of bile-ducts, 1053
degeneration of, complicating simple ulcer of stomach, 503

LIVER, DISEASES OF, 965
Functional Disorders, 965
_Biliousness_, 965
Definition, 965
Pathogeny, 965
Malarial poison, effect on functions of liver, 965
Metals, effect on functions of liver, 965
Food, improper, influence of, on causation, 966
Alcoholic and malt liquors, 966
Symptoms, 966
Physiognomy, 966
Tongue, state of, 966
Breath, state of, 966
Appetite, impaired, 966
Nausea, 966
Bowels, state of, 966
Headache, 966
Vertigo, 966
Conjunctivæ, yellow, 966
Jaundice, 966
Course, 967
Duration, 967
Termination, 967
Treatment, 967
Prophylaxis, 967
Diet, 967
Skimmed milk, use of, 967
Blue-pill, 967
Rochelle and Epsom salts, 967
Euonymin, use of, 968
Ipecacuanha, 968
Podophyllin, 968
Calomel, dose of, 968
Phosphate of sodium, 968
Mineral waters, 968
_Lithæmia_, 968
Definition, 968
Pathogeny, 968
Hepatic action in formation of uric acid, 969
Albuminoid food, over-consumption of, 969
Luxurious habits, 969
Sedentary life, 969
Alcoholic and malt liquors, 969
Symptoms, 969
Digestive disturbances, 969
Appetite, capricious, 969
Tongue, state of, 969
Bowels, state of, 970
Oxaluria, 970
Nervous symptoms, 970
Headache, 970
Nausea, 970
Mental depression, 970
Vertigo, 970
Skin, state of, 970
Urticaria, 970
Urine, state of, 970
Pain in back, 970
Course, 970
Duration, 970
Termination, 970
Prognosis, 970
Diagnosis, 970
from gastro-duodenal catarrh, 970
from organic brain disease, 971
Treatment, 971
Diet, 971
Avoidance of fatty, starchy, and saccharine articles, 971
of wine and malt liquors, 971
Food, allowable, 971
Exercise, 971
Sea-bathing, 971
Nitric acid, use of, 972
Alkalies, use of, 972
Purgative mineral waters, 972
Phosphate of sodium, 972
Mercurials, 972
Podophyllin, 972
Euonymin, 972
Arsenic, 973
Quinine, 973
Sponge-baths, 973
Iodide of mercury, locally to hepatic region, 973
Electricity, 973
Of hypochondriasis, 973
_Hepatic Glycosuria_, 973
Definition, 973
Pathogeny, 973
Symptoms, 973
Digestive disturbances, 974
Increased urination, 974
Urine, condition of, 974
specific gravity of, 974
tests for sugar in, 974
Course, 974
Duration, 974
Termination, 974
Prognosis, 974
Diagnosis, 974
From gastro-duodenal catarrh, 974
From lithæmia, 974
From diabetes, 974
Treatment, 974
Diet, 975
Exercise, 975
Medicinal, 975
Nux vomica, 975
Fowler's solution, dose, 975
Phosphate of sodium, 975
Carbolic acid, 975
Bismuth, 975
Tr. iodine, 975
_Jaundice_ (_Icterus_), 975
Definition, 975
Etiology, 975
Disorganization of the blood, 975
Non-disposal by liver of biliary material, 976
Absorption of biliary material by blood, 976
Emotions, influence of, on causation, 976
Obstruction from hyperæmia of bile-ducts, 977
from spasm of muscular fibre of ducts, 977
gastro-duodenal catarrh, 977
errors in diet, 977
rich food, 977
cold and wet, 977
malaria, 977
Symptoms, 977
Premonitory, 977
Signs of gastro-duodenal catarrh, 977
Yellowness, seat of appearance, 977
mode of extension, 978
Feces, discoloration of, 978
Urine, condition of, 978
color of, 978
tests for bile, 978
albumen in, 978
urea in, 979
Liver, condition of, 979
Epigastrium, tenderness of, 979
Pulse, state of, 979
Heart, slowing of, 979
cause, 979
Temperature, 980
Fever, 980
Nervous disturbances, 980
Nutrition, disturbances of, 980
Vision, modifications of, 980
Xanthopsy in, 980
Headache and vertigo, 980
Mental depression, 980
Wakefulness, 980
Pruritus of skin, 980
Boils and carbuncles, occurrence of, 980
Xanthelasma vitiligoidea of skin, 980
plane form, 980
tuberose form, 981
Hemorrhagic diathesis, 981
Course, 981
Duration, 981
Prognosis, 981
Diagnosis, 981
Importance of ascertaining condition of gall-bladder, 982
Treatment, 982
Of nausea, 982
Diet, 983
Rectal irrigation, 983
Emetics, use of, 982
Ipecacuanha, 982
Calomel, 982
Cholagogues, use of, 982
Podophyllin, 982
Euonymin, 982
Phosphate of sodium, 982
Arseniate of sodium, 982
Mineral waters, 982
Nitric acid, 983
Nitro-muriatic acid, 983
locally, 983
Electricity, use of, 983
Structural diseases of liver, 983
_Hyperæmia of Liver_, 983
Definition, 983
Etiology, 983
Digestive process, 984
Food, over-indulgence in, 984
Sedentary life, 984
Sudden suppression of hemorrhages, 984
Menstrual period, 984
Mechanical, 984
Heart disease, organic, 984
Pulmonary disease, chronic, 984
Climate, 984
Malaria, 984
Pathological anatomy, 985
Enlargement of liver, 985
Portal vein, changes in, 985
Extravasations of blood in hepatic tissue, 985
Mechanical form, 985
Nutmeg liver, 985
Cyanotic atrophy of, 985
Atrophy of hepatic cells, 985
Sclerosis of central vein, 985
Symptoms, 986
Signs of gastro-intestinal catarrh, 986
Hypochondrium, right, fulness of, 986, 987
pain in, 986, 987
Increased hepatic dulness, 986
method of determining, 986
Urine, state of, 986, 987
Jaundice, 986, 987
Stools, condition of, 986, 987
Ascites in nutmeg liver, 987
Mental depression, 987
Course, 987
Duration, 987
Termination, 987
Prognosis, 988
Diagnosis, 988
Treatment, 988
Diet, 988
Skim-milk, 988
Exercise, 988
Bathing, 988
Mineral waters, saline laxative, 988
Phosphate of sodium, 988
Cholagogues, 988
Digitalis, use of, when due to organic heart disease, 988
_Perihepatitis_, 989
Definition, 989
Pathogeny, 989
As an extension from other parts, 989
Passage of gall-stones, 989
Traumatic causes, 989
Tight-lacing, 989
Symptoms, 989
Pain in right hypochondrium, 989
Hepatic colic, 989
Jaundice, 989
Friction sound, 989
Course, 989
Duration, 989
Termination, 989
Diagnosis, 989
From pleuritis, 990
Treatment, 990
Leeching, 990
Turpentine stupes, 990
Bandage, use of, 990
Morphia for pain, 990
_Interstitial Hepatitis--Sclerosis of Liver: Cirrhosis_, 990
Definition, 990
Etiology, 990
Age, influence of, on causation, 990
Sex, influence of, on causation, 991
Alcohol, influence of, on causation, 991
Syphilis, influence of, on causation, 991
Malaria, influence of, on causation, 991
Obstruction of bile-ducts, 991
Closure of hepatic vein, 991
portal vein, 991
Arsenic and antimony, 991
Phosphorus, 991, 992
Extension of inflammation in perihepatitis, 992
Pathological anatomy, 992
Increased size of liver, 992
Development of new connective tissue, 992
Monolobular form, 992
Multilobular form, 992
Contraction of connective tissue, 992
Decreased size of liver, 992
Hobnail appearance of surface, 992
Portal veins, lesions of, 992
Atrophy of hepatic cells, 992, 993
Symptoms, 993
Insidious development, 993
Digestive disturbances, 993
Jaundice, 997
Appetite, capricious, 993
Nausea and vomiting, 993
Bowels, state of, 993
Stools, state of, 994
Hemorrhoids, 993
Fissure of anus, 994
Abdomen, state of, 994
Flatus, accumulation of, 994
Hemorrhages, 994
Spleen, enlargement of, 994
Ascites, 995
Blood, watery condition of, 995
Anasarca, 995
Oedema, general, 995
Anastomoses of veins, 996
Physical signs, 996
Auscultation, 996
Mode of examining liver, 996, 997
Size of area of dulness, 997
Physiognomy, 997
Skin, color and state of, 997, 998
Urine, state of, 998
Ulcers of stomach and intestine, 999
Thrombosis of portal vein, 999
Nervous disturbances, 999
Cerebral symptoms, 999
Coma in, 999
Emaciation, 999
Kidneys, atrophy of, 999
Cerebral sclerosis, 999
Course, 998
Duration, 999
Terminations, 999
Prognosis, 999
Diagnosis, 999
From amyloid disease, 1000
hydatids, 1000
cancer, 1000
acute yellow atrophy, 1000
Treatment, 1000
Prophylaxis, 1000
Diet, 1000
Of malarial cause, 1000
Of overgrowth of connective tissue, 1000
Of gastro-intestinal catarrh, 1002
Of dropsical effusions, 1001
Of ascites, 1001
Of diarrhoea, 1002
Local, 1002
Of hemorrhage, 1002
Chloride of gold and sodium, 1001
of mercury, 1001
Phosphate of sodium, 1001
Vapor bath, 1001
Digitalis stupes, 1001
Copaiba, 1001
Pilocarpine, 1001
Hydragogue cathartics, 1001
Tapping, 1002
Bismuth, 1002
Opium, 1002
Ergotin, 1002
Iron, 1002
Counter-irritation, 1002
Dry cups, 1002
Blisters, 1002
Ung. hydrarg. iod. rubri, 1002
_Suppurative Hepatitis--Abscess of Liver_, 1002
Definition, 1002
Etiology, 1002
Climate, influence on causation, 1002
Sex, influence on causation, 1003
Age, influence on causation, 1003
Temperament, influence on causation, 1003
Traumatism, 1003
Wounds, 1003
State of portal and hepatic veins, 1004
embolism, 1004
Source of emboli, 1004
Ulceration and dilatation of bile-ducts, 1005
Proctitis, 1004
Dysenteric ulceration, 1004
Food, improper, 1005
Alcohol, 1005
Malarial influence, 1005
Pathological anatomy, 1005
Initial lesions, 1005
in cells, 1005
in vessels, 1005
From embolism, lesions of, 1005
Tropical form, lesions of, 1006
development of, 1006
Size of purulent collections, 1006
Formation of limiting membrane, 1006
Number of abscesses, 1006
Seat of abscesses, 1006
Contents of abscesses, 1007
Presence of bile in pus, 1007
Absence of limiting membrane, 1007
Pointing of abscesses, 1007
method of, 1007
Formation of adhesions, 1007
Pus, modes of escape, 1007
escape into neighboring organs, 1007
Processes of healing, 1008
Condition of liver outside of abscess, 1008
Symptoms, 1008
Systemic, 1008
Onset of, 1008
Chills, 1008
Temperature, 1008
Pulse, 1009
Fever, type of, 1008
typhoid form of, 1009
Sweating, 1009, 1010
General malaise, 1009
Flesh, loss of, 1009
Skin, color of, 1009
Jaundice, 1009, 1013
Mental condition, 1009
Cholæmia, 1010
Stupor, 1010
Wakefulness, 1009
Hypochondria, 1010
Urine, state of, 1010, 1014
Absence of general, 1010
Local, 1010
Change in size of liver, frequency of, 1010
Enlargement, 1010
Seat of purulent collection, 1011
Tumor of epigastrium, 1011
Fluctuation, 1011
Pain, 1011, 1012
seat of, 1011
character of, 1012
in right shoulder, 1012
Decubitus, characteristic, 1012
Nausea and vomiting, 1013
Tongue, state of, 1013
Relation to dysentery, 1014
Cough, 1014
Respiration, 1014
Pleuritis, 1014
Pleuro-pneumonia, 1014
Singultus, 1015
Pericarditis, 1015
Course, 1014
Usual point of discharge, 1016
Discharge into pleural cavity, 1016
pericardium, 1016
peritoneal cavity, 1016
intestines, 1016
Duration, 1017
Termination, 1017
Effect of mode of discharge upon, 1017
Recovery by absorption of pus, 1018
Fatty degeneration of pus, 1018
Mortality, 1017
Prognosis, 1018
Diagnosis, 1018
From echinococcus, 1018
dropsy of gall-bladder, 1019
cancer of liver, 1019
abscess of abdominal wall, 1019
empyema, 1020
intermittent fever of hepatic colic, 1020
Value of puncture of right lobe in, 1020
Treatment, 1020
Aborting, 1020
use of quinia in, 1020
Of septicæmic fever, 1020
Of dysentery in, 1020
Of vomiting, 1021
Local, 1021
Evacuation of pus, 1021
Puncture, exploratory, 1021
harmlessness of, 1021
effects of, 1022
mode of, 1022
Aspirator, use of, 1022
mode of using, 1022
Poultices, use of, 1023
Quinia, use of, 1020
Ipecacuanha, 1020
Soda powders, 1020
Bismuth, 1021
Creasote, 1021
Diet, 1021
Stimulants, 1021
Nutrient enemata, 1021
_Acute Yellow Atrophy_, 1023
Definition, 1023
History, 1023
Etiology, 1023
Frequency, 1023
Age, influence on causation, 1024
Sex, influence on causation, 1024
Pregnancy, influence on causation, 1024
Depressing emotions, 1024
Syphilis, 1024
Pathological anatomy, 1025
Change in size, 1025
Capsule, state of, 1025
Hemorrhagic extravasations in liver-tissue, 1025
Bile-ducts, lesions of, 1025
Microscopic appearance of hepatic tissue, 1025
Cell-degeneration, 1025
Connective tissue, increase of, 1025
Spleen, lesions of, 1026
Peritoneum, lesions of, 1026
Mesenteric glands, swelling of, 1026
Stomach and intestines, lesions of, 1026
Kidneys, lesions of, 1026
Heart, lesions of, 1026
Brain, lesions of, 1026
Symptoms, 1026
Prodromata, 1026
Duration of, 1027
Signs of gastro-duodenal catarrh, 1027
Jaundice, 1027
Toxæmic period, 1027
Dilatation of pupil, 1027
Excitement with delirium, 1027
Coma, 1027
Convulsions, 1027
Sensibility, disturbances of, 1028
Motility, disturbances of, 1028
Hemorrhages from mucous surfaces, 1028
Epistaxis, 1028
Hæmatemesis, 1028
Temperature, 1028
Pulse, condition of, 1028
Tongue, condition of, 1028
Nausea and vomiting, 1026, 1027, 1028
Constipation, 1028
Skin disorders, 1028
Urine, state of, 1027, 1028
Blood, changes in, 1029
Course, 1029
Duration, 1029
Termination, 1029
Diagnosis, 1029
From catarrhal jaundice, 1029
Acute phosphorus-poisoning, 1029
Treatment, 1030
Quinia, use of, 1030
Phosphate of sodium, 1030
Euonymin, use of, 1030
Iridin, use of, 1030
Purgatives, 1030
Bismuth, 1030
and carbolic acid, 1030
Ergotin, use of, 1030
Alcohol, use of, 1030
Iron, 1030
Phosphorus, 1030
Gold and silver, chloride of, 1030
Of nausea and vomiting, 1030
Of hemorrhage, 1030
_The Liver in Phosphorus-poisoning_, 1030
Definition, 1030
Pathogeny, 1030
Age, 1030
Women, frequency in, 1030
Tissues, biliary staining of, 1031
Extravasation of blood in mucous and serous membranes, 1031
Spleen, enlargement of, 1031
Liver, hyperplasia and atrophy of, 1031
cell-degeneration, 1031
Bile-ducts, lesions of, 1031
Mucous membrane of stomach, lesions of, 1031
Kidneys, lesions of, 1031
Symptoms, 1031
Resemblance to acute yellow atrophy, 1031
Of local irritation of poison, 1031
Burning in gullet, 1031
Nausea and vomiting, 1031
Systemic, 1031
Vomiting, 1031
Vomit, characters of, 1031
Stools, characters of, 1031
phosphorescent, 1031
Hepatic dulness, increase of, 1032
Jaundice, 1032
Liver, enlargement of, 1032
Nervous disorders, 1032
drowsiness, 1032
delirium, 1032
convulsions, 1032
Temperature, 1032
Pulse, state of, 1032
Urine, state of, 1032
Course, 1032
Duration, 1032
Termination, 1032
Diagnosis, 1032
From acute yellow atrophy, 1032
Treatment, 1033
Emetics, 1033
Decoction of flaxseed, 1033
Slippery elm, 1033
Oil of turpentine, 1033
Sulphate of copper, 1033
Transfusion, 1033
Diet, 1033
Of inflammatory symptoms, 1033
_Carcinoma of Liver_, 1033
Definition, 1033
Etiology, 1033
Heredity, 1033
Age, 1034
Sex, 1034
Morbid anatomy, 1034
Primary form, 1034
Hepatic enlargement, 1034
Microscopic appearances, 1035
Secondary form, 1034, 1035
frequency of, 1035
Metastasis in, 1035
forms of, 1035
from face, 1035
stomach, 1035
intestines, 1035
nodes, number of, 1035
size, 1035
changes in, 1036
Atrophy of hepatic structure, 1035
Infiltrating form, 1034
Pigment form, 1035
Tumors, shape and size, 1034
Sarcomas, 1036
Symptoms, 1036
General history of, 1036
Liver, condition, 1037
mode of examining, 1037
Ascites, 1037
Peritonitis in, 1037
Pain, seat and character, 1038
Vomiting in secondary form, 1038
Jaundice, frequency, 1038
Skin, state, 1038
Physiognomy, 1038
Emaciation, 1038
Strength, loss, 1038
Urine, condition, 1038
Signs of gastro-intestinal catarrh, 1038
Appetite, impaired, 1038
Course, 1039
Duration, 1039
Termination, 1039
Diagnosis, 1039
From amyloid disease, 1040
From echinococcus, 1040
From cirrhosis, 1040
From syphilis, 1040
Treatment, 1040
_Amyloid Liver_, 1040
Definition, 1040
Etiology, 1040
Suppuration of bone, 1041
Syphilis, 1041
Chronic malarial infection, 1041
Pulmonary cavities, 1041
Age, 1041
Sex, 1041
Cachexia from development of new formations, 1041
Temperament, 1041
Frequency in lymphatic individuals, 1041
Pathological anatomy, 1041
Origin of amyloid deposit, 1042
Mode and order of deposit, 1042
Size and shape of liver, 1042
Consistence of, 1042
Iodine test for, 1043
Mode, 1043
Condition of hepatic tissues not invaded, 1043
Symptoms, 1043
Liver enlargement, 1043
Cachexia, 1043
Jaundice, frequency, 1044
Ascites, frequency, 1044
Hemorrhoids, 1044
Diarrhoea, 1044
Stools, 1044
black, 1044
Vomiting in, 1044
Vomit, bloody, 1044
Spleen, enlarged, 1044
Kidney, enlarged, 1044
General dropsy, 1044
Hydræmia, 1044
Urine, state, 1044
Emaciation, 1044
Course, 1044
Duration, 1044
Prognosis, 1045
Diagnosis, 1045
From fatty liver, 1045
hydatid disease, 1045
cancer, 1045
Treatment, 1045
Of cause, 1045
Alkalies, use of, 1045
Iodides, use of, 1046
Ung. hydrarg. iod. rubri, 1046
Chloride of gold and sodium, 1046
silver, 1046
arsenic, 1046
iron, 1046
Diet, 1046
Of nausea and vomiting, 1046
_Fatty Liver--Fatty Degeneration of Liver_ (_Hepar Adiposum_),
1046
Definition, 1046
Etiology, 1046
Sex, 1047
Phthisis, 1047
Cachexiæ, 1047
Alcoholism, 1047
Poisoning by phosphorus, 1047
arsenic, 1047
antimony, 1047
Pregnancy, 1047
Deficient oxidation of fat, 1046, 1047
Sedentary life, 1047
Pathological anatomy, 1047
Liver, enlargement of, 1047
shape and size, 1047
anæmic condition of, 1047
seat of fatty deposit, 1047, 1048
Symptoms, 1048
Dyspeptic disturbances, 1048
Stools, character, 1048
Circulation, feeble, 1048
Pulse, condition, 1048
Sleeplessness, 1048
Mental depression, 1048
Hypochondria, 1048
Jaundice, 1049
Urine, state, 1049
Area of hepatic dulness, 1049
Course, 1049
Duration, 1049
Termination, 1049
Prognosis, 1049
Diagnosis, 1049
From amyloid liver, 1049
cancer, 1050
Treatment, 1050
Of digestive disturbances, 1050
Diet, 1050
Cholagogues, 1050
Phosphate of sodium, 1050
Sulphate of manganese, 1050
quinia, 1051
iron, 1051
Tinct. nux vomicæ, 1050
Nitric acid, 1050
Alkalies, 1050
Permanganate of potassium, 1051
Affections of Biliary Passages, 1051
_Catarrh of Bile-ducts_, 1051
History, 1051
Definition, 1051
Etiology, 1051
Peculiarity of constitution, 1051
Climate, 1051
Malaria, 1051
Cold and wet, 1051
Disturbances of portal circulation, 1052
Extension from duodenum, 1052
Food, improper, 1052
Condiments and sauces, 1052
Alcoholic and malt liquors, abuse, 1052
Pathological anatomy, 1052
Seat of catarrh, 1052
Mucous membrane of ducts, lesions of, 1053
swelling of, 1053
Finer ducts, lesions of, 1053
Liver, condition of, 1053
Symptoms, 1053
Signs of gastro-duodenal catarrh, 1053
Tongue, state of, 1053
Appetite impaired, 1053
Epigastrium, fulness of, 1053
Abdomen, state of, 1054
Intestinal canal, state of, 1054
Diarrhoea and constipation, 1054, 1055
Stools, characters of, 1054, 1055
Urine, state of, 1054, 1055
Nervous disturbances, 1054, 1055
Headache, 1054, 1055
Vertigo, 1054, 1055
Febrile movement, 1054
Jaundice, 1054
Course, 1055
Duration, 1055
Termination, 1055
Diagnosis, 1055
Treatment, 1056
Diet, 1056
Diarrhoea, 1056
Constipation, 1056
Mercury, use of, 1056
Calomel, use of, 1056
Phosphate of sodium, 1057
Silver and zinc salts, 1057
Arsenic, 1057
Iron, 1057
Quinia, 1057
Permanganate of potassium, 1057
Mineral acids, 1057
Enemata, 1057
Electricity, 1057
_Biliary Concretions, Gall-stones, Hepatic Calculi, etc._, 1058
Definition, 1058
Formation, 1058
From inspissated bile, 1058
Of calculi, 1059
shape, 1059
number, 1059
color, 1059
size, 1059
composition, 1060
nucleus, 1060
body of, 1061
rind, 1061
specific gravity, 1061
origin and formation, 1061-1063
composition of bile, 1062
reaction, 1062
Etiology, 1063
Age, 1063
Sex, 1064
Social state, 1064
Malarial influence, 1064
Season, 1065
Obesity, 1065
Starchy, fatty, and saccharine foods, 1065
Irregular meals, 1065
Retardation to flow of bile, 1066
Mental emotion, 1066
Situation and destiny of gall-stones, 1066
Spontaneous disintegration of, 1066
Gall-ducts, dilatation of, from, 1067
-bladder, changes in, from, 1066
dilatation of, 1067
adhesions, 1067
cancer of, 1067
hypertrophy of, 1067
-stones, migrations of, 1067, 1068
ulceration into neighboring organs by, 1068
Formation of fistulæ, 1068
Symptoms due to presence of gall-stones at their original site,
1069
Uneasiness in hypochondrium, 1069
Pain, 1069
in shoulder, 1069
in right side of neck, 1069
Gastralgia, 1069
Vertigo, 1070
Migraine, 1069
Headache, 1070
Digestive disturbances, 1070
Symptoms due to migration by natural channels (hepatic colic),
1070
Time of occurrence of paroxysms, 1070
Paroxysm, onset of, 1070, 1071
Pain, seat and characters of, 1070
Physiognomy, 1071
Nausea and vomiting, 1071, 1072
Pulse, state of, 1071
Collapse, 1071
Duration, 1071
Nervous disturbances, 1071
Hysteria, 1071
Convulsions, 1071
Chills, 1071, 1072
Periodicity of paroxysms, 1071
Relation to malaria, 1071, 1072
Fever, 1072
Constipation, 1072
Jaundice, 1072
duration of, 1073
After paroxysm, 1073
Stools, 1073
search for calculi in, 1073
method, 1073
Passage of inspissated bile, 1073, 1074
Recurrence of attacks, 1074
Impaction of calculi, 1074
point of, 1074
peritonitis from, 1074
adhesions, 1074
Migration by artificial routes, 1074
into neighboring organs, 1074
into stomach, 1074
into intestines, 1074
into duodenum, 1074
Biliary fistulæ, formation of, 1075
Course, 1075
Migration without symptoms, 1075
Obstruction of bowels from, 1075
Symptoms of presence in intestinal canal, 1076
Vomiting of gall-stones, 1076
Complications, 1076
Local inflammation, 1076
Dropsy of gall-bladder, 1077
Angiocholitis, 1077
Relation to cancer of ducts, 1077
Heart disturbance, 1077
Initial murmurs, 1077
Reflex nervous disorders, 1078
Herpes zoster, 1078
Death from lodgment of calculus in Vater's diverticulum, 1078
from vomiting, 1078
Diagnosis, 1078
From gastralgia, 1078
hepatalgia, 1079
flatulent colic, 1079
renal colic, 1079
Treatment, 1079
Of calculus state, 1079
Of inspissated bile, 1079
by sulphate of soda, 1079
Diet, 1079
Exercise, 1079
Bathing, 1079
Alkaline mineral waters, 1079
Phosphate of sodium, 1080
Of biliary calculi in situ, 1080
Manipulation of gall-bladder, 1080
Faradization, 1080
Ether and turpentine (Durande's remedy), 1080
Chloroform, 1081
Cholate of sodium, 1081
Ox-gall, 1081
Puncture of gall-bladder, 1081
Removal of contents of gall-bladder by puncturing, 1081
Of paroxysms of hepatic colic, 1081
Of pain, 1081
Morphia and atropia, hypodermically, 1082
dose of, 1082
Emetics, 1082
Hot fomentations, 1082
Hot baths, 1082
Chloroform, 1082
Ether, 1082
Chlorodyne, 1082
Chloral, 1082
Purgatives, 1082
Cholagogues, 1082
Ipecacuanha, 1082
Euonymin, 1082
Iridin, 1082
_Occlusion of Biliary Passages--Stenosis of Ductus Communis
Choledochus_, 1082
Definition, 1082
Pathogeny, 1082
Of cystic duct, 1083
Of common duct, 1083
Passage of calculi, 1083
Catarrhal inflammation, 1083
Cicatrization of ulcers, 1083
Impaction of biliary calculi, 1084
Foreign bodies, 1084
Of hepatic duct, 1084
Seat and cause of occlusion in common duct, 1083, 1084
Pressure of tumors, 1085
Cancer of gall-bladder, 1085
of pylorus, 1085
Enlarged lymphatic glands, 1085
Effects of occlusion of cystic duct, 1085
Retention of secretion in gall-bladder, 1085
Effects of occlusion of hepatic duct, 1085
Catarrhal state, 1085
Distension of hepatic tubes with sero-mucus, 1085
Dilatation of ducts, 1086
Rupture of ducts, 1086
Changes in liver, 1086
Cell-degeneration, 1086
Symptoms, 1086
Of cystic duct, 1086
Dropsy of gall-bladder, 1086
Of hepatic duct, 1086
Jaundice, 1086, 1087
sudden disappearance of, 1087
Pruritus, 1087
Eczema, 1087
Xanthelasma, 1087
Increased area of hepatic dulness, 1087
Tenderness of hypochondrium, 1087
Enlargement of liver, 1087
Hepatic secretion, state of, 1087
Atrophy of liver, 1088
Enlargement of gall-bladder, 1087
Digestive disturbances, 1088
Appetite, state of, 1088
Tongue, state of, 1088
Thirst, 1088
Nausea and vomiting, 1088
Vomit, characters of, 1088
Bowels, irregular, 1088
Stools, characters of, 1088
color of, 1088
Kidneys, state of, 1090
Urine, state of, 1089, 1090
Albuminuria, 1090
Casts, 1090
Pulse, state of, 1089
Hemorrhages, 1089
Epistaxis, 1089
Hæmatemesis, 1089
Fever, 1090
intermittent form, 1090
distinguished from malaria, 1090
temperature, 1091
duration, 1091
Cholæmia, 1091
Nervous disturbances, 1092
Headache, 1092
Mental depression, 1092
Xanthopsia, 1092
Paralysis, 1092
Convulsions, 1092
Course, 1092
Duration, 1092
Termination, 1092
Prognosis, 1092
Diagnosis, 1092
Puncture of gall-bladder in, 1092
Exploration of gall-bladder, 1093
Mode of puncture, 1093
Of dilated gall-bladder from aneurism, 1093
from hypertrophic cirrhosis, 1093
Treatment, 1094
Fracture of impacted calculus, 1094
mode of, 1094
Solution of impacted calculi by puncture of gall-bladder, 1094
Diseases of Portal Vein, 1095
_Thrombosis and Embolism of Portal Vein; Stenosis; Pylephlebitis_,
1095
Definition, 1095
Causes, 1095
Coagulable state of blood, 1095
Weak heart-action, 1095
Impeded circulation from external pressure, 1095
Of adhesive pylephlebitis, 1095
Symptoms, 1096
Sudden formation of ascites, 1096
enlargement of spleen, 1096
passive congestion of gastro-intestinal mucous membrane,
1096
Catarrh of gastro-intestinal mucous membrane, 1096
Nausea and vomiting, 1096
Hemorrhages, 1096
Abdominal veins, abnormal anastomoses of, 1096
Course and termination, 1097
Diagnosis, 1097
Treatment, 1097
Copaiba, 1097
Pilocarpine, 1097
Leeches, 1097
_Suppurative Pylephlebitis_, 1097
Pathogeny, 1097
Ulceration and suppuration of intestinal tube, 1097, 1098
Multiple abscess of liver, 1097, 1098
Typhlitis, 1097, 1098
Traumatic injuries of intestine, 1097
Formation of emboli, 1097, 1098
Changes in vein-wall, 1098
Production of thrombi, 1098
Formation of secondary hepatic abscesses, 1098
Suppuration of cæcum, 1098
of rectum, 1098
Symptoms, 1099
Of primary lesion, 1099
Of secondary result, 1099
Chills, 1099
Pain, seat and character, 1099
Fever, 1099
periodic form, 1099
Temperature, 1100
Digestive disturbances, 1100
Vomiting, 1100
Hemorrhages, 1100
Tongue, condition of, 1100
Irregular bowels, 1100
Jaundice, 1100
Course, 1101
Duration, 1101
Termination, 1101
Diagnosis, 1101
Treatment, 1101
Ammonia, use of, 1101
Quinine, 1101
Corrosive sublimate, 1101
Parasites of the Liver, 1101
_Echinococcus of Liver_, 1101
Definition, 1101
Etiology, 1101
Migration of embryo from intestine, 1102
Pathology, 1102
Symptoms, 1102
Number of, 1102
Seat of, 1102
Atrophy of liver, 1102
Jaundice, 1102, 1104
Growth, mode of, 1102, 1103
Characters of vesicles, 1103
Contents of vesicles, 1103
Multilocular form, 1103
Hydatid tumor, characteristics of, 1104
Ascites, 1104
Enlargement of spleen, 1104
Digestive disturbances, 1104
Diagnosis, 1104
Characters of fluid, 1105
Hooklets in fluid, 1105
From abscess of liver, 1105
Duration, 1105
Termination, 1106
Treatment, 1106
Prophylaxis, 1106
Boiling and filtering of water, 1106
Therapeutical, 1106
Removal of vesicle, 1107
by incision, 1107
Puncture, 1107
Aspirator, use of, 1107
Injection of iodine, 1108
Electrolysis, 1108
Acupuncture, 1109
_Distomum hepaticum_ (_liver-flukes_), 1109
Description, 1110
Mode of access to man, 1110
Diagnosis, 1110
Symptoms, 1110
Treatment, 1110
Parasiticides, use of, 1110
Creasote, 1110
Bichloride of mercury, 1110
Thymol, 1110
Parasites in Portal Vein, 1111

Liver, diseases of, as a cause of ascites, 1173
of pancreatic hemorrhage, 1129
influence on causation of constipation, 641
of functional dyspepsia, 447
of acute gastritis, 464
enlargement of, in rachitis, 139
in hereditary syphilis, 283
functional disturbance of, in intestinal indigestion, 629
hyperæmia of, relation to causation of diabetes mellitus, 195
lesions of, in diabetes mellitus, 201
in dysentery, 801
in entero-colitis, 739
in gout, 117, 118
in acute intestinal catarrh, 677
in chronic intestinal catarrh, 705
in scurvy, 173
in tabes mesenterica, 1188
secondary growths of, in gastric cancer, 556

Lobe of ear, ulceration of, in scrofula, 246

Local causes of gastric cancer, 537
nature of dysentery, 796
peritonitis, 1159
symptoms, of superficial glossitis, 357
of abscess of liver, 1010
of chronic articular rheumatism, 71
of rheumatoid arthritis, 80, 81, 85
of thrush, 334
treatment of cancrum oris, 343
of enteralgia, 665
of parenchymatous glossitis, 365
of chronic parenchymatous glossitis, 368
of superficial glossitis, 357
of chronic superficial glossitis, 367
of glossitis parasitica, 359
of acute gout, 134
of intestinal obstruction, 864
of abscess of liver, 1021
of cirrhosis of liver, 1002
of morbid dentition, 376
of chronic oesophagitis, 417
of cancer of oesophagus, 428
of organic stricture of oesophagus, 425
of spasmodic stricture of oesophagus, 421
of ulceration of oesophagus, 418
of perihepatitis, 990
of acute peritonitis, 1151
of acute pharyngitis, 397
of syphilitic pharyngitis, 408
of purpura rheumatica, 194
of acute rheumatism, 68
of chronic articular rheumatism, 74
of muscular rheumatism, 76, 77
of gonorrhoeal rheumatism, 107
of rheumatoid arthritis, 100
of aphthous stomatitis, 330
of mercurial stomatitis, 348
of stomatitis ulcerosa, 338
of hereditary syphilis, 317
of thrush, 335
of tonsillitis, 387
of typhlitis and perityphlitis, 822

Locality, influence on causation of scrofula, 233

Loop-shaped form of stomach, 617

Lumbago, 77

Lumbar colotomy for cancer of rectum, 915