l stones.

4. Powder for the Itching.--For the intolerable itching you may use the
following powder, dust some of it over the skin:

Starch 1 ounce
Zinc Oxide 1/2 ounce
Camphor 1-1/2 drams

Mix into a powder.

Diet.--This must be thoroughly regulated. The patient should avoid the
starchy and sugar foods as much as possible. He or she should also take
regular exercise. If a person afflicted with gall stones keeps the stomach
and bowels in good condition, they will be better. Pure air, sunshine,
exercise, and diet are big factors in the treatment of chronic diseases. A
woman so afflicted should not wear anything tight around the stomach and
liver, corsets are an abomination in this disease; olive oil if taken must
be continued for months.

Surgery.--The operation is indicated when the patient is suffering most of
the time from pain in the liver region or when the person is failing in
health, or during an acute attack. When there are symptoms of obstruction
or when there is fever, sweating shows that there is pus in the gall
bladder. Also an operation is then necessary, and in most cases it results
satisfactorily.

[DIGESTIVE ORGANS 131]

CANCER OF THE GALL BLADDER, AND BILE DUCTS. Causes.--It usually occurs
between forty and seventy years of age. The cases that originate here show
no percentage in either sex; but those that appear here as secondary
cancers are three times as frequent in women as in men. Chronic irritation
by gall stones is an important cause. They are hard to diagnose and, of
course, fatal in the secondary kind. For the primary kind early complete
removal may cure if you can get at them.

CIRCULATORY DISTURBANCES OF THE LIVER. (Acute Hyperemia or
Congestion).--This occurs normally after meals, and in acute infections,
diseases, etc.

CHRONIC CONGESTION OR NUTMEG LIVER.--This is due to an obstruction of the
blood circulation in the liver by chronic valvular heart disease with
failure of heart action. Lung obstruction in the trouble called Emphysema,
Chronic Pneumonia, etc., may cause it. The cut section of a liver shows an
appearance like a nutmeg, due to a deeply congested central vein and
capillaries. In a later stage the liver is contracted, central liver cells
are shrunk and the connective tissue is increased.

ACUTE YELLOW ATROPHY. (Malignant Jaundice).--This is fortunately a rare
disease. There is rapid progress, and it is fatal in nearly all cases. Th