ngth, with all the symptoms above enumerated, and died in about two
months from the beginning of their malady. Mr. C. became anasarcous a few
days before his death, and Mr. B. had frequent and great haemorrhages from
an issue, and some parts of his mouth, a few days before his death. In both
these cases calomel, bitters and chalybeates were repeatedly used without
effect.
One of the patients described above, Mr. C, was by trade a plumber; both of
them could digest no food, and died apparently for want of blood. Might not
the transfusion of blood be used in these cases with advantage?
5. When the paralysis of the hepatic glands is less complete, or less
universal, a schirrosity of some part of the liver is induced; for the
secretory vessels retaining some of their living power take up a fluid from
the circulation, without being sufficiently irritable to carry it forwards
to their excretory ducts; hence the body, or receptacle of each gland,
becomes inflated, and this distension increases, till by its very great
stimulus inflammation is produced, or till those parts of the viscus become
totally paralytic. This disease is distinguishable from the foregoing by
the palpable hardness or largeness of the liver; and as the hepatic glands
are not totally paralytic, or the whole liver not affected, some bile
continues to be made. The inflammations of this viscus, consequent to the
schirrosity of it, belong to the diseases of the sensitive motions, and
will be treated of hereafter.
6. The ancients are said to have possessed an art of increasing the livers
of geese to a size greater than the remainder of the goose. Martial. l. 13.
epig. 58.--This is said to have been done by fat and figs. Horace, l. 2.
sat. 8.--Juvenal sets these large livers before an epicure as a great
rarity. Sat. 5. l. 114; and Persius, sat. 6. l. 71. Pliny says these large
goose-livers were soaked in mulled milk, that is, I suppose, milk mixed
with honey and wine; and adds, "that it is uncertain whether Scipio
Metellus, of consular dignity, or M. Sestius, a Roman knight, was the great
discoverer of this excellent dish." A modern traveller, I believe Mr.
Brydone, asserts that the art of enlarging the livers of geese still exists
in Sicily; and it is to be lamented that he did not import it into his
native country, as some method of affecting the human liver might perhaps
have been collected from it; besides the honour he might have acquired in
improving our
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