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going into bed to hectic patients will frequently check their tendency to sweat as well as to purge, and the more certainly if joined with one grain of opium. VI. 1. Absorption from the liver, stomach, and other viscera. When inflammations of the liver are subdued to a certain degree by venesection, with calomel and other gentle purges, so that the arterial energy becomes weakened, four or eight grains of iron-filings, or of salt of steel, with the Peruvian bark, have wonderful effect in curing the cough, and restoring the liver to its usual size and sanity; which it seems to effect by increasing the absorption of this viscus. The same I suppose happens in respect to the tumours of other viscera, as of the spleen, or pancreas, some of which are frequently enlarged in agues. 2. Haemorrhages from the nose, rectum, kidnies, uterus, and other parts, are frequently attendant on diseased livers; the blood being impeded in the vena portarum from the decreased power of absorption, and in consequence of the increased size of this viscus. These haemorrhages after venesection, and a mercurial cathartic, are most certainly restrained by steel alone, or joined with an opiate; which increase the absorption, and diminish the size of the liver. Chalybeates may also restrain these haemorrhages by their promoting venous absorption, though they exert their principal effect upon the liver. Hence also opiates, and bitters, and vitriolic acid, are advantageously used along with them. It must be added that some haemorrhages recur by periods like the paroxysms of intermittent fevers, and are thence cured by the same treatment. 3. The jaundice is frequently caused by the insipidity of the bile, which does not stimulate the gall-bladder and bile-ducts into their due action; hence it stagnates in the gall-bladder, and produces a kind of crystallization, which is too large to pass into the intestines, blocks up the bile-duct, and occasions a long and painful disease. A paralysis of the bile duct produces a similar jaundice, but without pain. 4. Worms in sheep called flukes are owing to the dilute state of the bile; hence they originate in the intestines, and thence migrate into the biliary ducts, and corroding the liver produce ulcers, cough, and hectic fever, called the rot. In human bodies it is probable the inert state of the bile is one cause of the production of worms; which insipid state of the bile is owing to deficient absorption
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