Alcoholic Diseases

Alcoholic Diseases

by Alexander Charles McLeod

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Product Details

ISBN-13: 9780469223318
Publisher: Creative Media Partners, LLC
Publication date: 02/21/2019
Pages: 258
Product dimensions: 6.14(w) x 9.21(h) x 0.54(d)

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91 CHAPTER IV. JAUNDICE. Icterus Cholicus, and Icterus CholoidesTheir Pathology, and their Import in Disease. I. From what has been said in the preceding chapters, it will be understood that I suppose the digestive canal, in its assimilative portion, to be the depository of two kinds of bile; the one true, or " hepatic" (cystic)the other factitious, or " enteric;" the former bland, unctuous, soothing, or gently stimulating, except after long retention in the gall-bladder, when, by a beneficent provision of Nature, its stimulating property is enhanced; the latter possessing many of the sensible properties, and, doubtless, salutary uses of the former, but still a substitute only, more or less inefficient, and, sometimes at least, as in certain forms of bilious diarrhoea, possessing a positively acrid and irritant property. It has also been pointed out that, in some forms of diarrhoea, and in so-called " chronic" dysentery, the motions may be conspicuously bilious, and yet at the same time the liver totally inert, requiring,as the only means of cure, a renewal of that interrupted function. Instances have also been cited in which, from structural degeneration, or other physical causes, the passage of bile into the duodenum had been rendered, for many months before death, impossible, and yet in which, during all that period, the evacuations had presented an appearance more or less yellow or greenish. These and other familiar facts, both in the pathology of disease and in the effects of our remedies, have been adduced, all concurring to support the supposition of an enteric secretion of bile as a common and ordinary occurrence, and indeed not admitting of explanation, excepting on thestrength of such a supposition. The various glands with which the assimilative port...

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