Identifier: 63611030R.nlm.nih.gov
Title: A domestic guide to medicine : by which individuals, both male and female, are enabled to treat their own complaints on a safe and easy principle : to this is prefixed a few remarks on the universal domestic medicine of the author (formerly the improved Hygeian pills) showing that this medicine is founded on the prevailing doctrines of the Brit. College of Physicians and Surgeons, London
Year: 1835 (1830s)
Authors: Ralph, Joseph
Subjects: Medicine
Publisher: New York : (s.n.)
Contributing Library: U.S. National Library of Medicine
Digitizing Sponsor: Open Knowledge Commons, U.S. National Library of Medicine

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f this plate is in showing where, and howmuch, the liver descends below the ribs, so that you can tell whereto press it with the fingers. Below the ribs and on the right side,and in the pit of the stomach, it will be seen that the liver is unpro-tected by any bony structure, so that it can easily be felt. It is ofthe utmost consequence to know when the process of inflammationbegins in this organ, and nothing is more easy. It often happens,that slow or chronic inflammation is going on, in an internal organ,without actual pain; but, on pressing such parts, a sense of tender,ness is instantly discovered. This, therefore, is the rule with regardto the inflammation of the liver, and the proper places where suchpressure may be made, is rendered clear to every one by theplate. D—further shows the gall-bladder, E—the stomach, and F—the ■beginning of the first intestine, or where the second stage of thedigestive process is completed. 55Plate 4. SITUATION OF THE LIVER, AND OTHER ORGANS.
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A. The lungs. B. Situation of the heart. C ribs&c°n °f the liver—showinS the Part which may be felt below tha D. Gall-bladder. E. Stomach. F. Beginning of the first intestino. 56 LIVER DISEASE. In liver disease, there is not only a sense of tenderness and painon pressure, but there is often so much hardness and enlargement ofthis organ as to be felt distinctly with the hand. This is best as-certained in spare, emaciated people, and in such the liver may some-times be seen to bulge out, or to give the right side a greaterfulness than the left. With respect to the use of mercury in that stage of dyspepsiacalled liver disease, nothing which the author could now write, wouldbe more clear and explicit than what is stated on this subject in ano-ther place, and he will, therefore, abstract the following paragraphor two. Having mentioned that this enlarged and hardened state of theliver is frequently the result of previous disease, hot climate, or harddrinking, and is a mark of a brok

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