JAUNDICE

or staining of the skin by bile, is a symptom of obstruction in either the main bile duct or its finer branches. The effcct of such obstruction is to prevent or hinder the outflow of bile from the liver, and this pent-up bile is then removed by meee into the circa lati on. From the blood the bile is discharged in the urine, saliva and sweat, and it is also aopoaitell in the skin and other parts of the body. The whites of the eyes are tinged early in the attack, though the in tori or of the eye is affected vory late, if ever. Putting on one side many rare cases of jaundice, we may say that jaundice is common shortly after birth, and clears up in a fow aa without treatment; that in youth jaundice ts due to indigestion, which causes swelling, and therefore obstruction at the moeth of the bile duct, where it opens into tho small intestine; that in middle age, especially in women who suffer from a jaundice is — ite due to rede! cod that in old age, especially when accompani wasting dropey, jaundice is in call due to cancer q the psncreas or liver. The effect of bile circulating in the blood is not often very gest. though the skin asually itches and the spirits are depre ed. Tho treatment of ore" in youth is a light dict, a course of laxatives, av of chill, and mental rest. The attack usually lasts from fortnight to six weeks. Jaundice due to gall stones requires sim. treatment, but gall-stone colic, so often ge in these cases, requires the treatment given ander Colic. Removal of the stones by operation may be advisable when tho jaundice is prolonged for somo months or is frequently recurring with attacks of colic. Jtching of the skin may be relieved by lead lotion, creolin lotion one drachm to the pint, or bicarbonate of sods solution, ons drachm to the pint. JAW. dislocated or fractured. Seo First Afd. 5 [s. 379]