Foie gras

“ For the unfortunate goose who is made by force to swallow more nutritive matter than is good for him in the shape of food which, excellent in appropriate conditions, is noxious to the last degree when not expended by the consumer—I mean good milk and barley-meal—falls a victim in less than a month of this gluttonous living to that form of fatty liver which under the name of foie gras offers an irresistible charm to the gourmet at most well-furnished tables. ”

“ He remarks that, when in fever the bile is suddenly determined to the skin, it proves critical, and is easily removed by baths of sweet water, and friction with a discutient or rarefying oil. When the disease proceeds from obstruction of the vessels of the liver, he directs the administration of hot and detergent things, such as gentian, birthwort, and centaury. When occasioned by inflammation of the liver, the remedies suitable to that disease will be proper. When inflammation and obstruction are combined together, they are to be removed by relaxants and detergents. ”

“ In cattle: obstruction to circulation or the flow of bile; advances from the vessels, causes absorption, caseated foci, adhesions, enlarged liver. Symptoms: jaundice, yellow, red, albuminous urine, chronic indigestion, tends to fatal though slow advance. Treatment: green food, open air life, saline laxatives, alkalies. In dog: common following heart disease, parasites, bacteria. Lesions: Congested brownish red liver, fibroid increase from Glisson’s capsule, compression of acini, their elevation above surface, fatty and pigmentary degeneration of hepatic cells, increasing sclerosis. ”

“ The great majority of intestinal diseases, as also of chronic blood-disorders, are associated with a torpidity or derangement of the function of the liver. We find this to be the case with diarrhœa and constipation, with dysentery and cholera; as well as with ague and remittents,—gout, and rheumatism,—Phthisis, and scrofula. In all of these diseases it is of great importance to attend to the state of the liver. ”

“ Derangements of the Digestive Organs may be said to be a necessary result of hepatic disorder. Excessive secretion of bile stimulates peristalsis and may induce diarrhœa, while diminished secretion tends to constipation, light colored, fœtid stools, intestinal fermentations and poisoning by the irritant products. A torpid hepatic circulation means congestion of the whole portal system, indigestions, colics, chronic muco-enteritis, intestinal hemorrhages, hemorrhoids, etc. ”

“ A disorder of the liver by itself, i.e. unassociated with diseases of other organs, is comparatively uncommon. A failure in the secretion of bile is evidenced more or less by the well known icteric symptoms. Jaundice is often caused by an obstruction in the hepatic ducts. In such cases it is worse than useless to urge the liver to an extra formation of a secretion which can find no outlet. But other cases, in which the discoloration of the skin is in general incomplete, may be due to torpidity, congestion, or chronic inflammation of the organ. ”

“ Though both liver and gall-bladder must be very much affected in this disease, yet Dr. Moseley is of opinion that nothing can be depended upon from an inspection of them after death. Some symptoms there are in common with inflammations of the liver, but none of those which distinguish it from other diseases. It never terminates in suppuration of the liver as the hepatitis sometimes does, though it is frequently carried off by an enormous secretion of bile. ”

“ Apart from experimental cases diabetes in the lower animals has been observed to be nearly always associated with diseased liver. Fatty degeneration has been the most frequent lesion, but cirrhosis, hypertrophy and congestion were present in other cases. In a number of cases as the fatty degeneration reached an extreme degree, the sugar disappeared from the urine, the hepatic cells being no longer functionally active, and death speedily followed. The same has been observed in the fatty degeneration attendant on poisoning by arsenic or phosphorus. ”

“ Circulation in the liver is disordered, gastro-duodenal catarrh results, with accompanying jaundice, that is sometimes intense. A sense of fullness and pain over the hepatic region is not uncommon. Small, brownish patches upon the skin, known to the laity as “liver spots,” are frequently seen. The bowels are constipated, the stools lacking in bile, and, consequently, clay-colored, hard, and sometimes coated with mucus, here and there streaked with blood. ”

“ The fatty liver is well known to be a liver containing in its substance more than the normal amount of fat; a morbid condition intentionally induced in certain animals for the purpose of gain. In man the liver often becomes surcharged with fat, giving rise to obstruction of the liver. The term, obstruction, conveys an idea of the disease arising from this cause. The liver secretes bile, which, in order to reach the duodenum, flows through a small duct. ”

“ In Yellow Fever, and in several other diseases, the bile which is brought up by vomiting is frequently of a vivid green colour, and some writers have attributed the phenomenon to a morbid condition, or action of the liver or gall bladder; the fact however is, that the bile itself undergoes a chemical change in the Duodenum and Stomach. That bile does undergo such a change from decomposition, is proved by a variety of facts observed to take place out of the body ”

“ The minute cells of the liver have individual work to perform in separating nutritive matter from waste; and, unless care be taken to furnish a food supply correct in proportion and quality, bile is secreted in amount larger than the system demands or requires, and is itself absorbed and reabsorbed, with additions from other sources, until congestion results, the circulation is vitiated, and the bowels are filled with bilious toxins that poison and re-poison indefinitely. ”

“ Ictrogen has the unusual property of acting much like phosphorus. It causes yellow atrophy of the liver, and produces the following symptoms:—Intense jaundice; at first enlargement of the liver, afterwards contraction; somnolence, fever, paralysis. The urine contains albumen and the constituents of the bile. After death there is found to be parenchymatous degeneration of the heart, kidneys, muscles, and liver. If the animal has suffered for some time the liver may be cirrhotic. ”

“ The liver excretes many of these substances, and in their passage out from the blood the hepatic cells are irritated and an increased production of bile is a result. Improper food, indulgence in fats, sweets, condiments, and all kinds of fermented and alcoholic liquors, intestinal indigestion arising from any cause, and gastro-duodenal catarrh, are the most usual and obvious pathogenic factors. ”

“ If the process of digestion happens to be going on, it is instantly stopped, leaving the food to ferment and putrefy and poison the body-tissues which it would otherwise have nourished. The cells of the liver may be so completely deprived of blood as to stop forming bile out of broken-down blood pigment, and the latter will gorge every vessel of the body and escape into the tissues, producing jaundice.
Every one knows how the hearing of bad news or the cropping up of disagreeable subjects in conversation at dinner-time will tend to promote indigestion instead of digestion. ”

“ How often, among the symptoms of that disease, do we see it ourselves, and find it confirmed by others, that the bile is unnatural, either in quantity or quality? Green bile is often found in the gall bladder and ducts, and the action of a brisk purgative, especially of calomel, will often dislodge morbid secretions from the liver, and from the bowels, and the consequence of such free evacuations, is seen in the restoration of the healthy functions of the liver, and along with it a frequent disappearance of that formidable array of symptoms which so closely simulate hydrocephalus. ”

“ Normally the intestine contains an extremely large number of different microbes, which may prove of service so long as circulation, secretion, and peristalsis continue normal; but as soon as any perturbation occurs, either in the blood supply or in the movement of the bowel, normal secretion is impeded; abnormal organic fermentation commences, producing irritant principles or toxins which at once set up local irritation, or, being absorbed, produce that complex of symptoms which we recognise as enteritis, intoxication of intestinal origin, or even infection. ”

“ Not only do they themselves offer difficulty, but they smear over the other food masses and make it hard for the digestive juices to get at them. Although the enzyme for digesting fat is secreted by the pancreas, its successful working depends on the presence of bile from the liver. If there is an obstruction of the bile passages, so that bile cannot be poured out into the small intestine, the digestion of fats stops and, along with it to a considerable extent, all the other digestive processes of the intestine. ”

“ DISEASES OF THE LIVER. Liver complaints are always closely related to other diseases of the digestive organs. The colon being clogged, the intestines are rendered sluggish, which in turn acts upon the duodenum, or second stomach, and prevents the food from properly passing out—then fermentation takes place. Bile is poured out on the accumulated food again and again, for the presence of anything in the duodenum is a demand for the secretion of bile. ”

“ Although the digestive functions are occasionally deranged, the appetite is at some periods remarkably keen. The action of the intestines is sometimes regular, but a state of costiveness [35] is common. The liver is often enlarged, probably from accumulation of blood. This distention is attended with pain, varies much, and, in all the cases I have seen, has subsided before death, leaving the coats of the liver wrinkled, flaccid, and marked with appearances of inflammation, caused by the distention and pressure against the surrounding parts. ”

“ Rapid Relief From Colon Cleansing
During fasting the liver is hard at work processing toxins released from fat and other body deposits. The liver still dumps its wastes into the intestines through the bile duct. While eating normally, bile, which contains highly toxic substances, is passed through the intestines and is eliminated before too much is reabsorbed. (It is the bile that usually makes the fecal matter so dark in color.) However, reduction of food bulk reduces or completely eliminates peristalsis, thus allowing intestinal contents to sit for extended periods. ”

“ The blood comes to it full of foods and poisons. This wonderful cleaner picks out the food it needs and takes up many of the poisons, too. “What does it do with the poisons?” you ask. Some of them it changes into good food, and others it makes harmless and sends away down the food tube in a fluid called bile. If we are strong and healthy, the liver has the power to kill many of the disease germs that get into the body. That is why sometimes, when you have had a chance to take mumps or grippe or some other “catching” disease, you don’t take it. Your liver kills the germs, or seeds. ”

“ A thickening of the coats of the common bile-duct by inflammation or increased action of their vessels so as to prevent the passage of the bile into the intestine, in the same manner as the membrane, which lines the nostrils, becomes thickened in catarrh so as to prevent the passage of air through them, is probably another frequent cause of jaundice, especially of children; and generally ceases in about a fortnight, like a common catarrh, without the aid of medicine; which has given rise to the character, which charms have obtained in some countries for curing the jaundice of young people. ”

“ Those drugs are of use which cause great dilatation of the intestinal vessels, draining the blood from the other organs, or which cause a profuse watery discharge from the blood. In this way croton oil is of use in cerebral hemorrhage, calomel in meningitis, etc.
(4) To depress the liver when it is excessively active. In that condition known as “biliousness,” where there is congestion of the liver, and enormous quantities of bile are poured into the intestine, chologogue cathartics are needed, because they remove all this bile from the duodenum, and give the over-active liver rest. ”

“ When the liver is inactive, we have what is called the jaundice; the liver failing to take up from the system that substance which forms the bile. When this is the case, a yellow substance is found diffused throughout the whole body, and it exhibits a yellow tinge. The bile, when properly secreted and discharged, meets the contents of the stomach as discharged into that part of the bowels nearest the stomach, and is there supposed to assist in the process of separating the nutritious part of the contents from the refuse, which is to pass off by the bowels ”

“ One of the effects of the bile in this operation is to extinguish acidity, whether proceeding from substances taken in, or generated in the stomach. The blood in all climates, and in all situations of life, is subject to have part of it thus corrupted, which, being separated from the common mass by the liver, is mingled and discharged with the common feces; but external heat continued for any length of time tends to augment this corruption of the fluids, and therefore to increase the secretion of bile ”

“ Besides these dangerous bacteria many other harmful substances pass from the stomach down into the intestines, whence they are taken up by the portal vein and brought to the liver. When the latter is in good condition so much the better for us, but when they arrive in too large quantities, or when the liver is more or less degenerated, as in old people, drunkards, gourmands, etc., then trouble arises. ”