Various types of substances rushing from the liver

The fluids rushing out of the liver sometimes differ in the substance of what comes out, and sometimes they differ in the reason for which they come out. As for the substance of what comes out, sometimes it is something chyle-like, sometimes in the form of water, sometimes something that looks like meat slop. Sometimes it is something thickly purulent, sometimes something bilious, sometimes something like liquid pus, sometimes dark like wine grounds, sometimes black like black bile; sometimes the discharge is foul-smelling, and sometimes it is not foul-smelling. Sometimes it is pure blood, which often rushes through the stomach in vomit - this is indicated by the absence of pain - and sometimes it is something thick and black, that is, the substance of liver meat. As for the reason why the substance comes out, sometimes it is a burst tumor, sometimes it is a blockage that has opened and matter rushes out of the vessel, or it is a crack or rupture that has occurred in the body or in the vessels of the liver due to a cut, blow, bruise, ulcer or corroding, or weakening of the retaining force, which does not retain what enters the liver, or weakness of the attracting force, which does not attract juices, or weakness of the digestive force, which does not digest the substances entering the liver, and since they are not digested, the body does not accept them and expels them. Or the cause is the power of the expelling force or a disorder of the hot nature, melting nutrients, or the cold, weakening force of the liver due to various cooling causes, including frequent bowel movements, or overflow and the presence of excesses that the nature needs to expel. Sometimes this is an overflow in relation to the whole body, and often it occurs only in the liver itself; then it is felt that the blood is being generated, but it remains in the liver and does not pass through the vessels due to their narrowness, or weak attraction of blood by the vessels, or due to blockages and tumors, which we mentioned above. Sometimes the reason for the liver to overflow with a substance that then rushes out of it is neglect of physical exercise or excess in food, or the removal of a member, as we already said in Book One, or the retention of normal discharge from the kidney cones, during menstruation and in other cases. Sometimes the cause is the burning and sharpness of the matter, which forces nature to expel it, although the forces of the liver have not yet had the effect on it that they would have had if there had not been this suffering. And often a substance entering the liver grabs another substance that it finds along the way, and it begins to push and drive it; something similar sometimes happens during crises. Sometimes the cause does not live in the liver itself, but in the vessels of the mesentery; if all types of specified causes cannot take place in the mesentery, then the expulsion of the substance is all perhaps due to tumors or blockages in them, although it is far from probable or even impossible that the liver would attract the substance, and the mesentery would not attract it at all, and from it would emanate an effect that should be taken into account. After all, the primary attraction is carried out by the liver, and not by the mesentery, and the attraction emanating from the mesentery alone is not an attraction of any significance. Often liver diarrhea occurs because the body is not taking in nutrients and they are returning due to a blockage or other

All varieties of such expulsion can actually be traced back to either weakness or strength of the liver. Expulsion due to a rupture or ulcer, as well as expulsion attributed to a disorder of nature and weakness of the liver, belong to the genus of those that are caused by weakness, while expulsion due to the opening of blockages, breaking through abscesses and removing excesses belongs to the genus of those caused by strength. The fact is that the force, until it is strong enough, does not expel the pus of ulcers or excess blood that has deteriorated due to its significant accumulation and low absorption by the organs, as well as excess blood that is too abundant and so on. If the blood comes out fetid, then it is not necessary to assume that there is a weakness of the liver: the blood becomes fetid due to its long stay in the liver and then rushes out, like black wine grounds, if there is too much of it and nature expels it; Blood in ulcers is also fetid. When the blood rushes out due to excess strength, a feeling of relief follows and the general condition is healthy.

If fetid blood is not malignant in all circumstances, then black blood will not be malignant in all cases. Sometimes the release of various types of blood from the liver gives healing and relief, and the one who blocks these various secretions in all cases is mistaken, but the doctor is even more mistaken who delays them with drugs that form blockages and constrict. Let him know that it is quite possible that the forces “were weak at first, did not separate the excess and did not expel the overflow. Then it happened that the forces became more powerful or a state of readiness of the juices to come out and blockages to open became easy, in which the previously difficult situation became easy.” expulsion, and the excess rushed out.The cause of chylous diarrhea due to disorder of the liver and adjacent organs is either a weakness of the attracting power of the liver, or blockages and tumors in its cavity or in the vessels of the mesentery, due to which it does not attract and convert nutrients at all We will tell you how to judge such obstructive diarrhea, speaking about the intestines. Such diarrhea, if it is neglected and its treatment is delayed, causes a loss of strength, and if it is delayed, it produces swelling in the upper intestines, irritates them and restricts breathing.

As for the abundance of chyle-like matter, which exceeds the attracting power of the liver so that most of the matter remains unattracted, this is often caused by the strength and excessiveness of the appetite of the stomach. And the cause of diarrhea in the form of slop is the weakness of the changing and separating forces of the liver or the excess of the substance exposed in comparison with the force producing the action, or the weakness of the retaining force. The relationship of diarrhea in the form of slop to weakness of the liver will be the same as the relationship of vomiting and haida to weakness of the stomach, when the stomach cannot tolerate excess food and it is expelled before the digestive action is completed due to the weakness of the retaining force. If such diarrhea does not occur from the weakness of the retaining force, then it occurs due to the weakness of the changing force. Both of these types of weakness accompany any disorder of nature, but weakness of the holding power most often occurs due to excessive heat and humidity, and weakness of the changing power most often occurs due to coldness. But do not consider it obligatory to judge that diarrhea in the form of slop occurs only as a result of warmth or only as a result of coldness of nature. In both cases, such diarrhea turns into something bloodier, since blood intensively follows from the body after feces, and then into something thicker. Diarrhea due to warmth has other symptoms, and diarrhea due to cold also has other symptoms, and we will talk about them shortly.

The cause of biliary diarrhea is the abundance of bile and the power of the expelling force; The cause of purulent diarrhea is the combustion of blood and juices and their melting, and this often leads to the combustion of the liver body itself and its excretion in feces after various juices. Sometimes purulent diarrhea occurs due to the leakage of pus from a tumor or abscess; Often the leakage occurs from the liver, and diarrhea occurs periodically. The cause of thick stool, similar to wine grounds, is either the opening of an abscess, or an open blockage, or a rotten ulcer, or blood that has burned out and changed in the liver area due to its small penetration into the organs and the warmth of the liver and adjacent places, or has changed in the vessels, if they were very hot and spoiled it; As a result, the body did not begin to absorb the blood, and it became thick, like wine grounds, and fetid, very smelly. Such blood is foamy due to fermentation and melting and is bitter due to the predominance of heat.

When the blood reaches such a degree of corruption, the strong nature expels it and this indicates a disorder of nature in the organs; people with such blood are always thin and scrawny. Such blood differs from black bile in its color, composition and stench: it is less black, thicker in composition and its stench is strong, not the same as that of black bile. The reason for this is also the cold, which hardens and thickens the blood, or weakness of the liver, as a result of which the stool changes from a garbage-like appearance to a bloody or thick-like one. This does not happen suddenly, except in rare cases, and most often happens due to a hot, burning nature: a cold nature makes the discharge fluid, immature, and a hot, burning nature thickens it, like wine grounds. Or the bowel movements are such due to the release of the liver meat itself, burnt and dense. The cause of foul-smelling stool is putrefaction resulting from corrosion or ulceration or from long-term retention and combustion of blood. And the reason for the appearance of pure blood is the considerable power of nature, which does not need to fight the excess blood until it changes in the liver, in order to then expel it; sometimes this also happens due to the disintegration of the one. Hippocrates says: “A man whose liver is filled with water, and then this water breaks into the inner lining of his stomach, will die when his stomach is full.”

Know that if you drink fresh nabeez often, it will lead to liver diarrhea. When retention of diarrhea causes a feeling of nausea, and its resolution returns peace, then such diarrhea is destructive. Know that if an old person has been sick for a long time and after his illness he develops diarrhea, and he himself has become thin and suffers from retained diarrhea, then he has liver diarrhea and his body does not accept nutrients due to the dryness of the passages.

Signs. The difference between hepatic and intestinal diarrhea is that the malignant juices and blood that come out during intestinal diarrhea cause painful abrasions and stings and are released little by little, but continuously, while hepatic diarrhea is painless, and, moreover, profuse and does not happen constantly, continuously, every minute. They are distinguished by the mixing of juices with feces or the absence of mixing, as well as the release of juices after feces: with hepatic diarrhea, juices most often come out after feces and mix little with it.

As for the difference between hepatic and gastric diarrhea, with hepatic diarrhea, homogeneous chyle comes out, with which the stomach has already done its job and only the action of the liver on it remains unrealized. And if the diarrhea were gastric, then something undigested would necessarily flow out in the discharged secretions, they would burden the stomach and, along with diarrhea, damage to the stomach would occur. Sometimes something undigested comes out not because of the stomach alone, but because the liver is also involved with the stomach, but this is attributed to the stomach, since the damage is due to its action. The difference between chyle diarrhea due to the liver and diarrhea due to the mesentery is that “in mesenteric diarrhea there are no signs of weakness of the liver, manifested in the complexion, urine, etc. The difference between pus coming from an ulcer or oozing from a tumor, and pus coming from other sides, is that in the first case there is a fever before this, and in the second the discharge begins without fever, and if after this there is a fever, it is for a different reason. it flows from the mesentery or from tumors in it, there is a loosening of pure chyle, without signs of weakness of the liver itself, depending on the tumor or pain and changing the complexion. The fever that constantly accompanies such suppuration is mild. But generally speaking, liver pus is rather whitish and reddish, and as if composed of pus and blood, and the mesenteric pus is rather white and yellow, like the pus of an ulcer.The difference between the thick discharge resulting from ulcers, corrosion or ulcers, and the thick discharge due to the great strength of the liver, is this: with discharge, depending on the strength of the liver, relief is felt and feces of various, strange colors are released. There are no signs of a tumor, and blockages sometimes occur previously. Be that as it may, such discharge is not preceded by fever and weight loss, and there is no diarrhea in the form of slop or weakness with liquid blood or pus.

With diarrhea due to tumors that have blocked the blood, but have not spoiled it and are not ulcers, the sign is the presence of a tumor and the absence of indications of accumulation of pus. At first, the stool is liquid, purulent and oozing drops, but eventually it thickens. If diarrhea depends on the weakness of the liver and the stool first looks like slop, and then becomes like wine grounds, then signs of weakness precede this, and such discharge rarely appears suddenly. But if they appear suddenly, and the complexion changes and appetite decreases, this also occurs from liver weakness.

When the cause is any disorder of nature, this is indicated by signs of its disorder. Wine-like discharge, caused by warmth, resembles burnt blood; they are preceded by melting of juices and organs, purulent diarrhea, thirst, decreased appetite and intense redness of the urine. Sometimes there are fevers, and the feces of such a patient, with their strong stench, thickness and richness of color, are similar to the feces of someone suffering from a pestilence fever. At the end of the bowel movement, black blood comes out. If cold is the cause, the discharge is like blood that has rotted of its own accord, and is not like melted meat. They are not very fetid, and their stench is less than the stench of feces in hot conditions. The frequency of bowel movements is also less than with a hot nature, as is the intensity of the color, and sometimes it is liquid black blood, similar to blood that has somewhat thickened, but has not congealed. Such discharge remains similar to meat slop longer, and at first the thirst is small, and the urge to eat is greater, but then sometimes, due to decay, it comes to fever, the appetite also decreases, and the disease leads to dropsy. But in general, the disease drags on longer, remaining in one position.

The fact that both disorders of nature are accompanied by wetness or dryness is concluded from the state of the discharge in relation to its thickness, as well as from the feeling of thirst. Feces in the presence of an abscess consist of thick pus, thickened blood and abundant juices, as happens with blockages, but the signs of an abscess, its maturation and opening are as you already know and as you know. Sometimes, with purulent and tumor diarrhea, liquid pus first flows, then, when the tumor is opened, thick matter comes out, with which blood often flows as well. Diarrhea due to ulcers and corrosion is accompanied by pain in the region of the liver, and what comes out is scanty in quantity and offensive. This is preceded by circumstances that cause ulcers and corrosion. If during diarrhea the very meat of the liver comes out, then the discharge is black and thick and is accompanied by weakness, bringing one closer to death; in this case, there are previous liver damages. The fact that diarrhea occurs from overflow or from the retention of normal discharges or as a result of withdrawal of a member, cessation of exercise, and the like, is indicated by the reason for this. Such diarrhea is characterized by suddenness and abundance, stops quickly and is repeated in attacks.

Anyone who, with prolonged diarrhea, whether the stools are like wine grounds, purulent or otherwise, comes to the point of vomiting something black, inspires little hope. Sometimes such a patient is helped by strong, astringent medications that are somewhat nutritious; however, their effect does not reach such an extent as to lead to recovery. As for the treatment of this type of disorder, we postpone mention of it until the part about diarrhea.