Yellow and black jaundice

Jaundice is a sharp change in body color to yellow or black due to the influx of yellow or black juice to the skin and adjacent areas, in the absence of decay; if decay had taken place, it would certainly be accompanied by a three-day fever in yellow jaundice or, in black jaundice, a four-day fever. The cause of yellow jaundice in most cases comes from the liver and from the gall bladder, and the cause of black jaundice from the spleen, but sometimes it arises depending on the liver; It happens that the cause of yellow and black jaundice is the general nature of the whole body.

Let's talk first about yellow-billed jaundice and say: yellow-billed jaundice occurs either from the abundant generation of yellow bile, or from the inability to remove it, and the abundant generation of bile depends either on the generating organ, or on the matter from which bile is born, or on causes external to the body .

The organ that naturally produces bile is the liver. When the liver becomes very hot, either due to warming causes, or due to tumors in the liver or in the bile ducts, or due to blockages that prevent bile from reaching the gall bladder, or due to the hot nature of the gall bladder, which warms it greatly, it begins to produce yellow bile in abundance, as you have already learned in your place.

As for the source that generates bile not naturally, this is the whole body when it gets overly warm and turns all the blood in it into bile. The matter that forms bile is nutrients. If these are substances of the kind from which bile is generated, either due to the warmth of nature, or because they quickly turn to heat, such as milk in a hot stomach, then they will necessarily generate abundant bile. As for extraneous causes, this is, for example, external heat that covers the body or spreads in it as a result of, say, the bite of a scorpion, snake or some harmful wasp or the bite of a hawk louse. Sometimes drugs that are drunk have the same effect, for example, the bile of a leopard or a viper, if they are such that they do not kill; poisonous medicine, for the most part, shows its effect immediately.

With jaundice, due to the abundance of yellow bile, bile sometimes spreads on its own due to its significant predominance in the blood, and sometimes this occurs because nature drives it, as happens with crisis jaundice. It happens that such abundant bile is born at once, and sometimes it is born little by little, over a number of days, if the nascent bile does not disperse throughout the body due to the density of the skin and the thickness of the matter. For these two reasons, diseases of jaundice increase when northern winds rise, as well as in cold winter or when the perspiration habitual to a person is delayed. The abundant generation of yellow bile sometimes occurs in the liver, and sometimes throughout the body, as you already know. Sometimes yellow jaundice is also due to hot tumors, wherever they are located, since tumors change the nature of the liver, making it hot, and the generation of bile increases. Thus, yellow jaundice usually occurs due to the proximity of hot tumors to the liver, which change its nature, although this disease sometimes also occurs due to blockage and retention of the excretion of bile; cold tumors are more likely to produce black bile.

This is jaundice, which comes from an abundance of bile. As for jaundice due to the lack of bile output, it may be the lack of output either from the liver, or from the gallbladder, or from the intestines or other organs. If bile is not removed from the liver, then the reason for this depends either on the acting force or on the instrument. The cause connected with the acting force is the weakness of the separating force or the weakness of the expelling force, and the reason inherent in the instrument itself is the obstruction of the duct or the space between the liver and the duct. To the same category belongs jaundice arising as a result of tumors in the liver, hot or hard, and to the same category belongs jaundice arising when the cavity of the liver is affected by cold, constricting its duct, as well as jaundice arising from the pressure of any organ and from other causes of blockage.

Know that if a blockage has formed and locked yellow bile either in the liver, in whatever place in the liver it is located, or in the gall bladder, then the liver will definitely become hotter than before, and more bile will also be produced than in a healthy state. As for jaundice depending on the gallbladder, the reason here is either in its inability to draw bile from the liver, especially if the liver is weak and cannot separate bile from the blood and expel it, or due to excessive attracting power of the gallbladder, due to which bile, being drawn in, fills the bladder at once, and there is no longer room for anything other than what filled it. Bile greatly stretches the bladder, its attracting power decreases and it no longer attracts bile. Or jaundice occurs due to blockage in the passages from the bladder to the intestines. Such blockage is sometimes formed as a result of a significant accumulation of bile in the passages, which immediately flows there due to abundant generation or increased expulsion from the liver, or due to its powerful attraction into the gall bladder, then the mouth of the passage is closed with retained bile, and the expelling force is weakened as a result of such damage. Jaundice also occurs from other causes of blockages.

The jaundice that occurs during kulanj occurs because the viscous juice seals the surface of the duct and the bile does not pour into the intestines; this is jaundice, the cause of which is kulanj. However, there is also jaundice that occurs with kulanj, but its cause is not kulanj. On the contrary, both of these diseases depend on one common cause, namely, on a blockage that formed in the gallbladder earlier than the culange arose, and prevented the bile from pouring into the intestines and washing them. When bile is retained, the intestines are no longer washed by bile, many harmful fluids accumulate in them and a swelling rises. It also turns out that the yellow bile returned back into the body and jaundice began. There is no hope of curing any blockage in the duct from the liver to the gall bladder or from the gall bladder to the intestines, if it is formed as a result of an overgrowth of the duct or a growth in it. As for jaundice, which depends on the intestines, this, as some people think, is the case when a lot of yellow bile accumulates in the intestines, especially in the column, which has been poured out there and does not come out due to some obstructive reason. Then the bile located in the gallbladder does not find a place to pour out, even if the duct into the intestines is open. This happens very rarely and seems even impossible, for when bile ends up in the intestines and multiplies there, it removes itself and other substances, unless the sensitivity of the intestines for some reason has disappeared and the expelling force has not dropped.

As for black splenic jaundice, in terms of its causes, equate it with jaundice depending on the gallbladder, since it occurs due to blockages in both passages and since its occurrence is explained by the weakness of some forces of the liver and the power of its other forces. And black hepatic jaundice sometimes occurs due to the great heat of the liver, which burns the blood and multiplies black bile in the body. If this is also facilitated by some disorder in the spleen and passages, then the matter is completed. Jaundice also occurs due to severe coldness of the liver, as a result of which the blood becomes cloudy and black; sometimes cold is accompanied by dryness, and sometimes by wetness. Often such jaundice occurs due to tumors, cold or hard. As for black jaundice for reasons related to the whole body, it arises either from intense heat of the body, which burns the blood into black bile, or from intense cold, from which the blood congeals and turns into black bile. The cause of all jaundice, yellow or black, which occurs throughout the body, is the vessels scattered throughout the body. The spoilage of blood and its transition into black bile occurs here identically with the spoilage of blood and its transition into the matter of “dropsy of meat”, when the spoilage does not manifest itself in the liver, but only in the vessels. You can separate these reasons and consider that black jaundice is sometimes due to an abundance of bile, and sometimes due to its retention, identical to what was said about yellow jaundice.

It happens that both jaundices occur simultaneously, either because the yellow bile, spreading throughout the body and the blood that is mixed with it, burns, so that both juices turn into black bile and combine with each other, or because there is damage on both sides - I want to say: from the side of the liver and gall bladder and from the side of the spleen. Some believe that yellow jaundice sometimes happens suddenly, but black jaundice does not happen suddenly, and they are of the opinion that the cause of yellow bile is stronger than the cause of black bile, and therefore black bile arises little by little. However, things are not always this way, although in most cases everything happens as they say. Sometimes it also happens that black jaundice marks a crisis of diseases of the spleen and similar diseases, if the nature does not find a way towards emptying due to some interfering reason. In most patients with yellow jaundice, the nature is blocked due to the retention of the burning juice that awakens the stomach, which you know about. If a person who has jaundice does not treat it and the matter of jaundice does not dissolve, then one may be afraid that he will be in danger; For many such patients, death strikes suddenly.

The worst type of hepatic jaundice is jaundice that comes from a tumor; this is the jaundice that Hippocrates mentions and says that if the liver of a jaundice is hard, this is a bad sign. Hippocrates said in one of the books attributed to him that there is a malignant type of jaundice that quickly leads to death. The urine of such a patient resembles the juice of the lenticular vetch and is red in color: the disease is accompanied by tingling in the abdomen, fever and mild chilling; There is also weakness in speech due to severe dizziness. This kind of jaundice kills by the fourteenth day.