Abstract
Among my ambulatory patients, especially in the office, I have been surprised to find a relatively large number who have applied for relief of various symptoms in whom a palpable, usually tender and enlarged liver could be demonstrated. The symptoms, in the main, were in many patients those of neurasthenia, in others myalgia or a mono-neuritis, or, most frequently, some gastro-intestinal disturbance. In a few cases arthritis was complained of and the affected joints showed evidence of that trouble. <h3>AN ILLUSTRATIVE CASE.</h3><h3>Case 1.</h3> —B. M. F., aged 54, male, lumber dealer, residence Chicago. The father died of tuberculosis. No other history of inherited disease in the family. Has used alcohol to a very moderate and irregular degree. Smokes moderately. <h3>Previous Sickness.</h3> —The patient had typhoid fever when 15, from which he made a good recovery and enjoyed perfect health until about 20 years ago. Since that time he has
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