Diexodus medica de hepatis

109. That a tumor exists contrary to nature is argued by a heaviness as if from a suspended weight under the right hypochondrium; a continuous and vehement pain in the interior parts; difficulty in lying on the right side; and if the matter is greater, it can be detected by touch, and the attraction toward the lower parts extends even to the collarbones.

110. When humor presses the convex parts, it brings the diaphragm, the lungs, and the kidneys into sympathy; if it occupies the concave parts, it affects the stomach and the lower viscera; so that the seat of the affection can be discerned by the symptoms of these parts, such as cough, difficult respiration, pain extended to the shoulder, thirst, nausea, vomiting, and the color of the tongue.

111. Sometimes there is a tumor of the muscles between the ribs or of neighboring parts that appears to be of the liver, but the affection of the liver is diagnosed by its own symptoms in the blood and the depth of the pain.

112. A hot tumor of the liver is from blood, or yellow bile, or both humors mixed; and by this, it either occupies the flesh or fills the vessels, or is collected under the tunic. There is inflammation of the blood, compression of the veins, and pain vehemently molesting life. A fuller diet, scant rest of the body, suppressed habitual evacuations, and a bilious dyscrasia imbalance give occasion for this matter to be generated and collected.

113. The age of adolescence is more subject to this, and it can happen due to warmer or colder air. It is diagnosed by the yellow or red color of the tongue, and by fever accompanying the whole body, intense thirst, disordered appetite, and syncope fainting. The redundant humor reveals itself by its own signs, and if the concave seat is affected, [the nature of the] food.