Cirrhosis of the liver—often called alcoholic cirrhosis —is seen under the following circumstances: 1, without symptoms, the patient having died from other causes; 2, without symptoms until a climax is reached in the sudden outbreak of gastric or intestinal hemorrhage, terminating the life of the patient; 3, with symptoms due to obstruction of the portal vessels; 4, with those due to catarrh and obstruction of the bile ducts; 5, with combined portal and duct symptoms; 6, in very rare instances, a certain ill-defined cachexia, symptoms of auto-intoxication and the physical signs of a contracted liver, may suggest in a patient of alcoholic habits the presence of this form of cirrhosis. We will defer the consideration of the symptomatic treatment until a later portion of the paper.
The morbid process in alcoholic cirrhosis is clearly defined and if the diagnosis of the first stage, so-called, could be positively determined indications for
MUSSER JH. ON THE TREATMENT OF CIRRHOSIS OF THE LIVER.. JAMA. 1901;XXXVII(14):883–887. doi:10.1001/jama.1901.62470400007001a