Congestion of the liver is a term applied by the public to explain many symptoms, but we have no exact knowledge of any congestion of the liver which occurs in temperate climates except that which is associated with backward venous pressure from diseases of the heart or lungs, and the diet for these is given elsewhere. If, however, when a patient says he has congestion of the liver it appears from his history that he has been taking more food than he should, and especially too rich food, all the dietetic directions that are necessary are to give him plain simple food in small quantities at frequent intervals. He probably will not obey general directions, and hence it is a good thing to write down on paper precisely what he may have for each meal. Often these patients have many social enjoyments and dine too well when in this country, and therefore their diet cannot be effectually controlled unless they are sent to Carlsbad, Marien-bad, Vichy, Ems, or some such place where strict care is taken about their diet. In these cases the stomach and intestines are probably more at fault than the liver, and the reader is referred to the article on diseases of the stomach and intestines. Patients often say they are bilious because, as a result of gastro-intestinal disturbances, they are sick and the vomit contains bile. Also, many patients who say they are bilious really suffer from migraine, although they persist that they are bilious.