A system of practical medicine. By American authors. Vol. 2 : $b General diseases (continued) and diseases of the digestive system
Science
A system of practical medicine. By American authors. Vol. 2 : $b General diseases (continued) and diseases of the digestive system
Medicine -- Practice
For the direct cause of rachitis Glisson looked to the inequality of
nutrition by the arterial blood, and for that of the curvature of the
long bones to their superabundant vascularization. He found the disease
mainly amongst the well-to-do classes, not unlike a modern American
writer, who declares infantile paralysis to be the result of the
nervousness of the better classes of the American people! John Mayow
(1761) held a disturbance of the innervation responsible; Zeviani (in
the same year), improper food in general, and particularly prolonged
lactation; and Selle (1791), a peculiar diathesis (acrimonia
rachitica). About that time a defective nutrition with abnormal
function of the lymph-ducts was looked upon as the cause of rachitis by
many--by others, an undue production of acid, and the softening of the
osseous tissue thereby. This result was attributed by some to the
influence of milk (Veirac, De Krzowitz). Attention was directed at an
early time to phosphoric acid and lime, with the view that variations
in the elimination of these substances might explain the occurrence of
rachitis. A large quantity of both was found in some urines (Malfatti);
a superabundance of phosphoric acid was presumed to prevail in the
whole system (Wendt, Fourcroy); while symptoms resembling rachitis were
found in animals fed upon small doses of phosphoric acid by Caspari
(1824). Chossat fed young animals on food deprived of lime, and claimed
to produce softening of the bones and death, a result which was denied
by Friedleben. Guérin claimed to produce rachitis by feeding young
animals on meat in place of their mother's milk, a result equally
denied by Tripier, who, like Friedleben, found the bones under such
circumstances more liable to fractures, but not rachitical. Wildt and
Weiske found the bones uninfluenced by withholding lime from food;
Forster, however, and Roloff claimed to notice a marked influence, and
the latter {141} stated that animals, after having been rendered sick
by depriving them of lime, recovered when they were again supplied with
it. Wegner, in his numerous experiments with phosphorus, found that in
growing animals it increases the growth and firmness of both long and
flat bones; after the growth of the animal has been completed it
renders epiphyses and vertebræ denser. There is no change, however, in
the relative chemical composition of those parts. He found at the same
time that results similar to those caused by the administration of
phosphorus were obtained when food deprived of its phosphate of lime
was given. But he met with no rachitical changes proper during these
several procedures. Teissier having found an increase in the urine of
rachitis after the administration of lactic acid, and lactic acid
having been frequently found in the urine of rachitical patients by
Ragsky, Morehead, Simon, and Lehmann, C. Heitzmann fed with lactic acid
both carnivorous and herbivorous animals, found the cortical layer of
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