A system of practical medicine. By American authors. Vol. 4 : $b Diseases of the genito-urinary and cutaneous systems. Medical ophthalmology, and otology
Science
A system of practical medicine. By American authors. Vol. 4 : $b Diseases of the genito-urinary and cutaneous systems. Medical ophthalmology, and otology
Medicine -- Practice
Of the drugs proposed, nearly all have offered some prospect of
success, and have been accordingly reckoned almost specifics. Opium has
in some cases been found as useful in these cases as in diabetes
mellitus, and probably, as in that disease, by diminishing the
sensitiveness of the nervous system. Valerian and valerianate of zinc,
recommended by Trousseau and apparently successful in his hands, have
reckoned both failures and successes in the hands of others. Nitric
acid, in the dose of from 1 to 5 drachms per diem of the dilute in a
large quantity of water, is said to have been highly efficacious in one
series of cases.[12] It is given until aching of the jaws and teeth,
with some gingivitis, denoting its constitutional action, is produced.
It was more successful than any other drug in Marion's case, although
the specific symptoms were not produced, the patient being now in good
health or free from {34} her trouble. Atropia from its general action
in diminishing secretion has been tried, and with occasional alleged
success, but with many more failures. Pilocarpine from its action on
the skin might be of value in those cases where the skin is very dry,
but has no very general applicability.
[Footnote 12: Kennedy, _Practitioner_, vol. xx. p. 95.]
The drug most frequently employed, and which can claim a larger
proportion of successes than any other, is ergot in full doses, half a
drachm or a drachm (2 to 4 cubic centimeters of the fluid extract)
several times per diem. Its method of action is undoubtedly in the
contracting effect which it exercises on the renal arterioles. In many
cases it has decidedly diminished the amount of urine, and in some a
permanent cure seems to have resulted.
In estimating the value of drugs in certain cases of this affection its
not infrequent neurotic origin should be borne in mind, as well as the
very capricious effect of supposed remedies in the hysterical
diathesis. Unfortunately, many cases remain rebellious to all drugs,
and can only be rendered as little uncomfortable as possible.
What has been said of treatment applies only to the well-marked cases
of diabetes insipidus. Polyuria, as a symptom of other diseases or of
surgical affections, is hardly likely to call for treatment other than
that of the disease upon which it depends.
Albuminuria.
Albuminuria signifies a condition in which albumen appears in the
urine, and has by some writers been made of equal significance with
nephritis or Bright's disease. It is hardly necessary to say that this
coincidence is far from being an exact one, and that the symptom may
exist without Bright's disease, and also Bright's disease without the
symptom. For our present purposes albuminuria will be taken to mean
those conditions in which albumen may be found in the urine without the
existence of decided diffuse nephritis. As a symptom, and a highly
important one, of Bright's disease it will be considered elsewhere.
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