North American Medical and Surgical Journal, Vol. 2, No. 3, July, 1826Various
History
North American Medical and Surgical Journal, Vol. 2, No. 3, July, 1826
Various
Medicine -- Periodicals
"In most of the cases of this disease, which have hitherto
fallen under my own immediate observation, the subjects have
been middle-aged men, of thin and spare habit, with a sort of
hollow-eyed anxiety of expression in their countenance, free
from gout and constitutional disease in general, and, as far as
could be ascertained, from any organic defect in the urinary
organs. In every instance they had been induced to apply for
medical advice, not so much from the pain, as from the
inconvenience of the disease, and the dread of its ending in
something worse; and, what may be worth remarking, in several
instances confessed, that they had been addicted to
masturbation from very early youth," p. 41, et seq.
The remedy for this morbid derangement in the urinary secretion, most
successful in the hands of Dr. PROUT, was opium, either administered
alone, or in conjunction with alkaline medicines. It is rather a rare
affection. When not arrested, it is liable, according to Dr. PROUT, to
pass into diabetes.
In his chapter on diabetes, our author makes many interesting remarks;
but the space we are enabled to devote to this analysis, will permit us
only to make an extract, which seems to prove a close connexion between
the disease characterized by an excess of urea, and diabetes.
"It has been mentioned in the preceding pages, that an excess
of urea frequently precedes the appearance of saccharine matter
in the urine. Now it is a remarkable fact, that in diabetes, in
proportion as the saccharine matter diminishes, that of urea
generally increases; and in such instances, the presence of the
former principle can not only be no longer distinguished by the
sensible properties of the urine, but scarcely be demonstrated
by the utmost skill of the most experienced chemist, though the
specific gravity of the urine may at the same time be nearly
1.040. I have recently been favoured by Dr. ELLIOTSON with the
most complete and remarkable change of this description that
has yet occurred to me. The patient, besides being diabetic,
was in the last stage of phthisis, of which he died shortly
afterwards. The quantity of urine passed daily, when I first
examined it, was six or eight pints; its specific gravity was
1.038, and it contained a large proportion of very white sugar
and very little urea. Dr. ELLIOTSON under these circumstances
gave opium, beginning with gr. i, and increasing the dose to
gr. iii, thrice a day. The opium produced stupor, and was
obliged to be discontinued; but the effects produced upon the
urine by its means were most remarkable. _In about 60 hours,
the quantity of urine diminished to two pints, its specific
gravity was reduced to 1.0174, the saccharine matter had
apparently disappeared, and was superseded by urea, the
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