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
quantity of which had become excessive._ This alternation of a
principle containing nearly half its weight of azote, with
another containing no azote at all, is perhaps, one of the most
singular facts occurring in physiology." p. 74.
The second subdivision of functional urinary diseases comprises six
chapters: _first_, on urinary gravel and calculi; _second_, on the data,
showing the comparative prevalency of different forms of urinary
deposite, and the order of their succession; _third_, on the lithic acid
diathesis in general; _fourth_, on the mulberry or oxalate of lime
diathesis; _fifth_, on the cystic oxide diathesis, and _sixth_, on the
phosphatic, or earthy diathesis.
Under the first chapter, we have an account of I. Pulverulent or
amorphous sediments; II. Crystallized sediments, or gravel; and III.
Solid concretions, or urinary calculi. Of the latter, our author
enumerates thirteen species.
1. The lithic acid calculus.
2. The lithate of ammonia calculus.
3. The oxalate of lime, or mulberry calculus.
4. The cystic oxide calculus.
5. The bone earth, or phosphate of lime calculus.
6. The triple phosphate of magnesia-and-ammonia calculus.
7. The calculus, composed of a mixture of the phosphate of lime, and
triple phosphate of magnesia-and-ammonia, or fusible calculus.
8. The alternating calculus.
9. The mixed calculus.
10. The carbonate of lime calculus.
11. The xanthic oxide calculus.
12. The fibrinous calculus.
13. The prostate calculus.
Of these, the 2nd, 4th, 5th, 9th, 10th, 11th, 12th, and 13th species are
more or less rare, and consequently of less interest. The remaining 5
are of much more frequent occurrence, and are thus described by our
author:
"_The lithic acid calculus_ is generally of a brownish-red, or
fawn colour; but occasionally of a colour approaching to that
of mahogany. Its surface is commonly smooth, but sometimes
finely tuberculated; and upon being cu t through, it is usually
found to consist of concentric laminae. Its fracture generally
exhibits an imperfectly crystallized texture, sometimes an
amorphous or earthy one, in which case, it usually contains a
mixture of other substances. This is one of the most common
species of calculi.--_Chemical characters._ Before the
blow-pipe, this calculus blackens, emits a smoke having a
peculiar odour, and is gradually consumed, leaving a minute
quantity of white ash, which is generally alkaline. It is
completely soluble in caustic potash, and precipitable again by
any acid in the form of a white granular powder. Lastly, if to
a small particle, a drop of nitric acid be added, and heat
applied, the lithic acid is dissolved; and if the solution be
evaporated to dryness, the residue assumes a beautiful pink or
carmine colour."
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