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
The relative prevalency of the oxalate of lime calculus is very various.
The average proportion, as determined by Dr. PROUT is about one in
seven. Of the calculi, examined by Mr. BRANDE, 1 in 25 was of the
mulberry species; while in the Norwich and Guy's Hospital collections,
the proportion is about 1 in 4. In the Bristol collection, one-sixth of
the whole, was composed of oxalate of lime, nearly pure; while,
including all the concretions containing more or less of the oxalate,
the proportion was nearly _one-half_! This great disparity in the
proportional frequency of this calculus in different districts of
England, clearly shows the great influence of local causes, in
determining the character of urinary concretions.
From a careful observation of the order of deposition of different
species of calculous matter, Dr. PROUT has been enabled to deduce the
following general law; "_that, in urinary calculi, a decided deposition
of the mixed phosphates is not followed by other depositions_." So that
it would appear, that a redundancy in the earthy phosphates is the last
link in the chain of diseased alterations, to which the urinary
secretion is liable.
In the third chapter, under the second subdivision of functional urinary
diseases, Dr. PROUT describes the lithic acid diathesis, and
communicates several important original observations. After remarking
that the dyspeptic are particularly predisposed to lithic acid
deposites, he enumerates, as exciting causes of this species of gravel,
1st. _Errors in diet_; 2nd. _Unusual or unnatural exercise of the body
or mind, particularly after eating, and the want of proper exercise at
all other times_; and 3d. _Debilitating causes_. Under errors of diet,
an unusually heavy meal, especially of animal food, and the use of
heavy, unfermented bread, or compact, hard-boiled, fat dumplings or
puddings, salted and dried meats, acescent fruits, malt liquors, and
acescent wines, are enumerated as particularly hurtful in the lithic
acid diathesis.
The above remarks refer to the amorphous lithic deposites, consisting of
lithate of ammonia. In regard to crystallized sediments, or, more
properly speaking, gravel, our author makes the following remarks:
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Elsewhere in the archive
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account