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 the chapter on the mulberry, or oxalate of lime diathesis, Dr. PROUT
gives a number of cases, from which he draws the following conclusions:
"1st. That this form of disease occurs in both sexes; that it
may exist before puberty, and at all ages between that and 40
or 50, at which time it seems to occur most frequently; but
that no case occurs beyond the age of sixty. Hence that it is
probably not a disease of old age.
"2nd. That it is not incompatible with gout, but seems
occasionally to be associated with it. I have also seen it
connected, as lithic acid frequently is, with a tendency to
cutaneous disease.
"3d. That this variety of calculous affection occurs in
individuals of sound constitutions, and who ordinarily enjoy
good health; and that it rarely occurs a second time, except at
long intervals, during which the intermediate health is good;
which latter facts, it may be proper to observe, are confirmed
by other observers, and particularly by Mr. BRANDE and Dr.
MARCET.
"4th. That the urine is acid, and apparently but slightly
deranged in this form of calculus, and remarkably free from all
sorts of sediment and gravel.
"5th. That as renal calculi of the oxalate of lime often
subsequently acquire considerable magnitude in the bladder, it
may be inferred, that the formation of this compound is
connected with a distinct diathesis, excluding the existence of
other diatheses, and that is not an accidental occurrence,
happening in common with many others to the urine.
"6th. That from the dissection of calculi, formerly mentioned,
it appears that the oxalate of lime diathesis is preceded and
followed by the lithic acid diathesis; a circumstance which
seems to be peculiar to these two forms of deposite, and which,
when taken in conjunction with the other circumstances, already
related, appears to show, that they are of the same general
nature; or in other words, that the oxalic acid merely takes
place as it were of the lithic acid, and by combining with the
lime naturally existing in the urine, forms the concretion in
question.
"7th. That the diathesis being of a similar nature, the
principles of treatment adapted for counteracting the original
tendency to it must be also similar, that is to say, of an
antiphlogistic character; great attention being at the same
time paid to the digestive and assimilative functions." p. 137,
et seq.
The diagnostic signs of the oxalate of lime diathesis are very obscure,
as will appear from the following extract:
Public-domain text, read in full here on John Shaqi.
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