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
"Any thing acting generally, and producing _a nervous state of
the system_, such as the distressing passions, and particularly
_mental anxiety_ or _fear_, will frequently produce in many
people an excess of this salt in the urine. The same is also
true of many articles of food or medicine that produce a
hurried secretion of the urine, and act as diuretics; as the
neutral salts in some cases, and particularly the Rochelle
salts and other saline compounds, in which the acid is of
vegetable origin. So also, a long continued use of alkaline
remedies, or of mercury, in irritable habits more especially,
will likewise produce a tendency to an excess of this salt, as
well as of the phosphates in general, and even lead to an
actual deposition of them from the urine. The same sediment
also frequently abounds, or is easily induced, in the urine of
those who have long been in bad health, and in whom the
constitution may be considered as giving way, or, to use a
common expression, breaking up. In general, it is to be
understood, that the slighter causes affect only the
predisposed, and those in particular who are subject to other
diseases of the urinary organs or urine. It may be also
remarked, that children are more subject to this form of
deposition than adults; a circumstance, perhaps, to be referred
to the irritability of the system at this age, and the great
derangement of the digestive organs, to which they are
subject." p. 151.
The above mentioned causes are stated to be equally productive of
amorphous phosphatic sediments.
Our author next enumerates the very distressing symptoms, by which the
deposition of the earthy phosphates is attended. They consist in great
irritability; derangement of the chylopoietic viscera, evinced by
flatulency, nausea, obstinate costiveness, or peculiarly debilitating
diarrhoea; extremely unnatural stools, nearly black, or clay-coloured,
and sometimes resembling yest; pain, uneasiness, or weakness in the back
or loins; sallow, haggard expression of countenance; and finally, if the
disease be not arrested, great languor and depression of spirits,
coldness of the legs, and complete anaphrodisia, as occur in diabetes.
A curious and important fact has been stated in regard to the remote
causes, producing the phosphatic state of the urine. It has been
observed by Dr. PROUT, that a large proportion of cases of this
complaint may be traced _to some injury of the back_ from mechanical
violence, such as a fall from a horse, &c.
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