Pharmacologia: Fourth American, from the Seventh London EditionParis, John Ayrton
Science
Pharmacologia: Fourth American, from the Seventh London Edition
Paris, John Ayrton
Pharmacognosy; Pharmacology; Pharmacy
3. _The Phosphates._ As the Phosphoric acid and its compounds perform
an important part in the generation of calculi, their origin[196]
and history demand particular attention from the chemist. The
Phosphoric acid frequently exists in the urine in a free state,
when it would appear to act, like any other acid, as a precipitant
of the Lithic acid; this however is not the circumstance that
renders its presence formidable; it is to the abundance of its
compounds that we are to look for mischief. In healthy urine the
phosphoric acid appears to exist in union with soda and ammonia,
and partly with lime and magnesia; the latter salts being retained
in solution by an excess of acid; but the proportion of these
bodies is liable to considerable variation.[197]
Having thus briefly noticed those particular points in the chemistry of
the subject with which the therapeutic principles are more immediately
connected, we shall be better prepared to examine and appreciate the
several plans of treatment which have been proposed for the prevention,
cure, or palliation of calculous disorders; and here the subject
naturally divides itself into two parts; the one comprehending the
_modus operandi_ of Antilithics, or those remedies which prevent or
correct the calculous diathesis; the other, explaining the solvent
action of Lithonthryptics over concretions already formed.
The line of demarcation by which healthy and morbid urine are separated,
is so slight that it is difficult to define its limits; nor would the
circumstance appear to be materially important, for the boundary is
daily exceeded, not only with impunity, but even without our
consciousness of the event; and Dr. Prout has accordingly denominated
such occasional deviations, the “_Sediments of Health_.”
The same enlightened author considers that mechanical deposites from the
urine, although composed of the same general ingredients, may, in a
pathological point of view, be conveniently divided into three classes,
viz. _Pulverulent_ or _Amorphous Sediments_; 2. _Crystalline Sediments_,
usually denominated gravel; and 3. _Solid Concretions_, or calculi
formed by the aggregation of these latter sediments. The first of these
may be passed over, as unconnected with the present subject; the latter
however constitutes an essential object of research; for a complete
acquaintance with the chemical history of calculi can alone furnish the
true indications of cure.
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