Philosophical transactions, Vol. L. Part I. For the year 1757.: Giving some account of the present undertakings, studies, and labours, of the ingenious, in many considerable parts of the world.Various
History
Philosophical transactions, Vol. L. Part I. For the year 1757.: Giving some account of the present undertakings, studies, and labours, of the ingenious, in many considerable parts of the world.
Various
Science -- Periodicals
If these stones came into the bladder in 1734, they must, in so many
years as his Lordship lived after this, have acquired a very great
bulk: nay, if we suppose them not to have been lodged in the bladder
above a year before they began to occasion frequent inclination to make
urine, with pain, and sometimes sudden stoppages of urine; yet, from
1746 to 1757, they ought to have grown to a much larger size than that
of the kernel of a Spanish nut[127]. ’Tis true, the stone may increase
faster in some patients, and slower in others; but stones, after
remaining a dozen or more years in the bladder, generally weigh several
ounces. Some years since l saw a stone, weighing near six ounces, taken
from a boy of no more than 14 years of age.
3. Lord Walpole’s case not only shews the power of soap and lime-water
to relieve the painful symptoms, and prevent the increase, of the stone
in the bladder, but also makes it probable, that these medicines do
communicate to the urine a power of dissolving the stone.
In the beginning of 1749 his Lordship voided with his urine a calculous
substance of a flat shape, about the bigness of a silver penny, and
covered with a soft white _mucus_[128]; and upon the surfaces of the
stones found in his bladder there were some inequalities, which seemed
to have been made by the separation of thin _lamellæ_ or scales.
Further, the small stone found in the beginning of the _urethra_
must have been in a dissolving state, and considerably lessened in
the bulk: for, if it had lain long in the bladder, and never been
larger, it ought to have been voided thro’ the _urethra_ with the
urine; and it could not have arrived lately in the bladder, since Lord
Walpole had not had, for several years before his death, any nephritic
pains, or symptoms of stones passing from the kidnies; and since it
is not likely, that a stone of the size and shape of the seed of an
apple[129] would pass thro’ the ureters without being felt. Now if
this small stone, found in the _urethra_, was partly dissolved by the
virtue of the soap and lime-water; it will appear at least probable,
that the two larger stones in the bladder were so likewise. But altho’
Lord Watpole’s calculous concretions had remained undiminished, and
without any symptoms of dissolution; it would not therefore follow,
that soap and lime-water cannot dissolve the stone in other patients,
where the concretion may be of a less firm texture.
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