amounts into the bodies of animals as well as administered in their food
with no toxic result whatever, or more than purely local irritation. The
most careful investigations upon the excretions of persons suffering from
gouty complaints, have failed to show uric acid in the excretions in
excess of that in normal individuals, except during the later stage of an
acute attack. There is an excess of uric acid in the blood of gouty
subjects; some eminent medical men say it is in the highest degree
probable, that this excess is not due to over production or deficient
destruction, but to defective excretion by the kidneys. The excess may
arise from failure of the uric acid to enter into combination with a
suitable substance in the blood, which assists its passage through the
kidneys. Under the head of gout are classed a number of unrelated
disturbances in the gastro-intestinal tract and nutritive organs, whose
sole bond of union is that they are accompanied by an excess of urates,
and in well developed cases by deposits in the tissues. This is why there
are so many different causes, curative treatments, theories,
contradictions and vagaries in gout. There are good reasons for believing
that uric acid is not in the free state in the body. In the urine it is in
combination with alkalies as urates, perhaps also with some organic body.
It has been shown that the blood of the gouty is not saturated with uric
acid, but can take up more, and that the alkalinity of the blood is not
diminished. The excess over the normal is in many cases small; it is said
to be absent in some persons, and rarely, if ever reaches the quantity
found in leukaemia. Leukaemia is a disease marked by an excessive and
permanent increase in the white blood corpuscles and consequent
progressive anæmia. Neither does the uric acid of gout reach the quantity
produced in persons whilst being fed with thymus gland (sweetbread), for
medical purposes. In neither of these cases are any of the symptoms of
gout present. In the urine of children, it is not unusual to find a
copious precipitate of urates, yet without any observed effect on them.
Public-domain text, read in full here on John Shaqi.
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