On chylous urine / [J. Warburton Begbie].

  • Begbie, James Warburton, 1826-1876.
Date:
1882
Catalogue details

Licence: Public Domain Mark

Credit: On chylous urine / [J. Warburton Begbie]. Source: Wellcome Collection.

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    to be of most consequence; for although an increase of the chylous condition of the urine was observable after partaking of all kinds of food and after every mealj even when rest had been previously indulged in for a considerable time, yet the use of such articles of diet as caused a feeling of indigestion, speedily and seriously increased the morbid state of the urine. In this patient’s case there is no reason to apprehend the existence of organic renal disease, such as occurred in the instance recorded by Dr. Priestley.^ The affection is undoubtedly an obscure one. This much may be considered as ascertained, that in all cases of chylous urine, occurring of course to a much greater extent in some than in others, the abnormal constituents of that fluid, the fatty matter, the albumen,® and fibrine with blood globules, when they occur, are diverted from their proper channel and being removed at the kidneys—whether owing to change in the lym- phatics of these organs, or in their capillaries, is not known— prevent the due nutrition of the system, to which they are properly subservient. The debility and cachectic appearance soon manifested by some sufferers, and the look of indifferent health which before long all more or less acquire, confirm this view. Dr. Prout® has in our own country had by far the largest experience of this peculiar disorder, and by him and Dr. Bence Jones'* the subject has been carefully investigated. On the Continent, the most extended inquiry regarding it has been made by M. Bayer.® From time to time individual cases are being placed on record; of one such a very interesting and detailed account has lately been given by Dr. Beale.® I may mention that the patient whose case I have related is at present engaged in his old occupation, and is freer from pain and in- convenience than for some time past. ' ‘Edinburgh Medical Journal,’p. 945, 1856; and‘Medical Times and Gazette,’ April i8th, 1857. ’ Probably in the condition of the peptone of Lehmann, or albuminose of Mialhe.—(See Parkes on the ‘ Urine,’ p. 300.) ’ ‘On Stomach and Renal Diseases,’ p. 116, fourth edition. ‘‘ ‘Medico-Chirurgical Transactions,’ 1850; and ‘Philosophical Transac- tions of London,’ p. 651, vol. cxl. ® ‘ Traitd des Maladies des Reins,’ vol. iii; ‘ Hsemorrhagies Renales Essen- tielles (endemique),’ p. 373. * ‘Archives of Medicine,’ p. 10, vol. i.