On some disorders of nutrition related with affections of the nervous system : neurotic dystrophies / by William M. Ord.

  • Ord, William M. (William Miller), 1834-1902.
Date:
1885
Catalogue details

Licence: Public Domain Mark

Credit: On some disorders of nutrition related with affections of the nervous system : neurotic dystrophies / by William M. Ord. Source: Wellcome Collection.

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    Lauder Brunton has used the term gouty glycosuria. I am tempted, after much thinking, to ask whether the expression gout of the liver may not be appropriate; to ask whether we may not entertain the idea that, in many people, there may exist a more or less constant arterial hyperaemia of the liver, comparable to that acute hyperaemia of joints which is, undoubtedly, an essential factor of acute gout. The Acute Inflammations of Diabetes, and Nerve-Influence.—In true diabetes the occurence of sudden and very acute visceral inflammations is common. It is generally found that, while such complications last, the urinary sugar dwindles, or even disappears. An explana- tion of this occurrence has been found by some writers in the hypothesis of an increased combustion of sugar as a part of the pyrexial state. But seeing that such inflam- mations involve the diversion of a large quantity of blood to the organ affected, I venture to suggest that in such diversion, rather than in a purely hypothetical combustion may be found the true explanation. Physiological experi- ment has shown that, when sections of the sympathetic leading to the vaso-motor dilatation of the hepatic vessels alone, has been made, glycosuria has been produced ; that, when the section has been made at a point producing, in addition to dilatation of the arteries of the liver, dilatation of the vessels of the intestines, glycosuria has not followed. The inference drawn is to the effect that so much arterial relaxation was produced in the supply of organs neigh- bouring to the liver as to stand in the way of an effective increase in its arterial circulation. I had an opportunity quite recently of testing the probability of this hypothesis. The temperature of a diabetic patient rose suddenly to C 3