An inquiry into the nature and treatment of diabetes, calculus, and other affections of the urinary organs : with remarks on the importance of attending to the state of the urine in organic diseases of the kidney and bladder : and some practical rules for determining the nature of the disease from the sensible and chemical properties of that secretion / by William Prout.

Date:
1825
Catalogue details

Licence: Public Domain Mark

Credit: An inquiry into the nature and treatment of diabetes, calculus, and other affections of the urinary organs : with remarks on the importance of attending to the state of the urine in organic diseases of the kidney and bladder : and some practical rules for determining the nature of the disease from the sensible and chemical properties of that secretion / by William Prout. Source: Wellcome Collection.

Provider: This material has been provided by the Royal College of Physicians of Edinburgh. The original may be consulted at the Royal College of Physicians of Edinburgh.

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    spasmodic character, and in females is likely to be connected with hysteria. When the urine is natural, but contains much mucus, the whole inner coat of the bladder is likely to be more or less involved in the affection ; when natural urine contains pus or blood, the affection is probably of a more local cha- racter, as abscess, calculus, &c. When the urine is unnatural, and more especially when it is alkaline, it is evident that the kidneys, and probably the whole system, are implicated in the affection, and it becomes thus of a much more formi- dable character. Alkaline urine, of itself, is not only liable to cause great irritation in a healthy bladder, but probably cannot continue long without actually producing a chronic disease of its inner coat; and when these two circumstances exist at the same time, the suf- ferings of the patient are commonly very great,—in- deed they constitute one of the most distressing and formidable instances of irritable bladder. In some of these cases it is exceedingly difficult to determine whether the kidney or the bladder be the principal seat of the disease; as in certain renal affections in particular habits, even when the urine is not very unnatural, the pain is confined chiefly to the neck of the bladder: but when the urine is actually diseased, and more especially alkaline, we may he certain, as before observed, that the kidney is functionally; and if the patient be of a scrofulous habit, and the case of long standing, very probably organically affected, and the prognosis is uniformly much more unfavour-