Lectures on chemical pathology in its relation to practical medicine : delivered at the University and Bellevue Medical School, New York City / by C.A. Herter.

Date:
1902
Catalogue details

Licence: In copyright

Credit: Lectures on chemical pathology in its relation to practical medicine : delivered at the University and Bellevue Medical School, New York City / by C.A. Herter. 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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    PAGE gastritis—Toxic action on the germ-plasm—Effects of habitual use of alcohol in small amount—Therapeutic uses of alcohol— Varieties of alcoholic drinks—The organic acids of the food: their oxidation in the organism—Tea and coffee : composition and physiological effects—Detrimental effects—Lack of food value ••(••••••••• 13 LECTURE VI EXCESSIVE FERMENTATION AND PUTREFACTION IN THE DIGESTIVE TRACT The micro-organisms of the digestive tract, distribution and characteristics—Bacterial products : conditions influencing their character—Fermentation and putrefaction—Types of fermenta- tion in the digestive tract: alcoholic, lactic, acetic, butyric— Normal and pathological fermentations—Effects of excessive fermentation—Local effects due to formation of gas or to irritant products—Flatulence—Probable effects of alcohol, acetic, lactic, and butyric acids—Impaired secretion of hydrochloric acid: excessive secretion—Gastritis and excessive fermentation— Effects of excessive fermentation in the intestinal tract: diarrhcea and colic, change in the stools, loss of food potential— Fermentation in the faeces outside the body—Acid products and catarrhal enteritis—Influence of fermentation upon putrefaction —Remote effects of excessive fermentation; subjective symptoms —Alterations in the composition of the urine—Changes in acidity—Frequent micturition—Increased excretion of uric acid —Oxaluria as a consequence of excessive fermentation—Signifi- cance of oxaluria—Comparison of fermentative and putrefactive processes in their effect on the composition of the urine . . 173 LECTURE VII EXCESSIVE FERMENTATION AND PUTREFACTION IN THE DIGESTIVE TRACT The ethereal sulphates as evidence of intestinal putrefaction—Union of phenol, kresol, indol, and skatol with sulphuric acid—Amount of ethereal sulphates excreted in health and disease—Importance of the ratio of ethereal and preformed sulphuric acid—Evidence that the ethereal sulphates are derived from putrefactive decomposition of proteids in the intestine—Observation of Baumann—Intestinal disturbances and excessive putrefaction ; influence of constipation and intestinal occlusion—Increase of ethereal sulphates due to putrefaction outside the gut or to use of aromatic drugs—Toxic action of aromatic products ; influence of conjugation with sulphuric acid—Disappearance of preformed