Urinary deposits : their diagnosis, pathology, and therapeutical indications / by Golding Bird ; edited by Edmond Lloyd Birkett.

  • Bird, Golding, 1814 or 1815-1854.
Date:
1859
Catalogue details

Licence: Public Domain Mark

Credit: Urinary deposits : their diagnosis, pathology, and therapeutical indications / by Golding Bird ; edited by Edmond Lloyd Birkett. Source: Wellcome Collection.

    350/420 (page 352)
    BLOOD DEPURATION 20tli.—^yas well after the emetic. 27 th.—Convalescent. The following table presents a view of the patient’s urine whilst under treatment:— Date. Fluid-ounces ill 2-t hours. Specific Gruviiy, Action on Litmus. Weiitlit of solids in grains. May 24 35 1-008 Acid. 280 “ 26 28 1-013 375 “ 28 26 1-020 u 538 “ 30 25 1-024 a 625 “ 31 20 1-022 u 458 June 2 30 1-017 u 528 “ 6 35 1-018 Alkaline. 651 “ 7 30 1-020 Acid. 621 A glance at this table shows that pari passu with the patient’s improvement, a gradual increase occurred in the solids excreted by the kidneys. No ague appeared after the blood had been depurated of 538 grains of effete matter, on the 28th of May. In this case, unlike the last, although the patient had long been exposed to the poison of marsh malaria, she did not suffer any relapse, and she re- mained well during two years, when she again came under my care as an out-patient, with a very slight attack of ague. 401. I hope that I shall not be misunderstood in the line of argu- ment I have adopted. Although believing most completely that ague is primarily excited by the influence of a peculiar septic poison derived from marsh malaria, I do not for a moment assert that this particular poison is excreted in the urine during the recovery of the patient (398). The great influence of the malarious poison is in all proba- bility essentially and primarily exerted upon the nervous system, especially on the organic or ganglionic structures, which preside so importantly over the function of secretion. Thus, all the secretions elaborated in a body become affected ; and, as is well known, a re- markable tendency to congestion is observed in the portal circulation destined most particularly for the depuration of matters rich in carbon. There can be no doubt that the unhealthy secretions thus formed, become active agents in keeping up in the body the impression of the disease. One of the great elements of successful treatment must of necessity be the depuration of the blood, and thus, by freeing the system from the depressing influence of these vitiated matters, allow