VESICAL CALCULUS IN INDIA: ITS DISTEIBUTION AND A THEORY OF ITS g CAUSE*
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By Surgn.-Capt. A. E. Roberts, m.b., c.m., m.r.c.s,, i.m.s. Civil Surgeon Aligarh, iY? W. P, (Continued from page 2o4.)
Specially
with relation to
deficiency
of
salts, and to its excessive elimination a deficiency of the K. salts, by gastric juice, as common
to
experiments
:?
Beef percentage of unabsorbed albumin
These results are :?
I.
III. Alkaline bases are diminished, whose function is to neutralize uric and sulphuric acids in the economy, and hence one mode of formation of aromatic sulphates (see later). Now in connection with the excess of albuminates taken in with cereal and leguminous foods, and with the globulins, which form of proteid occurs so largely in vegetable grains, and which we have seen tend to accumulate in malnutrition, and in the absence of the solvent Na CI, we have to remember that animal food is much more completely absorbed in the economy than vegetable. Proteid of meat completely disappears, proteid of milk reappears in the feces, and still more proteid is unabsorbed from cereals and legumiRubner (Zeitschrift f Biologie, Vol. 15, nosce. p. 115, 1879) gives the following results of his
as to quality, of its HG1 element, leading to? (1) General dyspepsia, aided also by excess of
quantity,
this
irritant K salts. (2) Excessive
accumulations of fermenting in the intestinal tract.-f* This micro-organisms taken along with the excess of albuminates, in the food [see (c)] induces important results to which we shall immediately refer, viz.? (3) The production of aromatic sulphates, lactic, butyric and fatty acids of decomposition ; these giving rise to? (4) Anaemia: here I would say that owing to less oxygenation (due to there being less O. in a given bulk of air respired, and also to the inactive habits of the natives) the normal deration of the blood is interfered with, and hence anaemia. There is also increased sensible and insensible perspiration, and hence a concentration of the urine, with increased action of the liver, followed by torpidity, which, with a diet of high albuminous content, will lead to lithaetnia, or uricaemia; an alkaline blood being a solven tof the urates. An alkaline blood containing uric salts is one great cause of anaemia. (Haig.) II. Non-solution of the globulins. jn this connection we must remember that in malnutrition (so much more common, in reality, than starvation among natives, and especially among native children), the globulins go on to increase, while the albumin itself decreases. Hence globulins, in the absence or deficiency of Na CI, the only solvent, go on to accumulate still more, and are in abundance to undergo decomposition by micro-organisms in the bowel as indicated above I, (2) and (3). Albumoses are also formed in this way, and these are recognized as a source of "intestinal fever." (Ott.) Read at the Indian Medical Congress. December 1894. t N. Sieber. Journ. fur Prakt. Chemie, vol. XIX, 1879.
Milk
,,
Maize ,, Dal and Bread
?
?
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f
...
L
V
i
By Surgn.-Capt. A. E. Roberts, m.b., c.m., m.r.c.s,, i.m.s. Civil Surgeon Aligarh, iY? W. P, (Continued from page 2o4.)
Specially
with relation to
deficiency
of
salts, and to its excessive elimination a deficiency of the K. salts, by gastric juice, as common
to
experiments
:?
Beef percentage of unabsorbed albumin
These results are :?
I.
III. Alkaline bases are diminished, whose function is to neutralize uric and sulphuric acids in the economy, and hence one mode of formation of aromatic sulphates (see later). Now in connection with the excess of albuminates taken in with cereal and leguminous foods, and with the globulins, which form of proteid occurs so largely in vegetable grains, and which we have seen tend to accumulate in malnutrition, and in the absence of the solvent Na CI, we have to remember that animal food is much more completely absorbed in the economy than vegetable. Proteid of meat completely disappears, proteid of milk reappears in the feces, and still more proteid is unabsorbed from cereals and legumiRubner (Zeitschrift f Biologie, Vol. 15, nosce. p. 115, 1879) gives the following results of his
as to quality, of its HG1 element, leading to? (1) General dyspepsia, aided also by excess of
quantity,
this
irritant K salts. (2) Excessive
accumulations of fermenting in the intestinal tract.-f* This micro-organisms taken along with the excess of albuminates, in the food [see (c)] induces important results to which we shall immediately refer, viz.? (3) The production of aromatic sulphates, lactic, butyric and fatty acids of decomposition ; these giving rise to? (4) Anaemia: here I would say that owing to less oxygenation (due to there being less O. in a given bulk of air respired, and also to the inactive habits of the natives) the normal deration of the blood is interfered with, and hence anaemia. There is also increased sensible and insensible perspiration, and hence a concentration of the urine, with increased action of the liver, followed by torpidity, which, with a diet of high albuminous content, will lead to lithaetnia, or uricaemia; an alkaline blood being a solven tof the urates. An alkaline blood containing uric salts is one great cause of anaemia. (Haig.) II. Non-solution of the globulins. jn this connection we must remember that in malnutrition (so much more common, in reality, than starvation among natives, and especially among native children), the globulins go on to increase, while the albumin itself decreases. Hence globulins, in the absence or deficiency of Na CI, the only solvent, go on to accumulate still more, and are in abundance to undergo decomposition by micro-organisms in the bowel as indicated above I, (2) and (3). Albumoses are also formed in this way, and these are recognized as a source of "intestinal fever." (Ott.) Read at the Indian Medical Congress. December 1894. t N. Sieber. Journ. fur Prakt. Chemie, vol. XIX, 1879.
Milk
,,
Maize ,, Dal and Bread
?
?
,,
,,
,,
,,
,,
,,
,,
f
...
