324 THE SECUETIONS: 



fluid simply from its having a turbid or emulsive appearance, 

 while there has been no trace of casein, but the fat has been 

 suspended by means of albumen. 



The only recorded case of actual milky urine containing 

 casein and fat are one by Canubio, of a woman who was suck- 

 ling -, one by Alibert, of a healthy young widow; and,, lastly, a 

 case by Graves. 



Excess of hippuric acid in urine. 



[There are certain conditions of the system in which an excess 

 of hippuric acid occurs in the urine, independently of those 

 cases in which benzoic or cinnamic acid is taken either in the 

 food or as medicine. 



The following case is recorded by Bouchardat.i 

 A lady aged 53 years, suffering from lassitude, dry skin and 

 tongue, occasional pain in the region of the liver, loss of appe- 

 tite, and great thirst, passed a large quantity of limpid urine 

 possessing an odour of whey. Its specific gravity varied from 

 1006 to 1008; it slightly reddened litmus paper, and contained 

 in 1000 parts : 



Water . . . 986-00 



Solid constituents . . 14-00 



Urea . 1-56 



Hippuric acid 

 Lactate of soda . 

 Albumen 

 Mucus 



Chloride of sodium 

 Phosphate of soda 

 Alkaline sulphates 

 Earthy phosphates 



2-23 

 2-96 

 1-47 

 0-20 

 2-75 

 0-97 

 1-44 

 0-42 



Dr. Garrod 2 has narrated the case of a man suffering from 

 pain in the loins and symptoms of atonic dyspepsia, with flabby, 

 white, furred tongue, who excreted a considerable amount of hip- 

 puric acid. 



When examining the urine for the purpose of ascertaining 

 the proportion of uric acid by the addition of a small quantity 

 of hydrochloric acid, he found the tube filled with crystals of 

 hippuric acid, and on these large crystals smaller ones of uric 



Annuaire de Therapeutique, 1842, p. 285. * Lancet, Nov. 16, 1844. 



