S24 Mr, W. Brande's Additional Observations 



voided with his urine considerable quantities of white sarid 

 and mucus. 



From the age of this patient, and the account of his case, 

 there appeared little doubt that the calculi had been formed in 

 consequence of a diseased prostate gland, in the manner de- 

 scribed by Sir Everard Home,* and on examining them, they 

 were found to contain no uric nucleus, nor indeed had there 

 been any symptoms of disease in the kidneys, at any previous 

 period. 



This gentleman had been in the habit of taking soda water, 

 from which he was now desired to abstain, with a view of 

 putting him upon the acid plan of treatment. He was ordered 

 to take eight drops of muriatic acid three times a day in two 

 table-spoonsfuU of water; but the third dose produced so 

 much irritation in the bladder, and consequent increase of his 

 symptoms, that it became necessary to adopt another treat- 

 ment. 



Lemon juice, or a solution of the pure citric acid, when given 

 in quantity sufficient to produce any change in the appearance 

 of the urine, had the same effect as the muriatic acid. 



As water impregnated with carbonic acid could not be pro- 

 cured, he was directed to dissolve, in separate portions of water, 

 twenty grains of citric acid, and thirty grains of the crystal- 

 lised carbonate of potash, and to take the mixed solutions, 

 during the effervescence. This quantity was at first only 

 taken night and morning, but as it agreed perfectly well, it 

 was afterwards repeated four and five times daily. Under 

 these circumstances the appearance of the urine was soon 

 improved, and both the mucus and the sand were considerably 



» Practical Observations on the Treatment of Diseases of the Prostate Gland, p. 39. 



