MEDICINE. 



if t 



proper 

 with t 



cal properties of sugar. Whether diabetic differs es- 

 sentially from vegetable sugar, is to be regarded more 

 as a chemical question, than es what in any respect 

 influences tilhir our pathnlegy or our practice ; and it 

 has hern a subject of uiKiSMisy whether there be a 



t Diabetes Mtsrpsdaa, that is, a disssir attended 

 he incisend I discharge ef erine, the voracious 

 r, and the morbid state ef the skin, but where 

 t contain anger. There is much ob- 

 ; the origin of Diabetes; k has been 

 er diet, to the use of spiritous 

 qanri. to large quantities of watery fluids, to expo- 

 sure to cold during perspiration, to violent exercise, 

 and in short to any thing which might be supposed 

 bkely to weaken the lyUim generally, or the digestive 

 organs in particular It does not, hoe/ever, appear that 

 any of then* cs'reuiaseiecii so essnaaonly precede the 

 es to entitle k t* be regarded as the came, 

 of them may eentriheU to aggravate it, 



er bring U into action, when the fsanitetii n M laid in 



which might have been apprehended. The old method Practice. 

 of treating the complaint, and the one which is still """V 

 often had recourse to, is by astringents of various kinds, 

 to which opium is often conjoined ; and of the efficacy 

 of this practice we have many flattering accounts, but 

 from its total failure on other occasions, we suspect 

 that the alledged esses have either not been proper 

 Diabetes, or that the medical attendant! have hastily 

 caught at some flattering appearances of amendment, 

 and mistaken them for a radical cure. Upon the 

 whole, we believe that where the urine was in large 

 quantity and highly saccharine, where Bulimia existed 

 in any considerable degrei, and where the cutaneous 

 perspiration was abolished, no cure has ever been ac- 

 complished. With respect to the treatment which may 

 afford the best chance of success, or which may possibly 

 remove the complaint in iu incipient state, we should 

 recommend that a moderate bleeding be premised, and 

 that a diet be employed of which vegetable matter 

 should form only a small proportion ; at the same time 

 we may administer vegetable tonics, and may endea- 

 to restore the natural action of the skin by dia- 

 Itfae 



u i.. * 



In a primary disease of the ludney. Upon 

 we conceive that the former is by far the 



. lor 



tien of the body after death hea detei 

 Me ef the kissny.. this we eWeJd , 



r "i ';. ' -MeeJI lh i Jh"tls>ii! ratbJ 



rin I 



course to the' idea that 



sets of the kidney ensjM 



version ef the actions of every pert ef the eyeitsn. 



""'its" 



SECT. III. PoaVtrra. COB/. 



as rtisssss which recurs 

 essentially in the pain of one 



of the hands or feet, 

 toe. which is attended 

 *m redness and swelling of the 



in the wcretinsr ves- pert; the local slrctton is preceded by a state of gene- 

 each a eoe*plete per- ral indisposition, end especially by various dyrpeptic 

 .......i- syetptoms, end we usually find that, when the infUm- 



change in the 

 which a 



ins; trine element*, as 

 ef the patient, the 



i the diet 



"of the fluid might be 

 It wes accordingly found 

 that, bv employing complete animal diet, the sugar 

 was no longer prsilewJ ; and k was nsaaced that, by 

 tly adhrrsegtothss regiej en. the disease had been 



though 



resent in the 



longer urnerated. yet the 



mam whf 



l.t. th. 



',.r a!. 



...in- t., r,- 



least devie. 

 Mine is re- 



is established in the extremrUes, the stomach be- 

 d. The peroxyms come on at uncertain 

 frequently without any obvious exciting 

 cease ; but it ia generally connected with an hereditary 

 pre-dMposition, end ia scarcely ever met with except 

 among peiemis in the higher rank* of life ; and for the 

 moat part, when not hereditary, may be clearly traced 

 to habits of luxury and self indulgence. When (tout 

 exist* in a well marked form, there is no difficulty in 

 distinguishing t from all other affections ; it is easily 

 recognised by the state of the stomach, the part which 

 is effected, and the nature of the pre-disposing and n~ 

 eking caase ; but in iu m .re irregular forms, it is apt 

 to be confounded with Kheumabsm, and it appears in- 

 dead, that the two diseases are sometimes combined in 

 the same patient. In those who are pre- disposed to 

 COM, it may be excited by any thing which produces 

 an increased action in the part, as by excessive exercise, 

 by e strain er a bruise, but in thuse who inherit the 



in hi. former stole of debdny, without 

 of the other eyaw 

 of the coemplmurtbe retarded. 



ut arty con- 

 ; so that aU 



that it ever baa, by this 

 A very en* 

 proposed. id 



Iliniiiiing the 



Notwithstanding the 

 powers, end the dsft 



ef debility. 



and if not with 



, - Mwpm^ SVPSMM *v* v* a*e naveasj 



t, at least without that aggravation of the 



or who hftve once suffered severely from it, we 

 often find it impossible to detect any assif nsble cause 

 for the paroxysm. The (act that Gout nevrr attacks the 

 peer, while even a considerable proportion of t In- 

 wealthy are more or less subject to it, is known to every 

 one, and has necessarily given rise to much speculation 

 respecting both iu pre-disposing and its prr xiroate 

 csase. It U not very easy to determine to hich of the 

 instances that attach to the condition of the ru h 

 i' production is to be attributed ; mere excess in eat- 

 ing, although it produces stomach complaints, does not 

 general*- that specific state of the digestive organs which 

 givr* rise to Gout, nor do we find that the abuae of fer- 

 mtirUil or spinuma liquors, which it so common among 

 the lower classes, subjccu them to tfaij complaint. It 



