DIABETES. 
hiry 3 and ea hypothefes have been reforted to, to ex- 
plain, the natu e ay a and to determine i in what 
part of the fy fe organs, it is car 
Dr. Mead lee Maes as ‘akin to jaundice,” 
affirms that tteatomatous tumors were always found in the 
liver ; and ‘as to the {weetnefs of the urine, this is all bi- 
lious, for the water of the bile mri ae its falt is 
{weet.”” (Treatife on Poifons, Effay ft.) But in Dr. Home’s 
me authors 
ne, but b 
The analogy, howeree is not corre&. or the manne 
are formed by nature for the fecretion of a faccharine fluid, 
the kidneys are not; we might therefore as well expec t 
kidneys*to fecrete bile, as to produce fugar. Dr. Home has 
the ment of firt fuggefting a theory, which, although ex- 
ceedingly imperfe&t, approximates, perhaps, nearer to a ra- 
tional and probable view of the fubje& than any other that 
has been conceived. Some had attributed it to fpafms of 
oe — veffels, in the kidneys, but he objeéts to this 
t alleviate the f fymptoms, 
aad eae fpafm will not account for the faccharine, acef- 
cent, and ferme nine urine. In hyfteria the urine has none 
Others had attributed the difeafe 
& 
o 
a 
G 
a 
a 
"es 
3 
ae} 
St) 
Bs 
o 
a 
‘er 
= 
ray 
5 Du 
a 
i] 
= 
r=) 
= 
i) 
fo} 
~ 
fo 
a 
cI 
-& 
ties a the urine ; that diaphoretics are not attended a 
any good effets in diabetes; and that in his two patients 
Pwere | avd urine were increafed - ae ae we 
to ge a era fay ex~- 
on the excefs or 
All 
em to be owing to its ex- 
&e, agen 4 
nature o our 
denham thought, 
charine falt, ftill remaining in the urine, which is the moft 
perfeGily animalized fluid, fhews that there is. great defect 
in the animal procefs. 4. Urine being of a feptic nature, 
runs faft into putreleeney, But the diabetic. urine turrs 
acidulous, and with, and, often. without yeaft, undergoes the 
vinous fermentation. Thefe peculiarities thew its vegetable 
nature; as vegetable juices alone are capable of the vinous 
4 
- even oppofite caufes have been atta fo 
- inftances that are on record 
to them, 1. That Mee food fhould cure it, which it did 
not ; hat feptics, which brought on putrid erudtations, 
‘made no ch at the proportion of faccharine 
matter is much greater in coat urine, than in milk. 
mi as not, Naat the whole fa saeaee falts of the 
(Clinical pecs P. 31 
Dr. Cullen adopted a fimilar aaa selon the nature 
of rab and believed that 
eae that it was a ae cles with fome difficulties 
which he could not very well re 
Dr. Rol as. more kennel i a up this theory, and 
attempted to efinite form. ‘** The 
immediate caufe of the diabetes mellitus,”’ he fays, * is a 
arguments. 
{peedily the i Sai i eae the pea mutter. 4 the 
eafe Ce) and, 4thly. 
tion, from the application of a fimple ftimulus, augmenting 
merely the capacity of the veffels. (Rollo on Deen 
2d edit Pe. 
3 
en obj: -Ged to this theory, that if the faccharine 
matter is fore by the ftomach, it fhould be deteéted in the 
= blood, in its way to the kidneys; but that this has not been 
done.. i i i i 
enehe without being t blo 
fiatements, however, can har valy be. Geant as {atisfac- 
tory nee of the eee or as removing the doubt 
which hangs over the fubjec 
No light is thrown upon the nature of diabetes by a con- 
fideration of its exciting caufes; for the moft various and 
rit, in the various 
diféafe has been obferved 
to follow acutedifeates, efpecially pe Sydenham remarked 
that it followed gp ale ear efpecially if much venefection 
had been-ufed. gurgatives are alfo faid to have given 
rife to it by: Sydenham 5 and Dr. Home affirms that he knew 
the chylous fpecies brought on 5 too frequent ise of jalap 
and calomel. The exceffive- ule of cold watery I'quors 
appears to have occafioned diabetes in fome a as drink- 
ing largely of particular. mineral waters; of weak acid 
Rheaifh 
a 
