456 
DR. BENCE JONES ON THE VARIATIONS IN 
Table VII. — On the Total Amount of Earthy and Alkaline Phosphates in Insane 
Patients. 
For the opportunity of seeing and examining these cases I am indebted to Dr. 
Alexander Sutherland, who allowed me to choose among his patients in St. Luke’s 
Hospital those cases which I thought to be most suitable. 
Earthy phosphates. 
Specific gra- 
vity. 
Alkaline phos- 
phates. 
Total. 
Case 1. General paralysis. Early case 
1-50 per 1000 urine. 
1028-6 
5-40 
6-90 
Same case 
1*17 
1023-3 
2-97 
4-14 
Case 2. General paralysis. Early case 
*79 
1022-0 
1-23 
2-02 
Case 3. General paralysis. Early case 
•41 
1016-6 
5-36 
5-77 
Case 4. General paralysis. Early case 
1018-3 
1-30 
Case 5. Extreme case. Paraplegia. Many years. 
1006-7 
1-35 
Case 6. Mania 
•42 
1023-3 
4-38 
4-70 
Case 7- Mania ; acute paroxysm 
1-32 
1029-3 
7-58 
8-90 
Same patient convalescent 
•67 
1020-0 
2-44 
3-11 
Case 8. Mania. Some months 
1025-9 
1-26 
Case 9. Mania. Four months 
•74 
1015-3 
•38 
1-12 
Four months and a half 
•72 
1015-9 
•46 
1-18 
Case 10. Melancholia 
•67 
1024-3 
3-36 
4-03 
Case 11. Melancholia 
1011-3 
2-71 
Case 12. Melancholia 
•71 
1025-9 
3-08 
3-79 
Case 13. Melancholia. Recent 
1-47 
1027-9 
2-34 
3-81 
Case 14. Senile dementia 
•71 
1021-0 
2-10 
2-81 
In the five cases of general paralysis no increase of the total amount of phosphates 
is observed. Case 7? during an acute paroxysm of mania, shows a slight increase in 
the total amount of phosphates. Case 8 and 9, also of mania, appear more to ap- 
proximate to the state of urine in delirium tremens. The cases of melancholia pre- 
sent nothing remarkable. 
Table VIII. — On the Total Amount of Earthy and Alkaline Phosphates in Diseases, 
in which the Nervous Tissues, or their neighbouring tissues, are not affected. 
1. In some acute diseases. 
Earthy phosphates. 
Specific gra- 
vity. 
Alkaline phos- 
phates. 
Total. 
•60 per 1000 urine. 
1024-8 
5-57 
6-17 
*73 
1026-6 
5-79 
6-52 
•78 
1023-7 
4-07 
4-85 
1-28 
1023-9 
3-63 
4-91 
•45 
1010-2 
1-65 
2-10 
•09 
1016-7 
2-91 
3-00 
•60 
1015-1 
2-50 
3-10 
3-06 
•33 
1016-6 
2-48 
2-81 
•33 
1010-4 
1-19 
1-52 
•38 
1011-8 
1-84 
2-22 
Case 1. 
Case 2. 
Case 3. 
Case 4. 
Case 5. 
Case 6. 
Case 7- 
Case 8. 
Case 9- 
Case 10 
Case 11 
5th day. Inflammation from crushed 1 
arm J 
6th day. Acute rheumatism ; 2nd day, 1 
pericarditis J 
4th day. Acute rheumatism 
8th day. Acute rheumatism 
11th day. Acute rheumatism; 1st! 
day, pericarditis J 
Acute rheumatism 
Acute gout 
Acute gout 
2nd day, of erysipelas ; slight 
. 4th day, of scarlet fever 
2nd week, of petechial fever 
These cases of acute inflammation and fevers show no increase in the total amount 
of phosphatic salts. 
