658 
DR. BENCE JONES ON CHYLOUS URINE. 
It appeared to me to be very desirable to see whether the blood was milky. Mr. 
Wilson, of Tavistock Street, throug;h whose kindness the patient came to me, bled 
him for me. The veins were filled with blood rather longer than usual before the 
opening was made ; the blood came in a tolerable stream. The dinner, at 1** 30“ p.m., 
consisted of a mutton chop with vegetables and bread. The blood was taken at 
4 h 3 Qm p a thin wide mouth bottle. It was left to stand fourteen hours. There 
was no appearance of buff or cupping. The serum was opalescent, but not at all milky ; 
and when agitated with ether it did not become clear, and the quantity of fat dissolved 
in the ether was very small. 
Blood . . . =1216’2grs. 
(].) Serum poured off= 288‘5grs. Residue on evaporation= 26'9grs. 
Hence water . . =261-6 grs. 
(2.) Clot washed with distilled water until colourless. 
Fibrin dried, mcMo . . . =3-20 grs. 
=2-63 grs. per 1000 grs. of blood. 
(3.) Blood-globules, plus residue of serum,') ^ 
. . y =924*3 grs. 
minus fibrin J 
Evaporated to dryness =26T8grs. 
Hence water =662*5 grs. 
contain by (1.) 68*1 grs. of solids of serum. 
Therefore blood-globules=26T8— 68*1 = 193*7 grs. = 159*3 grs. per 1000 grs. of blood. 
Total solids of serum = 68*1+26*9= 95*0grs.= 78*1 grs. per 1000 grs. of blood. 
(4.) Dried blood-globules, and serum, in the proportion of one-quarter serum to 
three-quarters globules, were treated with ether frequently: 99*7 grs. gave 0*25 gr., 
soluble in ether =2*6 grs. of fat per 1000 grs. of dry residue. 
Hence in 1000 parts of blood — 
Fibrin . . . . 
Blood-globules . . 
Solids of serum 
Total solid residue 
Water . . . . 
Fat 
2*63 
159*3 
78*1 
240*03 
759*97 
0*62 
The urine made the same day on which he was bled was also examined. 
That passed at 
6'"30“a.m. Clear. 
8 A.M. Slightly cloudy. Then got up and had breakfast on arrow-root. 
10 a.m. a solid and pinkish-white coagulum formed in the urine spontaneously, 
ih 30“ P.M. Milky, with some blood and spontaneous coagula. Six ounces passed 
just before dinner, which consisted of a mutton chop, with vegetables and bread. 
4 P.M. Milky ; five ounces. 
