have found by experiment: and if any one should suppose this coagulable
urine was separated from the blood by the kidneys, he may recollect, that
in the most inflammatory diseases, in which the blood is most replete or
most ready to part with the coagulable lymph, none of this appears in the
urine.
9. Different kinds of diabetes require different methods of cure. For the
first kind, or chyliferous diabetes, after clearing the stomach and
intestines, by ipecacuanha and rhubarb, to evacuate any acid material,
which may too powerfully stimulate the mouths of the lacteals, repeated and
large doses of tincture of cantharides have been much recommended. The
specific stimulus of this medicine, on the neck of the bladder, is likely
to excite the numerous absorbent vessels, which are spread on that part,
into stronger natural actions, and by that means prevent their retrograde
ones; till, by persisting in the use of the medicine, their natural habits
of motions might again be established. Another indication of cure, requires
such medicines, as by lining the intestines with mucilaginous substances,
or with such as consist of smooth particles, or which chemically destroy
the acrimony of their contents, may prevent the too great action of the
intestinal absorbents. For this purpose, I have found the earth
precipitated from a solution of alum, by means of fixed alcali, given in
the dose of half a dram every six hours, of great advantage, with a few
grains of rhubarb, so as to produce a daily evacuation.
The food should consist of materials that have the least stimulus, with
calcareous water, as of Bristol and Matlock; that the mouths of the
lacteals may be as little stimulated as is necessary for their proper
absorption; lest with their greater exertions, should be connected by
sympathy, the inverted motions of the urinary lymphatics.
The same method may be employed with equal advantage in the aqueous
diabetes, so great is the sympathy between the skin and the stomach. To
which, however, some application to the skin might be usefully added; as
rubbing the patient all over with oil, to prevent the too great action of
the cutaneous absorbents. I knew an experiment of this kind made upon one
patient with apparent advantage.
The mucilaginous diabetes will require the same treatment, which is most
efficacious in the dropsy, and will be described below. I must add, that
the diet and medicines above mentioned, are strongly recommende
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