CASE IV. James T. T, æt. 32, affected with diabetes for sixteen months. At one time he passed eighteen pints of urine a day. He was admitted into Guy's Hospital in April, 1861, under the care of my colleague, Dr. Gull, who treated him by restriction to an animal regimen. On his admission, he passed eight pints of urine a day, having a sp. gr. of 1045. His urine underwent a marked diminution in quantity, and improvement in quality. He gained in weight to the extent of ten pounds between April and September, and became stronger, and felt well as regards his bodily sensations. At first, he suffered from the privation of vegetable food, the meat not being of sufficient bulk to satisfy his hunger. Soon, however, his appetite diminished, and he became so accustomed to his animal food, that according to his account, he had not the slightest desire for a diet of any other kind. Having fallen temporarily under my care, he was afterwards, through the courtesy of Dr. Gull, transferred altogether. The following are the results that I obtained from the examination I conducted of his case. The urine was collected from between ten o'clock one morning and ten o'clock the next. Cooked meat, 1 b; mutton chop; 2 eggs; 2 pints of jelly (made without sugar); greens brandy 3vj; 2 bottles of soda water. Mist. Hæmatoxyli co. 3j ter die. Pulv. Opii gr. j nocte maneque. Same diet. Mist. Hæmatoxyli co. 3j ter die. Pulv. Cretæ co. c. Opio 3ss ter die. Diarrhoea had set in. Same diet. Plumbi Acet. gr. j, Pulv. Opii gr. j, in formâ pilulæ ter die. Was suffering from severe diarrhoea. Two pairs of small soles; cooked meat, 1 tb; 2 pints of jelly (without sugar); port wine, 3viij Dec. Krameriæ co. 3 6tis horis. Pulv. Opii gr. j nocte maneque. Diarrhoea abating. Same diet. Acidi Hydrocyan. dil. mij, Tr. Calumbæ 3j, ex Mist. Effervesc. 3j 6tis horis. This prescription was ordered for sickness. Same diet, with Brandy 3vj and 2 bottles of soda water instead of the wine. Tr. Opii mx ex Jul. Ammoniæ 3j 4tis horis. horis. Same diet, with the addition of greens; and, bacon to be substituted three times a week for the meat. Potassæ Citratis 9j, Tr. Opii mx, Mist. Camph. 3j, 4tis The disease in this patient had thus at one time, taken so favorable a turn, that the sugar eliminated only amounted to 116 grains one day and 115 grains a few days later. He was for a long time presenting the appearance of robust health; and, feeling so strong and well as he did, he was sanguine of making a complete recovery. He had, for as many as nine. or ten years back, been subject about three times a year to violent attacks of diarrhoea, which so prostrated him at the time, that he could scarcely walk up stairs. Since he had been affected with his complaint, and whilst on a mixed diet, before admission into the hospital, he suffered from an attack of diarrhoea which lasted four or five weeks and made him so weak that he was hardly able to leave his bed. The attack of purging, and afterwards sickness, that occurred during the latter part of October and the commencement of November, reduced him considerably in strength, and increased the elimination of sugar. Although the sugar afterwards kept up yet he improved in health, and left the hospital a few days before Christmas, feeling sufficiently strong and well, as he thought, to return to his old employment. A fortnight only had elapsed, when he again presented himself at the hospital and sought admission under my care. He had been seized with an attack of acute lichen, and his appearance had become remarkably changed. He had been obliged to keep his bed, and was so feeble that he could hardly stand. He has ever since been under my care. His skin affection has disappeared, but he has never regained flesh as before. His condition fluctuates, but there is a feebleness of muscular power which is exceedingly striking. He has kept, with only slight deviations, to an animal regimen, preferring it to any other; and the state of the urine has continued about as it was, during the latter period of his stay, when he was in the hospital before. J. E. ADLARD, PRINTER, BARTHOLOMEW CLOSE. "It would be unjust to conclude this notice without saying a few words in favour of Mr. Churchill, from whom the profession is receiving, it may be truly said, the most beautiful series of Illustrated Medical Works which has ever been published."-Lancet. "All the publications of Mr. Churchill are prepared with so much taste and neatness, that it is superfluous to speak of them in terms of commendation." - Edinburgh Medical and Surgical Journal. "No one is more distinguished for the elegance and recherché style of his publications than Mr. Churchill."-Provincial Medical Journal. "Mr. Churchill's publications are very handsomely got up: the engravings are remarkably well executed."-Dublin Medical Press. "The typography, illustrations, and getting up are, in all Mr. Churchill's publications, most beautiful."-Monthly Journal of Medical Science. "Mr. Churchill's illustrated works are among the best that emanate from the Medical Press."-Medical Times. "We have before called the attention of both students and practitioners to the great advantage which Mr. Churchill has conferred on the profession, in the issue, at such a moderate cost, of works so highly creditable in point of artistic execution and scientific merit."-Dublin Quarterly Journal. |