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When by the taking of flesh foods the blood has become saturated with uric acid and the annoying symptoms of collaemia make their appearance in the forms of lassitude, headache and nervous depression, then alcohol and the xanthines contained in coffee, tea and tobacco will cause the precipitation of the acids from the circulation into the tissues of the body, and thus temporarily relieve the collaemic symptoms and create a feeling of well-being and stimulation.
Anything that is recognized as especially loaded with nuclein and xanthin bodies, such as liver, sweetbreads and kidneys, should be prohibited, as tending to cause uric acid disturbance; and the more tendency to gout or uric acid malmetabolism the more irritated are the arteries and the more disturbed the blood pressure.
Those who have read this chapter carefully, will know why this effect is deceptive and temporary and why it is followed by a return of the collaemic symptoms in aggravated form, and how these are gradually changed into chronic arthritic uric acid diseases.
Now uric acid diathesis may be, and very often is, caused by high living, but often, too, it is due to quite different causes. Just as in the case of Bright's disease. I do not deny that Luther drank freely both beer and wine. So did everybody else.
If there is a hereditary tendency to rheumatism or gout, the disease is most apt to take on an active form at this time. In either case the manifestation of the disease indicates an excess of uric acid in the system, and a diet becomes a necessity. Pickles, all highly spiced articles of food, and vinegar must be omitted from the bill of fare.
Together with oxalic acid, it is responsible for arteriosclerosis, arthritic rheumatism and the formation of calculi. Dr. Haig of London has done excellent work in the investigation of uric-acid poisoning, but he becomes one-sided when he makes uric acid the scapegoat for all disease conditions originating in the organism.
It was much dilated, and only a small amount of the kidney-substance remained. A calculus blocked the ureter at its commencement. The patient was a woman of thirty-one, and made a good recovery. From the Middlesex Hospital was a kidney containing a uric acid calculus which was successfully removed from a man of thirty-five.
Diarrhœa is sometimes present. The urine is usually scanty, of high specific gravity, rich in nitrogenous substances, especially urea and uric acid, and in calcium salts, while sodium chloride is deficient. Albumin and hyaline casts may be present in cases of severe inflammation with high temperature. The significance of general leucocytosis has already been referred to.
The wine of life is heady, but all too quickly it turns to " "Uric acid," interpolated the wild Irish playwright. "They's plenty more of the good things," Billy took up with a sudden rush of words. "Good things all the way up from juicy porterhouse and the kind of coffee Mrs. Hall makes to...." He hesitated at what he was about to say, then took it at a plunge.
This method of treatment, if faithfully persisted in, will cure the worst case of dyspepsia, with all its attendant misery. Both chronic and acute rheumatism are diseases of the blood, due to an excess of uric acid. The presence of this acid is due to excessive and imperfect action of the liver.
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