The practice of surgery . re accompanied by plentiful depositof red powder—termed lateritious, fromits resemblance to brick-dust. The goutydiathesis is marked by uric indulgence in much animal food, with deficiency of exercise,and neglect to maintain a clean and efficient state of the skin, will notfail to establish it. It is obviously connected with climate—at leastwith locality; the inhabitants of certain places suffering much mure thanothers. It is also connected with age ; prevailing most in childhood, andbetween the ages of forty and sixty. It is hereditary. It may follow
The practice of surgery . re accompanied by plentiful depositof red powder—termed lateritious, fromits resemblance to brick-dust. The goutydiathesis is marked by uric indulgence in much animal food, with deficiency of exercise,and neglect to maintain a clean and efficient state of the skin, will notfail to establish it. It is obviously connected with climate—at leastwith locality; the inhabitants of certain places suffering much mure thanothers. It is also connected with age ; prevailing most in childhood, andbetween the ages of forty and sixty. It is hereditary. It may followinjury of the kidney or its neighborhood; congestion being produced inthe secreting organ. It would seem to depend proximately, either onan excess of uric acid being generated in the system—by decay of theeffete organism, or by mal-digestion of food; or on the presence of afree acid—the muriatic, acetic, or lactic—which, combining with thebase, frees the uric acid and so leads to its precipitation. Or the causes. of Dric Ac-i i. 440 THE LITHIC DIATHESIS. may be stated in another way, as by Dr. G. Bird: 1. Waste of tissuesmore rapid than the supply; as in fever, rheumatism, &c. 2. Supplyof nitrogen in the food, greater than is required for the reparation oftissues; as by excessive indulgence in animal food, and by too littleexercise. 3. Digestion insufficient to assimilate an ordinary and normalsupply of food; as in dyspepsia. 4. Obstruction to the cutaneous out-let for nitrogenized excretion; by skin diseases, or other cause. of the kidneys; following injury of the organs, or diseasewherein they are affected by sympathy. Plainly, the treatment must vary according to the cause. In thefevers already mentioned, the deposit ceases as the constitutional symp-toms subside. In other cases, the treatment may be said to be the exhibition of alkalies, with which the uric acid combines, solublesalts are formed, while at the same time—mainly perhaps by t
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