The neuroses of the genito-urinary system in the male with sterility and impotence / by R. Ultzmann.

  • Robert Ultzmann
Date:
1902
Catalogue details

Licence: Public Domain Mark

Credit: The neuroses of the genito-urinary system in the male with sterility and impotence / by R. Ultzmann. Source: Wellcome Collection.

Provider: This material has been provided by the Augustus C. Long Health Sciences Library at Columbia University and Columbia University Libraries/Information Services, through the Medical Heritage Library. The original may be consulted at the the Augustus C. Long Health Sciences Library at Columbia University and Columbia University.

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    in every case by dividing the spinal cord in the cervical region. According to Maly, the acid reaction of the urine is brought about by the separation of acid salts in the urinary system (in the renal tubules) by the process of endos- mosis, from the alkaline mixture of inorganic salts as found in the blood serum. Yet according to the theory of secretion as taught by Baumann and lately by Heidenhein and Wittich, the renal epithelium is the structure which should sepa- rate the fixed constituents of the urine. In ac- cordance with this view it may also be assumed that the renal epithelium is the structure wliich prepares acid urine from alkaline blood, as indeed is accepted also by Kiihne. At any rate the whole secretion of urine, as we have already shown, is under nervous influence; it is no wonder then if in nervous affections, as a rule, a disturbance or change in the secretion of urine is brought about, so that a neutral or even faintly alkaline urine is excreted. An essential result of the neutral or alkaline reaction is the turbidity which such urines assume on heating, the earth}/ phosphates being precipitated. Heller has already remarked this phenomenon, and has designated it as a char- acteristic occurrence in diseases of the nervous system. Heller calls these earthy phosphates precipitated by heat bone-earth [Knochen- erde], because the precipitation shows a chemi-
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