Lectures on Bright's disease : delivered at the Royal Infirmary of Glasgow / by D. Campbell Black.
- Black, Donald Campbell, 1841-1898.
- Date:
- 1875
Licence: Public Domain Mark
Credit: Lectures on Bright's disease : delivered at the Royal Infirmary of Glasgow / by D. Campbell Black. Source: Wellcome Collection.
Provider: This material has been provided by the Francis A. Countway Library of Medicine, through the Medical Heritage Library. The original may be consulted at the Francis A. Countway Library of Medicine, Harvard Medical School.
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![Etiologij of Cachectic Nephritis.—Authorities are pretty much agreed that the following constitute the predisposing causes of cachectic nephritis : Cold, damp, scrofula, syphilis, gout, mal-assimilation and unwhole- some food; scarlatina, possibly other constitutional diseases, and par excellence, inordinate indulgence in alcoholic liquors. I shall endeavour to show, in the sequel, that what we usually designate Bright's Disease is not a disease peculiar to the kidney, but the local expression of a constitutional diathesis, manifesting itself in other organs as well. Divisions and Varieties of Bright']s Disease.—Rokit- ansky describes eight varieties of cachectic nephritis; Christison has admitted seven; Martin-Solon has adopted Rayer's classification, only that he combined his (Rayer's) fourth and fifth form ; Bright described three forms, which M. Rayer thinks corresponded to his third, fourth, and sixth varieties, and he has indicated another, or first form; Johnson may be said practically to have recognised three forms. It seems to me a matter of secondary importance how pathological appearances may be arbitrarily grouped, providing a proper concep- tion of their nature is possessed. I look, then, upon simplicity of classification as a desideratum; however, as Rayer's classification may be regarded as occupying an intermediate position in this relation, I present you, in the first place, with an outline of it. First Form.—The kidney is enlarged; in the adult the weight may vary from eight to twelve ounces instead of four, the normal weight. The consistence of the organ is greater, but there is no hardness; the kidney seems as if injected with water; its surface is of a mor-](https://iiif.wellcomecollection.org/image/b2104241x_0039.jp2/full/800%2C/0/default.jpg)
