URINARY CALCULI.
which is so frequently emitted by persons, threatened
with the stone, consists always of this acid. As oxalic
acid does not exist in urine, some morbid change must
take place in the urine when calculi composed of oxalat
of lime are deposited. Brugnatelli’s discovery of the
instantaneous conversion of uric acid into oxalic acid
by oxy-muriatic acid, which has been confirmed by the
experiments of Fourcroy and Vauquelin, throws consi
derable light upon the formation of oxalic acid in urine,
by shewing us that uric acid is probably the basis of it;
but in what manner the change is actually produced, it
is not so easy to say.
As our ignorance of the cause of urinary concretions
puts it out of our power to prevent their formation,
the ingenuity of physicians has been employed in at
tempting to discover substances capable of dissolving
them after they have formed, and thus to relieve the
human race from one of the most dreadful diseases to
which it is subject. These attempts must have been
vain, or their success must have entirely depended up
on chance, till the properties of the concretions them
selves had been discovered, and the substances capable
of dissolving them ascertained by experiment. I shall
therefore pass over the numerous lithanthriptics which
have been recommended in all ages, and satisfy myself
with giving an account of the experiments made by
Fourcroy and Vauquelin to dissolve stones by injections
through the urethra, made after their analysis of the
urinary calculi.
The component parts of urinary calculi, as far as sol
vents are concerned, may be reduced under three heads:
1. Uric acid and urat of ammonia; 2. The phosphats;
3. Oxalat of lime.
459
Chap. II.
Attempts
to discover
a solvent of
calculi.