Evidence as to the nature of the diuresis following ingestion of ethyl alcohol (ethanol) suggests that it is similar to the diuresis following ingestion of water. In view of the lack of absolute proof of their identity, however, a further comparison of the two has been made in respect of certain properties by which a water diuresis can be differentiated from other types of diuresis. One such property is the response of the kidney in respect of excretion of chloride; an increased rate of urine flow is in general associated with an increased output of chloride, but, in a water diuresis, the great increase in rate of flow is accompanied by a diminished chloride output (Eggleton, 1943). The results of a series of class experiments on the effect of exercise on renal function, when different diuretics were used to promote urine flow, suggested that alcohol and water had the same effect in diminishing excretion of chloride (Eggleton, 1945), whereas tea increased it. The matter has now been investigated more fully and under more standardized conditions, without the additional effects of exercise.
METHODSThe general procedure was the same as that used in previous investigations. Each experiment was performed at least 5 hr. after the last meal, usually in the early afternoon; if in the morning, breakfast was omitted. Usually a glass of water was taken 2-3 hr. before the experiment began, to ensure a reasonable state of body hydration. In the experiments now reported, all substances under investigation were taken by mouth, and at least one urine sample was collected before their ingestion.In a few of the earlier experiments, urinary chloride was determined by the electrometric titration method (Eggleton, Eggleton & Hamilton, 1937); in the remainder, a direct titration method, using tartrazine as indicator, was used with complete satisfaction. This method is simple and was foun& to be unexpectedly accurate over a wide range of chloride concentration in urine. The urine was delivered slowly from a 10 c.c. micro-burette into a boiling tube containing 2 c.c.
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