his treatment upon certain and positive knowledge of the
patient's real and true condition.

The usual symptoms of chronic disease of the kidneys, but which vary
materially with the age, constitutional peculiarities and temperament,
are weakness in the small of the back, pains in the region of the loins
and groins, numbness of the thigh on the side of the affected kidney
(for often only one organ is affected), high-colored and often scalding
urine, many times depositing a sediment, sometimes white or milky urine,
bloody urine, frequent desire to pass the urine, partial impotency,
pains in the testicles and shooting into the loins, suppression or
inability to pass the urine, gravel, stone in the bladder, dropsical
swellings, swelling of the testicles, irritability and pain in the
bladder, mucous and sometimes seminal discharges oozing from the
urethra.

WHEN THE BLADDER IS AFFECTED the prominent symptoms usually complained
of are irritability of the bladder, accompanied by a frequent desire to
urinate, inability to retain more than a small quantity of urine, and
this for a short time only, pain in the region of the bladder, extending
into the back, thighs, etc., hot scalding sensations in passing the
urine, sediment in the urine, and sometimes bloody urine. The appetite
is usually diminished, there is a depression of spirits, the urine is
often passed only by drops, and is irregular in quantity and quality,
frequent inability to pass the urine at all, in males partial impotency,
with dull disagreeable pain in the testicles and irritation of the
urethra, attended with mucous and sometimes seminal discharges oozing
from the urethra. Some of these symptoms may be present as the result of
functional or organic disease of other organs than the kidneys or
bladder, and to distinguish them with positive certainty is impossible
without the aid of a microscopical and chemical examination of the
urine.

* * * * *

BRIGHT'S DISEASE.

This affection may appear in either an acute or chronic form. The acute
form is frequently a complication, or sequel of scarlet fever,
diphtheria, cholera, typhoid fever, erysipelas or measles, and is
frequently developed by intemperance. The acute form of the disease is
very rapid in its progress, often destroying life by uraemic
poisoning--the retention of urea in the system.

The symptoms of the acute form are diminution or suppression of urine,
dry ski