aleness and increasing debility. Stupor, apoplexy and convulsions are
the forerunners of a fatal termination.

Microscopical and chemical examinations of the urine are the only
reliable means of diagnosis, and should be often repeated. (See Urinary
Signs, in Appendix.) As albumen is often present in the urine without
the existence of Bright's disease, it is impossible, except by the aid
of the microscope, to distinguish true Bright's from other affections of
the kidneys. In both purulent urine, and that containing blood, albumen
will be found by the usual tests, but in smaller quantity than in
Bright's disease. Albumen, with disintegrated epithelia, hyaline, and
large granular casts, as well as waxy casts, are peculiar to, and
characteristic of, this disease.

In the treatment of this malady, our specialist's experience has been
very great, and attended with marvelous success. Of course, after the
substance of the kidney has degenerated and broken down, and become
destroyed to any great extent, a cure is impossible. But that we now
possess remedies of great value, and specific power over this terrible
disease, we have the most positive evidence in the remarkable success
attended in its treatment. Most cases that are curable can be managed
successfully at a distance, the necessary medicines being sent either by
mail or express. Our specialists have cured many in this way who were so
bloated from dropsical effusion as to weigh twenty-five to forty pounds
more than usual. In our Sanitarium, where we have had the advantage of
our Turkish baths and other appliances, we have cured some cases in
which the removal of the dropsical effusion reduced the patient's weight
sixty pounds.

We cannot, In conclusion, too strongly condemn the general resort to
strong diuretics so often prescribed by physicians for all forms of
renal maladies, but which, by over-stimulating the already weak and
delicate kidneys, only aggravate and render incurable thousands of cases
annually. Not less harmful are the many advertised "kidney cures,"
"kidney remedies," "buchus," and kindred preparations. They all contain
powerful, stimulating diuretics, and, while they may appear for a short
time to do good, invariably render the case worse and far more difficult
to cure. The cases of Bright's disease reported cured by these
preparations are cases of far less dangerous maladies, made to appear,
by exaggerated accounts of them, as true Bright's disease. Th