e use of
these general, ready-made or proprietary remedies in any case of true
Bright's disease is hazardous in the extreme. In no disease is there
greater necessity for treatment nicely adapted to the exact condition of
the patient (which should always be carefully ascertained by
microscopical and chemical examinations of the urine) than in this. As
it is a disease that runs a slow course, there is always time to send
samples of the urine for examination by expert specialists, and no other
physician than a specialist of large experience should be entrusted with
the treatment of a malady so dangerous in its character, and in the
diagnosis and treatment of which general practitioners commit such
frequent, and often fatal, errors. (SEE TESTIMONIALS.)
DIABETES. (POLYURIA AND GLYCOSURIA.)
There are two essentially different varieties of this disease, one of
which is called _Diabetes Insipidus_, or _Polyuria_, and the other
_Diabetes Mellitus_, or _Glycosuria_. The first is characterized by an
increase in the amount of urine excreted, and yields readily to proper
treatment. The second is characterized by the presence of sugar in the
urine, and under ordinary treatment often proves fatal.
The _causes_ are obscure, and are therefore not very well understood by
the profession.
SYMPTOMS. A notable increase of the quantity of urine excreted is the
first symptom which attracts the patient's attention. Frequently,
several quarts, or even gallons, of urine are daily excreted, and it is
paler than natural. The patient experiences extraordinary thirst, and
has an almost insatiable appetite, though at the same time he loses
flesh and strength. The tongue may be either clammy and furred or
unnaturally clean and red. The bowels become constipated, and a peculiar
odor is observed in the patient's breath and exhales from his body. The
skin becomes harsh, dry, and scurfy. There are dizziness, headache,
dejection, lassitude, and not unfrequently blindness, caused by
cataract, is developed in one or both eyes. The intellect is blunted,
and, as the disease progresses, the emaciation and debility increase,
and pulmonary diseases develop; or, perhaps, an uncontrollable diarrhea
sets in, and the patient dies from exhaustion.
In this disease, as in Bright's, we have many medicines that produce
specific curative effects, enabling our specialists to treat it with
greatly increased success. The disease is readily diagnosticated, or
det
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