ermined, by chemical examination of the urine, so that we have been
enabled to treat this class of cases very successfully at a distance,
and without personal examinations. Great attention should be paid to the
diet in these cases. It should be highly nutritious, but anything of a
sweet or starchy nature must be avoided.

The following articles are wholesome and afford sufficient variety,
viz.: of animal food--beefsteak, game, poultry, fish, eggs, cheese,
cream, butter; of vegetables--spinach, dandelion greens, turnip tops,
watercresses, lettuce, celery, and radishes; of drinks--tea, coffee,
claret, water, brandy and water, beef-tea, mutton-broth, or water
acidulated with tartaric, nitric, citric, muriatic, or phosphoric acid.
The _forbidden_ articles are oysters, crabs, lobsters, sugar, wheat,
rye, corn or oatmeal cakes, rice, potatoes, carrots, bests, peas, beans,
pastry, puddings, sweetened custards, apples, pears, peaches,
strawberries, currants, etc., also beer, sweet wines, port, rum, gin,
and cider. (SEE TESTIMONIALS.)

CHRONIC INFLAMMATION OF THE BLADDER. (CHRONIC CYSTITIS.)

This affection, also called _catarrh of the bladder_, is an inflammation
of the mucous lining of this organ. It may occur at any period of life,
but it oftenest appears in the aged, and is usually associated with some
obstruction to the flow of urine.

CAUSES. It may be due to colds, injuries, irritating diuretics,
injections, extension of disease from the kidneys or adjacent organs,
intemperance, severe horseback riding, recession of cutaneous
affections, gout, rheumatism, etc.; but it more frequently results from
stricture of the urethra, enlarged prostate gland, gravel, and
gonorrhea. It is also caused by an habitual retention of the urine, and
sometimes results from masturbation or self-abuse.

SYMPTOMS. There is an uneasy sensation in the bladder, and heaviness and
sometimes pain and weakness in the back and loins. The urine is scanty,
and, although there is a desire to void it frequently, it is passed with
difficulty. If allowed to stand, it deposits more or less mucus, which
is sometimes mistaken for semen. As the disease progresses, the quantity
of the mucus increases. It is very viscid, and adheres to the sides of
the vessels, so that if an attempt be made to pour it out, it forms
long, tenacious, ropy threads. Sometimes the quantity of mucus is so
great that on exposure to cold the whole mass becomes semi-solid, and
resem