other types of nephritis. The
disease is manifested by slight headache, gastric disturbances, and a
frequent desire to urinate.

~Dietetic Treatment.~--The treatment here depends upon the extent of
the impairment of the functions of the kidney. If the damage is not
extensive and the diagnosis has been sufficiently early to insure
prompt improvement upon treatment, the diet is so directed as to
prevent the occurrence of any of the acute symptoms. The patient is
warned against overeating and drinking, over-exercise and nervous
excitement. When it is possible, a change to a warm, dry climate is
advisable with more rest and sleep and less work and worry. He is
advised to eat less at meals and if hungry to eat a light lunch of
milk or buttermilk with crackers in the mid-morning. The same dietary
precautions must be taken in these disturbances as in other nephritic
conditions, keeping always in mind the fact that the kidneys are the
chief organs of excretion in the body, and through them must pass the
majority of all end-products of nitrogen metabolism.

~Limiting the Nitrogen.~--The nitrogenous foods cannot be eliminated
entirely, especially if, as is often the case, the individual suffers
from chronic nephritis and is up and about attending to business; but
they can be judiciously regulated in the diet. All such foods as fried
foods, rich pastries, rich sauces and gravy, spices of all kinds, tea
and coffee, celery and asparagus, must be avoided.

~Limiting the Fluids.~--von Noorden limits the amount of fluid to
1-1/4 liters per day. This does not include the water content of the
various foodstuffs. He advises a period of observation to determine
the amount best suited to the condition of the patient and reducing
this amount from 250 to 150 c.c. a day until the desired quantity is
reached. He advises a drinking day once a week, allowing the patient
to drink as much water as he likes.

~Development of Uremia.~--Whenever evidences of uremia appear the
treatment must be changed to meet the condition. It is necessarily
more strenuous than that used ordinarily in the chronic nephritis. If
the uremia becomes positive, then the treatment laid down for acute
nephritis already described must be at once instituted. The patient
must be put to bed at once and every effort made to assist the body in
getting rid of the causes.

In certain cases of nephritis, in which uremic poisoning is due to the
retention of the end-products of ni