oride in the diet.

~Uremia~ is the most dreaded symptom and develops as a result of the
retained toxins in the blood. Its development is prevented, if
possible, by reducing the amount of fluid and food, even of milk, in
the diet.

~Uremic Poisoning~ is an acute intoxication due to the abnormal
retention of these poisons and the inability of the kidneys to
eliminate them. It is combated by instituting a starvation treatment
which is followed by the above-mentioned restricted diet.

~Gastro-intestinal Disturbances~, especially diarrhea, are apt to
develop in chronic nephritis. Care must be taken to keep the meals
small in size, simple in proportion, and constituted only from the
allowed foods.

~Anemia~ follows the acute attack and is especially noticeable in
those cases in which a rigid starvation regime has been found
necessary. It may likewise be the result of a long-continued diet in
which the proteins have been reduced to the lowest possible amount.
The simple proteins in the diet must, at times, be increased and the
patient advised to take plenty of fresh air and sunshine, in order to
overcome this progressive anemia.

~Restrictions~ in the diet are essential. These consist of limiting
the amount of food and fluids as well as the type of food ingested.

~Restricting the Proteins.~--Proteins are restricted on account of the
difficulty with which the end-products are eliminated by the kidneys,
also on account of the toxic character of these substances.

~Restricting the Fluids.~--It is necessary, on account of their
difficulty of elimination and because they impose an excessive tax
upon the circulatory organs.

~Treatment~ is largely dietetic in character by reason of the
advantages just mentioned.

~Starvation Treatment~ is instituted in order that the work of the
kidneys may be lessened. This treatment consists of abstinence from
food with a definite reduction in the fluid intake. It is found to be
necessary during the acute stage of the disease.

~Extreme Thirst~, which is apt to be an annoying symptom at this time,
is relieved, as far as possible, with small sips of water or ice
pellets held in the mouth.

~Nephritic Cures~ are devised, as far as possible, to relieve the
acute symptoms and to prevent the disease from developing into a
chronic condition. Milk is the basis of most of these cures. It is
given in definite amounts at stated intervals; the quantity and
frequency with which it is given be