NEPHRITIS. 221 



some collected in a perfectly dean vessel; this should at once be 

 carefully transferred to a clea7t bottle, tighth^ corked down and 

 forwarded to the nearest analytical chemist without loss of time, 

 and should the report confirm the natural suspicion that tube 

 casts, albumen and possibly blood are present, good reason will 

 exist for administering Cantharis -^yiovoxy three hours; should this 

 fail to give relief in the course of twelve hours, and the suppres- 

 sion of the urine thereafter becomes complete then Tcrebinthina 

 IX must be tested. 



In those cases wherein the effusion under the skin is very pro- 

 nounced and the exhalations from the skin have a decided urinifer- 

 ous smell, Terebinthina should be given in the first instance, and 

 when the urinary troubles are relieved therefrom, but the effusions 

 remain as large as before, Apis niel. ix three times a day should 

 be given. This urinary difficulty occasionally arises as a sequel 

 to strangles or influenza in the horse; when this is so, and the 

 dropsical condition about the chest and other parts is slow to be 

 removed, Arsenicum 3X grains ten three times a day will often 

 effect the desired object and otherwise tend to restore the animal 

 to a good state of health and vigor. 



To return to the other group, nameh^ Interstitial nephritis, or 

 inflammation of the connective tissue of the organ, we have to 

 deal with a far more serious condition of affairs, but fortunately 

 for horse owners one only rarely observed in that animal; it has 

 been stated that it may start as a sequel to tubal nephritis or in 

 an independent character of its own; moreover, the extent of the 

 parts affected varies, which no doubt makes a deal of difference in 

 the results of treatment. By a remarkable coincidence, so far as 

 cause and effect have a bearing upon the treatment suggested for 

 this description of renal inflammation, we find that the late Prof. 

 Robertson in his masterly work on " Equine Medicine,'" when deal- 

 ing with the ' ' causation ' ' of this morbid condition states, ' ' slow 

 ingestion of lead and some of its salts are said to induce the 

 condition," while Dr. Hughes in \)xs Manual of Therapeutics \n 

 the chapter devoted to this subject affirms, "I have always 

 pointed out that our most hopeful outlook is in the direction of 

 Plumbum.'''' In comparing these two statements, emanating as 

 they do from such eminent authorities, we are compelled to come 

 to the conclusion that a distinct pathogenetic and therapeutic 



