300 
The Philippine Journal of Science 
1921 
much on the amount of fluid taken, and the amount of the same 
lost by sweating, that it is impossible to make a definite state- 
ment on this point. The reaction and specific gravity also vary 
within wide limits. 
If chylous urine is passed into a urine glass, in many cases 
the whole becomes coagulated within a very short time. This 
coagulum slowly contracts, becoming redder, denser, and more 
fibrous. The clot at first floats in a milky fluid, which in due time 
separates into three layers, consisting of a whitish pellicle on 
the surface, in the middle a thick stratum containing the 
coagulum in the meshes of which embryo filarise can be usually 
found, and at the bottom a little reddish sediment which some- 
times contains a few small clots of blood. 
The main part of the fatty matter is contained in the middle 
layer in a granular condition. Microscopical examination shows 
the lowest stratum to contain lymphocytes, cells like red blood 
cells (and in some cases probably true red blood corpuscles), 
urinary epithelium, crystals, and a few filarise. Of course, in 
some cases filarial embryos are absent, as in cases where, the 
parent worm having died, the lymphatic varix still persists. 
One good way of finding them is to centrifugalize the urine 
as soon as passed. This way has acted well in the few cases I 
have personally had to treat. 
Ether shaken up with the urine removes the fat, and boiling 
the urine brings down the albumen that it contains. 
Usually the urine is most chylous toward evening, and Man- 
son (33) has clearly shown that the presence of the filaria in the 
urine is not regulated by the law of periodicity governing its 
presence in the blood. 
Treatment is eminently unsatisfactory. It cannot be said that 
we have any drug that has been proved to have any effect what- 
ever on the disease; nor is it clear what some of the drugs 
used are intended to do. If they are intended to kill the parent 
worm, their use may be very dangerous. Chyluria is not a dis- 
ease that can be called dangerous to life, whereas a dead parent 
worm at the back of the abdomen is a very different matter. 
Personally I would rather keep the chyluria, if I were so unfor- 
nate as to acquire it. If it is intended to diminish the pressure 
in the lymphatic area, it is difficult to see how these drugs are 
going to accomplish the desired end. Those that have been 
specially recommended in the treatment of this disease are the 
following: Gallic and benzoic acids, thymol, beta-naphthol, methy- 
