theobromine, benzoate of soda, and sufficient gum. Hot air-baths, 
hot hip-baths, linseed poultices to the loins or a localised hot pack 
can be tried. Carroll' suggested that a hypodermic or rectal injection 
of urea (ro gramme) might be given if anuria is impending. 
in order to ascertain if the kidneys are freely functioning, the 
patient should be trained to use the bottle every two or three hours, 
in this way we can gauge the reacting power of the kidneys. It 
sometimes occurs that the urinary bladder becomes paralysed, and 
therefore if no urine is being voluntarily voided, the patient should be 
catheterized. Retention of the urine is usually a bad omen. 
Alcohol in the form of good sound champagne is generally used 
It is a useful stimulant and is well taken by the patient. A good 
Rhine wine is preferable. Vichy should be added to the wine. Do 
not use red wine, as, should the patient vomit, the mixture might be 
mistaken for black vomit. 
Irrigation of the lower bowel with sodium sulphate should be 
tiied. Never despair of your case so long as the urine continues to 
flow. It has been suggested to perform decapsulation of the kidneys; 
it may be tiied, as the pathological processes are not so intense that 
all the kidney substance is destroyed. 
Vomiting. 
1 his is a most common symptom. It is usually present in the first 
iouis after the onset, but with abstinence from all food andcare- 
u y legulated drinking of Vichy it generally ceases. In alcoholics or 
patients who have previously suffered from gastritis, vomiting is apt 
o be a marked symptom of yellow fever. Cease giving any liquids 
Vi h fl° uis and then cautiously begin with spoonfuls of iced 
st' C1> ui ! Patient complains of thirst let him wash his mouth with 
S ac s. tea or acid lemonade, but do not allow him to swallow. 
Chi vf >1S1 « n ^ mustard or an ice-bag to the epigastrium is useful 
^ applied in a line spray to the epigastric region when a 
Vo VOrn ^‘ n ^ * s about to occur, very often stops the attacks 
vomit' .i U1CS musl b e given by the mouth for some hours after 
clyster* % iv- S * e ^ SCt1 ' (j * ve *be alkaline treatment in the form of small 
_ 1Car ° nate of soda - Sucking cracked ice is useful in nausea- 
Carroll, lor. dt. 
