438 THE NEW ZEALAND FAMILY HERB DOCTOR 
the back and in the deep muscles of the limbs and body. 
His appetite was poor and his bowels constipated; he was 
restless and uneasy. ‘There was cedema under the eyes, and 
the countenance had a dingy, jaundiced and pinched 
expression. The urinary examination determined that he 
passed from twenty-four to thirty ounces in twenty-four hours. 
The colour was very dark. The reaction was acid, and there 
was a heavy sediment. The specific gravity was between 
1010 and 1012; urea, urates, uric acid and the phosphates 
were all very deficient. Blood was present in large quantities, 
and formed the greater part of the sediment. Albumen 
precipitated, formed 25 per. cent. of the bulk of the urine. 
There were tube casts alsoin abundance. ‘This case, from 
these symptoms, I diagnosed as a case of true Bright’s disease 
in an early stage of the severe inflammation, with 
hematuria, induced probably by overwork—by liiting, perhaps. 
For treatment, I prescribed the tincture of the chloride of 
iron fifteen drops in water four times daily, with dry cups over 
the kidneys. ‘There being no change in one week, I ordered 
gallic acid, ten grains alternated with the iron, every two hours. 
For diet I proscribed all starchy, saccharine and fatty foods, 
and ordered lean beef once daily ; skimmed milk drank freely, 
and other nitrogenous food. He continued to lose in strength 
and weight until about the end of the first month of the 
treatment, when the improvement began—very slow at first, 
scarcely perceptible, afterwards more rapid and satisfactory in 
every particular. Urine lighter in colour and but little 
sediment; specific gravity increasing and the albumen reduced 
two-thirds. Gave one-fourth grain extract of nux vomica four 
times daily for another month, and then discontinued the 
gallic acid, and gave iron and nux alternately. The improve- 
ment was gradual and permanent. He assumed his usual 
work in September, at which time the albumen had almost 
entirely disappeared, and the urine had assumed the amber- 
yellow colour of health; specific gravity about normal; 
quantity increased by three pints. In January, after a three 
