The Prophylaxis And Treatment of Internal Diseases: Designed for the Use of ...

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The Prophylaxis And Treatment of Internal Diseases: Designed for the Use of ...
Frederick Forchheimer
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Experience has shown us that catharsis is of enormous value in nephritis; hydragogue cathartics are invaluable — jalap, elaterium, the salines. Person- BRIGHTS DISEASE 447 ally I should not like to be deprived of them in nephritis ; water retention is relieved, but above all, various substances, such as urea, uric acid, phosphates, and, to judge solely by results, a large number of toxic bodies are eliminated by the intestines.
The action of diuretics depends upon the amount and structure of re
...nal secretory substance that can be affected by them. From what has been said, it is improper to make use of them in a routine way, because the diseased organ is so stimulated that harm may eventually be done. An exception to this is foimd in the use of digitalis, which, while it acts indirectly as a diuretic, gives rest to the organ in relieving abnormal circulating conditions. The other diuretics — diuretin, caffeine — should be used in emergencies, their eflRciency having been proved ; but the number of cases in which they are applicable is limited, and precise indications cannot be laid down for their use.

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