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Show ! What the Doctors Say Concerning the Japanese Emperor's Death A GREAT emperor has passed away. According to the despatches published W by the news agencies, he was attacked JM bj three diseases typhoid fever, diabetes ggS and albuminuria. Jn reality it w as a case or long standing diubctcs, recently coni- B. plicated by albuminuria. In regard to H tho occurrence of fever, this was due to B , the uraemic symptoms. S' The occurrence of urinary albuminuria I I i a symptom to which ottention must cor- ;5l fE. xaluly be given, but it is not necessarily S. alarming. It may be tcmpoiary and with-m with-m out any real bignlGcnnce. The symptoms at may also be connected with a dyspeptic ft condition and may persist till the diges-g diges-g tion is improved, but it may also depend E oa a lesion of the kidneys, which is a spell spe-ll cially serious factor and presents all the Ml I signs of the affection usually known as r II "Bnght's disease" s51 II c The kidneys uiaj become diseased iu two i ways. Either the p.ironchjina of the Jf II f glomeruli that is, the tissue of the kld-U kld-U ll 'i , neys degenerates, oi the glomeruli them- .'; sehes, undergoing compression through t ' the prolific growth of the intestinal tissues, 55i aro uo longer ublc to ltilfil their proper iffi jt : function of purif.viug the blood. Hence a VA! I distinction is made between pareuchjina- 3A) 10U3 albuminuria and luttstiual albiunl- Vtfr Although it sometimes happens dial j5 ' these two forms mjy occur separately, 5g jv most frequently they nre found iu eom- 5i, bination, Ith one or the other condition tl?.v .f picdouiiuating. in the legions in which w? l'ie Parenchymatous foiru is predominant jSVjji the albumen exials in large quantities and B 4- may nmuilut to G.S or 10 grammes iu a PB jl litre and even mirc. Up v It is ery probable that the interstitial QS 'k form predominated in the case of the Em- B J perur of Japan, since the albumeu, which BwJk had attained 3 grammes a litie, was sub- HHlf ccqucnTly reduced to 1 jpMiuiue. Iu fact, this ujs an instance of an iu-leisfitial iu-leisfitial form of Bright s disease developing develop-ing in consequence of diabetes in an arthritic ar-thritic patient. There wero very probably preliminary symptoms of arterial hypertension, hyper-tension, w'uch passed unnoticed, but prepared pre-pared the way for nephro-sclcrosis, or induration of the kidney, becoming evident evi-dent by the presence of albumen and by the short, quick breathing occurring at intervals often exhibiting what is known as the- Cheync-StoI.cs rhythm. This is symptomatic of uraemja, or the retention iu the blood of the toxic matter mat-ter which it is the function of the kidneys to eliminate. The Cheync-Stokcs respkntorj rhythm, frequently alluded to iu connection with the Emperor of Ju pun's illness, is not, however, absolutely restricted to tho dysp-:uca dysp-:uca of Bright's disease. It consists of respiratory movements quickening in series and then slackening and stopping completely for a considerable interval. A paust occurs until a new series begins, and the movement is repe.ifbd. These difficulties In breathing aro due sometimes some-times to the presence of a broncho-pulmonary oedema. Thu retention iu the blood of the toxic tox-ic nuitter due to vital phenomena is the most iiupoitiiut factor in untune troubles. Experiment lias proved that when two guinea pjgt are iujected with the same quantity of urine, in the one case from a man whose kidneys arc sound and in the other from a man whose kidneys are diseased, the animal in .he tirst instance is almost inatautlj killed, while the second sec-ond animal supports the same dose without with-out any appreciable reaction ThLi is because the uonuul urine is charged with toxic mailer eliminated fiom the or-guuiiui, or-guuiiui, whilo ihe urine from the dUeahcd kidncjs contains but little or less than normally This observation serves as a guide for1 the medication to be recommended. First i of all, a dletao giving the minimum toxic tox-ic matter is needed, and milk is the least injurious of all aliments. Milk, being very diuretic, has the further advautage of cleansing tho ailing organs Doubtless, milk is contra-indicated in the ense of diabetic patients, since it increases the amount of the sugar, but the lesser of two evils must be chosen. It is bettor to increase the sugar a little and at the same time increase the urine with a consequent diminution of the al bumem Wheu the urination is insutli-cient, insutli-cient, it may be stimulated by medication, medica-tion, in this case theobromine acts In a remarkable manner by Increasing the urine in notable proportions, while at l the same time it reliees the difficulty of breathing by its sedathe qualities, and often induces sleep. But if the breathing trouble still remains re-mains uxceifsiM. it may be diminished by' liberating considerable quantities of orj-geu orj-geu in close proximity to the patient, and' by inuiHfatiug with this gas both the pu tient and the air of the room in which liis li-is lying; It was hoped for a time that, despite his grave condition, the suong constitution of the Emperor might still tiiumph, temporarily tem-porarily nt least, mid the decrease iu the albumen appeared, to be, an etcelfeut .iu-gurj. .iu-gurj. The most important point at that juncture was to eJl'eet some touipuruiy if-lief if-lief and, to. qereomc the immediately threatening symptoms, such an the difficulty diffi-culty iu bieathlug. It was thought laier that severe aiit prolonged ircatinenL might to sonic extent cure the alfectcd kidneys. But it as uot to be; despite ihe efforts, ihe science and the solicitude of the doctors doc-tors ; det-pitc the hypodermic iujeeiions of camphorated oil, which for some tunc .sustained 'the' action. of tlie'heart, the Emperor finally succumbed to, heart failure. Althuiigh the disease was in ihe kidneys 'thedauger was iu the beau. The 4V3D,a;li )Va cilrri(:i awuj by syn cop. |