The essentials of treatment consist in fomentations to the small of the back; warm baths, followed by wrapping the patient in warm blankets, so as to continue the sweating; vapor baths, and hot-air baths.

These measures are, according to Niemeyer, much more effective, and much less likely to be attended by bad results, than the use of drugs to produce activity of the skin.

The Turkish and Russian baths, should, however, be avoided. The patient should practice drinking considerable quantities of water daily. Care should be taken that the water is pure and soft. When natural water answering these requirements cannot be obtained, well filtered water, or distilled water should be used.

Condiments, tea, coffee, tobacco, and all spirituous liquors, should be scrupulously avoided. Animal food should be used only to a very limited extent. Meat may be better avoided altogether. Milk may be used moderately, and fish and eggs occasionally.

One of the most important of all hygienic requirements is careful attention to the maintenance of proper warmth of the body. The patient should take care to avoid overheating of his apartments, securing also a plentiful supply of fresh air. He should be extremely careful not to venture out of doors in cold damp weather, at least without being so thoroughly protected as to make chilling of the body or even coldness impossible. Warm woolen clothing should be worn next to the skin.

The use of medicines and mineral waters which excite excessive activity of the kidneys is regarded by experienced physicians as a pernicious practice. The kidneys need rest, instead of overwork, and rest should be given them by compelling the skin to do as large an amount of their work as necessary, to relieve them as much as possible. The use of opiates is also extremely objectionable, as it diminishes the activity of the kidneys, and hence increases the liability to poisoning from the retention of urea.