The same precautions respecting diet, clothing, etc., should be followed as prescribed for acute Bright s disease. Prof. Niemeyer and others have claimed excellent results from the use of an exclusive milk diet in this disease, without the use of medicines or any other remedy. The quantity taken is from two to three quarts daily. In many instances persons have greatly improved by this diet, dropsy and other symptoms being relieved in a remarkable degree. In one case, in which we used this remedy, the patient made very marked improvement, which has continued up to the present time, now nearly two years. Buttermilk has also been highly recommended as a diet remedy for this disease. The more closely the patient will confine himself to fruits and grains, the better it will be for him. Meat should be discarded altogether, and also coarse vegetables, such as asparagus, turnips, cabbage, and particularly beans and peas. Irish and sweet potatoes are, in fact, about the only vegetables which can be eaten without detriment.

All possible measures should be employed to build up the patient's health, such as gentle exercise in the open air, sun baths, and tonic applications of electricity. It is also well for him to wear a moist abdominal bandage to encourage the activity of the liver, as well as kidneys. He should drink daily a considerable quantity of water, and care should be taken to keep the skin in as active a condition as possible. The best means for this purpose are the wet-sheet pack, hot-air bath, vapor bath, and inunction with vaseline, sweet oil or cocoanut oil, two or three times a week.

When the dropsical accumulation becomes very great, the hot-air bath should be used daily. In extreme cases, the sweating should be prolonged after the bath by wrapping the patient with warm woolen blankets, surrounding him with hot bags and bottles of hot water, and giving him warm drinks in abundance. In case vapor or hot-air baths cannot be conveniently employed, active sweating may be produced by covering the patient warmly in bed, and surrounding him with bottles of hot water, over each of which has been drawn a stocking wrung out of warm water. This is an excellent means of producing vigorous sweating. It is known as Sir James Simpson's bath, having been first suggested by that eminent physician. When the patient has severe vomiting, give lemon juice in small sips, ice-cold or hot water, or allow him to swallow small bits of ice. Hot fomentations or a mustard plaster over the stomach will sometimes give relief. Applications of ice to the head, and alternate hot and cold rubbing of the spine by means of a sponge dipped in hot water and a small piece of ice, constitute the best means of combating the drowsiness and tendency to coma and convulsions.

Great swelling of the limbs sometimes requires puncturing of the skin, to allow the effused fluid to escape, as the circulation may be interfered with so much that it cannot be relieved by sweating.