TREATMENT - CHYLURIA.
Now that the true pathology of the disease is understood, the reason of the hopelessness, in most cases, of treatment is fully appre ciated.
Manson insists that the main point is to endeavor to get the rup tured varix, by which the chyle is leaking into the urine, to heal; and the patient therefore should be kept as much at rest as pos sible, by which means the ruptured lymphatic is afforded the best chance of healing.
Simpson, of Assam, reported four cases, in two of which the urine became natural in ten days after 5 gr. of gallic acid and from 4 to 15 minims of tincture of perchloride of iron, thrice daily, and two cases which cleared up in fourteen clays under perchloricle of iron and large doses of quinine. In one case, gallic acid and thymol were used with success. Waters and Bence Jones gave one or two drachms of gallic acid a day. Roberts speaks well of large and sus
tained doses of iodide of potassium.
In Guiana, it is stated (Roberts) that a decoction of mangrove bark, Rhizophora racemosa, has effected cures, and the seed of the Nigella saliva has also been lauded in India. Thymol is also advised by Laurie.
Pressure has been tried by Dickinson, an abdominal tourniquet being applied, and a partially successful endeavor to stop the regurgi tation of chyle toward the lymphatics has been thus carried out, but this can be followed only by temporary relief.
Dickinson records a case in which chyluria disappeared after an injection of a solution of perchloride of iron into the bladder. On the whole, treatment is practically nil, as the parent worms cannot be dislodged from their habitat in the large lymphatic trunks of the ab domen.