The TREATMENT for the breaking of the paroxysm is pre-eminently quinine or quinine with mercurials, and although this does not always succeed, there seems to be no other remedy. The quinine may be given hypodermically. The nausea has been controlled by morphia and lime-water, by carbolic acid, and by creasote. In addition, restorative measures are necessary, including the free use of stimulants. Turpentine has been used in large doses (fluidrachm j), it is said with advantage, in Alabama. {114} CHYLURIA. BY JAMES TYSON, A.M., M.D. The term chyluria is applied to a condition of urine in which the secretion is admixed with fat in a minute state of subdivision, whence the urine acquires a milky or chylous appearance. The proportion of fat varies greatly between such as gives a mere opalescence to the secretion and that which makes it absolutely indistinguishable, in appearance, from milk, while even the characteristic odor and taste of urine are often wanting. The further resemblance of such urines to milk is found in the fact that, on standing, a cream-like substance rises to the surface. On the other hand, a spontaneous coagulation into a jelly-like substance containing fibrin proves an unmistakable relation to blood. The chemical composition of such a urine, having a specific gravity of 1013 and neutral in reaction, is given by Beale,[1] as follows: Water . . . . . . . . . . . . . . . . . . . . . . . . . . . 947.4 Solid matter . . . . . . . . . . . . . . . . . . . . . . . 52.6 ----- Urea . . . . . . . . . . . . . . . . . . . . . . . . . . 7.73 Albumen . . . . . . . . . . . . . . . . . . . . . . . . . 13.00 Uric acid . . . . . . . . . . . . . . . . . . . . . . . . 0.00 Extractive matter with uric acid . . . . . . . . . . . . 11.66 Fat insoluble in hot and cold alcohol, but soluble in ether . . . . . . . . . . . . . . . . . . . 9.20 | Fat insoluble in cold alcohol . . . . . . . . . . 2.70 | 13.90 Fat soluble in cold alcohol . . . . . . . . . . . 2.00 | Alkaline sulphates and chlorides . . . . . . . . . . . . 1.65 Alkaline phosphates . . . . . . . . . . . . . . . . . . | Earthy phosphates . . . . . . . . . . . . . . . . . . . | 4.66 [Footnote 1: _Urinary and Renal Derangements and Calculous Disorders_, Philada., 1885, p. 73.] Such urines are of course albuminous, as will have been seen from the table. They therefore coagulate when boiled or on the addition of an acid. They also exhibit a tendency to spontaneous coagulation more or less complete, which is apt to be followed by later disintegration of the clot. The proportion of solids is larger than in ordinary urines.