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May 22, 1926


JAMA. 1926;86(21):1626-1628. doi:10.1001/jama.1926.02670470034010

The management of patients exhibiting the varied symptoms commonly classed under the general designation of nephritis has been decidedly modified in recent years. The rationale of treatment has usually been expressed as the effort to rest the kidneys, remove the disturbing cause, and give the renal organs a chance to recuperate. These are obviously laudable purposes; but, when subjected to critical consideration, they lose something of their impressiveness. The implication that the kidneys are the only, or at least the foremost, parts of the body involved cannot be regarded as demonstrated; furthermore, it is by no means as clear today as it seemed to be a generation ago how the "rest" of the kidneys can be secured. At first thought it might seem as though starvation would represent the ideal condition for renal rest, as the function of the kidneys is "to excrete the ashes of food." But, as has

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