I desire first to draw attention to the mode of action, and range of utility, of certain diuretic agents in the treatment of renal diseases. This seems the more appropriate at this time, inasmuch as the widest difference of opinion exists among authors, as to the propriety of the general use of diuretics, in the treatment of nephritis, both in its acute and chronic forms. Some are accustomed to rely largely on the use of these agents, in the treatment of those diseases accompanied by albuminuria, while others, more notably Senator, of late condemn their use as altogether injurious. It cannot of course be denied but that the indiscriminate use of diuretics is capable of doing harm in some cases, but this is equally true of most other medicines; and it only teaches us that they should be given with a definite purpose in view, and withheld in those cases
PURDY CW. SUGGESTIONS ON SOME SYMPTOMS OF RENAL DISEASE, AND THEIR MANAGEMENT. JAMA. 1885;V(11):286–290. doi:10.1001/jama.1885.02391100006001c
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