I carried cut the pure culture of tubercle bacillus in the urogenital tuberculosis; namely 131 cases in mines of renaltuberculosls; one case in the pus of renal tuberculesis, 3 cases in tuber culousepidydimitis.
1) I preferred Petroff's, Lownstein- 8umiycshi's, and Hohns' methods as cultural methods and used Petroff's, glycerinepotato, potato-egg, Hohns, and Saponin-egg as media.
2) By Petroff's methods 34 cases were proved possitive in 35 microscopically possitive cases, and 16 cases were proved possitive in 20 microscopically negativeones
3) Tubercle bacillus in glycerine-potato less grown than in Petroff's medium, and treatment with sod. hydrate solution was less efficient than with sulphuric acid.
4) By my researches in Hohn's methods 33 cases were proved possitive in 34 microscopically possilive cases (with exceptions of 2 cases which proved unsuccesful by animal and cultural experiments) and 20 cases were proved possitive in 36 microscopically negative ones.
5) The results of experiments carried out by various media by Hohns' methods were as follow: -in Saponin- egg 12 cases (75%), in Hohns' 50 ones (74%), in Petroffs' 16 cases (59%) and in potato-egg 16 (59%) proved passitive.
6) By Hohn's methods the minimum days, in which colonies were found macroscopically, were 8day's in cases of Saponin-egg; 12 days, Hohns' 13days, potato-egg; 17days, Petroff's medium; while maximum and average days are as referred to table IX.
7) Petroff's and Löwensteui-Sumiyoshi's were rather complicated than that of Hohn's methods and were apt to be contaminated and chavasteristic merit of far greator simplieity and efficiency of operation by Hohn's also recognizable, and days to be refuired for developement of ealony were found shorter than by any other methods.
8) Two cases of urines which were tubercle bacilli microscopically possitive, proved negative by animal and cultural test, while one cases of urines which was negative under microscopically and cultural tests brought about tuberculous change by animal.
9) The cultural tubes are desirable to use ten glasses for each case at least.
10) I recognized that tubercle bacillus is comptely sterilied by the treatinent of 10% solution of HNO 3.
11) Hrom the experimental results mentioned above I con-inced culture is far superior to microscopical investigation and culture is not superior to animaltest, but is almost of the same value as compared with it, and it is most scrupulous to apply both methds as described above and the great charasteristic of the culture is that by which an avain type is easily obtained. Culture of the bacillus must be most necdful when tubercle bacillus is negative through microscope with suspision of existence of tuberculosis from clinical diagnosis, especially in the urine of tuberculous kidney.

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Nous avons fait une observation statistique sur hématuri e, les résultats étaitent les suivantes.
1) Pendant ces dernier neuf années et cinq mois (d'aout 1920 à la fin de 1929), les malades atteints d'urine hématurique qui sont venu à notre clinique, sont au nombre de 1202 (l'homme 799 et la femme 403), cela représente 8 p. 100 des malades de notre clinique en meme durée.
2) L'h maturie initiale 2 cas (0, 2 p. 100), l'hématurie totale 720 cas (59, 9 p. 100), l'hématurie terminale 385 cas (31, 9 p. 100), et l'hématurie microscopique 97 cas (8, 1 p. 100).
3) Le plus jeune malade était un an et huit mois, et le plus àgé était soixante-dix-huit ans. L'hématurie vient le plus fréquemment en âge de 21 à 40 ans.
4) Dans les affections aocompagnées d'hématurie, les plus souvent sint tuberculose r nale et tuberculose de la vessie (425 cas; 35, 6 p. 100), puis cystite aiguë et chronique (295 cas; 24, 54 p. 100).
5) On rapporte un pourcentage d'hématurie pour les maladies de chaque organe de voie urinaire.
Hématurie rénale essentielle......100 p. 100
Tuberculose rénale et vésicale......38 p. 100
Papillome de la vessie......76 p. 100
Caroncules......23 p. 100
Tumeurs de la prostate......29 p. 100
Calculs de la vessie......36 p. 100

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89 cases of so-called essential kidney bleeding, which had been treated in the Akutsu Hospital, were staudied statistically and were observed concerning its therapeutäc results by decapsulatio renum, which are dealt with in this communication, and obtained the following conclusions:
(1) This occurrs more frequently among the males than females. The ageal connection was the persons coming under the age group between 40 to 50 years among the males and 30 to 40 among the females were most frequently attacked.
(2) This was always lateral, sinistral kideny in the males and the dextral kidney in the females were often med with.
(3) Recurrences occurred most frepuentiy on the same side of the kidney as the primary affection developed, most cases of the recurrences being met with in the sinistral kidney among the males and the dextral kidney among the females, more than 50% of the cases had recurrences and mostly within one year from the primary affection.
(4) The function of fhe indigo-carmin excretion was always normal, as it was so with the cases treated by decapsulatio renum, in which also normal function of the indigo- carmin excretion was med with.
(5) To this disease, ergot, adrenalin, anaptol (internally), 1% of anaptol gelatin (hyoodermic injection) and 1% saline (intravenous injection) and cobination of thete methods of abministration willbring about certain therapeutic efficacies, but they have been always complained of being inconstant. These methods, however, are free. from any by-effects and, therefore, are recommeded to be tried.
(6) 9 cases had been treated by decapsulatio renum and a cure was established in 4, another 4 had a temporary ameliolation but recurrence, while only one case was unamenable. (In our Previous communication, in which 7 operated cases been reported, 4 had a cure, 2 without any efficacious results, while one missed further observation).
(7) The decapsulatio renum is, therefore, an additional method of treatment in the cases in which no other known non hemorrhagic methods of treatment proveds successful and yet the patient will still retain a physical strength enough to withstand the strain of hemorrhagic operation. This has been proved to be an efficacious method in establishing a temporary cessation of bleeding although the final therapenlts results can never be relied much upon it. It might be added here this treatment would utterly be unsuccessful agalnst cyluria.
(8) Tamura's method of intra-pelvic infusion of sodite iodite against socalled essential kidney bleeding were proved efficacious in 2 of our cases.

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