I have specially chosen this subject for my present essay for the reason that I have noticed in the recent period a remarkable increase in this country of its spreading reports and the actual increase in its sufferers.
Other than the cammon case of kidney syphilis, I have examined personally three cases of this disease in the haematurie (bloodurine) stage, on which subject I would wish to narate in the following, from the experiences I have gained from three patients.
First case: January 12, 1932. Sixteen years old boy. The mother of this boy has had two abortions before his birth and this boy himself was born in the form of premature labour of 9 months. Two years after his birth, the mother experienced her third abortion, but since after the following 3rd and 5th years she had borne healthy children. The intellectual development of this boy was very much below normal and had not been able to attend school till his present age of sixteen. In fact his intellectual abilities were no more than that of a child of rive or six years. The principle symptoms I had found on this boy were the swelling and red on his one eye which pained to a certain extent; oedema on his face and feet; urine in the haematurie stage. I was informed that since two weeks before his visit to me he complained of disturbance in his eyesight and the swelling and pain on one eye, at the same time loosing apetite and his urine lessened contaminating to blood urine. The patient appears very old in comparison to his age and a glance would show his features as that of an aged man. His countenance depicted idiocy. His eyes were diagonised by the occulist as being keratitis parenchymatosa specifica. His left ear was deaf and his teeth showed symptoms of hereditary syphilis. Kidney bladder pained when pressed and oedema appeared about his face and feet. Blood pressure 130m.m. Hg. The urine is tinted with blood and its specific gravity 1032. Albumin 0.5%. Urine cylinder, epithel cell and red blood cell was found in abundance. No traces of tubercle bacilli or other bacilli were discernable. Wasserman's reaction revealed strong positive. He became a patient in my hospital.
Treatment: Neosalvarsan 0.075 every two days; Bithmuth (named Milaneuen) 0.5 every two days. I had applied the above treatment for four days and the result was that the urine increased in quantity and the blood in its process ceased completely. The albumin was found 2.0%. From the 6th day I applied Neosalvarsan 0.15 once a week, Milaneuen 0.7 twice a week Kali jodati 0.75 every day. Two weeks of this treatment completely cured the oedema and in a month his left eye became well. I stopped applying the Salvarsan on the 15th injection and on April 21st wasserman's reaction revealed weak positive. The same treatment was repeated for the following 3 weeks and on May 30th the result shown by wasserman's reaction to be negative. As to my opinion on this case, judging from the birth history of his mother and the present condition of this patient, the disease is certainly hereditary syphilis, which was accompanied by keratitis parenchymatosa syphilitica, haematurie, oligurie and oedema. I had succeeded in curing all these by my systematic antileutic treatment, but the treatment had no effect on his idiodical condition. I am still without knowledge from where the blood in the urine originated; whether it be from nephritis, nephrose or from the kidney gummata.
Second Case: November 28th 1931. Fifty-five years old wife. The principle focus point in this case was the swelling of the Tibia-bone. About a year ago she was suffering from Dysurie which was treated in a hospital with a very good result. From the summer of 1931 she commenced suffering from ringing in the ear, deafness, headache and painful swelling on the bone of right tibia of the left thumb. Her first birth resulted in seven months abortion and her second, third and fourth children were born but died immediately after birth. Her fifth, sixth

View full abstract