Homeopathic Materia Medica

Lac vaccinum defloratum

Alias: Lac-d., Lac defloratum

Pocket Manual of Homoeopathic Materia Medica, William Boericke

Skimmed Milk (LAC DEFLORATUM)

A remedy for diseases with faulty nutrition; sick headaches, with profuse flow of urine during pain. Car sickness.

Head.--Despondent. Pain begins in forehead to occiput, in morning on rising. Intense throbbing, with nausea, vomiting, blindness, and obstinate constipation; worse, noise, light, motion, during menses, with great prostration, and better by pressure and bandaging head tightly.

Stool.--Constipation. Stools hard, large, with great straining; painful, lacerating anus.

Relationship.--Compare: Colostrum (Diarrhoea in infants. Whole body smells sour. Colic). Nat mur.

Dose.--Sixth, to thirtieth potency and higher.

Lectures on Homoeopathic Materia Medica, James Tyler Kent

The untrained mind naturally rebels at the idea of giving skimmed milk to sick people as a remedy, but when potentized like any other substance it becomes one of the most useful remedies.

Every physician has seen a few cases in his practice; men, women and children who cannot drink milk. They say they are made sick by drinking or using milk, and that milk is poison to them.

It is the work of the true physician to study cases and ascertain in each case what symptoms are observed after taking milk. These symptoms constitute a proving of it and it is the best kind of a proving as it is produced upon sensitive persons.

The writer has made it his duty to study each and every one of these cases until the image of the sickness produced by, milk has dawned upon him both from the individual symptoms and from a collective view.

Much can be learned by meditating upon the milk constitution some may think there is a difference of importance between milk skimmed and new milk, but for all practical purposes the skimmed milk is sufficient and cures the oversensitiveness to milk, if used in a high potency. It is useless in low potency.

It is a useful remedy as it may demonstrate to the unbeliever the wonderful power of the high potency. It has aggravation during the whole twenty-four hours; some cases manifest symptoms only during, the daytime, and amelioration comes with the going down of the sun - but this is uncommon.

The chronic milk subject is very cold and bloodless and cannot get warm even in a warm room and by warm clothing; she is so chilly and so sensitive to cold that she feels the air blowing on her in the room, as if she were fanned, even where there is no possible draft and others feel the room to be very warm.

She is very sensitive to wet weather. She is subject to neuralgic and rheumatic pains all over the body but more especially in the head. The pain in the head is better from cold, applications, but the pains elsewhere are better from heat. The sufferings are all worse by motion and better by rest; pains are better by pressure.

The bones are sore to touch. Great lassitude and even weakness, can endure no exertion. There is marked restlessness and she is unable to hold up after loss of sleep; extreme weariness from a short walk.

She looks and acts as though she had been suffering long or as if she were going into a decline. The skin all over the body is violently sensitive to cold objects and touch of cold sponge. There is marked periodicity in the nature of the remedy, most noticed in the recurrent headaches. This remedy has had a reputation for curing diabetes and this is not to be wondered at when it is known to have cured the weakness, anaemia and copious, watery urine and great thirst; also copious, dense urine.

Many invalids cured by this remedy have appeared to the writer much like the typical diabetic patient; but it can cure only where the peculiar symptoms agree. It will not cure simply when the common symptoms are present.

Let all observers faithfully and minutely study all patients who have an aversion to milk; all who have diarrhoea, nausea, vomiting, sick headaches, eructations, foul stomach after drinking milk and in time the general idea of the milk sickness will be known.

It is a most useful and frequently needed remedy for infants and children who cannot take milk, not always as their specific remedy, but as one of the remedies that will help many infants to grow up some grow morbidly fat and others become lean when fed on milk.

It has been useful in dropsy from weak heart; from liver complaints and from suppressed malaria. People who drink milk habitually become anemic and catarrhal; fatty degeneration of muscles, of heart and liver. Malassimilation, is the most marked feature of milk poison.

The pains become violent in many parts; in the spinal cord; in eyeballs; in supra-orbital nerves; in forehead and through the head; in the stomach; in lower part of the abdomen. Many people are made sick by milk who use cream with safety and delight.

Lac defloratum is often the remedy for such patients and after a careful examination, their symptoms appear like the proving of skimmed milk.

Mind: Loss of memory, listlessness and aversion to mental work; sadness, desires death and meditates upon the easiest method of self-destruction; sadness with weeping and palpitation; aversion to seeing and talking to people; weakness and vacillating mind. He is sure he is going to die. She imagines that all her friends will die and, that she must go to a convent; a horror when in a small closet lest the door will be closed and she will suffocate.

She becomes faint and dizzy when raising her hands high to thread her needle; vertigo on turning in bed; on moving the head from the pillow; on opening the eyes when lying; in the act of lying down. Faintness and nausea when stepping upon the floor in the morning. Vertigo when reaching up with the hands; tendency to fall to the right when standing or walking.

Head: In sickly, pale, careworn women, when the headache is over the eyes and through the frontal region and the pain is violent; is better from, pressure and tight binding up, is better lying down in a dark room; is better from cold applications; is better from perfect rest; is worse from least motion, worse from light, noise, and conversation; when the headache comes on from drinking milk and is attended with copious, pale urine; with nausea and vomiting of food, mucus and bile.

Violent pain in occiput, vertex and sides of the head; marked pulsation in the head with all headaches; during the headaches the face is pale and cold. There is also marked congestion with heat of the head and flushed face; the headache often comes with marked periodicity though sometimes not with regularity. Weekly headaches are the most common.

Great soreness all over the head on jarring or coughing; sensation as if top of head was lifted off; pain first in the forehead extending to occiput, making her nearly frantic. Intense headache in forehead and through head, worse in vertex, afterwards head felt bruised.

With all the frontal headaches there is strong pulsation in temples. It has cured many violent, periodical, sick-headaches, that have been present since childhood and said to be inherited. During these violent headaches there is sometimes a sensation as though the head were expanding; it has cured headaches that come before and after menses. Morning sickness during pregnancy.

Eyes: Dim vision before the headaches; can only see light, not objects sensation as if eyes were full of stones; extreme photophobia; dull pain in eyes, worse in left, even while lids are closed; better by cold applications, better by closing eyes, in a dark room; drawing pain in eyes when reading, could only read a few minutes at a time; great pain in eyes on first going into the light; pain in and above eyes, worse by heat and motion. Lids feel heavy, sleepy and dry. Pain most marked over left eye with lachrymation.

Painful pressure or tightness at the root of the nose.

Face: Deathly paleness of the face; wasted, thin and excessively sallow, with dark stains beneath the eyes. Sallow complexion with eczema. Flushes of heat in left side of face; sensation as if flesh was off the bones of the face, and edges were separated and sticking out.

Grinding teeth during sleep, with pain in stomach and head, with vomiting.

Taste insipid, sour; month dry; breath offensive; mouth clammy and frothy, especially during conversation.

Globus hystericus; sore throat, worse when swallowing. The mucous membrane of the throat is very pale.

Stomach: Entire loss of appetite; great thirst for large quantities of water eructations empty or sour; distension from gas; nausea after drinking cold water in the evening, worse after lying down; nausea from a recumbent position or from motion or on rising in the morning; deathly nausea, but cannot vomit, with groans and cries of great distress; great restlessness and sensation of coldness although the skin was hot and pulse normal.

Vomiting, first of undigested food intensely acid, then of bitter water and, lastly, of a brownish clot which in water separated and looked like coffee grounds. Incessant vomiting which has no relation to her meals; vomiting of bile, with headaches; violent pain in stomach. It is a very useful remedy for vomiting in pregnancy in women who loath milk. Cramping in the stomach.

Chronic gastro-enteritis with chronic diarrhoea and vomiting; tenderness of abdomen; flatulence and distension. Heaviness and feeling of stone in abdomen. Severe pain across the umbilicus, with headache.

Chronic constipation where rectum seems paralyzed and injections and cathartics have failed; the stool is large, hard and difficult; after prolonged straining the stool recedes. It has cured after Silica failed. Constipation in very chilly patients; constipation with periodical headaches and vomiting, frequent but ineffectual urging to stool; diarrhoea from drinking milk.

Urines: Frequent scanty urination; profuse, pale, watery urine with headache; urine very dark, and thick; albuminous urine. It cured involuntary urinations when walking in cold air, or when riding on horseback. It cured a lack of sensation when the bladder was full.

Genitals: It cured a yellow-brown leucorrhoea, worse before and after menses it cured a profuse yellow leucorrhoea. Bearing down in ovarian region menses too. late and scanty; menses too late, pale and watery. Pain in back and ovarian region during menses; sudden suppression of menses after putting hands in cold water; pains all over, especially in head; when the milk is diminished or fails it is of great service. The breasts are dwindling.

Chest: Asthma with bloating of stomach; cardiac dyspnoea.

Short, dry cough; worse in a cold room or in cold air.

Soreness of chest with oppression; rheumatic pains in chest in cold, damp weather; tubercular deposits in apices of both lungs.

Pressure in the region of the heart with dyspnoea and a feeling that he must die; cutting as with a knife apex of the heart. Pulsation of the heart and flashes of heat in the left side of face and neck; palpitation from least exertion or excitement.

Heat up and down the back and across from shoulder to shoulder; extreme sensitiveness of back to cold sponge. Herpes on side and neck; itching and burning after scratching; hard pressive pain at fourth cervical vertebra; chills creeping along back between scapulae; intense burning pain in small of back and sacrum; constant pain in small of back.

Ends of fingers icy cold - rest of hand warm; numbness and loss of sensation over outer and anterior surface of thighs; pain pressing down sciatic nerve and heel; morning on rising, with nausea and faintness; weakness and aching in the swollen ankles. Skin thickened on edges of foot; feet cold as ice. Aching pains in wrists and ankles cold hands and feet during headache.

Great restlessness; extreme and protracted suffering from loss of sleep at night; sleepy all day; extreme insomnia.

Fever at 9 A.M., until morning; wakes in profuse sweat, which stains linen yellow. Hectic fever. Sensation as if sheets were damp.

The skin is so very sensitive to the touch of a cold hand or sponge that the prover could bathe only in very warm water. The skin is cold and pale and veins look blue and very prominent. Herpetic eruptions; itching of the skin; burning, after scratching.

A Dictionary of Practical Materia Medica, John Henry Clarke

Skimmed Milk (cow's). Dilution.

Clinical.─Anaemia. Appendicitis. Asthma. Bright's disease. Constipation. Diabetes. Dropsy. Fainting spells. Headache. Heart, affections of. Lactation, defective. Leucorrhoea. Menses, suppressed. Obesity. Sciatica.

Characteristics.─"The idea of potentising skimmed milk originated with Swan upon reading Donkin's Skim Milk Treatment for Diabetes and Bright's disease." The first proving was made by a lady in New York, in whose case the headache and nausea with constipation were strongly marked. A subsequent, more extensive proving was made under Swan by Dr. Laura Morgan." I quote from Hering, who adds, that with but few exceptions the symptoms of the Schema have received clinical verification. The symptoms set up by milk in some sensitive persons, especially the violent headache and the constipation, are a matter of common knowledge, and it is in these affections that the remedy has especially distinguished itself. As milk contains within it an epitome of all the tissues and salts of the animal which secretes it, it is natural to expect of it a wide range of action in the attenuations. As Natrum. mur. is a prominent ingredient, it is not surprising that symptoms of this are found in the pathogenesis, e.g., "thirst for large quantities, often," "nausea and vomiting," "depression with crying and palpitation." The characteristic headaches of Lac def. are: Periodic sick-headaches in women; menstrual sick-headaches. Intense headache, fore part, with nausea and constipation. Throbbing frontal headaches in anaemic women, nausea, vomiting, and obstinate constipation. The symptoms which specially indicate it in diabetes are: Intense thirst; wasting. The menses are irregular; sometimes very dark, scanty; sometimes colourless water. (Lac def. cured this case: Menses suppressed suddenly from putting hands into cold water. Great pain in uterine region. Intense headache. Pains fly all over. Flushed face. Patient slept after first dose, next morning slight flow appeared. Second dose brought back flow profusely, and patient felt well and the flow continued.) Nutrition is perverted. There is loss of weight, or else obesity. Dropsy. Fatty degeneration. Some peculiar sensations are: As though a knife was cutting up and down through the heart. As if head would burst. As if eyes full of little stones. As if top of head was lifted off. As if a ball of pain in centre of forehead. As if flesh was off bones and edges were separated and sticking out. As if objects were tossed up from below in all directions. As if a large ball rose from lower end of sternum to upper end of oesophagus. As if a stone in abdomen. As if sheets were damp. As if a cold air blowing on her. It may be well to recall in this last connection that milk is one of the articles forbidden to hydrogenoid or chilly patients. Burnett maintains that excess of milk in the dietary of children after they have cut their first teeth renders them susceptible to colds. There is periodicity in the symptoms: every eight days. Headache ceases at sunset. Most symptoms occur in the morning. Fever and prostration come on in afternoon. Putting hands into cold water = suppression of menses. External heat does not > chilliness, < pain in eyeball. Sensation as if cold water were blowing on her, even while covered up warm. No position >. Lying down < vertigo; headache; urinary pain. Vertigo compels to sit up. Extending arms above head = fainting spells. Motion < all symptoms. < Walking; < sitting down, though ever so gently. Abdomen is sensitive to touch. Pressure round waist = fainting spells. Pressure > pain in eyeball (presses eyes into pillows); bandaging head lightly > pain. After injury subject to distress in head.

Relations.─Compare: Lac can., Lac coag., Lact. ac., Sacch. lac., Vaccin. (a cow nosode); Nat. m. (diabetes, headache, constipation, heart); Coccul. (menstrual sick-headaches); Cact. (heart; but Lac d. has not the "grasp" of Cact.); Nux m. (head heavy, tends to fall to left─Lac. d. to right).

Causation.─Injuries.

SYMPTOMS.

1. Mind.─Loss of memory; listlessness, disinclination for bodily or, mental exertion.─Depression; does not care to live; questions as to quietest and most certain way of hastening one's death.─During conversation, headache and depression of spirits >.─Depression with crying and palpitation (fainting spells).─Imagines that all her friends will die and that she must go to a convent (fainting spells).─Does not want to talk to any one.─Can remember what has been read only by a strong effort of will.─Vacillation of mind.─Great despondency on account of the disease, is sure he is going to die in twenty-four hours; without fear of death.

2. Head.─Vertigo: on moving head from pillow; < lying down and esp. turning while lying, obliging to sit up.─Intense vertigo when opening eyes while lying, < when rising up; objects appeared to move swiftly from l. to r., at other times moving as if tossed up from below in every direction.─Head feels heavy with marked tendency to fall to r.─Faintness and nausea when stepping upon floor in morning.─Pain first in forehead, then extending to occiput, very intense, distracting and unbearable; great photophobia, even to light of candle; deathly sickness all over, with nausea and vomiting, < by movement or sitting up; very chilly, and external heat does not >; frequent and profuse urination of very pale urine.─After injury subject to distress in head; severe pain in forehead just above eyes; breath offensive; appetite poor, nausea; at times sleeps for hours during attack; great distress across back; urine dark and thick.─Nausea and sometimes vomiting, which >; pain in forehead as if head would burst, with blindness; pain is > by bandaging head tightly; < by light and noise; constipation, stools large; hands and, feet cold (hemicrania).─Headache: < during menses; < by speaking, alternating with tonsillitis.─Throbbing frontal headache (over eyes), nausea, vomiting and obstinate constipation; esp. in anaemic women.─Headache: with pains in eyes; as if full of little stones; < closing eyes; profuse urination.─Dim vision, as of cloud before eyes; profuse urination; full feeling in head; slight nausea at pit of stomach; face pale; feet cold; coldness in back.─Intense pain at point of exit of supraorbital nerve, diffused thence over forehead; attack commences with chill, quickened pulse, flushed face and discharges of wind from stomach.─Severe headache, with a sensation as if top of head was lifted off, raised about five inches and brains were coming out; head feels hot, motion < pain; face felt as if flesh was off bones and their edges were separated and sticking out.─Pain first in forehead, extending through occiput, making her nearly frantic.─In morning nausea and sensation of a round ball full of pain in centre of forehead.─Head feels large as if growing externally.─Head heavy, falling to r. side.─General sore pain of head produced by coughing.

3. Eyes.─Dim vision; can only see lights, not objects; preceding headache.─Great photophobia, even candle light unbearable.─Great pain in eyes on first going into light, soon passed off; on closing eyes on account of light, pain was felt in eyeballs as if from pressure of lids.─On closing eyelids painful pressure as if lids were short laterally, causing sensation of band pressing upon balls.─Upper eyelids feel very heavy; sleepy all day.─Pain in head, most marked over l. eye and in temple, extending into eyes, and causing profuse lachrymation.

5. Nose.─Painful pressure or tightness at root of nose (catarrh).

6. Face.─Deathly paleness of face.─Sallow complexion with eczematous eruption.─Flushes of heat in l. side of face.─Face, neck, arms and body generally flush colour of a red rose, with swelling, but no itching or burning.─Sensation as if all flesh was off bones of face and edges were separated and sticking Gut.─Pimples on face and forehead (irregular menses).

7. Teeth.─Grinding of teeth when asleep, with pain in stomach and head with vomiting.

8. Mouth.─Mouth very dry.─Breath very offensive.─Mouth clammy and frothy, esp. during conversation.

9. Throat.─Globus hystericus; sensation of a large ball rising from a point about lower end of sternum to upper end of oesophagus, causing distressing sense of suffocation.─Sore throat < when swallowing; slight, hacking cough.

10. Appetite.─Entire loss of appetite.─Great thirst for large quantities and often; intense thirst.─Could not drink milk without its causing sick-headache.

11. Stomach.─Sour eructation.─Nausea: in morning; from a recumbent position at any time during day or evening, or on moving or rising in morning; deathly, cannot vomit, with groans and cries and great distress, great restlessness with sensation of coldness; although skin was hot, pulse was normal.─Nausea and vomiting and a sensation of deathly sickness, < from movement or rising up in bed.─Vomiting first of undigested food, intensely acid, then of bitter water, and lastly of a brownish clot, which in water separated and looked like coffee grounds; no smell; bitter taste.─Incessant vomiting, which had no relation to her meals.─Violent pain in pit of stomach, seldom lower, brought on by fatigue.─Much wind, and acid stomach, no tenderness.─Dyspepsia.─Bloating in epigastric region, with attacks of asthma; he could scarcely breathe: hard pressive pain at about fourth cervical vertebra.─Cramps in epigastric region.

12. Abdomen.─Abdomen sore and sensitive to touch.─Severe pain across umbilicus with headache.─Great fatigue from walking, on account of heaviness as of a stone in abdomen.─Drawing pain across lower part of abdomen, with heat and pressing, bearing down in pelvic region, both sides; < by, pressure.─Flatulence.

13. Stool and Anus.─(Constipation.).─Is generally constipated, and when it is most persistent, very chilly; cannot get warm.─Constipation: with chronic headache; most powerful purgatives were of no avail; faeces dry and hard, passed with great straining, lacerating anus, extorting cries and passing considerable blood; chronic.─Continual persistent constipation, > only by cathartics and enemas, with violent attacks of sick-headache, pain unbearable; great photophobia; deathly sickness all over, with nausea and vomiting < by movement or sitting up; chilly, not > by external heat.

14. Urinary Organs.─Frequent and profuse urination of very pale urine.─Frequent but scanty urination.─Profuse, pale urine.─Albuminuria.─Constant pain in region of kidneys, passing around each side above hips to region of bladder, also downward from sacral region to gluteal, and from thence down back of thighs; pain burning, not > in any position, < lying down.─Urine dark and thick.─Urine very pale; cannot retain it.─Urine comes away drop by drop, or else gushes out with a sensation of very hot water passing over the parts; wetting bed at night.

16. Female Sexual Organs.─Pressing bearing down in ovarian region.─Drawing pain across uterine region, with heat and pressive bearing down in both ovarian regions; cannot bear pressure of hand or arm on abdomen, intense distress in lower part of abdomen during menstruation, not > by any position; violent inflammation in ileo-caecal region, with intense pain, swelling, tenderness, faecal accumulation and violent vomiting.─Menses delayed a week with congestion of blood to head; coldness of hands, nausea, and vertigo; flow commenced next morning after taking Lac defl., scanty with pain in back; sensation of weight and dragging in l. ovarian region.─After putting hands in cold water sudden suppression of menses; pains all over, esp. in head.─Irregular menstruation, sometimes very dark and scanty, sometimes colourless water.─Slight yellowish leucorrhoea.─Morning sickness during pregnancy; deathly sickness at stomach on waking; vertigo and waterbrash on rising; constipation.─Decrease in size of breasts.─(Has never failed to bring back the milk in from twelve to twenty-four hours.).─Diminished secretion of milk.

17. Respiratory Organs.─Asthma so that he could scarcely breathe, accompanied by bloating in epigastric region.─Short, dry cough, with difficult expectoration of a small lump of mucus, which > cough.

18. Chest.─Soreness of chest with great pressure.─Tuberculous deposit in apices of both lungs.

19. Heart and Pulse.─Pressure around heart (not like grasping of Cactus), with dyspnoea and a feeling of certainty that he is going to die in twenty-four hours.─Sharp pain in apex of heart, as if a knife were cutting up and down; this preceded a heaviness of head, dulness over eyes, throbbing in temples and palpitation of heart.─Palpitation of heart and flushes of heat, esp. in l. side of face and neck.

20. Neck and Back.─A symmetrical patch of herpetic eruption on each side of neck, itching and burning after scratching.─Hard, pressive pain at fourth cervical vertebra; chills creeping along back between scapulae.─Intense burning pain in small of back and sacrum, commencing in region of kidneys, passing around on both sides above hips into groins, also downward from renal region through gluteal region, down back part of thighs; pain, burning, and > by no position; lying down.

21. Limbs.─Cold hands or feet during headache.─Aching pains in wrists and ankles.

22. Upper Limbs.─Ends of fingers icy cold, rest of hand warm.

23. Lower Limbs.─Numbness and loss of sensation over outer and anterior surfaces of thighs.─Pains passing down under side of thighs to heels, and pains across top of feet as if bones were broken across instep; pains would come on as soon as she stepped upon floor in morning, upon which she would be faint and nauseated and would have to lie down.─Weakness and aching in ankles, puffiness.─Skin thickened at edges of feet.

24. Generalities.─Great lassitude and disinclination to exertion.─Great restlessness and extreme and protracted suffering from loss of sleep at night.─Feels completely tired out and exhausted, whether she does anything or not; great fatigue from walking.─Great loss of strength, commencing with a sharp cutting pain in apex of heart; forehead feels heavy, with a dull sensation over eyes and throbbing, principally in temples, rest of head feels light.

25. Skin.─A symmetrical patch of herpetic eruption on each side of neck, itching and burning after scratching.

26. Sleep.─Sleepy all day long.─Great restlessness, extreme and protracted suffering from loss of sleep at night.

27. Fever.─Hot fever 9 p.m., continues until near morning, wakes in profuse sweat, which stains linen yellow, difficult to wash out.─Hectic fever; malignant typhoid.─Sensation as if the sheets were damp.

Keynotes and Characteristics with Comparisons of Some of the Leading Remedies of the Materia Medica (Allen's Keynotes), Henry Clay Allen

Skimmed Milk

The successful treatment of Diabetes and Bright's Disease with skim milk, by Donkin, was the hint which led Dr. Swan to potentize and prove it. Every symptom given has been verified in the cure of the sick. Diseases with faulty and defective nutrition with reflex affections of nervous centers. Despondent; does not care to live; has no fear of death but is sure he is going to die. American sick headache: begins in forehead, extending to occiput, in morning on rising (Bry.); intense throbbing, with nausea, vomiting, blindness and obstinate constipation (Epig., Iris, Sang.); < noise, light, motion (Mag. m., Sil.); during menses (Kreos., Sep.); great prostration; > pressure, by bandaging head tightly (Arg. n., Puls.); copious, pale urine. Globus hystericus; sensation of a large ball rising from stomach to throat, causing sense of suffocation (Asaf., Kal.). Vomiting; incessant, no relation to eating; first of undigested food, intensely acid, then of bitter water; of pregnancy (Lac. ac., Psor.). Constipation: with ineffectual urging (Anac., Nux); faeces dry and hard (Bry., Sulph.); stool large, hard, great straining, lacerating anus; painful, extorting cries. A woman had taken 10 to 12 enemas daily, often passed 4 or 5 weeks without an evacuation, constipation of 15 years standing. Menses: delayed; suppressed, by putting hands in cold water (Con.); drinking a glass of milk will promptly suppress flow until next period (compare Phos.). Great restlessness, extreme and protracted suffering from loss of sleep (Coc., Nit. ac.). Feels completely exhausted, whether she does anything or not; great fatigue when walking. Sensation: as if cold air was blowing on her, even while covered up; as if sheets were damp. Dropsy: from organic heart disease; from chronic liver complaint; far advanced albuminuria; following intermittent fever; Obesity; fatty degeneration.