The nature of the transport of ions and water in the proximal tubule of the kidney has been a subject of extraordinary interest for a long time. In the mammalian kidney, 80 per cent of the fluid filtered in the glomerulus is absorbed by the proximal tubules. It was shown many years ago by Walker, Richards, and colleagues, for the amphibian (1) and mammalian kidneys (2), that under normal conditions, the fluid absorbed by the proximal tubule was isosmotic to the plasma, and that it was essentially of the same composition as the glomerular filtrate. Two possibilities were then considered to explain the mechanism of the absorption in the proximal tubule: (a) the primary step is an absorption of solutes, with water following passively, or (b) the colloid osmotic pressure exerted by the proteins circulating in the peritubular capillaries is sufficient to produce direct water absorption, the solutes following.Wesson and Anslow (3) in experiments in dogs showed that in osmotic diuresis, Na and G1 were both absorbed against a chemical gradient and suggested the active nature of the Na transport; however, their conclusion was based on the assumption of a negligible effect of the distal tubule under their experimental conditions. That assumption has been subjected to criticism. They also did not consider electrical potential gradients.The concepts of active transport have evolved from early suggestions of dependence of transport on metabolism. This, however, is not a sufficient definition. Two generally acceptable definitions of an active transport process will be considered. Rosenberg (4) has defined as active transport any transport which takes place against an electrochemical potential gradient. Ussing (5) has defined active transport as movement of a substance that cannot be explained by simple diffusion. This definition is more general than the one given by Rosenberg, but is difficult to apply in practice for it requires a knowledge of the rate at which the substance in question crosses the membrane by simple diffusion. Equation 1 (5) describes the flux of an ion moving independently across a membrane, in the absence of temperature gradient, Rockefeller Foundation Fellow; on a leave of absence from Facultad de Medicina, Lima, Peru.