Drink restrictions (thirst cures) particularly in obesity : being part VI of several clinical treatises on the pathology and therapy of disorders of metabolism and nutrition / by Professor Dr Carl von Noorden ... and Dr Hugo Salomon.

  • Carl von Noorden
Date:
1905
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Licence: In copyright

Credit: Drink restrictions (thirst cures) particularly in obesity : being part VI of several clinical treatises on the pathology and therapy of disorders of metabolism and nutrition / by Professor Dr Carl von Noorden ... and Dr Hugo Salomon. Source: Wellcome Collection.

Provider: This material has been provided by Royal College of Physicians, London. The original may be consulted at Royal College of Physicians, London.

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    task imposed upon the heart is greater if much water is ingested than if small quantities only are taken. All the water that enters the stomach must pass through the heart and arteries before it reaches the emunctories of the body. Even if the quantity of water that enters the blood at any one time is too small to be estimated by our means of measurement, we know nevertheless that the surplus water must circu- late several times through the heart and the arterial tree before it can be eliminated from the blood. No one will, therefore, seriously argue that the total labor performed by the heart is not greater if large quan- tities of water are ingested than if the amount of water drinking is restricted to a minimum—this even when hydrostatic equilibrium is fully maintained and the average concentration of the blood remains normal. Moreover, all objections (based on blood examina- tions) to the contrary nothwithstanding, the validity of Oertel’s claims has been fully borne out by prac- tical e.xperience: restriction of fluids signifies spar- ing the heart. We consider Oertel’s procedure to be a therapeutic achievement of the first rank. If, recently, several writers have again formulated objec- tions against the method that are based upon blood examinations alone, and if these authors declare the restriction of liquids to be useless, then this merely shows how dangerous and how short-sighted it is to base therapeutic suggestions upon a single clinical method of examination. In our opinion restricted water drinking in heart
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