The practitioner's encyclopedia of medical treatment / edited by W. Langdon Brown and J. Keogh Murphy.
- Date:
- 1915
Licence: Public Domain Mark
Credit: The practitioner's encyclopedia of medical treatment / edited by W. Langdon Brown and J. Keogh Murphy. Source: Wellcome Collection.
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![as long as he could, regarding this treatment as worse than the disease. The recognition of the large part played by syphilis in the pro- duction of aneurysm has led to the practical abandonment of Tuftnell’s diet, most authorities preferring a simple, moderate restriction of fluid combined with anti-syphilitic remedies. Kingston Fowler has pointed out the special dangers of Tuffnell’s diet when aortic regurgita- tion is also present. : Some popularity attaches at the present time to the adoption of a régime of absolute starva- tion, nothing more than water being taken. From conversation with those who have tried both, I conclude that after the first forty-eight hours complete starvation causes considerably feeding is stopped, and this has an unfavourable influence on the patient’s mind. In the Weir- Mitchell treatment there is also an attempt at over-nutrition, though isolation, rest and massage are also essential features. Fresh milk is given at first every two hours from two to four pints daily, and may be increased even to ten pints. Later on farinaceous food, such as arrowroot or cornflour, and then lightly boiled eggs, fish, chicken, game, red meat and bread and butter as the digestive capacity improves, until the patient can take three full meals a day combined with the same amount of milk partly with the meals and partly between them. This method has been employed with success in the treatment of neurasthenia. Days . : 5 ; ; a ee me aa a i ae Eggs . ; ; ‘ - : 2 Sugar, with eggs (in grammes) | — Milk (in cubic centimetres) . | 200 300 | 400 | 500 | 600 Raw scraped beef (in grammes) | — | — Milk rice (in grammes) . -{—}|—t{— | — | — Rusk (soaked), 1 piece=20 grammes ; : ~{—}|—}—};— | — Raw ham (in grammes) . ~|—}—}— |) — | — Butter (in grammes). —|— | — | — | — Represents in calories . . | 280 i 2 fo) for) oo ~J «J “i ~J less discomfort than a meagre and inadequate diet. Certainly a brief course of starvation seems definitely to have benefited patients suffering from asthma, gout, and various gastric and intestinal disorders. Guelpa’s method of complete starvation for five or six days and even more, combined with free drink- ing of purgative waters has acquired a con- siderable popularity in certain quarters in the treatment of intestinal intoxications, ‘“ sluggish liver,” high blood-pressure, chronic arthritis, myalgia, diabetes and obesity. My own ex- perience of it is limited, but I have met those who have expressed themselves strongly as to its value, and it really does not cause serious inconvenience. Such drastic means can, how- ever, seldom be required and are rarely advisable. Methods of Over-Nutrition.— Other methods aim at definite over-nutrition. Some time ago forced feeding was adopted almost as a routine in sanatoria for consumptives. It has now, however, been abandoned, for although it was found a comparatively easy matter to make a phthisical patient accumulate a considerable quantity of fat, this did not necessarily mean that the disease was checked, and it was even thought that the carrying about of such a mass of inert material was a positive disadvantage. Moreover, the weight is certain to decline as soon as forced TasiLe [].—Diet purine First Six Days or LENHARTZ TREATMENT Eggs (drachms Milk (drachms Sugar (pee Das per hour). per hour). Bye wae d 1 2 4 | — 2 3 6 — 3 a 8 1 oz. + 5 10 1 oz. 5 6 12 1k oz. 6 ne 14 2 OZ. LENHARTZ DIET In GAstTRIC ULCER In view of the interest which has recently been taken in the Lenhartz diet in the treat- ment of gastric ulcer, it is advisable to give the exact method employed. The question is further discussed in the article on Diseases of the Stomach. Lenhartz maintained that the principles which should guide us in the treat- ment of gastric ulcer are (1) administration of sufficient food to maintain the patient’s nutrition, but at the same time to prevent distension of the stomach, which would occur if a quantity of milk adequate to maintain nutrition were given; (2) a diet rich in protein, which fixes the hydrochloric acid by combining with it and thus prevents its influence in continuing the ulcerative process. Bolton has shown clearly that hyperacidity is a potent](https://iiif.wellcomecollection.org/image/b32785720_0036.jp2/full/800%2C/0/default.jpg)
