The morning news. [volume] (Savannah, Ga.) 1887-1900, 1898-02-01
DIET OF DYsPEPTICS.
Mistaken NOtinO to starve Them.
Old Notions Combated

From an Address by Max Einhorn, NJ. D.,
Before the New York Academy of Med
icine.
How shall we treat such dyspeptlcs?
Medicaments are not of such value, or play
only a subordinate part The man factor
lies in proper nourishment. These pa
tents. who have abstained from most
kinds of foods for years, must now learn
anew to eat. Their stomach and intes-
tines very quickly adapt themslevs to this
new condition. First and above all. it is
of importance to increase the quantity of
nourishment; second. to provide sufii-
cient variety of foods. In order to i'm
prove nutrition two articles of food which
hitherto have been often avoided by lay
men as well as physicians, pay an inn
portant part l mean bread and butter.
Bread forms one-third of the total amount
of ingesJed food in health and besides
having nutritve value serves the purpose
of increasing the flow of saliva during its
masticaton. 1t also creates an appetite
for other food. Butter not only improves
the taste of various kinds of foods but
is also in itself nutrlment of the great
est Importance. The great number of cal
orics which butter contains 600 grains
gave $40 heat units. while the same amount
of bread develops about 21O shows this
in the clearest manner. Another advan-
tage which butter presents Is that its vol
ume is only about one-thrd that of bread.
A patient taking about one-quarter of a
pound of butter receives Herewith more
than one-half of the heat units required.
This quantity Of butter is well borne by
most of the patients.
As nutrition plays the principal part in
the treatment OF these patients, It viii rot
be amiss to give q few hints with regard
a. - Ia t.
not appear advisable to permit patients
who have abstained for long while from
the coarser varieties of food everything at
once. This abrupt change may at times
be the cause of various unpleasant symp-
TOMS therefore, il should be accomplished
gradually. AT first give, besides mix,
gruels and thickened soups, eggs beaten I'd
i'm milk, etc. A few days later begin TO add
to this bill of fare zwieback or crackers
with butter; then permit meat the whte
Of chicken and well-scraped beef; next,
mashed potatoes. soft-boiled or scrambled
eggs oysters; at last allow vegetables ana
fruits An essential point with regard to
nutrition is punctuality in the taking Of
meals. In most of these cases in which a
gain in weight is OF great Importance, fire.
quent meals Give or six daily will be adj
visable. Although 1t does not appear adj
vantageous 10 prescribe for the patient
the quantities Of the various foods in ex-
act weight grams or ounces)-as by so
doing they are too easily reminded of their
ability or inability 10 digest this or that
quantity end not more~it is nevertheless
Of value 10 mention approximate figures
by which they may be guided or below
which they shall not go. Thus, for ex-
ample they may be told TO cal as much as
their neighbors, a table or that they shall
take ten ounces of milk at this or hat
meal, or. as | frequently advise; that they
shall consume one quarter of a pound of
butter a day. Emphasize those points
which appear to be the most important.
and leave the patient great liberty IN all
other particulars. We must strive 10 ia
Iniliarize the patient with the idea that
ample nourishment VIII strengthen his or
gans lncludlng the stomach and intes-
tines), and we must always endeavor to
dispel the fear of food with which lie is
harrassed.