Atlanta Georgian. [volume] (Atlanta, Ga.) 1912-1939, 1913-09-21

in the Diagram

fzzed out. Afterwards green vegetables and
farinaceous food, except oatmeal; fair amount
of fat should be given, especially olive oil or
cod liver oil; at least ounce Of one OF these
oils should be given every night at bedtime.
Bacon gravy, fat bacon, cream, butter or mar
garine are valuable adjunets, but beef and NUT
ton fats had better be eschewed
The patient should take a liberal allowance
of table salt with meals. All acids and acid
fruits rhubarb, tomatoes and asparagus should
be avoided. When saccharoses are considered
permissible, glucose and honey are better than
cane sugar or jams, but perhaps little MARINA
lade may be occasionally allowed.
When the patient Is improving, grapes,
bananas, nuts, stewed prunes and figs may bo
allowed; saccharine Is better than sugar, moro
especially II the urine has become alkaline
under the treatment, and tends to deposit phos-
pilates.
Regarding drink there Is nothing better than
pure water, especially when hot, weak tea, milk
and soda water Containing about 80 grains Of
sodium bicarbonate to the pint, plain barley
water, and raisn tea. Avoid all sweet and
acid drinks, wine and malt liquors. Regarding
alcohol ! think the patient is better without
any, but If for any particular reason a little Is
ordered It should be in the form Of Whskey,
gin, brandy, sIoe gin, or liquor eognac.
To correct the acid fermentation and improve
the motor function of the stomach good COM
bination consists Of 80 grains Of sodium bicar-
Donate, 10 grains Of potassium bcarbonate, and
10 10 OO grams OF aromatic chalk IN glass OF
milk about half an hour before meals, and a
double dose at bedtime; often smaller doses
suffice. An excellent stomachic of calcium
chloride, hydrochoric acid, and minute doses
of the perchlOride of iron is very useful after
meals; a small cholagogue pill should be regu-
larly administered to keep the bowels open;
for this purpose an excellent mixture can be
made with the suphate, bicarbonate and salt
cylate Of sodium and liQuoriCe
The pancreas is also usually at fault and to
I'm ne rtfn 7 pPRa
of holadin and bile salts about two hours after
meals. In these cases the thyroid gland Is
usually too active, and so all preparations of
iodine and thyroid should be avoided Pos
sl5ly suprarenal gland and pituitary extract
might do good as DR.. Blair Bell has shown
that these secretions tend to retain the lime
IN the system, whereas the thyroid increases
Its elimination, but personally do not care tn
prescribe such powerful drugs when milder
remedies may suffice. 1t is imperative to get
lime into the tissues and to lessen its eIiroina.
ton, but herein lies our difficulty, as no matter
how much is administered by the mouth II
may be as rapidly excreted as 1t is absorbed
and so none may reach the tissues; but on the
other hand, the acidosis In the blood NAV he
taking lime from the tissues as well as from
the intestinal tract.
In order to get the lime into the tissues thera
must be liberal oral supply, and the blood
must be kept very alkaline For this / nre-
scribe freely chloride of sodium and potassium,
sodium blcarbonate, chalk, lactate of lime, and
Calcium glycerophosphate. If it be desired 70
get calcium rapidly into the tissues II NAV bo
gwen IN very dilute form simultaneously, say
pint OF sterile normal saline solution with
oo5 per cent Of calcium chloride, and Der
cent OF syrup Of glucose. II the calcium chior-
Ide be administered hypodermIcaIy in a con-
centrated form, It may readily produce GAN
creme Of the skin and adjacent tissues. Iron
Is best administered in the form Of underdone
red meat, and yoIk Of eggs; arsenic, potassium
'odIde' euaiaco and a host of remedies COM
monty prescribed are worse than useless
LeucoThoea should be treated with inteo.
uons, and any infection Of me urinary tract
should receive attention. Here vaccines will
often prove useful, and the same may be said
for pyorrhoea alveolaris
General massage and the AK douche improve
nutrition and are highly beneficial; the hot
air and electric light baths applied to affected
JOINTS often give much relief, but can scarcely
be looked upon as curative agents.
When you have cured your patient Won can
send her or him to Egypt, Timbuctoo, or any
health resort Encourage the patient to take
a fair amount Of exercise short of fatigue WHOM
the disease has subsidized, and to live a godIv-
righteous and sober Life in this present world.