The farmer and mechanic. [volume] (Raleigh, N.C.) 18??-19??, 1915-03-30
HOW TO TREAT AND


and meat, an adult should take not
less IMAM four eggs a day. In certain
OF the Severer forms it may be neces-
sary 10 give the Eggs in the form of
albumin water, preferably with lemon
or orange juice.
MEAT.-The meat should be fresh
lean meat. Whether all fresh meats
are equally valuable in treatment We
90 not know; future studies will have
TO determine this. Our experience has
been with beef alone. This NAV be
served as Scraped beef, as a roast, or
as steak. Where mastication is pain |
ful, meat juice may be given instead.
An adult should be urged to take at
least a half pound Of lean meat a
day in addition to the milk, eggs. and
legumes. 1t may be necessary in some
instances to work up gradually to the
point where these quantities can be
AIKEN.
LEGUMES.-We have been much
impressed with the favorable results
following the use Of beans and peas
alone. The beans and peas should
be fresh or dried, not AIMED A pala-
table peas or bear soup should be
prepared and should be given freely.
In addition to or III alienation with
the soup, the beans or peas should
be served and eaten in any one Of
the other W~ell-knOwn forms.
In cases presenting marked gas
tro-intestinal symptoms, the diet of
the patient may be limited to the fore
going articles. 1t may here be en-
phasiZed that diarrhoea is no con-
traindication to the full feeding.
In cases presenting only moderate
or no gastrointestinal symptoms there
may be added, in restricted amOnts,
oatmeal, rice, and barley as cereals,
potatoes and onions as fresh. vege-
tables, fresh or dried (not canned)
fruits, and wheat or rye bread or. his
cults.
}, Exclude Corn Products.
AS long as symptoms Of pellagra
! are p~erceptible we prefer to exclude
all corn products; not that corn is
: not a wholesome and nutritious food
but because the occurrence Of pellagr5
is commonly though by no means ex.
, clusively associated with the con
| sumption Of a diet in which corr
e forms a disproportionately large part
' Similarly. a reduction in the amour
of other carbohydraceous articles
: such as the newer cereal breakfas
: foods, molasses, jams, or starch
: should, we think be ordered, II Of
il analysis Of the patients prepellagrinou
dietary some such articles Or comb
d lnation of articles appear to have form
ed a very conspicuous portion Of tn
: diet.
After all symptoms Of pellagra hay
4 disappeared corr and other starch
foods in moderation and guarded wit
an abundance Of milk, neat. or lie
o gurnes and preferably with al 9
Is these. may unhesitatingly pc a
lowed.
Isl MEDICATION.-As has alread
been sufficiently indicated, we hav
no medicine that has any specif
value. Tonics may Of course be use
q and may at times be helpful. but !;
a rule they are not needed. Specl;
- disturbing symptoms. particular
o. pain and insomnia. should be treate
If On general principles.
For the gaStrOinteStlnal symptom
the best treatment is the diet.
a It is Of vital importance to COZ
h. serve the appetite. Anything that il
w terferes with his must be regarde
as injurious.
~ REST AND NURSING.-We col
slider rest in both body and mind
of important, if not essential, in all case
but particularly in the severer form
nj The patient should be carefully guar
Iv ed from fatigue and depressing inf
n. ences of all kinds. Specific and d
tailed instructions should be given
40 to the diet. in the severer orms fo'
nd should be ordered, like a medicine,
We be given at stated intervals. h r
az uuireS careful and intelligent nursin
CLIMATE.--In the acute stage
n. is advantageous to protect the pate
SUI from In SUN CTS -
me Valuable III pIopo,lioI ~ rs Us .
involves. 1t is not essential, for t
correction in the diet may equally W
be made at home.
- PROPHYLAXIS.
III The prevention and eradication
10 pellagra will depend essentially on t
= - 10y
lily suDStitut!oIi % q Ii1Aeo. =.
sided diet that the individual will
found to have consumed prior to
development of symptoms.
I'D In a very large proportion, possi'
10y as much as one-half, Of the nonins
the tut1ouai c@S"s !"
to very lit.ie c'ahs7' = any' Al =