Key:
P = Proteins.
Cb = Carbohydrates.
C = Cellulose.
R = Refuse.
W = Water.
Ca = Calories.
Nt'nt
P. Fat. Cb. Ash. C R W Ca Ratio
Wholemeal, G. 14.9 1.6 66.2 1.7 1.6 ... 14.0 1577 4.68
Fine Flour, G. 9.3 0.8 76.5 0.7 0.7 ... 12.0 1629 8.4
Medium Flour, G. 12.1 0.9 72.2 0.9 0.9 ... 13.0 1606 6.13
Bread,
Wholemeal, G. 12.2 1.2 43.5 1.3 1.8 ... 40.0 1086 3.8
Bread, White, G. 7.5 0.8 53.8 0.9 ... ... 37.0 1174 7.4
Macaroni, U. 13.4 0.9 74.1 1.3 ... ... 10.3 1665 5.67
Oatmeal, D. 14.8 9.6 63.3 2.2 1.4 ... 8.7 1858 5.72
Maize,
American, S. 10.0 4.25 71.75 1.5 1.75 ... 10.75 1700 8.12
Rice, husked, U. 8.0 0.3 79.0 0.4 ... ... 12.3 1630 10.0
Rye Flour, U. 6.8 0.9 78.3 0.7 0.4 ... 12.9 1620 11.8
Barley,
Pearl, C. 6.2 1.3 76.0 1.1 0.8 ... 14.6 1584 12.7
Buckwheat
Flour, U. 6.4 1.2 77.9 0.9 ... ... 13.6 1619 12.6
Soy Bean, C. 35.3 18.9 26.0 4.6 4.2 ... 11.0 1938 1.93
Pea-nut, C. 24.5 50.0 11.7 1.8 4.5 ... 7.5 2783 5.2
Lentils, U. 25.7 1.0 59.2 5.7 ... ... 8.4 1621 2.4
Peas, dried, U. 24.6 1.0 62.0 2.9 4.5 ... 9.5 1655 2.6
Peas,
green, E.U. 7.0 0.5 15.2 1.0 1.7 ... 74.6 465 2.3
Haricots, C. 23.0 2.3 52.3 2.9 5.5 ... 14.0 1463 2.5
Walnuts,
fresh k., C. 12.5 31.6 8.9 1.7 0.8 ... 44.5 1563 6.33
Walnut kernels 21.4 54.1 15.2 2.9 1.4 ... 5.0 2964 6.33
Filberts,
fresh ker., C. 8.4 28.5 11.1 1.5 2.5 ... 48.0 1506 8.9
Tomatoes, U. 1.2 0.2 3.5 0.6 0.5 ... 94.0 105 3.3
Grapes, U. 1.0 1.2 10.1 0.4 4.3 25 58.0 335 12.8
Apples, E.U. 0.4 0.5 13.0 0.3 1.2 (25) 84.6 290 35.3
Raisins, E U. 2.6 3.3 76.1 3.4 ... (10) 14.6 1605 32.0
Dates, E.U. 2.1 2.8 78.4 1.3 ... (10) 15.4 1615 40.0
Banana, C.D. 1.71 ... 20.13 0.71 1.74 ... 75.7 406 11.7
Banana Flour, P. 3.13 1.73 82.4 5.93 1.21 ... 5.6 1664 27.5
Potatoes, K. 1.9 0.2 20.7 1.0 0.7 ... 75.7 429 11.0
Turnips, E. 1.3 0.2 6.8 0.8 1.3 (30) 89.6 159 5.57
Onions, E.U. 1.6 0.3 9.1 0.6 0.8 (10) 87.6 225 6.1
Cabbage, E U. 1.6 0.3 4.5 1.0 1.1 (15) 91.5 123 3.23
Asparagus, U. 1.5 0.1 2.3 1.2 0.5 ... 94.4 85 1.7
Celery, E.U. 1.1 0.1 3.3 1.0 ... (20) 94.5 85 3.2
Mushrooms, U. 3.5 0.4 6.8 1.2 ... ... 88.1 210 2.2
Tapioca, U. 0.4 0.1 88.0 0.1 ... ... 11.4 1650 220
Sugar ... ... 100 ... ... ... ... 1860 ...
Oil ... 100 ... ... ... ... ... 4220 ...
Milk 3.6 3.7 4.6 0.73 ... ... 87.4 309 3.56
Butter, fresh 0.8 83.5 1.5 0.2 ... ... 14.0 3566 234
Cheese, U. 25.9 33.7 2.4 3.8 ... ... 34.2 1950 3.0
Hen's Eggs, U. 11.9 9.3 ... 0.9 ... 11.2 65.5 635 1.74
Beef, loin, U. 16.4 16.9 ... 0.9 ... 13.3 52.9 1020 2.3
Beef, loin, edible
p., U. 19.0 19.1 ... 1.0 ... ... 61.3 1155 2.3
Mutton,
shoulder, U. 13.7 17.1 ... 0.7 ... 22.1 46.8 975 2.77
Pork, Ham, U. 14.3 29.7 ... 0.8 ... 10.3 45.1 1520 4.6
Bacon, smoked, U. 9.5 59.4 ... 4.5 ... 8.7 18.4 2685 13.9
Fowl, U. 13.7 12.3 ... 0.7 ... 25.9 47.1 775 2.0
Goose, U. 13.4 29.8 ... 0.7 ... 17.6 38.5 1505 4.9
Cod, dressed, U. 11.1 0.2 ... 0.8 ... 29.9 58.5 215 0.04
Mackerel, whole, U. 10.2 4.2 ... 0.7 ... 44.7 40.4 365 9.13
Oysters, L. 8.75 0.92 8.09 2.4 ... ... 79.8 352 1.16
NOTES ON THE TABLE OF ANALYSIS.--Under calories are shown kilo-calories
per pound of food. In the analysis marked U the crude fibre or cellulose
is included with the carbo-hydrate, the figures being those given in
Atwater's table. He has found that from 30 to 91 per cent. of the crude
fibre was digested, according to the kind of food. The term fibre or
cellulose in analytical tables is not a very definite one. It depends upon
the details of the method of analysis. In the analyses other than U, the
cellulose is excluded in calculating the calories. Nutrient ratio is the
proportion of the sum of the carbo-hydrate and fat, compared with the
proteid as 1. The fat has first been multiplied by 2.225 to bring it to
the same nutrient value as the carbo-hydrate.
U indicates that the analyses are taken from the United States Department
of Agriculture Experimental Station, Bulletin 28, the tests being chiefly
made by Dr. W.O. Atwater, or under his direction. They are average
analyses of several samples. The refuse consists of such parts as are
rejected in preparing the food; the outer leaves, skin, stalk, seeds, &c.,
of vegetables; the shell of eggs; the bone, &c., of meat. E, indicates
that the edible portion only of the food has been analysed, and under
refuse, in brackets, is shown the quantity rejected before the analysis
was made.
There is considerable variation in the same kind of food, according to the
variety of seed and conditions of growth &c., especially is this the case
with wheat and flour; whenever it has been possible the average of the
analyses of many samples have been given. The method of analysis has not
always been uniform, frequently the cellulose is included with the
carbo-hydrates, and the proteid sometimes includes a very appreciable
quantity of non-proteid nitrogenous matter. This is the case in the
analysis of the mushrooms. G.--Analyses are by John Goodfellow; it will be
noticed that the wheatmeal bread is not made from the same flour as the
whole-meal. D.--B. Dyer, average of 19 fine and coarse oatmeals. S, from
U.S. Cons. Reports, 1899. C.--A.H. Church. The walnut kernels are in the
dried condition as purchased; originally of the same composition as shewn
in the fresh kernels. C.D.--Cavendish or Figi variety of banana, analysis
by D.W.M. Doherty, N.S. Wales. P.--A. Petermann, U.S. Cons. Banana flour,
_musca paradisiaca_ variety. This is widely used in Central America. The
flour is from the unripe fruit, and contains starch 45.7 per cent.; on
ripening the starch is converted into sugar. K.--Konig, mean of 90
analysis. Milk:--Average of many thousand analyses of the pure.
Butter.--Made without salt. L, from the "Lancet," 1903, I, p. 72. Oysters
at 2/6 per dozen. The 8.09 per cent. includes 0.91 glycogen (animal
starch). The shell was of course excluded, also the liquid in the shell.
Apples.--The refuse includes seeds, skin, &c., and such edible portion as
is wasted in cutting them away; the analysis was made on the rest.
Cookery.--Flesh is easier to digest raw. A few, on the advice of their
doctors, eat minced raw flesh, raw beef juice and even fresh warm blood.
Such practice is abhorrent to every person of refinement. Cooking lessens
the offensive appearance and qualities of flesh and changes the flavour;
thorough cooking also destroys any parasites that may be present. Raw
flesh is more stimulating to the animal passions, and excites ferocity in
both man and animals. If the old argument was valid, that as flesh is much
nearer in composition and quality to our own flesh and tissues, it is
therefore our best food, we do wrong in coagulating the albuminoids,
hardening the muscle substance and scorching it by cooking.
Fruits when ripe and in good condition are best eaten raw; cooking spoils
the flavour. Food requiring mastication and encouraging insalivation is
the best. Food is frequently made too sloppy or liquid, and is eaten too
hot, thus favouring indigestion and decay of the teeth. The cereals and
pulses can only with difficulty be eaten raw. When cooked in water the
starch granules swell and break up, the plant cells are ruptured, the
fibres are separated and the nutritious matter rendered easy of digestion.
The flavour is greatly improved. Cooking increases our range and variety
of food. The civilised races use it to excess and over-season their
dishes, favouring over-eating.
If baking powders are used they should only be of the best makes. They
should be composed of sodium bicarbonate and tartaric acid, in such
correct proportions that upon the addition of water only sodium tartrate
and carbon dioxide (carbonic acid) should result. Some powders contain an
excess of sodium bicarbonate. Self-raising flours should be avoided. They
are commonly composed of--in addition to sodium bicarbonate--acid calcium
phosphate, calcium superphosphate and calcium sulphate. Common baking
powders often consist of the same ingredients, and sometimes also of
magnesia and alum. These are often made and sold by ignorant men, whose
sole object is to make money. Calcium superphosphate and acid calcium
phosphate very frequently contain arsenic, and as the cheap commercial
qualities are often used there is danger in this direction. A good formula
for baking powder is, tartaric acid 8 ozs., sodium bicarbonate 9 ozs.,
rice flour 10 to 20 ozs. The last is added to baking powders to improve
the keeping quality and to add bulk. The ingredients must be first
carefully dried, the sodium bicarbonate at not too high a temperature or
it decomposes, and then thoroughly mixed; this must be preserved in well
closed and dry bottles. Another formula, which is slow rising and well
adapted for pastry, is sodium bicarbonate 4 ozs., cream of tartar 9 ozs.,
rice flour about 14 ozs. Custard powders consist of starch, colouring and
flavouring. Egg powders are similar to baking powders but contain yellow
colouring. Little objection can be taken to them if they are coloured with
saffron; turmeric would do if it were not that it gives a slightly
unpleasant taste. Artificial colouring matters or coal tar derivatives are
much used, several of these are distinctly poisonous.
Drinks.--It is better not to drink during eating, or insalivation may be
interfered with; a drink is better taken at the end of a meal. The
practice of washing down food with hot tea is bad. The refreshing nature
of a cup of hot tea, coffee, or cocoa is to a very great extent due to the
warmth of the water. The benefit is felt at once, before the alkaloid can
enter the blood stream and stimulate the nerve centres. Hot water, not too
hot to cause congestion of the mucous membrane, is one of the best drinks.
When the purity of the water supply is doubtful, there is advantage in
first bringing it to the boil, as pathogenic bacteria are destroyed. Some
find it beneficial to drink a cup of hot water the first thing in the
morning; this cleanses the stomach from any accumulation of mucus.
If fruit, succulent vegetables, or cooked food, containing much water be
freely used, and there be little perspiration, it is possible to do
without drinking; but there is danger of taking insufficient water to
hold freely in solution the waste products excreted by the body.
Aerated drinks, except a very few of the best, and non-alcoholic beers and
wines, are generally unwholesome, from their containing preservatives,
foaming powders, artificial flavourings, &c.
Stimulants.--Tea and coffee contain an alkaloid theine, besides volatile
oils, tannin, &c. Cocoa contains the milder alkaloid, theobromine. They
stimulate the heart and nervous systems; tea and coffee have also a
diuretic effect. Formerly they were erroneously thought to lessen tissue
waste. These alkaloids, being purins, are open to the general objections
named elsewhere. Stimulants do not impart energy or force of any kind, but
only call forth reserve strength by exciting the heart, nervous system,
&c., to increased activity. This is followed by a depression which is as
great, generally greater, than the previous stimulation. Except, perhaps,
as an occasional medicine, stimulants, should be avoided. Analysis of
cocoa shows a good proportion of proteids and a very large quantity of
fat. The claim that it is a valuable and nutritious food would only be
true if it could be eaten in such quantities as are other foods (bread,
fruits, &c.). Were this attempted, poisoning would result from the large
quantity of alkaloid. The food value of half a spoonful or thereabouts of
cocoa is insignificant. Certain much advertised cocoa mixtures are
ridiculous in their pretentions, unscientific in preparation, and often
injurious.
Cereals.--The most valuable is wheat, from its proteid being chiefly in
the form known as gluten. From its tenacity, gluten enables a much better
loaf to be produced from wheat than from any other cereal. The outer part
of the grain is the richest in mineral matter and proteid. Wheatmeal bread
shows a considerably higher proteid value than white. A large proportion
of the proteid in the outer coats of the wheat berry is, however, not
digested, and in some experiments the waste has been enough to quite
nullify its seeming advantage over white bread. Coarsely ground, sharp
branny particles in bread irritate the intestines, and cause excessive
waste of nutriment; but finely ground wheatmeal is free from this
objection, and is beneficial in preventing constipation. The comparative
value of white and brown bread has been much discussed; it depends both
on the quality of the bread and the condition of the digestive organs.
Experiments on the digestion of bread and other things, have often been
made on persons unaccustomed to such foods, or the foods have been given
in excessive quantity. To those accustomed to it good wheatmeal bread is
much pleasanter, more satisfying, and better flavoured than white; indeed,
the latter is described as insipid. Most bakers' bread is of
unsatisfactory quality. Flour and bread contain very little fat, the
absence of which is considered a defect. This is remedied by the addition
of butter, fat or oil, or by nuts, &c., which are rich in oil. These may
be mixed with the flour prior to cooking, or used afterwards.
Oats contain a substance called avenin, apparently an alkaloid, which has
an irritating action; the quantity is variable. It is to this that the
so-called heating effect of oatmeal on some persons is due.
Prepared Cereals or Breakfast Foods.--Analyses were made of 34 of these
cereal preparations by Weems and Ellis (Iowa State College Agricultural
Bulletin, 1904). They report that the foods possess no nutritive value in
excess of ordinary food materials; that the claim made for many
pre-digested foods are valueless, and no reliance can be placed on the
statement that they are remedies for any disease.
Oatmeal and other cereals are sold in packets as being partially cooked.
We do not doubt that they have been subjected to a dry heat, but this has
scarcely any effect on their starch and other constituents. The difference
is a mechanical one. In rolled oats the grains are so cracked and broken,
that on boiling with water, the water readily penetrates and more quickly
cooks them throughout. There are other prepared cereal foods, but we doubt
whether they are thoroughly cooked after the short boiling directed on the
labels. They are a great convenience where it is difficult to get the time
necessary for cooking the ordinary cereals. Coarsely ground wheat is too
irritating when made into porridge, but there are some granulated wheats
sold in packets, which are quite suitable. The Ralston breakfast food is
excellent. They are rich in the phosphates and salts, found in the outer
part of the grain. One cereal preparation called Grape Nuts, has had its
starch converted into maltose and dextrin (maltose being a sugar), by a
scientific application of the diastase of the grain. It is consequently
easier of digestion and requires no cooking. It is beneficial for some
forms of indigestion. There are several competing foods of less merit, the
starch being less perfectly changed; one at least of which is
objectionably salt. Properly cooked starch is readily digested by healthy
persons, and for them malted food is of no special value.
Pulse, or Legumes, includes haricots and other beans, peas and lentils.
The proteid contained is that variety known as legumin, which is either
the same, or is closely allied, to the casein of milk and cheese. Pulse is
very rich in proteid, the dried kinds in general use, contain 24 or 25 per
cent. The richest is the soy-bean, which is used in China and Japan, it
contains 35 per cent., besides 19 per cent. of fat. Pulse requires
thorough cooking, haricots taking the longest time. Split lentils are
cooked sooner, and are better digested; this is chiefly due to the removal
of the skins. The haricots, bought from small grocers who have a slow
sale, are often old, and will not cook tender. Pulse is best adapted to
the labouring classes; the sedentary should eat it sparingly, it is liable
to cause flatulence or accumulation of gas in the intestines, and
constipation. Haricots are easier to digest when mashed and mixed with
other food. Pulse was formerly stated to leave much undigested residue.
Recent experiments have shown that it is satisfactorily digested under
favourable conditions. Strümpell found beans in their skins to leave a
large proportion of proteid matter unabsorbed. Lentil meal mixed with
other food was digested in a perfectly satisfactory manner. Another
experimenter (Rubner) found that when even the very large quantity of
1-1/8 pound of dried split peas per day were eaten, only 17 per cent. of
proteid matter was unabsorbed, which compares very well with the 11 per
cent. of proteid left from a macaroni diet, with which the same man was
fed at another time. Had a reasonable quantity of peas been eaten per day,
the quantity undigested would probably have differed little from that of
other foods.
Nuts are, as a rule, very rich in oil and contain a fair proportion of
proteid; when well masticated they are a very valuable food. Walnuts are
one of the best, and the kernels can be purchased shelled, thus avoiding
much trouble. They can be finely ground in a nut-mill and used for several
purposes, mixed in the proportion of about two ounces to the pound of
wheatmeal they produce a rich flavoured bread. They can also he used in
sweet cakes and in rich puddings to increase their food value, lightness
and taste. Pine kernels being very oily, can be used with flour in the
place of lard or butter.
Fruits are generally looked upon as luxuries, rather than as food
capable of supplying a meal or a substantial part of one. They are usually
eaten only when the appetite has been appeased by what is considered more
substantial fare. Fresh fruits contain a larger proportion of water than
nearly all other raw foods, and consequently the proportion of
nourishment is small; but we must not despise them on this account. Milk
contains as much or more water. Certain foods which in the raw state
contain very little water, such as the pulses and cereals when cooked
absorb a very large quantity; this is particularly the case in making
porridge. Cabbage, cauliflower, Spanish onions and turnips, after cooking
contain even 97 per cent. of water. Roast beef contains on an average 48
per cent., and cooked round steak with fat removed 63 per cent. of water.
It is customary at meal times to drink water, tea, coffee, beer, wine, &c.
When a meal contains any considerable quantity of fresh fruits there need
be no desire to drink. Notwithstanding that fruits contain so much water,
a dietary consisting of fruits with nuts, to which may be added bread and
vegetables, will contain less water than the total quantity usually
consumed by a person taking the more customary highly cooked and seasoned
foods. An advantage is that the water in fruits is in a wholesome
condition, free from the pollution often met with in the water used for
drinking purposes. Raw fruits favour mastication, with its consequent
advantages, whilst cooked and soft food discourages it. Plums and what are
termed stone fruits, if eaten in more than very small quantities, are apt
to disagree. Persons with good digestions can take fruit with bread,
biscuits and with uncooked foods without any inconvenience. Fruit is more
likely to disagree when taken in conjunction with elaborately cooked
foods. Many cannot take fruit, especially if it be acid, at the same time
as cereal or starchy substances, and the difficulty is said to be greater
at the morning's meal. If the indigestion produced is due to the acid of
the fruit preventing the saliva acting on the starch, scientific
principles would direct that the fruit be eaten quite towards the end of
the meal. The same consideration condemns the use of mint sauce, cucumber
and vinegar, or pickles, with potatoes and bread, or even mint sauce with
green peas. Bananas are an exception, as not interfering with the
digestion of starch. Bananas are generally eaten in an unripe condition,
white and somewhat mealy; they should be kept until the starch has been
converted into sugar, when they are both more pleasant and wholesome. Nuts
and fruit go well together. For a portable meal, stoned raisins or other
dried fruit and walnut kernels or other nuts are excellent.
What has been called a defect in most fruits, is the fact that the proteid
is small in proportion to the other constituents. This has been too much
dwelt upon, owing to the prevailing exaggerated idea of the quantity of
proteid required. The tomato contains a large proportion, though the water
is very high. Bananas, grapes and strawberries contain to each part of
proteid from 10 to 12 parts of other solid nutritive constituents (any oil
being calculated into starch equivalents); this is termed the nutritive
ratio. Although this may seem a small proportion of proteid, there are
reasons for believing that it is sufficient. Taking the average of 29
analyses of American apples, a nutritive ratio of 33 was obtained. If it
were suggested that life should be sustained on apples alone, this small
quantity of proteid would be an insurmountable difficulty. As the addition
of nuts or other nutritious food sufficiently increases the proteid, no
objection can with justice be made against the use of fruit. A study of
our teeth, digestive organs and general structure, and of comparative
anatomy, points to fruits, nuts and succulent vegetables as our original
diet.
The potash and other salts of the organic acids in fruits tend to keep the
blood properly alkaline. Where there is a tendency to the deposition of
uric acid in the body, they hinder its formation. Citric, tartaric, malic
and other organic acids exist in fruits in combination with potash and
other bases, as well as in the free state. The free acids in fruits, when
eaten, combine with the alkalies in the intestinal tract, and are absorbed
by the body and pass into the blood, not as acids, but as neutral salts.
Here they are converted into potassium carbonate or some other carbonate.
Fruit acids never make the blood acid but the reverse. Fruit salts and
acids are antiscorbutic. Fruits have often proved of the greatest benefit
in illness. What is known as the grape cure has been productive of much
good. Lemons and oranges have also been of great benefit. Strawberries
have been craved for and have proved of the greatest advantage in some
extreme cases of illness when more concentrated food could not be endured.
Fruit is coming into greater use, especially owing to its better
distribution and lessened cost. Fruit is not as cheap as it should be, as
it can be produced in great abundance at little cost, and with
comparatively little labour. The price paid by the public greatly exceeds
the real cost of production. A very large proportion, often the greater
part of the cost to the consumer, goes in railway and other rates and in
middle-men's profits. It is commonly cheaper to bring fruit from over the
sea, including land carriage on either side, than it is to transport
English produce from one part of our country to another. English homegrown
fruit would be cheaper were it not for the difficulty of buying suitable
land at a reasonable price, and the cost of transit. For the production of
prime fruit there is a lack of sufficient intelligence, of scientific
culture and co-operation.
Vegetables--using the name in its popular sense--contain valuable saline
constituents or salts. By the usual method of cooking a large proportion
of the salts is lost. It is better to steam than to boil them. The fibrous
portion of vegetables is not all digested, but it is useful in stimulating
the peristaltic action of the bowels and lessening any tendency to
constipation. Vegetables are more especially useful to non-vegetarians to
correct the defects of their other food.
The potato belongs to a poisonous order--the _Solanacæ_. There is a little
alkaloid in the skin, but this is lost in the cooking. The eyes and
sprouting portions contain the most and should be cut out.
Fungi.--There are about a hundred edible species in this country, but
many of the fungi are poisonous, some intensely so. It can scarcely be
expected that these lowly organised plants, differing so much in their
manner of growth from the green or chlorophyll bearing plants, can be
particularly nourishing. It is only the fructifying part, which appears
above the ground, that is generally eaten. It is of very rapid growth. Of
9 edible fungi of 4 species, obtained in the Belgrade market, the average
amount of water was 89.3 per cent., leaving only 10.7 per cent. of solid
matter; the average of fat was 0.55 per cent. The food value of fungi has
been greatly over-rated. In most of the analyses given in text-books and
elsewhere, the total nitrogen has been multiplied by 6.25 and the result
expressed as proteid. The amount of nitrogen in a form useless for the
purpose of nutrition is about a third of the whole. Of the remainder or
proteid nitrogen, it is said much is not assimilated, sometimes quite
half, owing to the somewhat indigestible character of the fungi. An
analysis of the common mushroom gave proteids 2.2 per cent., amides
(useless nitrogenous compounds) 1.3 per cent., and water 93.7 per cent.
The fungi are of inferior nutritive value to many fresh vegetables and are
much more expensive. Their chief value is as a flavouring.
Milk and Eggs are permissible in a vegetarian dietary, and as a rule,
vegetarians use them. Eggs, with the exception of such as are unfertile,
are of course alive; but they have no conscious existence, and cannot be
said to suffer any pain on being killed and eaten. An objection to their
use as food is, that on an egg and poultry farm, the superfluous male
birds are killed, and as the hens become unprofitable layers they are also
killed. A similar humane objection applies to the use of cow's milk by
man. The calves are deprived of part of their natural food, the deficiency
being perhaps made up by unnatural farinaceous milk substitutes. Many of
the calves, especially the bull calves, are killed, thus leaving all the
milk for human use. When cows cease to yield sufficient milk they too are
slaughtered. Milch cows are commonly kept in unhealthy houses, deprived
of exercise and pure air, crowded together, with filthy evil smelling
floors reeking with their excrements, tended by uncleanly people. With no
exercise and a rich stimulating diet they produce more milk; but it is no
matter for surprise that tuberculosis is common amongst them. When the
lesions of tubercle (consumption) are localised and not excessive, the
rest of the carcase is passed by veterinary surgeons as fit for food; were
it otherwise, enormous quantities of meat would be destroyed. As butcher's
meat is seldom officially inspected, but a very small part is judged by
the butchers as too bad for food. In mitigation it may be said that
poultry lead a happy existence and their death is, or should be, quickly
produced with but little pain, probably less pain than if left to die from
natural causes. The same cannot be said of cattle and sheep when the time
arrives for their transport to the slaughter man's. It is argued by
vegetarians who take milk and animal products that they are not
responsible for the death of the animals, as they do not eat their flesh.
As vegetarians profit by conditions in which the slaughtering of the
animals is a part, they cannot be altogether exonerated. Cow's milk is
prone to absorb bad odours, and it forms a most suitable breeding or
nutrient medium for most species of bacteria which may accidentally get
therein. By means of milk many epidemics have been spread, of scarlet
fever, diphtheria, cholera, and typhoid. Occasionally milk contains
tubercle bacilli from the cows themselves. By boiling, all bacteria,
except a few which may be left out of consideration, are destroyed. Such
a temperature, however, renders the milk less digestible and wholesome for
infants. By heating to 160° F. or 170° F. for a few minutes, such
pathogenic germs as are at all likely to be in milk (tubercle, typhoid,
diphtheria, &c.) are killed, and the value of the milk is but little
affected: this is called Pasteurising. It was until quite recently a
common practice to add boric acid, formaldehyde and other preservatives;
this has injured the vitality and caused the death of many infants. They
have not yet gone quite out of use.
For infants the only satisfactory food is that of a healthy mother. On
account of physical defects in the mother, or often for merely selfish
reasons, the infant is deprived of its natural food. Many attempts have
been made to bring cow's milk to approximately the same composition as
human milk. It can be done by adding water, milk sugar and cream of known
composition, in certain proportions. Great difficulties are met with when
this is put into practice. The simplest method is that of Professor
Soxhlet. The proper quantity of milk sugar is added, but instead of adding
the right quantity of cream or fat--a very difficult thing to do--the
equivalent quantity of extra milk sugar is used. Although not
theoretically satisfactory, in practice it answers very well. We have
found it to agree very well with infants. To cow's milk of pure average
quality, add half its volume of water containing 12.3 per cent. of milk
sugar; or, what amounts to the same thing, to a pint of cow's milk add one
and a quarter ounce of milk sugar and half-a-pint of water. It is
preferable to Pasteurise by placing the bottle of milk in a vessel of
water. This water is to be heated until the milk shows a temperature of
about 75° C. or 165° F., but must not exceed 80° C. or a change in the
albumen of the milk takes place which affects its digestibility. Keep at
this temperature for about ten minutes. If not required at once, a plug
of cotton wool should be placed in the neck of the bottle, and it should
be kept in a cold place until required. Professor Soxhlet does not advise
the addition of lime water. The proteids are not of the same composition
as in human milk (the calf being a ruminating animal)--and it is a common
plan to add water or barley water to milk until it is so watered down that
it cannot curdle into tough curds. An infant has thus either to distend
its stomach with a large quantity of watery nourishment, or else to get
insufficient food. Sometimes it is necessary to peptonise the milk a
little. At the Leipzig infants hospital, and also the Hygienic Institute,
they give to infants, up to 9 months old, Prof. Soxhlet's mixture, except
that an equal volume of water is added to the milk. Milk, cheese, and
especially hen's eggs contain a very large proportion of proteid. When
added to food poor in proteid they improve its nutritive quality. It has
often been said, and with truth, that some vegetarians by the profuse use
of animal products, consume as much, or even more proteid of animal origin
than the average person who includes flesh food in his dietary. An excess
of proteid from these sources is less injurious as eggs contain no purins,
and milk but a very small quantity. In support of the use of animal
products, it may be said that we have become so fond of animal foods and
stimulating drinks, that the use of milk, butter, cheese and eggs renders
the transition to a dietary derived from the vegetable kingdom much
easier. By means of these, cooked dishes can be produced which approach
and sometimes can scarcely be distinguished from those of cooked flesh.
In the present state of society, when really good vegetarian fare is
difficult to procure away from home, eggs, cheese, and milk are a great
convenience.
Digestion.--The digestive juices contain certain unorganised ferments,
which produce chemical changes in the food. If the food is solid, it has
to be liquefied. Even if already liquid it has generally to undergo a
chemical change before being fitted for absorption into the body. The
alimentary canal is a tubular passage which is first expanded into the
mouth, and later into the stomach. As the food passes down, it is acted
upon by several digestive juices, and in the small intestine the nutritive
matter is absorbed, whilst the residue passes away.
The saliva is the first digestive juice. It is alkaline and contains a
ferment called ptyalin. This acts energetically on the cooked and
gelatinous starch, and slowly on the raw starch. Starch is quite insoluble
in water, but the first product of salivary digestion is a less complex
substance called soluble-starch. When time is allowed for the action to be
completed, the starch is converted into one of the sugars called maltose.
In infants this property of acting on starch does not appear in effective
degree until the sixth or seventh month, and starch should not be given
before that time. Only a small quantity should be provided before the
twelfth month, when it may be gradually increased. Dr. Sims Wallace has
suggested that the eruption of the lower incisors from the seventh to the
eighth month, was for the purpose of enabling the infant--in the
pre-cooking stage of man's existence--to pierce the outer covering of
fruits so as to permit his extracting the soluble contents by suction; and
accordingly when these teeth are cut we may allow the child to bite at
such vegetable substances as apples, oranges, and sugar cane. Dr. Harry
Campbell says that starch should be given to the young, "not as is the
custom, as liquid or pap, but in a form compelling vigorous mastication,
for it is certain that early man, from the time he emerged from the ape
till he discovered how to cook his vegetable food, obtained practically
all his starch in such a form. If it is given as liquid or pap it will
pass down as starch into the stomach, to setup disturbance in that organ;
while if it is administered in a form which obliges the child to chew it
properly, not only will the jaws, the teeth, and the gums obtain the
exercise which they crave, and without which they cannot develop normally,
but the starch will be thoroughly insalivated that much of it will be
converted within the mouth into maltose. Hard well baked crusts constitute
a convenient form in which to administer starch to children. A piece of
crust may be put in the oven and rebaked, and spread with butter. Later,
we may give hard plain biscuits." Dr. Campbell continues, that he does not
say that starch in the pappy form, or as porridge, should find no place
whatever in man's dietary at the present day, but we should arrange that a
large proportion of our food is in a form inviting mastication.
The teeth perform the very important function of breaking down our food
and enabling it to be intimately incorporated with the saliva and
afterwards with the digestive juices. The Anglo-Saxon race shows a greater
tendency to degeneracy in the teeth than do other races; the teeth of the
present generation are less perfect than those of previous generations. A
dentist writes (_Lancet_, 1903-2, p. 1054) "I have had the opportunity of
examining the teeth of many natives in their more or less uncivilised
state, from the Red Indians of North America, the negroes of Africa, to
the more civilised Chinese, Japanese, and Indians of the East, and I have
usually found them possessed of sound teeth, but so soon as they come
under the influence of civilised life in Washington, Montreal, London,
Paris and other cities, their teeth begin to degenerate, though their
general health may remain good." In a long article on mastication in the
_Lancet_ (1903-2, p. 84) from which we have already quoted, Dr. Harry
Campbell gives as the effect of thorough and efficient mastication, that
it increases the amount of alkaline saliva passing into the stomach, and
prolongs the period of starch digestion within that organ. That it
influences the stomach reflexly by promoting the flow of gastric juice.
That the frequent use of the jaws and the tongue, during the period of
growth, cause the jaws to expand. If the jaws are not adequately exercised
during this period, owing to the use of soft food, they do not reach their
normal size, the teeth are overcrowded, do not develop fully, and are
prone to decay. The effect of vigorous mastication is to stimulate the
circulation in the tooth pulp, which promotes nutrition and maintains a
firm dental setting. Dr. Campbell writes: "I am perfectly at one with Dr.
Wallace, in believing that the removal of the fibrous portion of food is
the main cause of the prevalence of caries among moderns."
When the food reaches the stomach, gastric juice is secreted. This juice
contains a ferment called pepsin and hydrochloric acid. Pepsin is only
active in an acid media. Starch digestion proceeds in the stomach to such
a time--stated as from 15 to 30 minutes--when the acid gastric juice has
been poured out in sufficient quantity to neutralise the alkalinity of
the saliva. The gastric juice acts upon the proteids only. After a time
the liquefied contents of the stomach are passed into the first portion
of the small intestine, called the duodenum. Here it meets with the
pancreatic juice, which like the gastric juice attacks proteids, but even
more energetically, and only in an alkaline media. The proteolitic ferment
is called trypsin. The pancreatic, the most important of the digestive
fluids, contains other ferments; one called amylopsin, takes up the
digestion of any remaining or imperfectly converted starch left from the
salivary digestion. Amylopsin is much more powerful and rapid than the
ptyalin of the saliva, especially on uncooked starch. Its absence from the
pancreatic juice of infants is an indication that starch should not be
given them. Another ferment, stearopsin, emulsifies fats. The bile is
alkaline and assists the pancreatic juice in neutralising the acid mixture
that leaves the stomach; it also assists the absorption of fats. The
digestion of proteids is not completed in the stomach. There are some who
look upon the stomach as chiefly of use as a receptacle for the large mass
of food, which is too quickly eaten to be passed at once into the
intestines; the food being gradually expelled from the stomach, in such
quantities as the duodenal digestion can adequately treat. A frequently
used table, showing the time required for the digestion of various foods
in the stomach, is of little practical value. There is ample provision for
the digestion of food, there is a duplication of ferments for the proteids
and starch. In health, the ferments are not only very active, but are
secreted in ample quantities. The digestive or unorganised ferments must
not be confused with the organised ferments such as yeast. The latter are
living vegetable cells, capable of indefinite multiplication. The former
are soluble bodies, and though capable of transforming or digesting some
thousands of times their mass of food, their power in this direction is
restricted within definite limits. Another and preferable name for them is
enzymes.
The action of saliva on starch is powerfully retarded by tea, this is due
to the tannin. Coffee and cocoa are without effect. Tea infused for two
minutes only, was not found to have sensibly less restraining effect than
when infused for thirty minutes. On peptic digestion both tea and coffee
had a powerful retarding effect. When of equal strength cocoa was nearly
as bad, but as it is usually taken much weaker, its inhibitory effect is
of little consequence.
Bacteria are minute vegetable organisms, which exist in the dust of the
air, in water and almost everywhere on or near the surface of the earth.
They are consequently taken in with our food. They exist in the mouth;
those in carious teeth are often sufficient to injuriously affect
digestion and health. The healthy gastric juice is to a great degree
antiseptic, but few bacteria being able to endure its acidity. When the
residue of the food reaches the large intestine, bacteria are found in
very great numbers. The warmth of the body is highly favourable to their
growth. They cause the food and intestinal _debris_ to assume its fæcal
character. Should the mass be retained, the bacterial poisons accumutate
and being absorbed into the body produce headaches, exhaustion,
neurasthenia and other complaints. Proteid matter, the products of its
decomposition and nitrogenous matter generally, are especially the food of
bacteria; this is shown in the offensiveness of the fæces of the
carnivora, notwithstanding their short intestines, compared with that of
the herbivora. Also in the difference of the fæces of the dog when fed on
flesh and on a nearly vegetable diet. On a rich proteid diet, especially
if it consists largely of flesh, the bacterial products in the intestines
are greater than on a vegetable diet. On the latter such a disease as
appendicitis is rare. Professor Elie Metchnikoff, of the Pasteur
Institute, thinks that man's voluminous and highly developed large
intestine fulfils no useful purpose, and on account of its breeding a very
copious and varied bacterial flora, could with advantage be dispensed
with. He also has said that man, who could support himself on food easily
digestible, has a small intestine which is disproportionately fully
developed. Instead of having between 18 and 21 feet of small intestine,
man might do with one-third of that length. According to him, there is a
disharmony of our food and our digestive system. Referring to such views,
and the desire of some surgeons to remove the vermiform appendix and
portions of the intestines upon too little provocation, Sir W. Macewin,
M.D., F.R.S. (_B. Medical Jrn._, 1904, 2 p. 874) says:--"Is this human
body of ours so badly constructed that it contains so many useless parts
and requires so much tinkering? Possibly I may be out of fashion with the
times, as I cannot find such imperfections in the normal human body as are
alleged. On the contrary, the more one looks into the human body and sees
it work, the better one understands it and the more one is struck with the
wondrous utility, beauty, and harmony of all its parts." Our food we can
change, but not our organs-except by a dangerous surgical operations. Our
teeth with our complex and very long intestines are adapted for fibrous,
bulky and solid food. On such food mankind has lived for an immense period
of time. It is true that there are several theoretical advantages in
cooked vegetable foods; but unfortunately there is a want of conformity
with our digestive organs. If a flesh diet is taken, the incongruity is
greater. Concentrated food causes constipation. An active man, leading an
out-of-door life, can take unsuitable food with little or no apparent
inconvenience, the movements of his body favouring intestinal action;
whilst the same food to a sedentary person will prove distinctly
injurious.
Some persons have such a vigorous digestion that they can consume almost
any food, even that which is obviously unsuitable; not only bad in kind
but excessive in quantity. Other persons have to be very careful. Many
have boasted that they can take of what they call the good things of life
to their full, without bad effect. We know of such men who have been much
esteemed for their joviality and good nature, but who have broken down in
what should have been a hearty and useful middle life. There are others
who were poorly equipped for the battle of life, with indifferent
constitutions, never having had the buoyancy and overflowing of animal
spirits; but who, by conserving such strength as they had, have outlived
all their more healthy but less careful comrades. The errors of the
parents are often most evident in the children or grandchildren. There
are many persons who cannot eat of some particular food, although it may
be quite wholesome to others. Sometimes it is a psychological rather than
a physiological disability, which may he overcome by an effort of the
will. At other times it seems to have no connection with the imagination,
although it is not always possible to give a sound reason for it. In the
main, of course, there are principles of dietetics applicable to all
alike, but in regard to details, everyone should make rules for himself,
according to his experience. When there appears no real reason for an
idiosyncrasy, a little humouring of our taste and digestion will often
overcome it, to our advantage. It is generally those of delicate
constitution who are most sensitive. Some cannot eat oatmeal except in
small quantity. Olive and other vegetable oils, even when of good quality
cannot be taken by many people, whilst others find them quite as
wholesome, or even better than butter. Vegetarians can generally detect
lard in pastry both by its taste and its after effects, although those
accustomed to this fat do not object to it. It is also surprising how some
individual's tastes and habits will vary at different periods of their
lives.
One form of dyspepsia is due to undigested starch remaining in the stomach
and causing an excessive secretion of hydrochloric acid. As long as
proteid food is present, the pepsin and acid expend themselves on it, and
are removed together. The undigested starch continues to stimulate gastric
secretion, and the acid residuum causes pain, heartburn and flatulence. If
there be also any butyric acid, or some other fatty acid, derived from
milk, butter, cheese, &c., there will be acid eructations. For this form
of indigestion there are several methods of treatment. First; the very
thorough cooking of all starchy food, and it is an advantage to take a
little good extract of malt, either at the time of eating or directly
afterwards. The diastase of the malt has the same action on starch as the
ptyalin in the saliva. It is better, scientifically, to have the
farinaceous food at about 130° F. (as hot as the mouth can bear will do),
and then to add malt extract. On keeping the mixture warm, from a few
minutes to half an hour or more, the starch is digested and rendered
soluble. Such food is not very pleasant to take. The food known as Grape
Nuts has been treated in a similar manner. The use of malt extract,
however, seems a clumsy substitute for salivary digestion. Second; the
eating of starch in the form of hard and dry biscuits, crusts and other
hard food, which demand thorough mastication and insalivation, and the
keeping in the mouth for a long while, during which the saliva has time to
act. This is the best plan. Third; the taking of sodium bicarbonate
towards the end of the period of digestion, in order to neutralise the
acid in the stomach. This gives relief, but does not cure, as the dose has
to be repeated after each meal; in course of time the quantity of soda has
sometimes to be increased to an alarming extent. Fourth; the abstention
from starchy foods and the substitution of an exclusive flesh dietary. In
the "Salisbury" treatment, raw minced beef is given. This method often
gives immediate relief, but its ultimate effect on the kidneys and other
organs is very bad.
No hard and fast rule can be laid down as to the number of meals into
which the daily amount of food required should be divided. The stomach
appears to work to the best advantage when it is full, or nearly so, and
the appetite is appeased. Three approximately equal meals seems to be a
convenient division. Dr. Dewey and his followers advise only two meals a
day, and it seems incontestable that many persons find the plan
advantageous. These are generally adults with weak digestions, or elderly
persons who, on account of their age and the sluggish action of their
assimilative functions, require comparatively little food. Children, on
account of their vigorous vitality, rapid growth and hearty appetites,
ought not to be restricted to this number. Persons who have got into the
pernicious habit of greatly over-eating, and whose stomachs have become
distended and unusually large, sometimes find it easier to restrict their
daily food to a healthy quantity by taking only two meals. The general
objections against two meals are that either two little food is taken, or
the ingestion of such a large quantity is bad for the stomach and causes
it to press on the adjacent viscera. The large quantity of blood and nerve
force drawn to the over-distended stomach, depletes the brain and nervous
system, causing drowsiness and incapacity for mental and physical work.
The carnivora, whose opportunity for obtaining food--unlike the
herbivora--is irregular and often at long intervals, gorge themselves upon
opportunity and are in the habit of sleeping after a meal. The frugivora
and herbivora, however, are alert and ready to fly from their enemies
should such appear. The conveying of so much nourishment to the liver and
blood stream at one time, is probably a greater tax on them. A light lunch
between the usual full meals has nothing to recommend it. The stomach is
burdened to little purpose, often before it has finished with one meal
another is imposed upon it, no time being left for recuperation.
Dietaries.--The best proportions of proteids, carbo-hydrates and fats
required for the nourishment of the body has not yet been conclusively
decided. The common plan is to average the dietary of large bodies of
persons, particualrly of soldiers and prisoners. These dietaries have been
adjusted empirically (the earlier ones at least), and are generally
considered as satisfactory. They are chiefly of English and German origin.
Another method is to laboriously analyse the injesta or food consumed and
compare it with the dejecta or excretions, until a quantity and kind of
food is found which is just sufficient to keep the body in equilibrium.
This latter plan is the best, but to be quite satisfactory must be tried
on a large number of suitable persons under varying conditions, both of
quantity and kind of food. Nearly all the experiments have been made on
persons accustomed to a stimulating dietary: their usual food has included
a considerable quantity of flesh and alcoholic drinks. Sufficient
attention has not been paid to the dietaries of the more abstemious races
who partake of little if any flesh food. The standard daily dietary for a
man of average weight, doing a moderate amount of work, is variously
stated by the best authorities as proteids from 100 to 130 grammes, fat 35
to 125 grammes, and carbo-hydrates 450 to 550 grammes. There is a
surprising difference of opinion on the amount of fat, but those who give
least fat give the largest quantity of carbo-hydrate and _vice-versa_. Dr.
R. Hutchison in "Food and Dietetics," sums up the quantities given by the
highest authorities as follows:---
Proteid 125 g. ( 4.4 oz.) x 4.1 = 512 cal. = 20 g. N, 62 C
Carbo-hydrate 500 g. (17.6 oz.) 4.1 2050 200
Fat 50 g. ( 1.8 oz.) 9.3 465 38
----------------- ---- -------- -----
675 g.(23.8 ) 3027 Total 20 g. N, 300 C
The nutrient ratio is 1 : 4.9. For scientific purposes, metrical weights
and measures are used, instead of the inconvenient English grains, ounces,
pounds, &c. (1 gramme = 15.43 grains; 1 ounce avoirdupois = 437.5 grains =
28.35 grammes). A calorie is a measure of the power of a food in
generating heat and muscular energy (these two being convertible).
The calories used in food tables are kilo-calories, representing the
amount of heat which would raise a kilogramme (1000 grammes) of water 1°
Centigrade. This is the same as raising 1 pound weight 4° Fahrenheit.
According to the table given, 125 grammes of dry proteid are required per
day; this contains 20 grammes of nitrogen and 62 of carbon. When
thoroughly consumed or utilised in the body, the heat or its equivalent in
muscular work equals 512 kilo-calories. Proteids have, of course, an
additional value as tissue formers. The factors used here, of 4.1 and 9.3,
are those commonly employed; but the latest and most reliable research,
taking account only of that part of the food which is actually available
in the body, gives for proteid and carbo-hydrate 4 calories, and for fat
8.9 calories.
Fat has a higher food value than the carbo-hydrates, as 4.1 : 9.3 = 2.27
or 4.0 : 89 = 2.225, according to whether the old or new factors are used.
In the table of analyses 2.225 was used. The standard dietary for a woman,
or of a boy 14 to 16 years of age, is given as equivalent to eight-tenths
that of a man; a child of 10 to 13 six-tenths; of 2 to 5 four-tenths. A
man doing hard work requires one-tenth more. The following table gives
three standard dietaries, and a few actual ones, in grammes per day. The
food of persons in easy circumstances, and of working men in the receipt
of good wages, approximate to the standard dietaries, except that the fat
is higher and the carbo-hydrates proportionately less. This is due to an
abundance of animal food. It was thought unnecessary to give them in
detail:--
Pr't. Fat. C'rb. Cal. N.R.
Hutchison: Man, moderate muscular work 125 50 500 3027 4.9
Atwater: " " " " 125 ... ... 3400 6.2
Voit: " " " " 118 56 500 2965 5.5
Atwater: Woman, light to moderate muscular work,
or Man without muscular exercise 90 ... ... 2450 6.1
Football teams, Connecticut and California, U.S. 226 354 634 6590 6.6
Russian peasants 129 33 589 3165 5.4
Negro families--Alabama and Virginia 86 145 440 3395 9.3
Labourers-Lombardy (diet, mostly vegetable) 82 40 362 2192 5.5
Japanese, on vegetable diet (_a_) 71 12 396 2026 6.0
Trappist monk, in Cloisters-vegetable diet 68 11 469 2304 7.3
Java village--Columbia Exposition, 1893 66 19 254 1450 4.7
Sewing girl-London (3/9 per week) 53 33 316 1820 7.3
German vegetarians 54 22 573 2775 11.6
German labourers' family (poor circumstances) 52 32 287 1640 7.2
Dr. T.R.A.--wheatmeal bread and water only (_b_) 82 8.5 470 2342 6.0
Man--3 years' exclusively vegetable diet (_c_) 54 22 557 2710 11.2
Thomas Wood, the miller of Billericay (_d_) 55 5.7 313 1560 6.0
Dr. Alexander Haig considers that 88 grammes of proteid is required by a
man leading a decidedly active life.
NOTES.--(_a_) The Japanese are of small stature and weight.
(_b_) One of a series of experiments by A.W. Blyth, 1888. 1-1/2 lbs. of
wheatmeal per day was required for equilibrium; sedentary occupation, with
a daily walk of six miles.
(_c_) See "A Text Book of Physiology," by M. Foster, 5th edition, part
ii., p. 839; the diet was bread, fruit and oil. The man was in apparently
good health and stationary weight; only 59 per cent. of the proteids were
digested, leaving the small quantity of 32 grammes available for real use.
In commenting upon this, Professor Foster writes:--"We cannot
authoritatively say that such a reduction is necessarily an evil; for our
knowledge will not at present permit us to make an authoritative exact
statement as to the extent to which the proteid may be reduced without
disadvantage to the body, when accompanied by adequate provision of the
other elements of food; and this statement holds good whether the body be
undertaking a small or large amount of labour."
(_d_) The Miller of Billericay's case is quoted by Dr. Carpenter, and also
by Dr. Pavy. It was reported to the College of Physicians in 1767 by Sir
George Baker. A remarkable degree of vigour is said to have been sustained
for upwards of eighteen years on no other nutriment than 16 oz. of flour,
made into a pudding with water, no other liquid of any kind being taken.
A striking instance of abstemiousness is that of Cornaro, a Venetian
nobleman, who died in the year 1566 at the age of 98. Up to the age of 40
he spent a life of indulgence, eating and drinking to excess. At this
time, having been endowed with a feeble constitution, he was suffering
from dyspepsia, gout, and an almost continual slow fever, with an
intolerable thirst continually hanging upon him. The skill of the best
physicians of Italy was unavailing. At length he completely changed his
habits of diet, and made a complete recovery. At the age of 83 he wrote a
treatise on a "Sure and certain method of attaining a long and healthful
life." He says, what with bread, meat, the yolk of an egg and soup, I ate
as much as weighed 12 ozs., neither more nor less. I drank 14 oz. of wine.
When 78 he was persuaded to increase his food by the addition of 2 oz. per
day, and this nearly proved fatal. He writes that, instead of old age
being one of weakness, infirmity and misery, I find myself to be in the
most pleasant and delightful stage of life. At 83 I am always merry,
maintaining a happy peace in my own mind. A sober life has preserved me in
that sprightliness of thought and gaiety of humour. My teeth are all as
sound as in my youth. He was able to take moderate exercise in riding and
walking at that age. He was very passionate and hasty in his youth. He
wrote other treatises up to the age of 95.
Kumagara, Lapicque and Breis-acher, have, as the result of their
experiments, reduced the quantity of proteid required per 24 hours to 45
grammes. T. Hirschfeld states, as the conclusion of his research, that it
is possible for a healthy man (in one case for 15 days and in another for
10 days) to maintain nitrogenous balance on from 30 to 40 grammes of
proteid per day. Labbé and Morchoisne (Comptes Rendus, 30th May, 1904, p.
1365) made a dieting experiment during 38 days, upon one of themselves.
The proteid was derived exclusively from vegetable food. The food
consisted of bread, lentils, haricots, potatoes, carrots, chestnuts,
endives, apples, oranges, preserves, sugar, starch, butter, chocolate and
wine. At the commencement, the day's food contained 14.1 grammes of
nitrogen = 89.3 proteid, which was gradually diminished. On the 7th day
11.6 g. N. = 73.5 g. proteid was reached; during this time less N. was
eliminated, indicating that the proteid food was in excess of that
required for the wear and tear of the body. As the quantity of nitrogenous
food was diminished almost daily, the N. eliminated was found to diminish
also. This latter was in slight excess of that absorbed; but when a day or
two's time was allowed, without further reduction in the food, the body
tended to adjust itself to the dimished supply, and there was an
approximation of income and expenditure. The smallest quantity of food was
reached on the 32nd day with 1.06 N. = 6.7 proteid, which was obviously
too little, as 2.19 N. = 13.9 proteid was eliminated. On the 21st day 4.12
N. = 26 proteid was injested, and 4.05 N. was eliminated. The inference
drawn from the research is that about 26 grammes of proteid per day was
sufficient. The weight of the body remained practically constant
throughout, and the subject did not suffer inconvenience. Of course the
full amount of calories was kept up; as each succeeding quantity of the
proteid was left off, it was replaced by a proper quantity of
non-nitrogenous food. These experiments were carried out in the usual
approved scientific manner. It may, however, be urged against any
generalised and positive conclusions as to the minimum quantity of proteid
required for the body, being drawn from such experiments, that the period
covered by them was much too short. A prolonged trial might have revealed
some obscure physiological derangement. We are quite justified in
concluding that the usual, so-called "standard dietaries" contain an
unnecessarily large proportion of proteid. In some practical dietaries, 50
grammes and under have seemed enough; but for the ordinary adult man, who
has been accustomed to an abundance of proteid, and whose ancestors have
also, it is probably advisable not to take less than 70 or 80 grammes per
day (2-1/2 to 3 ounces). If it is desired to try less, the diminution
should be very gradual, and a watch should be kept for any lessening of
strength.
Some comments may now be made upon the table of dietaries. That of the
London sewing girl contained 53 grammes of proteid, which should have been
ample, according to some of the authorities we have given; yet she was
badly nourished. The food was doubtless of bad quality, and it appears
deficient in carbo-hydrates; this latter is shown by the low number of
calories. The long hours and unhealthy conditions of work, and not a
deficiency of food constituents, is probably the cause of the bad health
of such persons. There is no reason to think the proteid insufficient,
although some persons have said as much. We have no particulars of the
German vegetarians, but the calories appear satisfactory. In the poor
German labourer's family the calories are too low. In Dr. T.R. Allinson's
experiment on a wheatmeal dietary, it will not do to assume that less than
82 grammes of proteid would have been insufficient. It is probable that a
smaller quantity of proteid would have been enough if the fat and
carbohydrates had been increased. The calories are below the usual
standard. In the succeeding example the calories are considerably higher,
being not far from the usual standard, yet 54 grammes of proteid sufficed.
It is a common error to place an undue value on the proteids to the extent
of overlooking the other constituents. Dr. Alexander Haig in "Diet and
Food," p. 8, cites the case of a boy aged 10, fed on 2-1/4 pints of milk
per day. The boy lost weight, and Dr. Haig is of opinion that the quantity
of milk was very deficient in proteid; more than twice as much being
required. 2-1/4 pints of milk contain about 45 grammes of proteid,
whereas, according to the usual figures (125 x 6/10) a boy of this age
requires 75 g. This quantity of 45 g. is however, higher, allowing for the
boy's age, than that in several of the dietaries we have given in our
table. A little consideration will show that Dr. Haig has overlooked the
serious deficiency of the milk in the other constituents, which accounts
for the boy's loss of weight. The quantity of milk contains only about 160
g. of total solid matter, whilst 400 g. is the necessary quantity. Milk is
too rich in proteid matter to form, with advantage, the sole food of a
human being. Human milk contains much less in proportion to the other
constituents.
The old doctrine enunciated by Justus von Liebig was that proteid matter
is the principal source of muscular energy or strength. He afterwards
discovered and acknowledged his error, and the subject has since been
thoroughly investigated. The makers of meat extracts and other foods,
either from their own ignorance of modern research or their wish to take
advantage of the lack of knowledge and prejudice of the public, call
proteid matter alone nourishment. The carbo-hydrates and fats are equally
entitled to be called nourishment.
Our reason for devoting so much space to the consideration of the quantity
of proteid matter required, is that in the opinion of many eminent writers
it is the crux of vegetarianism. They have stated that it is impossible to
obtain sufficient from vegetable foods alone, without consuming an
excessive quantity of carbo-hydrates. We will summarise the argument as
given in Kirke's Physiology, as edited by Morrant Baker, a standard work,
and which is repeated in Furneaux's "Animal Physiology," a book which is
much used in elementary science schools: "The daily waste from the system
amounts to, carbon 4,500 grains (or 300 grammes), and nitrogen, 300 grains
(or 20 grammes). Now let us suppose a person to feed on bread only. In
order to obtain the necessary quantity of nitrogen to repair this waste
he would have to eat nearly 4-1/4 lbs. daily.... He would be compelled to
take about double the quantity of carbon required in order to obtain the
necessary weight of nitrogen.... Next, let us suppose that he feeds on
lean meat only. Then, in order to obtain the necessary quantity of carbon,
he must eat no less than 6-1/2 lbs. daily.... In this case we notice a
similar waste of nitrogen, the removal of which would give an undue amount
of work to the organs concerned.... But it is possible to take such a
mixed diet of bread and meat as will supply all the requirements of the
system, and at the same time yield but little waste material." (These
extracts are from Furneaux, the next is from Kirke. The figures and
argument is the same in each, but we have chosen those sentences for
quotation which are the briefest and most suitable; certain calculations
being omitted.) "A combination of bread and meat would supply much more
economically what was necessary ... so that 3/4 lbs. of meat, and less
than 2 lbs. of bread would supply all the needful carbon and nitrogen with
but little waste. From these facts it will be plain that a mixed diet is
the best and most economical food for man; and the result of experience
entirely coincides with what might have been anticipated on theoretical
grounds only." Professor Huxley, in his "Elementary Physiology" uses
almost the same figures and argument.
The adoption of this high proteid or nitrogen figure would lead to some
ridiculous conclusions. One writer states that 18 eggs would contain
sufficient flesh forming substance for a day's ration, but a very much
larger quantity would be required to supply enough carbon. On the other
hand, Professor Church says that, no less than 70 lbs. of pears would have
to be eaten per day, to supply the necessary quantity of nitrogen;
although the carbon would be in excess. The curious may calculate the
proper quantity of each that would make a theoretically perfect dietary.
People are apt to assume that what they themselves eat, or what their
class, race, or nation eat, is the proper and necessary diet; at least as
far as the elementary constituents and quantities are concerned. The error
is in attempting to make a vegetarian diet, however contrary to common
sense and the experience of the greater part of the earth's inhabitants,
agree in composition with the ordinary lavish flesh dietary of the
well-to-do European. It is significant that John Bull is caricatured with
a large abdomen and a coarse, ruddy, if not inflamed face, indicative of
his hearty dining on flesh, coarse food and alcoholic drinks. An unhealthy
short lived individual. Even if we accept a high proportion of proteid, it
is possible to combine purely vegetable foods so as to give the required
quantity of the various constituents, without a superfluity of the
carbo-hydrates. In "Food Grains of India," Professor A.H. Church shows by
elaborate analyses and dietary tables, how this can be accomplished by
various combinations of cereals, pulses, etc. He takes Forster and Voit's
standard of 282 grains of nitrogen and 5,060 grains of carbon, with a
suitable deduction for the smaller weight of the Indians. In his examples
of daily rations he gives from 5 to 9 ounces of various beans, balanced
by the addition of the proper quantity of rice--4 to 16 ounces, and a
little oil. Such a large quantity of pulse appears to us excessive, and
would cause discomfort to most persons. We much doubt whether those
Indians who are strict vegetarians could consume such quantities.
Some valuable investigations were made on the diet of a family of
fruitarians, at the Californian Agricultural Experimental Station, July,
1900, by Professor M.E. Jaffa (bulletin 107). The proportion of food, both
proteid and carbo-hydrate used was surprisingly small. The research is
particularly important, as the diet was not an experimental one, tried
during a short period only; but that to which the family were accustomed.
The family consisted of two women and three children; they had all been
fruitarians for five to seven years, and made no change in their dietary
during the experiment. They only had two meals a day, the food being eaten
uncooked. The quantities of all the foods and other particulars are
detailed in the bulletin. The first meal was at 10-30 a.m., and always
consisted of nuts followed by fruits. The other meal was about 5 p.m.,
when they usually ate no nuts, substituting olive oil and honey. The nuts
used were almonds, Brazil, pine, pignolias and walnuts; the fresh fruits
were apples, apricots, bananas, figs, grapes, oranges, peaches and pears.
Other foods were dates, raisins, pickled olives, olive oil and honey. One
person (_b_) ate a little celery and tomatoes, and another (_c_) a little
cereal food. In the following table are given the average daily quantities
of the food constituents in grammes:--Proteids, fat, carbo-hydrate, crude
fibre, value in calories and nutrient ratio. The crude fibre is classed as
a carbo-hydrate and included in the calorie value, and also in calculating
the nutrient ratio.
Pro. Fat. C'r'b. Fibre. Cal. N. R.
Woman, age 33, weight 90 lbs. (_a_) 33 59 110 40 1300 8.6
Woman " 30 " 104 " (_b_) 25 57 72 27 1040 9.1
Girl " 13 " 75-1/2 " (_c_) 26 52 111 46 1235 10.5
Boy " 9 " 43 " (_d_) 27 56 102 50 1255 10.3
Girl " 6 " 30-1/2 " (_e_) 24 58 97 37 1190 11.1
Girl " 7 " 34 " (_ee_) 40 72 126 8 1385 7.4
The last research extended over ten days; the period during which each of
the other subjects was under observation was from 20 to 28 days.
(_a_) The tentative standard for a woman at light work calls for 90
grammes of proteids and 2,500 calories; it is thus seen that the quantity
of food eaten was far below that usually stated as being necessary. The
subject, however, was a very small woman, 5 feet in height, taking almost
no physical exercise. She believed, as do fruitarians generally, that
people need far less raw than cooked food. (_b_) The food eaten was even
less in quantity than in the previous dietary. One reason for this was the
fact that the subject was, for part of the time at least, under great
mental strain, and did not have her usual appetite. Even this small amount
of food, judging by her appearance and manner, seemed sufficient for her
needs, enabling her to do her customary housework and take care of her two
nieces and nephew, the subjects of the other experiments. (_c_) This girl
was given cereals and vegetables when she craved them, but her aunt says
she never looks nor feels so well when she has much starchy food, and
returns to her next meal of uncooked food with an increased appreciation
of its superiority. The commonly accepted dietary standard for a child 13
years old and of average activity, is not far from 90 grammes of proteids
and 2,450 calories, yet the girl had all the appearance of being well fed
and in excellent health and spirits. (_d_) During the 22 days of
experiment, there was an increase in weight of 2 pounds, due to the fact
that the family had been in straitened circumstances, and the food
provided was more abundant during the study. (_e_) The subject had been
very delicate as a baby. She was very small for her age, being 10 pounds
under the average weight, and 7 inches less than the average height. It is
interesting to note that her only gain in weight during the past year was
made during this dietary and the one immediately following. This was due
to her being urged to eat all she wanted, of what she most preferred, as
the food was provided by those making the study. The proteid is less than
the tentative standard for a child of 1 to 2 years old, but the subject
appeared perfectly well and was exceedingly active. She impressed one as
being a healthy child, but looked younger than her age. (_ee_) The subject
is the same as in the previous experiment (_e_), but after an interval of
8 months, her seventh birthday occurred during the time.
Professor Jaffa, who made the investigation, says:--"It would appear that
all the subjects were decidedly under-nourished, even making allowance for
their light weight. But when we consider that the two adults have lived
upon this diet for seven years, and think they are in better health and
capable of more work than they ever were before, we hesitate to pronounce
judgment. The three children had the appearance of health and strength.
They ran and jumped and played all day like ordinary healthy children, and
were said to be unusually free from colds and other complaints common to
childhood. The youngest child, and the only one who has lived as a
fruitarian almost from infancy was certainly undeveloped. She looked fully
two years younger than she was. Still, there are so many children who are
below the average in development, whose dietaries conform to the ordinary
standards, that it would be unfair to draw any conclusions until many more
such investigations are made."
The research shows that not only is there need of a revision of the
"standard" quantity of proteids, but also of the carbo-hydrates and fats.
It is generally said by those who have no practical experience amongst
vegetarians, that the latter require a much larger quantity of food than
do those who include flesh. The truth is that vegetarians eat less, often
much less. It is a common experience that vegetable food has a more
staying power, and a much longer period can be allowed between meals,
without the inconvenience that a flesh-eater, especially a flesh and
alcohol consumer, suffers. This is due, in part at least, to its less
stimulating character and its slower digestion. This fact has been shown
by the success of vegetarians in feats of strength and endurance, and
especially in the comparatively fresh condition in which they have
finished long walking, cycling, tennis, and other matches. Those who
attempt to prolong their powers of endurance by flesh extracts and
stimulating foods and drinks, usually finish in a very exhausted
condition. The superior endurance and recovery from wounds, when compared
with our English soldiers, of simple feeding men, such as the Zulus, Turks
and Japanese, has often been remarked. It is often said that vegetable
food, as it contains more fibre and is slower of digestion, taxes the
bodily organs more. If we attempted to eat uncooked, the more fibrous
vegetables, the grains, and unripe fruit, it would be quite true, but it
is not so of the ordinary food of vegetarians. A slowness of digestion
does not necessarily imply a greater strain on the system. As vegetables,
in particular, are for the longest period of time in the intestines, and
undergo the greater part of their digestion there, a gentle and slow
process of digestion in that organ may be more thorough. It may also
entail less expenditure of nervous energy than if the food had been of
such a stimulating character, as to be hurried along the digestive tract.
Digestion is for the most part a chemical process. If the food is of right
kind and quantity, thoroughly masticated, assisted if necessary by
cookery, and the digestive ferments are normal, digestion proceeds without
any sensible expenditure or energy or consciousness of its accomplishment.
There is nothing improbable in a flesh-eater requiring more food than a
simple living vegetarian. His food contains more proteid, and
excrementitious matter or extractives; these stimulate the digestive
organs and overtax the excretory ones. Generally, he is fond of
condiments, salt, and elaborate cooking, often also of alcohol; if a man,
probably of tobacco. He lives, as it were, at high pressure.
There are on record certain experiments which appear to indicate the
necessity of a large proportion of proteid, especially when the diet has
been of vegetable origin. These experiments are inconclusive, because the
subject has been accustomed to an ordinary flesh diet, perhaps also to
alcoholic drinks. The change to a comparatively non-stimulating diet
cannot be made, and the digestive organs expected to adapt themselves in
a few days. Perhaps not even a month or a year would suffice, for some
people, and yet that same diet would suit others. In some experiments the
food has not been appetising, the subject has even taken it with
reluctance or even loathing; an excess of some food has been eaten which
no vegetarian or anybody else would think of using in a practical dietary.
Sometimes persons on changing from an ordinary flesh dietary, lose weight
and strength. Generally, it is found that they have done little more than
discontinue the flesh, without substituting suitable foods. Authorities
think it is from a deficiency of proteid, and recommend an addition of
such foods as pulse, wheatmeal, oatmeal, eggs, milk, cheese, and such as a
reference to the table of analyses, show a low nutrient ratio figure. This
may also be due to an insufficiency of food eaten, owing to the
comparatively insipid character of the food and want of appetite. In
making a change to a vegetarian diet, such foods had better be taken that
are rather rich in proteid, and that approximate somewhat in their flavour
and manner of cooking to that used previously. A further change to a
simpler diet can afterwards gradually be made, according to conviction,
tastes and bodily adaptability. It must not be expected that a change,
even an ultimately very advantageous one, will always meet with an
immediate and proper response from digestive and assimilative organs which
have been accustomed for many years, perhaps by inheritance for
generations, to another manner of living. There are several preparations
produced from centrifugalised milk--that is milk from which the butter fat
has been removed, which consist chiefly of proteid. These have a value in
increasing the proteid contents of foods which may be thought deficient.
The addition of these manufactured products appear unnecessary, as most
of our food contains an abundance of proteid, and we can easily limit the
quantity or avoid altogether those that are thought defective.
The later apologists for a flesh diet have had to admit that it is not a
physiological necessity; but they have attempted to justify its use by a
theory somewhat as follows. It is admitted, that any excess of proteid
over that necessary for its special province of producing tissue, is
utilised as a force-producer, in a similar manner to the carbo-hydrates.
When the molecule is split up, and the carbon utilised, the nitrogen
passes off in the form of urea by the kidneys. The theory propounded is
that at the moment the nitrogen portion is liberated, it in some manner
stimulates the living protoplasm of the nerve cells in its immediate
neighbourhood to a higher state of activity. These views are given by Dr.
Hutchison in his book on "Food," but there are no substantial grounds for
them. It is only prompted by a wish to excuse a cherished habit. Sir
William Roberts, M.D., in "Dietetics and Dyspepsia," p. 16 says that "high
feeding consists mainly in a liberal allowance of meat, and in the
systematic use of alcoholic beverages, and that low-feeding consists in a
diet which is mainly vegetarian and non-alcoholic," and he proceeds to say
that the high-fed classes and races display, on the whole, a richer
vitality and a greater brain-power than their low-fed brethren. That "it
is remarkable how often we hear of eminent men being troubled with gout,
and gout is usually produced either by personal or ancestral
high-feeding." We can only spare room for a few remarks on this subject.
Intellectual and business ability brings wealth, wealth frequently leads
to the pleasures of the table, but such habits are detrimental to
sustained effort and clearness of mind. The children and grandchildren of
such high livers are usually common-place, intellectually, and of
deteriorated physique. The aristocracy who are generally high livers,
notwithstanding their great advantages of education, travel and leisure,
are not as a rule famed for their intellectual gifts. In the recent war
the frugal living Japanese soldier has proved himself the most enduring
and bravest in history; whilst the Japanese officers are more resourceful
and tactful than the wealthier, high-fed Russian officers, with their
aristocratic lineage. What is called high-feeding, is of the greatest
benefit to the doctors and the proprietors of remedies for digestive and
nervous disorders.
Food Adjuncts and Drugs.--In addition to the nutrients and the small
quantity of indigestible fibre of which we have already written, food
generally contains small quantities of substances which are difficult to
classify, and whose action on the body is but imperfectly understood. Many
of these possess pungent or strong odours and flavours. To them, various
fruits, meats, etc., owe much of their characteristic differences of
taste. When pure the proteids and starches are devoid of taste. Such oils
and fats as are generally eaten have also but little flavour, providing
they are free from rancidity and of good quality. The sugars differ from
the other nutrients in possessing a more or less decided taste. The free
vegetable acids also strongly affect the sense of taste, but they are only
consumed in small quantities.
A drug may be defined as a substance which modifies the functions of the
body or of some organ without sensibly imparting nourishment. This action
may be one of stimulation or of depression. A drug is taken for its
medicinal action, a food adjunct for its modifying action on food. It is
impossible to give a quite satisfactory definition, or to draw sharp
distinctions. For example, tea, coffee, alcohol and tobacco are sometimes
placed in one group, and sometimes in another, according to opinion of
their action and the definition of the terms food adjuncts, drugs and
poisons. The difference of grouping often depends upon intensity rather
than of kind of action. If taken frequently and not in quantity sufficient
to have a markedly medicinal action, such things are generally called food
adjuncts or supplementary foods, although much may be said in favour of a
different view. The volatile oils of mustard, caraway, cloves, etc., are
used in medicine; also the alkaloids of coffee and cocoa. Even honey is
used as a mild laxative for infants; that is, as a drug. The difference
between a drug and a poison is one only of degree. Some of the most
esteemed drugs have to be administered in very small quantities, or they
cause death; e.g., strychnine and morphine.
Classifications are necessary for methodical study, and for assisting the
memory in grasping large numbers of things which can be grouped together.
Classifications, however, are artificial, not due to natural lines of
demarkation, but according to man's knowledge and convenience; hence a
group is apt to approach and finally merge into another group, although on
first consideration they appeared quite distinct. The disregard of this
often leads to confusion and useless discussions.
Plants, like animals, as the result of tissue change, have certain used-up
or waste matters to get out of the way. Animals have special excretory
organs for the purpose; waste matter remains in the flesh and blood of
dead animals. In plants are found a large number of powerful volatile
oils, alkaloids, bitter resins, etc. Many of these are, in all
probability, excretory products of no assimilative value to the plant.
Certain volatile oils may attract insects, and in obtaining nectar from
flowers insects assist fertilisation. Agreeable volatile oils and
flavouring substances in fruits attract birds and animals. The eating of
the fruits cause the seeds, which are uninjured by passing through the
digestive system, to be disseminated over wide areas to the advantage of
the plant species. On the other hand, nauseous and poisonous alkaloids,
oils, resins, etc., serve as a protection against the attacks of browsing
animals, birds, caterpillars, snails, etc. These nauseous substances are
most abundant in the bark, husk, skin and outer parts. It is commonly
supposed that the food on which each animal, including man, subsists, is
especially produced by Nature for the purpose. This is an error, for each
species of plant and animal lives for itself alone, and protects itself,
with more or less success, against destruction by its competitors and
enemies. Each species of animal selects from its surroundings such food as
is most suitable. Such food may not be theoretically perfect; that is, it
may not contain the maximum of nourishment free from innutritious matter;
but during the long period of evolution, each species of animal has become
possessed of organs suited to its environment. If to such animals be given
food containing less indigestible matter, or food which is more readily
digested by laboratory tests made independently of the living animal,
their digestive system will be thrown out of gear, become clogged up or
refuse to work properly, just as the furnace of a steam boiler, made to
burn coal, will act badly with wood or petroleum. Many scientific men have
overlooked this fact, and have endeavoured to produce food substances for
general consumption, in the most concentrated and soluble form, thinking
such food would be more easily assimilated.
The Volatile and Essential Oils are contained in minute quantity in a
very large number of animal and vegetable foods. They contribute in part
to the flavour of fruits. They are the cause of the pungency and aroma of
mustard, horse-radish, cloves, nutmegs, cinnamon, caraway seeds, mint,
sage and other spices. Onions contain a notable quantity. When extracted
the essential oils become powerful drugs. In moderate quantities they are
stomachic and carminative, in larger quantities irritant and emetic.
Condiments and spices not only add flavour to food, but stimulate the
secretion of gastric juice and peristaltic movement.
The Alkaloids most used are those of tea, coffee, kola-nut, cocoa, coca,
tobacco and opium. Although the two last are generally smoked, they must
be classed amongst the food adjuncts. It is of little consequence whether
their active principles enter the body by the mouth and saliva or the
lungs; their action on the blood and nervous system is the same.
The Extractives, as they are called, comprise a number of bodies of
varying nature. They especially exist in flesh and flesh extracts. Amongst
these are the purins. They will be treated at greater length hereafter.
Alcohol is to some extent a true food, but its stimulant and other
action quite overshadows any food value it may possess.
There are other bodies such as the resins and bitters. The active
principle of Indian hemp is a resin.
There is a great difference of opinion as to the extent to which
stimulants may advantageously be used. It is remarkable that amongst
nearly all nations, either alcohol in some form or one of the stronger
alkaloids is in common use. From this fact it is sometimes argued that
stimulants must supply a physiological need. The same method of reasoning
will apply with greater force to the use of condiments. Such conclusions
appear to us to be scarcely warranted. If the extensive or even universal
practice of a thing proves its necessity, then has there been
justification, either now or in the past, for war, lying, avarice and
other vices. It is strange that drugs differing so greatly in their
immediate and obvious effects as, for example, alcohol and opium, or
coffee and tobacco should be used. Should it he said that only some of the
much used stimulants are useful, there is an end to the argument based on
their universal use. There is no doubt that the use of stimulants in more
than very small quantities is distinctly injurious, and it is difficult to
see what physiological advantage there can be in their habitual use, to
what is vaguely called a moderate extent. Sometimes they are taken for a
supposed medical necessity, and where taste attracts, little evidence
satisfies. Those in the habit of taking them, if honest, must confess that
it is chiefly on account of the apparent enjoyment. The ill-nourished and
the depressed in body and mind crave most for stimulants. A food creates
energy in the body, including the nervous system, and this is the only
legitimate form of stimulation. A mere stimulant does not create but draws
on the reserve forces. What was latent energy--to become in the natural
course gradually available--under stimulation is rapidly set free; there
is consequently, subsequent depletion of energy. There may occasionally be
times when a particular organ needs a temporary stimulus to increased
action, notwithstanding it may suffer an after depression; but such cases
are so rare that they may be left out of our present argument, and
stimulants should only be used, like other powerful drugs, under medical
advice. In the last 25 years the use of alcohol by the medical profession
has steadily diminished, its poisonous properties having become more
evident.