V. DEGENERATION OF THE MUSCULAR TISSUE.

=Muscular Rheumatism, Sciatica, Infantile Paralysis, Atrophy, Amyloid

Organs.=

The muscles, about 400 pairs, which must perform all the actual work of

the body, require good nourishment through the blood, which will rapidly

replace the cells that are constantly used up.

Muscular degeneration is caused by disturbances in the quality and

circulation of the blood.

Interruption in the proper circulation of the blood, stagnation etc.,

cause _rheumatism_ with intense pains, and this can be removed only by

restoring the undisturbed circulation of the blood, carrying all

substances requisite for the proper nutrition of the muscles.

If disease of the muscular tissue combines with a diseased condition of

the accompanying nerves, we speak of _Sciatica_.

Infantile paralysis, which often appears suddenly, muscular atrophy,

which develops slowly, _progressive and chronic atrophy_ of the muscles,

are also forms of muscular disease, combined with destruction of the

accompanying nerve tissue.

A special group of muscular diseases consists of amyloid (fatty)

degeneration of vital muscle substance, as for instance of the heart,

the kidneys, the liver. These are also caused by faulty composition of

the blood, which does not feed the muscles with the substances required

and thus causes them to degenerate by developing too much fat.

The predisposition for such forms of disease is very often inherited.

Amyloid degeneration is often combined with wasting diseases, such as

atrophy, tuberculosis and dropsy.

_Therapy._

_Diet_: Sufferers from gout must always be guided by the necessity of

avoiding all food that contains large quantities of acid. In a general

way it is also necessary to live moderately in every respect and so

avoid all excesses.

There are a number of dishes that are harmful to such patients. Among

them are various meats, especially dark roast meat, also game. In

general, and especially in very severe cases, it is better to refrain

from white meat also. Spleen, liver, kidney, sweetbread, brains are

absolutely prohibited, also sausage and smoked and canned meats, oily

fish, especially eel, salmon, pike, and all smoked fish, because they

may create a large amount of uric acid.

The amount of meat eaten must not exceed 200 grams per day. The

following must also be avoided: all sharp cheeses, cabbage, sauerkraut,

and beans.

Among vegetables the following are recommended: asparagus, celery and

potatoes. The vegetables containing oxalic acid, such as spinach,

sorrel, rhubarb and cress it is best to avoid.

Butter is permitted in small quantities, also eggs.

Sweet farinose dishes are unnecessary.

Tea and coffee are allowed as beverages in very small amounts. The

principal drinks, however, should be mineral waters, such as Vichy,

Apollinaris, etc., which may be varied from time to lime.

It is strongly recommended that the patients eat much fruit. Fruit-acids

promote good circulation.

_Breakfast_: (a) In winter, tea made from the leaves of the haw,

blackberry, or strawberry, cereal coffee, weak cocoa with bread and

butter.

(b) In summer, sour milk, fruit juices, or fruit and bread; among

fruits particularly strawberries, currants, gooseberries, huckleberries,

cherries, grapes, apples.

_Mid-morning Lunch_: Radishes mashed with apples, also a raw cucumber or

tomato in the form of a salad.

_Dinner_: No meat, no soup; fresh greens, fresh vegetables with

potatoes, rice, macaroni, and a dish of corn, rice, groats, peas, beans,

tomatoes or mushrooms. In addition, light custard with fruit or

sweetmeats with fruit.

_Afternoon Lunch_: Fruit only.

_Supper_: Fresh lettuce, with macaroni, baked potatoes, pancakes,

custard; or radishes with cream and potatoes, custard, mild cheese and

leeks.

Exclusive fruit dietaries, comprising strawberries, currants, cherries

and grapes, are effective in preventing eruptions on the skin and

removing their effects.

From one to three-quarters of a pound of fruit should be eaten at a

meal, either with a little bread or with sour milk, and at dinner as a

desert.

In winter, from three to seven lemons a day serve the same purpose. The

juice is used without sugar and with as little water as possible, never

with the meal, but a little before, or in the morning on an empty

stomach. Only fresh lemons should be used for this purpose, not the

prepared lemon juice which is on the market. Tomatoes may be eaten in

the raw state, likewise.

In mild cases of gout and rheumatism some crisp lean meat and fish may

be eaten, but not every day. A diet without meat has a better curative

effect upon the disease.

Alcohol is to be shunned as totally inadmissible. The wines which

contain no alcohol must serve as substitutes.

_Special Diet: For Diseases of the Heart and Inactive Kidneys._

Patients, who are afflicted with any kind of heart or kidney disease,

must be very careful never to overload the stomach. They should eat

small meals, at frequent intervals, and avoid irritating food; the

amount of liquids and milk must be determined by the physician. A

moderate amount of salt only is allowed, and if the physician so

prescribes, a diet containing little salt, must be observed.

In case of acute inflammation of the kidneys, meat is absolutely

prohibited; the best diet is an exclusive milk-diet, consisting of at

least 1 to 1-1/2 quarts fresh milk, and in certain cases warmed milk,

taken by the spoonful; the quantity to be increased, if necessary, to 3

and 4 quarts per day. Instead of milk, buttermilk, sour milk, kefir,

koumiss or yoghurt may be taken.

Beef broths are strictly prohibited. In their place glutenous soups, of

oats, barley sago, tapioca, rice, groat, may be taken; furthermore

leguminos soups, made from the preparations of the firms Knorr, Liebig,

Maggi, and others. 1 to 2 spoonfuls of these preparations are put into a

cupful of water, some salt is added and the mixture is then boiled.

A more varied diet is allowed in lighter forms of the disease, such as

milk dishes, mashed potatoes, preserved apples or pears, rolls and

butter, bread, cream, cream cheese, farinaceous dishes, eggs and green

vegetables, meat according to the orders of the physician. Spices and

alcohol must be strictly avoided.

In cases of chronic kidney diseases, greater variety should be observed

in the diet. In any event, however, a certain quantity of milk should be

taken, not less than 1 quart per day.

The following food is to be limited: All game, including birds, sausages

and smoked meat, sweetbread, brains, liver, spleen, crawfish, lobster,

rich cheese especially Roquefort, Parmesan, Camembert, all sharp spices,

such as pepper, paprika, mustard, cinnamon, garlic, onions; among

vegetables such as radishes, horseradish, celery asparagus, mushrooms,

tomatoes, sorrel; furthermore, all meat extracts, piquant sauces and

soup spices.

No alcohol should be served on the table of a patient with kidney

disease. The exceptions must be prescribed by the physician. The same

applies to all new wines and beef soups.

The following dishes are permitted: Among meats, white meat (about 200

grams per day, preferably at noon). This comprises domestic fowl, fresh

pork, lamb and veal, also beef, especially boiled beef. As a variety

from time to time, mutton and fresh fish.

The preferable way to prepare dishes for patients suffering from kidney

diseases, is to boil them; the next best way is to steam them, and the

third and least desirable way is frying.

Strongly recommended: calf's feet and pig's feet, calf's head,

especially in the form of jellies and pickled, if so ordered by the

physician. Occasionally raw beef may be given, but without sharp spices.

Fish: Trout, pike, carp; Saltwater fish: haddock and cod-fish, boiled

blue; also frogs' legs. Eggs are permitted, soft boiled, 2 to 3 per day.

Vegetables: With the exception of those mentioned, vegetables are very

commendable, especially potatoes, green peas, white and yellow turnips,

red beets, cauliflower, lentils, beans, the last particularly, mashed;

also salad with cream and a little mild vinegar or lemon juice.

Fruit-acids must not be classified with vegetable or meat-acids, as

several, so-called "Food-Specialists" try to impress on patients, for

they do not know, what they talk about.

Fats, such as cream, butter, rich cheese, olive oil, may be given if

they agree with the patient; bacon is not so good.

Bread, white as well as brown, and especially Graham bread, may be eaten

without restrictions.

As drinks: mineral water with lemon or orange juice added. Raspberry

juice is permitted, but currant and gooseberry juice must be avoided on

account of the substances contained in them irritating to the kidneys.

Fruit juices free from alcohol (apple cider) may be given.

Every _morning_ on rising, a glass of fruit juice or some fruit. These

fruit-acids promote peristaltics of the bowels, and free circulation of

the blood.

At _supper_: Salad of cresses or celery, or a mixed salad, radishes,

asparagus, squash and cucumbers.

When the urinary flows is very scanty, supper may consist of a cup of

celery soup, or asparagus broth; in winter, haw tea.

A few suggestions for _dinner_, omitting meat entirely:

Dumplings with cabbage salad, red cabbage or Bavarian cabbage; sliced

oatmeal cake with fruit.--Cucumbers with eggs and potato bread, rolled

griddle cakes and fruit.--Cabbage with rice and butter, griddle cakes

with fresh greens.

Squash with lemon, potatoes, baked beans, fruit.--Red cabbage with

macaroni, potato fritters, with fruit.--Dumplings and pears,

lettuce.--White turnips with cream and potatoes, buckwheat groats,

fruit.--Pea soup with sweet corn, squash and rice with fruit.--Lentils

and potatoes, salad of celery or beets, fruit.--Asparagus with drawn

butter and parsley sauce and bread dumplings, oat groats with

fruit.--Cauliflower with macaroni, buckwheat groats and milk.--Cabbage

with browned potatoes, oatmeal cake with fruit.

_For Irritable Kidneys (Inflammation, Supperation, Contraction, etc.),

and Diseases of the Bladder._

For patients suffering from these diseases all spiced and sharp dishes

are prohibited, especially dishes with much pepper and mustard, also

mixed pickles, preserves containing vinegar, salads unless seasoned with

lemon juice instead of vinegar; furthermore, dishes which produce gas,

such as dishes made from yeast. Fruits are permitted only in small

quantities, avoiding absolutely gooseberries and preserves made from the

same. Preserves from other fruits, such as apples and cherries, are

permitted in smaller quantities.

As drinks, the mineral waters which are recommended for people suffering

from gout, are advisable here also.

Kidney stones require a mixed diet, preferably vegetable; fat and

carbohydrates--very little meat--no sweetbread, kidneys, brains, liver

or spleen; meat, if taken at all, must be boiled.

Not permitted: game, pickled fish, piquant sauces, beef broth.

Dispense with meat, raw celery, radishes, pears, cucumbers, even

asparagus in large amounts, at least during the state of inflammation.

Eat eggs only in a raw or very soft boiled state. In place of these

foods make up a diet of milk preparations, rice, groats, oats, millet,

buckwheat. Currant juice and wild cherries, apple sauce, diluted lemon

juice, are all of great benefit. Soups made from squash, cucumbers or

celery, haw tea, buttermilk and sour milk, mild cheese, or porridge and

fruit are excellent supper dishes.

_For Liver Disease._

In general, fatty substances should be eliminated as much as possible

from the nourishment in the case of liver disease, jaundice and gall

stones.

To be recommended are light farinaceous dishes with milk, vegetables,

fruit and all easily digestible foods.

Meat must be taken only in very small quantities, according to the

advice of the physician, and with very little fat. Spices and alcohol

are prohibited. Pastry and rich foods must be avoided.

In case of jaundice the patient should receive liquid food only during

the first few days, consisting of soups, light tea, carbonated waters;

later, milk, the yolks of eggs, zwieback and light milk dishes.

Patients suffering from gall stones may receive the same diet as

prescribed for those suffering from liver disease, generally speaking.

In case of liver disease it is necessary to adhere very strictly to the

prescriptions of the physician, since they are due to various reasons,

and only the physician can give the proper individual directions, after

having determined the cause.

Every morning on rising, a glass of unsweetened lemonade, or a

wineglass of currant wine or grape juice, or some acid fruit.--The same

on retiring at night.

For a second breakfast, four or six radishes, or a tablespoonful of

grated radish, or a teaspoonful of horseradish mixed with broth and

white bread, eaten with a little toast and butter.--The same for supper.

The following are a few suggestions for dinner without meat:

Cabbage, potato porridge, gooseberries with egg and milk sauce.--Lentils

with potatoes and fresh greens, cresses or lettuce, fruit.--Savoy

cabbage with rice and tomato sauce, fruit with millet cakes.--Leeks with

potatoes, macaroni and plums.--Young green beans with dried white beans

and apples or other fruit, beets with cream, rolled dumplings,

fruits.--White cabbage with macaroni, chopped apples or curdled milk.

_Dech-Manna Compositions_: (Only main compositions, specialities to the

Doctor's order.)

_Rheumatism_: =Muscogen=, =Plasmogen=, Eubiogen.

_Sciatica_: =Muscogen=, =Plasmogen=, Neurogen, Eubiogen.

_Amyloid heart_: =Muscogen=, =Plasmogen=, Eubiogen.

_Amyloid kidney or liver_: =Muscogen=, =Plasmogen=, Mucogen, Eubiogen.

_Physical: Rheumatism_: Partial packs, either vinegar and water or

radium and salts. Massage, if necessary, and special oxygenator baths,

and radium and salt baths.

_Sciatica_: Leg packs, oxygenator baths, half radium and salt baths,

followed by massage.

_Amyloid heart, kidney or liver_: Abdominal packs, gymnastics,

oxygenator baths, whole radium and salt baths.

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