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by Calculus, see page 222.

Europe, a full assortment of DRUGS, Cholera infantum, the cholera of MEDICINES, and SURGEONS IN


the Instruments infants, in which undigested food, &c. are discharged from the stomach and stomach— Amputating, Trepanning, Oph

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HE MEDICAL LECTURES in Brown BY JAMES TRACHER, M.D. A.A.S. Juro poblibed and ror, sala bosh out:

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NO. 30.


ON THE QUANTITY OF FOOD TO BE than to establish a rule of TAKEN AT MEALS.

weight and measure on such There is no circumstance occasions. Individuals differ connected with diet, which from each other so widely in popular writers have raised their capacities for food, that into greater importance; and to attempt the construction of

medical practitioners a universal standard, is little have even deemed it necessary less absurd than the practice to direct that the quantity of of the philosophical tailors of food, appropriated to each Laputa, who wrought by meal, should be accurately es- mathematical calculation, and timated by the balance. Mr. entertained a supreme conAbernethy says, that it would tempt for those humble and be well if the public would fol- illiterate fashioners who went low the advice of Mr. Addison, to work by measuring the pergiven in the Spectator, of read son of their customer; but Guling the writings of L. Cornaro; liver tells us, that the worst who, having naturally a weak clothes he ever wore were constitution, which he seemed constructed on abstract printo have ruined by intemper- ciples. How then, it may be ance, so that he was expected asked, shall we be able to dito die at the age of thirtyfive, rect the proportion of food did at this period adopt a strict which it may be proper for an regimen, allowing himself only invalid to take? I shall antwelve ounces of food daily.” swer this question in the words When I see the habits of Cor- of Dr. Philip, whose opinion naro so incessantly introduced so exactly coincides with my as an example for imitation, own experience, that it would and as the standard of dietetic be difficult to discover a more perfection, I am really inclined appropriate manner of expressto ask with Feyjoodid God ing it.' “ The dyspeptic should create Lewis Cornaro to be a carefully attend to the first rule for all mankind, in what feeling of satiety. There is a they were to eat and drink? moment when the relish given Nothing can be more absurd by the appetite ccases; à sin

one mouthful taken after this nence will also tend to weaken depresses a weak stomach. If and distress both mind and he eats slowly, and carefully body. Men who in the earlier attends to this feeling, he will ages, from a mistaken notion never overload the stomach.” of religion, confined their diet But that such an indication to a few figs, or a crust of may not deceive him, let him bread and water, were so maremember to eat slowly. This ny visionary enthusiasts ; and is an important condition; for the excessive abstinence to when we eat too fast, we in- which some religious orders troduce a greater quantity of are subjected, has proved one food into the stomach than of the great sources of modern the gastric juice can at once superstition. The effects of combine with; the consequence feeding below the healthy stanof which is, that hunger may dard, are also obvious in the continue for some time after poor and illfed classes in many the stomach has received more parts of England and Ireland; than would be sufficient, under and these are still more strikother circumstances, to induce ing in those districts where the satiety. The advantage of food is chiefly or entirely vegsuch a rule over every artifi- etable, and therefore less nucial method by weight and tritious. It is also well known, measure, must be obvious ; for that the obstinate fasting of it will equally apply to every maniacs often occasions a disperson, under whatever condi- ease resembling sea scurvy. tion or circumstances he may

Those who are induced be placed. If he be of seden- from

their situation in life con tary habits, the feeling of sa- stantly to exceed the proper tiety will be sooner induced : standard of diet, will preserve and'if a concurrence of circum- their health by occasionally stances should have invigorat- abstaining from food, or rather, ed his digestive powers, he by reducing the usual quantity, will find no difficulty in appor- and living low, or maigre, as tioning the increase of his food, the French call it. A poached so as to meet the exigencies of

egg, or a basin of broth, may the occasion.

on such occasions be substitutThough it must be admitted, ed for the grosser solids. The that we all take more solid advantage of such a practice food in health than may be has not only been sanctioned necessary for supporting the by experience, but demonstratbody in its healthy state, yet ed by experiment. The hisit is important to know, that tory of the art of “ trainingtoo great a degree of absti- will furnish us with some curi

ous facts on this subject. It becomes again unwell, and feis well known that racehorses ver or some other mischief asand fightingcocks, as well as sails him. To the medical men, cannot be preserved at practitioner the cause of the their athletic weight or at the relapse is obvious : he has at

top of their condition,” for tempted to force his strength any length of time; and that too suddenly and violently beevery attempt to force its con- yond that athletic standard tinuance is followed by disease. which corresponds with the A person, therefore, in robust vital energy of his constituhealth, should diminish the tion. proportion of his food, in order Any sudden transition from that he may not attempt to established habits, both in reforce it beyond the athletic gard to the quantity and qualstandard. I am particularly ity of food, is injudicious. This anxious to impress this impor- precept is the more important, tant precept on the mind of as persons who have too freely the junior practitioner, as I indulged, and begin to feel the have, in the course of my pro- bad effects of their excesses, fessional experience, seen much are disposed to alter their hamischief arise from a neglect bits without the preliminary of it. A person after an at- preparations. They leap at tack of acute disease, when once from the situation which his appetite returns, is in the gives them pain or fills them condition of a pugilist who is with alarm, instead of quietly about to enter on a system of descending by the steps which training ; with this difference, would secure the safety of that he is more obnoxious to their retreat. those evils that are likely to After long fasting, we ought accrue from overfeeding. In also to be careful how far we a state of debility and emacia- indulge ; this is a caution given tion, without any disease, with to us by Avicenna, and practia voracious appetite, he is cal physicians must be well prompted to eat largely and aware of the penalty which frequently; and he is exhorted attends a disobedience of it. by those not initiated in the When a famine occurred in mysteries of the medical art, the city of Bocara, those who to neglect no opportunity to had lived on roots and herbs, "get up his strength." The on their return to bread and plan succeeds for a certain flesh, filled themselves grecditime, his strength increases ly, and died. But we need not daily, and all goes on well; but, search the annals of former suddenly, his appetite fails, he times for an illustration : per


sons who have been enclosed like, they are either returned, in coal mines for several days or they pass through the aliwithout food, in consequence mentary canal almost unchangof the accidental falling in of ed. On the other hand, the the surrounding strata, have gratification which attends a not unfrequently lost their lives favorite meal is, in itself, a from the too assiduous admin- specific stimulus to the organs istration of food after their of digestion, especially in weak extrication. During the pe- and debilitated habits

. In the riod of my studentship at Cam- sixth edition of my Pharmacobridge, Elizabeth Woodcock logia, I published a case which was buried under the snow for was related to me by Dr. Merthe space of eight days : on riman, highly illustrative of her being found, she was visit- the powerful influence of the ed by those to whom so ex- mind on these organs. A lady traordinary an adventure pre- of rank, laboring under a sesented any interest ; and I can vere menorrhagia, suffered state, from my personal know- with that irritable and unreledge of the fact that she died lenting state of stomach which in consequence of the large so commonly attends uterine quantity of sustenance with affections, and to such a dewhich she was supplied. In gree, that every kind of alithe first volume of the Me- ment and medicine was alike moirs of the Philosophical So- rejected. After the total failciety of Manchester, the case ure of the usual expedients to of a miner is recorded, who procure relief, and the exhausafter remaining for eight days tion of the resources of the without food, was killed by regular practitioner, she apbeing placed in a warm bed, plied to the celebrated Miss and fed with chicken broth. Prescott, and was magnetized

The advantages which are by the mysterious spells of this produced by rendering food modern Circe. She immedigrateful to invalids are so strik- ately, to the astonishment of ing, that the most digestible all her friends, ate a beefsteak, aliment, if it excite aversion, with a plentiful accompaniis more injurious than that ment of strong ale; and she which,though in other respects continued to repeat the meal objectionable, gratifies the pal- every day for six weeks, withate. If feelings of disgust or out the least inconvenience! aversion are excited, the sto. But the disease itself, not withmach will never act with standing this treacherous amhealthy energy on the ingesta; nesty of the stomach, continuand in cases of extreme dis- ed with unabated violence, and

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