The following two dietaries which are examples of the concentrated diets we are in the habit of prescribing will be found very useful.

The first, which is our ordinary standard diet fortified and somewhat concentrated, is suitable for patients with a moderate degree of anorexia. The second is a more or less fluid diet and is suitable for patients with continuous high fever.

These two diets are illustrative and show the principles upon which concentrated diets should be constructed; to be thoroughly satisfactory they should be constantly varied, as patients with anorexia very soon tire of any food if continuously given in the same form.

Anorexia Diet 1

Men.

Women.

Breakfast -

Milk.........

1 pt.

1 pt.

Tea or coffee (chiefly for flavouring milk).........

Small quantity

Small quantity

Bacon, etc....

1 1/2 oz.

1 1/2 oz.

Egg .........

Bread or toast......

2 oz.

1 1/2 oz.

Butter........

1/2 oz.

1/2 oz.

11 a.m. -

Milk and casein.....

1/2 pt.

1/2 pt.

Lunch -

Milk..........

1/2 pt.

1/2 pt.

Fish or entree.....

2 oz.

2 oz.

Meat, fowl or game ....

2 oz.

2 oz.

Potatoes, etc.......

Small amount

Small amount

Bread or toast........

2 oz.

1 1/2 oz.

Butter.........

1/2 oz.

1/2 oz.

Milk pudding, stewed fruit and custard, junkets, creams, etc.

(perhaps containing casein)

Ordinary helping

Ordinary helping

4 p.m. -

Tea, bread and butter, etc. .

Small quantity if desired

Small quantity if desired

Dinner -

Milk.........

1/2 pt.

1/2 pt.

Fish.......

2 oz.

2 oz.

Entree, fowl, game, etc. .

2-3 oz.

2-3 oz.

Bread or toast....

2 oz.

1 1/2 oz.

Butter..........

1/2 oz.

1/2 oz.

Light pudding, jellies, fruit, custard, etc. (perhaps containing casein).............

Ordinary helping

Ordinary helping

Dessert.........

q.s.

q.s.

Bedtime -

Milk and egg.............

1/2 pt.

1/2 pt.

Anorexia Diet 2. For Men Or Women

8 a.m. (on waking) . . Milk, 1/2 pt.

9 a.m. Breakfast. . . Milk (with casein) made into tea or coffee, 1/2 pt.

Boiled bread and milk, 1/2 pt. 1 egg poached or scrambled on small piece of buttered toast. 11 a.m.......Benger's food with casein, 1/2 pt.

1 p.m.......Milk, 1/2 pt.

Toast (or rusks) and butter, 1/2 oz.

Pounded chicken, etc. Steamed fish or raw meat sandwiches 2 or 3 oz.

Thin custard, 1/2 pt.

4 p.m.......Tea made with milk, 1/2 pt.

6 p.m.......Milk, 1/2 pt.

Fish or pounded chicken, etc., 2 or 3 oz.

Toast (or rusks) and butter, 1/2 oz.

Junket, light pudding, etc., 5 oz.

9 p.m.......Benger's food with casein, 1/2 pt.

During night .... Milk and egg (with or without alcohol), 1/2 pt.

1 1/2 oz. of casein should be worked into the diet daily and 5 oz. of cream added to the day's supply of milk. The nutritive value of this dietary is P. 175, F. 160, C.H. 200, Cals. 3,025.

If the anorexia is very persistent and severe it is often advisable to give the diet more often and in smaller amounts; sometimes, also, especially in the case of those who are very acutely ill, it is good practice to give some of the food during the night. The following is an example of a fluid diet given in small amounts fairly frequently. This diet which we have found in practice to be readily taken by patients who are very ill has a high nutritive value, viz., protein, 160; fat, 165; carbo-hydrate, 213; and calories, 3,063.

Fluid Diet

8 a.m......Milk, 1/2 pt.

9 a.m......Milk with casein (coffee for flavour), 1/2 pt.

Bread and milk, 1/2 pt.

11 a.m......Benger with casein, 1/2 pt.

1 p.m......Milk with casein. Bovril, 1/2 pt. or Raw meat, milk. or Raw meat sandwiches, 2 oz.

3 p.m......Egg and milk or thin custard, 1/2 pt.

5 p.m......Milk tea, 1/2 pt.

7 p.m......Leube Rosenthal meat solution, 1/4 tin. or Raw meat, milk, 1/2 pt. or Milk bovril, 1/2 pt. or Milk and arrowroot pancreatized, 1/2 pt. 10 p.m......Benger with casein, 1/2 pt.

4 a.m......Milk and egg (with or without alcohol), 1/2 pt.