Holt's " Sample Diet For A Child Four Years Old "

First Meal

Half an orange, one and a half tablespoonfuls of oatmeal or hominy, well salted, with two tablespoonfuls of cream, but no sugar, and one glass of milk.

Second Meal

A glass of milk or cup of broth and one slice of stale bread.

Third Meal

Meat - either steak, chop, or chicken - one green vegetable (e. g., spinach), one starchy vegetable (e. g., potato), water to drink, stewed prunes for dessert.

Fourth Meal

Bread and milk or milk toast.

Desserts For Children

"After two and a half years - plain custard, ice cream (not oftener than once a week), rice pudding (no raisins), baked apple, stewed prunes" (Holt).

The following rules for feeding young children are given by Adams:

When the child has its first sixteen teeth it is to be given more varied food than before, such as stale bread and butter, crackers, mashed potato and gravy, scraped beef sandwiches with salt or sugar, a piece of rare beef, or a chicken bone to suck. He gives during the period of sixteen teeth:

6 a. m., a cup of milk, cream biscuit, or slice of buttered bread; 8 a. m., stale bread broken and soaked in a tumblerful of rich milk; 12 m., slice of buttered bread, half a pint of weak beef tea, or mutton or chicken broth; 4 p. m., tumblerful of milk with cracker or a slice of buttered bread; 8 p. m., a tumblerful of milk with bread or crackers.

At the end of the period of sixteen teeth:

6 a. m., bread or crackers with half a pint of milk; 8 a. m., a tablespoonful of oatmeal, cracked wheat, or cornmeal mush with milk and a couple of slices of buttered bread; 12 m., bread and butter, milk, and a soft-boiled egg; 4 p. m., a piece of rare roast beef to suck, mashed boiled potatoes, moistened with dish gravy, bread and milk, and a small portion of rice, jelly, or farina; 8 p. m., milk and bread or crackers.

Adams usually prefers, however, to give milk and oatmeal water or barley water through the second summer.

If the child vomits sour food, a little alkali should be added to the food (sodium bicarbonate, etc.). Diarrhoea may be excited by a too solid diet.

He prescribes for a child with all the milk teeth, and able to walk, up to the third year:

8 a. m., well-cooked oatmeal, wheaten grits, or cornmeal mush, with a liberal supply of milk, cold bread and butter, a piece of finely cut, tender beefsteak or a soft-boiled egg; 12 m., bowl of chicken or oyster soup, or weak beef tea, milk with bread or crackers, and butter; 4 p. m., roast beef, mutton, chicken, or turkey, fresh white fish, mashed white potato moistened with gravy, bread and butter, and rice and milk; 8 p. m., milk with bread or crackers.

Bread and milk or butter may be given between the first and second meal or before the first, also ripe fruit later.

For a child from the third to the fifth year Adams gives:

Breakfast

Cornmeal mush, oatmeal, wheaten grits, hominy, plenty of cream; potatoes, baked or stewed; eggs, poached, soft-boiled, omelet; fish, fresh broiled; meats: beef hash, broiled steak, stewed liver and kidneys, lamb chops, chicken fricassee; tomatoes, sliced; bread (cold); light Graham, entire wheat, corn muffins (plain), and occasionally Graham, corn, and rice cakes; fresh, ripe fruit.

Luncheon

Soups: oyster, clam, bean, chicken, consommé; vegetables: potatoes, baked or stewed, sliced tomatoes; beefsteak, lamb chop, cold roast lamb; cold rolls, soda crackers; fruits in season; rice and milk.

Dinner

Soups: consomme, oyster, cream of barley, potato; fish: baked, broiled, or boiled; roast beef, chicken, lamb; stewed potatoes, rice, cauliflower, macaroni, peas, tomatoes, beans; bread, well-cooked wheat. Dessert: rice and milk, light pudding, ice cream, fruits, and berries.

Teething And Food

Much illness and digestive disturbance in infancy and early childhood is popularly ascribed to " teething," and the gums do occasionally become swollen and inflamed during dentition, but the evils of this process are exaggerated in the lay mind and wrong feeding is much more often accountable for the disturbance. In regard to this matter Adams says, "My experience has taught me that whenever the child has become ill during this physiological process, some other cause than the mere cutting of the teeth can be found to account for the illness".

Sleep And Feeding

The relation of sleep to infant feeding is very well summarised by Adams as follows: "A young infant has nothing to do but eat and sleep. As soon as he is fed he will take a nap and will probably sleep for an hour and a half. After the first year the naps become shorter and less frequent. During the second year a nap in the morning after breakfast, one in the afternoon about one or two o'clock for an hour or an hour and a half are usually sufficient, and these naps should be insisted upon for the rest of his mind and body, and to enhance his growth and health. As the child attains the third year, he can usually drop the morning nap. The afternoon one should be insisted upon very soon after the child has its noonday meal, in winter as well as in summer".