Milk Regime

Milk is a complete nourishment and may be given up to 3-4 quarts daily. The patient will best take about a pint of milk every 2 hours.

This diet is indicated in irritative conditions of the digestive tract (ulcus ventriculi; chron. enteritis; cirrhosis hepatis, and in affections of the kidneys).

1 A. Hoffmann: Leyden's Handbuch der Ernährungstherapie, Bd. i, p. 568; Leipzig, 1896.

Karell1 highly recommended the milk diet. He gave during the first week 200 cc. (3 vii) of skimmed milk four times daily. If there were no bowel disturbances he increased the quantity during the second week to one quart and a half daily.

Karell's scanty milk diet is useful in severe neuralgias, in affections of the heart and kidneys accompanied with edematous swellings or ascites.

Soup Diet

Soup diet or liquid diet consists of mixtures of nourishment given in fluid form. This is the standard diet for all acute febrile diseases, and for chronic conditions for periods of time. It can be varied according to the requirement of the case. Eight to 10 ounces of gruels (oatmeal, - barley, - rice or pea - or lentil-flour) alone or mixed with half milk every 2 hours can be employed in most instances. When it is necessary to supply a sufficient nutrition, raw eggs, lactose, or butter may be added and should be thoroughly mixed with the above foods. Thus 1-2 eggs may be mixed in a cupful of milk, or gruel, or bouillon; or lactose 3 ss - 3i, or butter 3 iii added to milk or gruels with or without egg. Instead of milk, kumyss or zoolak or buttermilk may be given for a change. Clambroth and oyster-stew in milk, without the oysters, further enlarge the bill of fare. Milk, flavored with tea, cocoa, or coffee; lemonade, orangeade, are also useful in increasing the variety of the monotonous diet.

1 Karell: Arch, génerales, 1866.

Fluid Diet Without Nutritive Value

Breakfast, 8 a. m. : Tea or coffee, 1-2 cups, 250-500 cc. Lunch, 12: Bouillon 1-2 cups, 250-500 cc. 4 p. m.: Tea or coffee, 1-2 cups. Supper, 8 p. m. : Bouillon, 1-2 cups.

Two quarts of plain water or Apollinaris or Vichy should be consumed in addition in every 24 hours.

Fluid Diet With Low Nutritive Value

Calories

8 a. m.: Tea or coffee, 250 - 500 with one teaspoonful of sugar........

16

Lunch, 12: Thin barley gruel (one tablespoonful) 300 cc..........................

50

4 P. m. : Bouillon, 250 - 500 c.c.

8 P. m.: Lemonade, 250 - 500 cc. with one tablespoonful of sugar...........

60

126

Two quarts of plain water or Apollinaris or Vichy should be consumed in addition in every 24 hours.

MEDIUM FLUID DIET (HALF RATION)

Calories

8 a.m.: Milk, 300 c.c..............

202

10 A. m.:

Milk and strained barley water (aa) 300 c.c.........................

160

12 noon:

Bouillon 300 cc. with the white of 2 eggs...........................

30

2 p. m.:

Lemonade 300 cc, with 2 tablespoonfuls of sugar....................

120

4 p.m.:

Milk, 300 cc......................

202

6 p. m.:

Same as 12.......................

30

8 p. m.:

Whey, 300 cc.....................

60

10 p. m.:

Same as 2 P. M. ...............................

120

924

One quart of water should be taken in addition in 24 hours.

FULL FLUID DIET (FULL RATION)

Calories

8 a.m.: Milk (200 cc.) with coffee (100 cc.) and sugar 2 teaspoonfuls......

160

10 a. m.:

Bouillon and one egg...............

82

12 a. m.:

Milk (200 cc.), cream (50 cc.) and cereal (50 c.c.) ................

426

2 P. m.:

Same as 8 a. m.....................

160

4 P. m.:

Milk (250), cream (50).............

206

6 p. m.:

Milk (200) tea (50), cream (50), sugar 2 teaspoonfuls...................

328

8 p. m.:

Milk (200), cream (50), cereal (50)...

426

10 p. m.;

Milk (300)........................

. 192

2,070