allowed, with the exception of beans, peas, lentils, &c., which have too much nitrogenous matter. Fruits, cooked and raw, are admissible. Pastry had better be omitted, but bread and butter, cakes not too rich in eggs, puddings, to which the same remark applies, and biscuits are not objectionable. The dietaries, giving variations for different days, might be sketched as follows: For the First Day.-Breakfast.-A plate of oatmeal, whole wheaten meal, or hominy porridge, with cream or good milk; bread or toast and butter; cocoa, tea, or coffee, with plenty of milk added. Luncheon.-A bit of fish, with a little melted butter, some mashed potato and green vegetable. Biscuit or bread and butter. In the afternoon.-A cup of tea with milk, a slice of thin bread and butter. Dinner. Soup, purée of potato, chicken, or rabbit, mashed potato, green vegetables, plain or milk pudding, with stewed fruit. Dessert. Ripe fruit. Beverage. A glass of aërated water. The last thing at night.—A glass of milk and soda- or seltzer-water. Second Day.-Breakfast.-A slice of well-mixed bacon or fat ham may take the place of porridge, and be followed by toast, by bread and butter, tea, coffee, or cocoa, with plenty of milk. Luncheon.-A basin of vegetable soup, a bit of cheese, bread and butter, and salad. Afternoon tea. Toast or rusk, tea filled up with milk. Dinner. A piece of boiled fish, butter-sauce, a plain entrée with vegetables, milk-pudding or shape, stewed fruit or blanc-mange, biscuit or bread and butter, a glass of plain . or aërated water. At night.-Milk and soda-water. Third Day. Breakfast.-A bit of fish, fried or grilled, toast or bread and butter, coffee, cocoa, or tea, with plenty. of milk. Luncheon.-A milk-pudding with stewed fruit and cream, bread and butter. Afternoon tea.-Cocoa or milk or weak tea, a slice of bread and butter. Dinner.-Fish-soup, game or poultry, mashed potato, green vegetables, maccaroni-cheese. Dessert.-Ripe fruit. Beverage. A glass of plain or aërated water. At night.-A glass of peptonised milk or of milk and soda-water. CHAPTER VI. SCURVY. Curative Effects of Diet.--Experience is not wanting to prove that cases of scurvy are, in the absence of complications, rapidly cured by dietetic means, and that without a proper arrangement of the diet, medicinal and hygienic measures, although valuable aids, will not of themselves effect a cure. Scurvy is nowadays so much less frequently seen, that the possibility of its existence in a mild form, under the influence of a very restricted diet, coupled with bad hygienic surroundings, is apt to be forgotten, and it is very probable that cases in which the unhealthy blood-state exists to a partial extent, and without the marked symptoms of the disease, are sometimes overlooked. The exact nature of the changes in the blood has not yet been fully made out, but we know that scurvy never occurs except in circumstances where the diet is restricted, wanting in variety, and deficient in fresh fruits and green vegetables. When fresh vegetables and fruits cannot be obtained, lemon-juice is found to be the best preventive as well as a most efficient remedy. Usually the digestive powers are not much impaired, and the patient is able to take ordinary food freely when it is reduced to pulp, as the inflamed state of the gums prevents the mastication of solids. Danger of Syncope.-Bearing in mind the fact that in severe cases there is a great tendency to syncope, which has often proved fatal, the diet should at first be so arranged that the patient may obtain an abundance of nourishment, and still retain the recumbent posture even when taking his food. Necessity of Soft Food.-Milk, broths, beef-tea, eggs beaten up in milk, potatoes mashed with milk, green vegetables, such as spinach mashed, pounded meat, chicken panada, ripe fruits, will be suitable early in the treatment, and a pleasant beverage will consist of lemon-juice in water slightly sweetened. (a.) Dietary. For a severe case, the following directions. will be suitable : 7.30 A.M.-A cupful of milk, warmed. 8.30. An egg beaten up in milk, or a cup of cocoa, with thin bread and butter, or a plate of well-boiled porridge with cream. These may alternate on different days, and should be followed by some fresh ripe fruit. 11.30. A cupful of good broth, with plenty of fresh vegetables in it. 2 P.M.-Panada of chicken pounded and warmed, with bread crumbs, mashed potatoes, well-boiled and mashed green vegetables. Ripe fruits or stewed fruits and cream. 5 P.M.-A cup of cocoa with rusks or toast soaked in it. 7.30. A meal like the two o'clock one. IO P.M.-A cup of milk or prepared food. Lemon-juice and stimulants.—As a beverage, lemon-juice, as already mentioned, will be grateful in most cases. Malt liquors seem to have a decidedly favourable effect in most cases. In some, burgundy or brandy and water agrees best. (b.) In less severe cases, patients will be able to take larger meals at a time, and consequently the intervals between times will be longer. The general directions as to the selection of foods will |