344 DIET FOR TYPHOID. 



concurrent testimony of many observers shows that the potato is 

 very efficient in preventing scurvv ; eight to twelve ounces a day 

 are sufficient for this purpose. Oranges, lemons, limes, lettuce, 

 onions, water-cress, mustard and cress, 9andelion, grapes, may like- 

 wise be used as preventives. Vinegar, good lemon-juice ana other 

 vegetable acids are also excellent anti-scorbutics. In severe cases, 

 citrates, tartrates, lactates, and 'malates of potash should be used as 

 drinks and added to the food. An ample supply of those acids, as 

 well as of preserved vegetables, should be provided for ships which 

 are engaged in war, or have to make prolonged sojourn where fresh 

 vegetables cannot be obtained. The legal supplementary allowance 

 in emigrant vessels is eight ounces of preserved potato, three ounces 

 of other preserved vegetables (carrots, turnips, onions, celery and 

 mint), besides pickles and three ounces of lemon-juice for each 

 person weekly, and this is found to be sufficient to prevent the 

 occurrence of the disease. The. commencement of the administra- 

 tion of lemon or lime-juice should not be delayed beyond fourteen 

 days after putting out to sea. 



DIET FOB TYPHOID IN CHILDREN AND ADULTS. 



Dr. R. W. St. Glair, of Brooklyn, writing in the Medical 

 Summary, on this subject says: " There is, perhaps, no disease in 

 which the skill of the physician is shown so much as in typhoid, or 

 where great care and vigilance is more needed, and while it is true 

 that it is a self-limited disease, it is also true that a certain amount 

 of medication is needed. As soon as I am sure that malaria plays 

 no part in the disease, I give turpentine in small doses in nearly 

 every case, particularly where there is tympanites, tenderness of the 

 abdomen, with dry tongue. If there is a falling temperature I give 

 quinine in full doses. If diaphoresis is marked, cold, sponging will 

 be grateful to the patient, and tepid sponging if the skin be dry 

 and harsh. This lowers the temperature and seldom if ever pros- 

 trates the patient. If chalk mixed with kino does not check any 

 trouble with the bowels, opii. with camphor or tannic acid will 

 (bearing in mind always that opiates should be given with care to 

 children). Supportive treatment is the key note in typhoid com- 

 plications watched and treated, but the diet needs to be very care- 

 fully attended to. When the physician remembers the tender con- 

 dition of the ulcerated glands of his little patients he will not imperil 

 their lives by giving indigestible food. A single error of diet may 

 prove fatal by bringing on severe diarrhea. " What shall I give the 

 patient to eat ? " is a question asked, perhaps, as often as any in the 

 sick room, and it is not always easy to determine what is best in 

 each individual case, and if stated, is quite often forgotten by the 

 nurse. 



