SPRUE {P SI LOS IS) 359 



For six weeks there should be no other food. 



The patient may then get up. 



If the svmptoms do not improve reduce the amount of milk and 

 return to whey. Starvation diets are dangerous. 



Improvements are noted bv the stools becoming brown and the 

 mouth troubles diminishing. 



Should the milk cause vomitina^ add sodi-bicarb. or sod. citrate or 

 a little lime water. 



Relieve constipation by enemata. 



In addition to the milk some recommend fruit, such as strawberries, 

 apples or bananas. 



Eggs in milk can then be given, chicken broth, Benger's food, fish, 

 biscuits and potatoes. 



Relapses are common. Give a purge at once and begin with milk. 



Some give more fruit than milk. Fruit which is not acid should 

 be given, such as peaches, pears and bananas. 



It is necessary to avoid : — 



Dark meats, most vegetables, spiced foods, cold or hot drinks, 

 all indigestible substances, all alcoholic drinks and smoking. 



Meat Diet. 



Six ounces of raAv meat juice with a little dilute h^'drochloric acid 

 and salt. 



Give one teaspoonful each fifteen minutes, rapidly increased when 

 possible. Then meat, free from fat, cartilage or fibrous matter, take 

 2 lbs. with 2 ounces of fresh suet, mince and pound, cook, and give 

 the w^hole in six separate meals daily. 



A little water or tea with lime juice instead of milk should be taken 

 twuce daily for six weeks. '(The Salisbury cure.) 



In seven days introduce fruit, chicken, eggs and fish. 



Some add curdled milk. 



Cantlie's Treatment. 



Put the patient to bed. Apply hot wet packs from the nipples 



to the groin for two hours morning and evening. 



A binder around the body. 



Three meat meals daily of 5 ounces of meat with beef-tea, 



calves'-foot jelly or plain jelly and salt to taste, two-hourly. 



Castor oil, ivi ounces, each morning for three mornings. 



Santonin, 3 grains, morning and evening. 



Strawberries, 3 lbs. to 4 lbs. daily between meals. 



When the stools are fairly solid, about the fourth day, add 



poached c^g and minced chicken. "\^egetable marrow later, and 



