ARTIFICIAL METHODS OF FEEDING 809 



9 :30 a. m. Pea soup 180 c.c. (6 oz.) 



One egg 



Butter 15 gm. (l/ 2 oz.) 



Lactose 15 gm. (^ oz.) 



11:30 a. m. Same as at 9:30 a. m. 



1 :30 p. m. Bouillon 180 c.c. (6 oz.) 



One egg 



3 :30 p. m. Oatmeal gruel 180 c.c. (6 oz.) 



Butter 15 gm. (l/ 2 oz ) 



One egg 



Lactose 15 gm. (^ oz.) 



5:30 p. m. Same as at 9:30 a. m. 



9 :30 p. m. Bouillon 180 c.c. (6 oz.) 



One egg 



Total amount: Calories. 



Oatmeal gruel 360 c.c. (12 oz.) 1,476 



Eggs 8 800 



Pea soup 720 c.c. (24 oz.) 384 



Lactose 90 gm. ( 3 oz.) 369 



Bouillon 360 c.c. (12 oz.) 39 



Butter 90 gm. ( 3 oz.) 715 



3,483 



This diet list may, of course, be modified downward where fewer 

 calories are needed. 



Rectal Feeding. Rectal feeding has been employed since earliest 

 times in one form or another, and, later, von Leube and Riegel kept 

 patients alive for considerable periods by this method, in one case almost 

 a year, and it was thought it was possible to do this regularly when indi- 

 cated. Modern scientific experimentation, however, has shown that at 

 best it is a form of partial feeding only, and results in subnutrition. This 

 form of artificial feeding is, nevertheless, the most efficient that we pos- 

 sess so far, and has a field of usefulness in tiding patients over periods 

 when mouth feeding is impossible or inadvisable. The length of time 

 it should be employed and is of practical use is from one to eight weeks, 

 or less; the success of the longer periods is probably due to causes to be 

 dealt with later. 



Indications. The indications for rectal feeding may be summed up 

 as follows: 1. In temporary obstruction from any cause. 2. Inability 

 to swallow,, as in stricture of the esophagus. 3. Gastric diseases, e. g.. 



