AETIFICIAL METHODS OF FEEDING 813 



This may be given in a 250 c.c. dose every four to six hours, and if well 

 tolerated aids materially in helping the patient to tide over an emergency. 

 By omitting the milk, the solution is useful in : 1. Simple exhaustion. 

 2. In septic conditions. 3. As an antidote to chloroform; in phosphorus 

 poisoning ; or anything that causes fatty degeneration of the liver, e. g., 

 toxemia of pregnancy. 4. In diabetic acidosis and acetonemia. 5. After 

 abdominal operations, especially in undernourished or desiccated' in- 

 dividuals. 



Instead of the pancreatized milk, one may use white of egg, plasmon, 

 casein, somatose or aminoids, etc., but they offer no particular advantage 

 over milk and are sometimes irritating to the rectum. 



Fitch (i) recommends: 



Eggs, two whole 100 gm. 160 calories 



Dextrose, l^ teaspoons .... 6 gm. 30 " 



Pancreatized milk, 10 oz 300 c.c. 210 " 



Salt, 1/2 teaspoon 2 gm. " 



400 calories 



Cornwall (;') uses two formula?: No. 1 contains protein 20 gm. in 

 arnino acids, glucose 90 gm., vitamins, salt and water 1,500 c.c., and 700 

 calories, given as follows : 6 a. m., glucose 30 gm., strained juice of half an 

 orange, soda bicarbonate 2 gm., salt 2 gm., water q. s. ad 300 c.c. ; 8 a. m., 

 150 c.c. skimmed milk thoroughly pancreatized; 12, same as at 8 a. m. ; 

 4 p. m., same as at 6 a. m. ; 6 p. m., same as at 8 a. m. ; 10 p. m., same as 

 at 6 a. m. ; midnight, same as at 8 a. m. 



Every second day, at 4 a. m., a colon irrigation .is given with saline 

 0.9 per cent solution, and the glucose enema at 6 a. m. omitted. The per- 

 centage of glucose may be reduced or increased according to reaction. A 

 culture of acidophilic bacteria may be added. 



Formula No. 2 supplies 700 calories, salts, vitamins and water 1,800 

 c.c., but no protein, as follows: 6 a. m., glucose 30 gm., strained juice of 

 half an orange, soda bicarbonate and salt of each 2 gm., water *300 c.e. 

 Repeat this at 10 a. m., 2, 6 and 10 p. m., and 2 a. m. 



Precautions and Technic in Rectal Feeding 



1. The rectum must be kept clean by a saline irrigation or 

 enema, once a day. 



2. All food should be sterilized before injecting. 



3. // the rectum becomes irritated, give a. rest of 6 to 8 hours, 

 or use only saline solution for a time. 



