GENERAL DISORDERS OF NUTRITION. 



to endocarditis of the left ventricle. In women with this trouble of 

 the heart and blood-vessels, child-bearing may induce ulcerous endo- 

 carditis. Feverish diseases are more dangerous in chlorotic persons 

 than in others. In giving iron in chlorosis, it is well to administer 

 it after eating. Mineral waters containing pyrophosphate of iron 

 may be drunk at meal-times. This drug may have to be discon- 

 tinued when there is gastric disturbance or fever. Iron is to be 

 aided by good, easily digestible diet, and residence in a healthy 

 locality. In chlorosis and anaemia generally, alcoholic beverages 

 may be useful by impeding transformation of tissue, but should 

 be avoided if they induce excitement, palpitation, rush of blood to 

 the head, etc. Trial must decide whether wine or beer answers the 

 best purpose. 



2. P. 832. 



Of late it has been considered possible that the use of milk from 

 cows with murrain might have an injurious effect, because forma- 

 tions similar to those in tubercles in men have been found in the an- 

 thrax-nodules of cattle, and because experiments have shown that 

 feeding other animals on the milk of these cows will give them 

 tuberculosis and diseases of the lymphatic glands of the mesentery 

 and neck, similar to those in scrofula. Hence the use of such milk 

 may be suspected as a cause of the trouble, but has not yet been 

 proved to be so. 



In the treatment of scrofula -considerable reputation is enjoyed 

 by the mud-baths of Nauheim, Kreuznach, etc., in Germany ; they 

 increase the transformation of tissue, and prove advantageous for 

 the glandular enlargements, as well as for the affections of the mu- 

 cous membrane and skin. When cod-liver oil is given} it is some- 

 times better borne when not taken on an empty stomach, but half 

 an hour or so after eating. Pale, anaemic children often require 

 some preparation of iron. When the patient is not anaemic or fee- 

 ble, at proper seasons it is often well to order a laxative mineral 

 water, such as a continued moderate use of Carlsbad water. The 

 waters containing iodine have so very small a percentage of it, that 

 it is doubtful if it has any special effect. 



3. P. 843. 



There have been numerous disputes as to the glycogene builders ; 

 among them are grape, cane, milk, and fruit sugar, inulin, glycerin, 

 etc. Amylaceous food has the greatest effect on the formation of 

 sugar ; under its use the portal vein is always rich in dextrin. It 



