Dietitian

“ Diet cure or hygiene is a comparatively recent discovery in England. In India we have been practising this from time out of mind. Native physicians no doubt, use drugs, too, but they depend more upon change of diet than upon the efficacy of the drugs they prescribe. They would ask you to take salt in certain cases; in many, they would ask you to abstain from acid foods, and so on, every food having its medical value. As for the corn for bread-making, it is the most important article of diet. ”

“ Is there any man, lay or scientific, Mr Voysey notwithstanding, who can claim to have as wide an experience of diet in its relation to health and disease as “M.D.,” to say nothing of the trained mind and long years of patient thought that have been exerted in dealing with the facts of this wide experience. For myself, I have come to see that, if “M.D.” does not hold in his grasp the absolute truth in the matter of diet, he is nearer to it, and is a safer guide, than all your low proteid advisers, lay or otherwise, where they come much below “M.D.'s” standard. ”

“ Many of the cures effected by special diet. Habits of exercise, health resort regimes and the like, owe their efficacy to this accompanying repeated suggestion of acts for the formation of new habits or the breaking of old ones.
Physiological Measures.—There are, of course, certain details with regard to digestion in which the patient's mental attitude needs to be changed by instruction rather than persuasion, by knowledge of physiology rather than by psychology. In the taking of food itself, chewing is, of course, the most important consideration after its good preparation by the cook. ”

“ The number of physicians, and surgeons, and medical men, whose testimony is brought to bear on the subject of diet, in the chapter which follows, is by no means as great as it might have been. There are few writers on anatomy, physiology, materia medica, or disease, who have not, either directly or indirectly, given their testimony in favor of a mild and vegetable diet for persons affected with certain chronic diseases. And there is scarcely a writer on hygiene, or even on diet, who has not done much more than this, and at times hinted at the safety of such a diet for those who are in health ”

“ As to the choice of food and the amount that is necessary for the average person, generally the appetite is a safe guide; but the accurate observations of physiologists have gone so far as to determine the exact requirements of the body. Not the least important principle taught by these investigations is to avoid dietary fads, for in arranging a satisfactory diet the problem to be solved is not, What is it possible to live on? but, What serves best as nourishment? The experience of countless generations has taught us that we thrive best on a diet which includes all five food-stuffs. ”

“ All excretions from the patient should be buried, and not committed to privies to communicate disease to those who frequent them.
The Diet contains a very important relation to health. During the process of acute disease, the appetite is generally much impaired, if not entirely absent. It should then be the study of the nurse to devise such articles of nourishment as will [pg 381] be acceptable to the patient and suitable to the condition. The food should be light, nutritious, and easy of digestion.
Each individual disease requires a diet adapted to its peculiarities. ”

“ The second condition, when the body, failing under the pressure of disease, needs an excess of nutrition, is serious enough to demand the interposition of the physician—the doctor is the proper person to decide what shall be eaten; we will offer only a few suggestions concerning refreshing drinks. At the third point, when the patient is beyond the reach of danger, when foods are ordered which shall yield the greatest possible amount of nutrition, the culinary skill of the nurse may be displayed. ”

“ The patient's food habits, his tastes, inherited or acquired, are often vital considerations because the practical question in securing results is often not what diet the person needs, but what diet he can get or will take. Knowing the technique of adapting diets to individual needs in terms of food elements, calories, mineral content, vitamines, etc., is essential knowing the technique of adapting the diet in terms of the patient's food habits and financial circumstances is no less so. ”

“ Dietetic Treatment.—The dietetic treatment consists in abstaining from food or reducing the amount to a minimum while the attack lasts and while the intestines are being thoroughly emptied. All stagnant material which has clogged the bowels and which has been subjected to the activities of putrefactive bacteria must be gotten rid of. The diet must be especially low in fat. Oyster or clam broth, soft-cooked eggs, toast, cereal, or rice, with a little milk instead of cream and very little sugar, tea, and baked apple or stewed prunes are given. ”

“ The necessity for occasionally changing or varying the diet, is seen in the fact that no single article comprises all the necessary principles of food, and that the continuous use of any one diet, whether salt or fresh, is followed by defective nutrition and disease. ”

“ But, if the patient be of a sound constitution, and has not neglected himself at the commencement of the malady, he may doubtless be cured by professional treatment, an appropriate diet, consisting of light and nutritive food, and abandoning every kind of stimulating and heating aliment, both in a liquid and solid state. ”

“ Metrical Texts:—An intelligent physician, considering the nature of the disease, the strength and temperament of the patient, and the state of his digestion as well as the seat of the affection, the physical features of the country and the then prevailing season of the year, should prescribe a diet which he thinks the most proper and suitable to the requirements of the case. ”

“ There is no single, one, all-encompassing, correct diet. But, there is a single, basic, underlying Principle of Nutrition that is universally true. In its most simplified form, the basic equation of human health goes: Health = Nutrition / Calories. The equation falls far short of explaining the origin of each individuals diseases or how to cure diseases but Health = Nutrition / Calories does show the general path toward healthful eating and proper medicine. ”

“ In certainty and in truth one has confidence and strength which is always conducive to tolerance. The food scientist, knowing the laws of cause and effect in regard to nutrition, and knowing the proper use of natural methods of diet and hygiene in the prevention and the cure of specific dis-eases, needs neither to dispute with a fellow practitioner, nor to argue with his patient. ”

“ It is a good idea to consult a physician in regard to one’s diet, and endeavor intelligently to follow his advice and not insist on one’s own diet, selected from the standpoint of mere self-indulgence or custom. Moreover, since many, without being aware of the fact, are affected with Bright’s disease, diabetes, etc., in their early stages, in which dietetic precautions are especially necessary, it is well, even for those who are apparently in good health, to be medically examined as a preliminary to a rearrangement of their diet along the best lines. ”

“ Many are practising the diet after consultation with their own medical advisers; some few have gone to mine, and others are practising upon their own convictions of the advantages detailed in the Pamphlet, though I recommend all to act advisedly, in case their constitutions should differ. I am, however, so perfectly satisfied of the great unerring benefits of this system of diet, that I shall spare no trouble to circulate my humble experience. ”

“ Doctors, again, are more and more recognising that nutrition depends not only upon the chemical composition of food but upon our appetite, and that we can become aware of our appetite and to some extent control and direct it by our will. ”

“ The difficulty is to arrive at a conclusion as to what is really the suitable and reasonable diet for an individual—yourself or one like yourself—having regard to the lifelong habits of the individual, and the consequent nervous reactions established in him or her in relation to the taste, quality, and mode of presentation of food. ”

“ Time does not permit of going into detail here in regard to the special features of diet and hygiene, which I discussed with you fully two years ago, in my lectures, which were subsequently published: suffice it to say, as previously remarked, that the refinements of civilization add greatly to the temptation of over-eating, and wrong eating and drinking, as they do to numerous other temptations, and in many instances it requires the utmost amount of grit as well as patience, both in the patient and doctor, to secure the perfect result necessary. ”

“ One can, however, maintain good health without being what might be termed a dietetic crank. To be sure, where one is suffering from a disease or is definitely in need of some special diet in order to secure certain results, a very rigid diet is of great importance and should be adhered to strictly. After such results have been achieved, however, and after normal health is regained, you can secure at almost any well supplied table a selection of foods which will furnish satisfactory nourishment. ”

“ But people are ignorant regarding this truth just as they are about fasting, and they try to do things without previous experience or knowledge, and failure is usually the result. What I call "Mucusless Diet" consists of fresh, ripe fruits and starchless vegetables, for they are the ideal foods, and the fundamental remedies for all diseases. Of course, the application must be intelligently advised by a practitioner graduated from my school of the Mucusless Diet Healing System, or a personal knowledge can be received through the study of my book, the "Mucusless Diet Healing System." ”

“ We need a far more complete knowledge than we possess at present of the laws governing nutrition; we need fuller knowledge of the methods by which the most complete, satisfactory, and economical utilisation of the diet can be obtained; we need to know more concerning the minimum diet and the minimum amount of proteid or albuminous foods on which health, mental and physical vigour can be permanently maintained ”

“ Chief Points to be remembered in formulating a diet and instituting an obesity treatment are the necessity for small meals and dry meals, no fluid given at all during the meal except perhaps one or two small cups of coffee per day, without sugar or cream, the avoidance of fat-forming foods, sugars and starches in all forms, milk, cream, butter and oil, potatoes, bananas, fat meats of all descriptions, especially pork, soups of every description and alcoholic or malted beverages. ”

“ The most important single item for gaining and retaining physical health is proper feeding, yet the medical men of this country pay so little attention to this subject that in some of our best equipped medical colleges dietetics are not taught. A total of from sixteen to thirty hours is considered sufficient to fit the future physicians to guide their patients in the selection, combination and preparation of food. Dietetics should be the principal subject of study. ”

“ To fulfill the second indication, to restore healthy nutrition, requires not only a proper diet, both as regards quantity and quality, but demands that the integrity of the organs concerned in the process of digestion and assimilation, shall be maintained at the highest standard of perfection possible. ”

“ The opposite error, of not providing a sufficiently nourishing diet for the young, is, from mistaken views, much more prevalent than it ought to be, particularly in female boarding-schools, where, as already mentioned, the system of diet is often insufficient for due sustenance and growth; and where, consequently, the natural expression of impaired health, if not actual disease, is a marked feature in the aspect of most of the pupils. ”

“ When we consider the organization of the human system, the form and arrangement of the teeth, the structure of the stomach and intestines, we are led to conclude, that both animal and vegetable food is requisite, and that a mixed diet is most conducive to strength, health, and long life. ”

“ What Shall the Patient Eat?
PRACTICAL DIETETICS
solves the question. It contains diet lists and what to avoid in the various diseases, as advised by leading hospitals and physicians in New York, Boston and Philadelphia. It also gives in detail the way to prepare the different foods. Also appropriate diet for the different stages of infancy. ”

“ What should be eaten at this meal? Everything and anything agreeable to the appetite and as much as one wants. Eat a mixed diet; the system needs all kinds of food from which to select the new fuel for its new release of interior substance, and a single diet will not satisfy the demands of the physical cells. ”

“ One mode of diet is declared pernicious, shortening the days, and making the few that are granted undesirable. Yet, just as you are ready to accept this theory, you are told of those who have lived wellnigh to a hundred years, or perhaps have passed that period, always healthful and cheerful, yet the proscribed diet or article of food has been habitually indulged in by them. ”