A system of practical medicine. By American authors. Vol. 2 : $b General diseases (continued) and diseases of the digestive system
Science
A system of practical medicine. By American authors. Vol. 2 : $b General diseases (continued) and diseases of the digestive system
Medicine -- Practice
The best food for an infant, under ordinary circumstances, is the milk
of its mother. The best substitute for the mother is a wet-nurse.
Woman's milk ought not to be dispensed with when there is the slightest
opportunity to obtain it, particularly when the family history is not
good and nutritive disorders are known to exist, or to have existed, in
any of its members. When it cannot be had, artificial food must take
its place, and it is in the selection of it where most mistakes are
constantly made. This much is certain, that without animal's milk no
infant can or ought to be brought up; as ass's milk can be had only
exceptionally, and dog's milk, which has been said to cure rachitis, is
still less available, the milk of either goat or cow must be utilized.
The former ought not to be selected if the latter is within reach,
mainly for the reason that it contains, besides other objectionable
features which it possesses in common with cow's milk, an enormous
percentage of fat. Cow's milk differs in this from woman's milk, that
it contains more fat, more casein, more potassium, and less sugar than
the latter, and that its very casein is not only different in quantity,
but also in chemical properties. Even the reaction of the two milks is
not the same, woman's milk being always alkaline, cow's milk often
either neutral or amphoteric, and liable to acidulate within a short
time. Thus, the dilution of cow's milk with water alone yields no
equivalent at all of woman's milk, though the dilution be large enough
to reduce the amount of casein in the mixture to the requisite
percentage of one, and one only, in a hundred. The addition of sugar
(loaf-sugar) and of table-salt, and sometimes alkali (bicarbonate of
sodium or lime-water, according to special circumstances), is the least
that can be insisted upon. Besides, the cow's milk must be boiled to
prevent its turning sour too rapidly, and this process may be repeated
to advantage several times in the course of the day. Instead of water,
some glutinous substance must be used for the purpose of diluting cow's
milk. As its casein coagulates in hard, bulky curds, while woman's milk
coagulates in small and soft flakes, some substance ought to be
selected which keeps its casein in suspension and prevents it from
curdling in firm and large masses. Such substances are gum-arabic,
gelatin, and the farinacea. Of the latter, all such must be avoided
which contain a large percentage of amylum. The younger the baby, the
less is it in a fit condition to digest starch; thus arrowroot, rice,
and potatoes ought to be shunned. The very best of all farinacea to be
used in diluting cow's milk are barley and oatmeal. A thin decoction of
either contains a great deal of both nutritious and glutinous elements,
the former to be employed under ordinary circumstances, the latter to
take its place where there is, on the part of the baby, an unusual
tendency to constipation. The decoction may be made of from one to
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Elsewhere in the archive
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account