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 scurvy occurring on land was deemed to be different from that
occurring at sea, and its frequency afloat brought into unmerited
disrepute the sailor's salt diet, and its saline materials were even
considered the chief offending cause. This idea was rejected by
numerous observers, who assigned as the chief causative rôle in scurvy
deficiency in vegetable food, especially of the fresh, succulent
variety. The particular constituent of this sort of food, so powerful
in warding off scurvy and of curing it when prevention has failed, has
baffled discovery. Dr. Aldridge attributed it to mineral elements
generally. Dr. Garrod singled out the potassic salts as the particular
one to which the specific action must be attributed; but neither of
these views has gained in credit. From all the facts, both positive and
negative, we may reasonably assume that the essential dietetic error
leading to the development of scurvy, in the immense majority if not in
all cases, consists in a deficiency in the variety of food; that is to
say, there is not the requisite proportion of animal matter with a
diversity of vegetable substances. No single natural order contains
plants that supply all the elements essential to the nutrition of the
body and the right composition of the blood. The graminaceous and
leguminous articles of food, for instance, are numerous, but not
various; they all afford the same or analogous albuminous elements,
which have about the same nutrient value as the corresponding
substances in animal food, and hence health and vigor cannot be
sustained on a diet of flesh, combined with wheat, rice, and oatmeal or
with beans and peas, or with all of them together. Outbreaks of scurvy
have occurred on shipboard, where the ration is made up principally of
these articles; as in Anson's ship, when supplied with an abundance of
fresh animal, farinaceous, and leguminous foods. It is clear,
therefore, that in order to obtain a variety of materials required in
nutrition, we must resort to several of the natural groups, those
particularly which comprise the succulent vegetables and fruits.
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