An inaugural dissertation on pulmonary consumptionDelafield, Edward
History
An inaugural dissertation on pulmonary consumption
Delafield, Edward
Tuberculosis
Mental distress and consequent despondence, impedes the cure of
those who otherwise might recover, and should be obviated as much as
possible. Happily, patients labouring under Phthisis, generally with
difficulty, resign hopes of recovery, and despondence from that source
does not often depress them. But mental anxiety, produced by other
causes, is very injurious. It should be relieved, as much as possible,
by pleasant amusements, a journey, a sea-voyage or any other method
most suited to the particular circumstances of the patient.
In the second stage of Consumption, the diet of the patient must be
altered, as well as the medical treatment. The most nutritious articles
of food are then to be chosen, and such as are at the same time the
most easily digested. It is well ascertained that the older meats,
as beef and mutton, possess these properties in a higher degree than
veal or lamb; and generally, the brown more than white meats. With the
same view, wild fowl and game generally, form nutritious articles of
diet, proper for consumptive patients. Eggs combine a large quantity
of nourishment in a small compass, and may be freely used. They should
be taken either quite raw, or boiled a very few minutes. When boiled
hard, they form one of the most indigestible and offensive substances,
to the delicate stomach, that are used in diet. The various culinary
preparations, of which eggs form a principal part, are for the same
reasons proper. Jellies also contain a great quantity of nutritious
matter, and are very acceptable to patients, who, as in Consumption,
have little appetite. Oysters and some other of the testacea, are also
extremely nutritious. Isinglass boiled in milk is frequently in use,
and with advantage, in these cases. Of the vegetable nourishments,
those should be chosen which are most nutritious and abounding in
mucilage, as rice, sago, arrowroot and Tapioca. Chocolate, when
prepared in such a manner as to be free from oily matter, is a very
pleasant article of diet.
The drinks of the patient should also be stimulating and nutritious.
Malt liquors combine both these properties with some tonic virtues,
which they obtain from the bitter of the hops infused in them, and
therefore constitute the best drink for consumptive patients. Wine,
also, may be used moderately with advantage, but requires some caution;
and should be immediately abandoned, if any undue excitement be
produced by it.
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