Asparagus salad | 6 stalks | 2.00 | 3.72 | .24}| with | 2 tsp. | .01 | 1.45 | 9.00}| 111.8 mayonnaise | | | | | Bread | 2 slices | 5.2 | 29.8 | .68}| Butter | 2 tbs. | .28 | | 24.09}| 419. Charlotte russe | 1 serving | 2.3 | 11.1 | 22.6 | 257. Milk | 2/3 cup }| | | | and cream | 1/3 cup }| | | | 389. Black coffee if | | | | | desired | 1/2 cup | | | | | | | | | At bed time: | | | | | Malted milk | 1 cup }| | | | made with milk | }| | | | and reenforced | }| 8.4 | 41. | 10.2 | 288.5 with lactose | 1 ounce }| | | | ==================+================+=======+=======+=======+======== ~Methods of Increasing the Diet.~--The above diet furnishes three times as much food as is needed to maintain the body living a sedentary life, or about as much as would be needed to maintain a lumberman at hard outdoor labor in the Maine woods. It would be impossible for an ordinary individual to handle such an abundant diet without making the increase in the diet gradually. This is best done by adding the milk and cream at the end of each meal and a glass of milk between meals and at bedtime, then gradually adding the fattening foods already mentioned until the diet approximates the diet sheet here computed. SUMMARY GOUT Gout is a constitutional disease characterized by an inflammatory condition of the joints. ~The Joints~ are the seat of chalky deposits of uric acid or sodium salts. ~Metabolism~ in gout is disturbed, with a consequent retention instead of elimination of uric acid by the body. ~The Blood~ contains an excess of uric acid which increases greatly during an acute attack. ~The Urine~ in true gout does not contain an excess of uric acid except during an acute attack, whereas in the so-called goutiness there is a constant excess of this acid. ~Uric Acid~ is produced as the result of the metabolism in the human body of the nucleoproteins and in food of the purin bodies. ~Alcohol~ undoubtedly assists in the retention and increases the difficulty of uric acid elimination by the body. ~Chief Causes of Gout.~--Overeating, excessive alcoholism, and too little exercise, especially in the open air. ~Treatment~ consists in regulating the diet both as to the quantity and type of food eaten; reducing or eliminating the alcohol in the dietary, and increasing the amount of outdoor exercise.