There appears to be absolutely no rational foundation for the popular
belief that red meats cause rheumatism, either from the point of view of
practical experience, or from that of chemical composition. We now know
that white meats of all sorts are quite as rich in those elements known
as the purin bodies, or uric-acid group, as red meats, and many of them
much richer. It may be said in passing, that this last-mentioned bugbear
of our diet-reformers is now believed to have nothing whatever to do
with rheumatism, and probably very little with gout, and that the
ravings of Haig and the Uric-Acid School generally are now thoroughly
discredited. Certainly, whenever you see any remedy or any method of
treatment vaunted as a cure for rheumatism, by neutralizing or washing
out uric acid, you may safely set it down as a fraud.
One rather curious and unexpected fact should, however, be mentioned in
regard to the relation of diet to rheumatism, and that is that many
rheumatic patients have a peculiar susceptibility to some one article of
food. This may be a perfectly harmless and wholesome thing for the vast
majority of the species, but to this individual it acts as a poison and
will promptly produce pains in the joints, redness, and even swelling,
sometimes accompanied by a rash and severe disturbances of the digestive
tract. The commonest offenders form a curious group in their apparent
harmlessness, headed as they are by strawberries, followed by
raspberries, cherries, bananas, oranges; then clams, crabs, and oysters;
then cheese, especially overripe kinds; and finally, but very rarely,
certain meats, like mutton and beef. What is the cause of this curious
susceptibility we do not know, but it not infrequently occurs with this
group of foods in rheumatics and also in asthmatics.
Both rheumatics and asthmatics are also subject to attacks of urticaria
or "hives" (nettle-rash), from these and other special articles of diet.
As to principles of treatment in a disease of so varied and indefinite a
character, due to such a multitude of causes, obviously nothing can be
said except in the broadest and sketchiest of outline. The prevailing
tendency is, for the acute form, rest in bed, the first and most
important, also the second, the third, and the last element in the
treatment. This will do more to diminish the severity of the attack and
prevent the occurrence of heart and other complications than any other
single procedure.
Public-domain text, read in full here on John Shaqi.
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