=Antiscorbutic Foods.=--As far as has been ascertained, the
antiscorbutic food factor exists in all fresh vegetable and animal
tissues, being present to a far greater degree in the former than in the
latter. It is distinguished by being associated in nature with cells
which are the seat of active metabolism, just as the water-soluble
vitamine is associated mainly with cells which are in an inactive or
dormant state. Vegetables or fruits may be mildly or highly
antiscorbutic; there is indeed a remarkable difference in their content
of antiscorbutic factor or vitamine. They vary widely also in the degree
to which their potency is affected by physical or chemical conditions.
In this chapter the most common animal and vegetable antiscorbutic
foodstuffs will be considered and the effect which processes such as
drying, canning, change of reaction, etc., exert on their specific
value. Their therapeutic application in the prevention and cure of
scurvy will be considered in a subsequent chapter. Until recently our
knowledge of this subject was empirical and inaccurate; as the result of
scientific work, however, carried out during the past few years in
different parts of the world, quantitative and comparative figures of
antiscorbutic food values have been evolved.
=Milk.=--It is important to have as accurate an idea as possible of the
value of milk as an antiscorbutic, as the infant depends on it during
the first months of its life for a supply of this essential factor.
Considerable attention has been paid to this question in the last few
years, and recent reports tend to confirm the former estimations which
had been overlooked and forgotten. In 1847 Curran wrote that in the
Irish epidemic of this year they had admitted to the Dublin Union
Hospital 80 cases of scurvy which had been on a diet which included one
pint of milk daily, but was deficient in vegetables. From this
experience he realized that milk was not rich in the principles which
protect against scurvy. In the following year Parkes came to the same
conclusion, stating that 500 to 750 c.c. of raw milk did not always
suffice to prevent scurvy. In addition to these opinions concerning
adults, similar conclusions have been drawn from clinical experience
with infants. Barlow (1894) realized that a small amount of milk was
insufficient to protect against scurvy. Still writes: "The antiscorbutic
power of fresh, unboiled milk is evidently slight." In 1914 Hess and
Fish pointed out that "milk must not be considered as having potent
antiscorbutic properties." Nevertheless, when this question was raised
recently by the experimental work of Jackson and Moore, and that of
McCollum and Pitz, it was not appreciated that, like other
antiscorbutics, milk must be regarded from a quantitative standpoint,
and that, as it is a weak antiscorbutic, its effect must depend largely
on the quantity consumed.
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