The study of antiscorbutic values points a lesson in regard to the
methods of cooking vegetables. It has demonstrated that short cooking,
associated with a high degree of temperature, is less deleterious than
longer cooking at a low degree. In other words, that less damage is
brought about by boiling or by steaming vegetables than by stewing them.
Here age and freshness again play a rôle; in fact, a double rôle, as the
older and tougher vegetables contain not only less antiscorbutic, but
require more prolonged cooking.
In general, the belief is correct that canning destroys the
antiscorbutic value of foods, but once more an exception must be made,
for it has been found that acid foods, such as the tomato, withstand the
canning process with but little loss of potency.
The field of antiscorbutic foodstuffs is one which is fertile for future
investigation. The antiscorbutic status of milk heated to various
heights of temperature and subjected to various degrees of aging
furnishes problems of great practical importance. A lack of growth has
been noted when antiscorbutics are given which have been subjected to a
high degree of heat (_e.g._, autoclaved orange juice). Whether this is
due to the destruction of some other growth factor is a question which
has been raised by several experimental studies and requires an answer.
It is quite possible that we shall find useful antiscorbutic foods which
at present are unknown or unappreciated. The recent introduction of the
swede, of the canned tomato and of germinated pulses suggests and even
renders this probable. On the other hand, the recognition of the
comparative poverty of the antiscorbutic factor in lime juice shows the
importance of putting each foodstuff to the experimental test.
CHAPTER VII
SYMPTOMATOLOGY AND DIAGNOSIS
The identity of scurvy in the infant, in the young child and in the
adult is thoroughly established and requires no further substantiation.
There are, however, sufficient differences between the symptoms of adult
scurvy and those of Barlow's disease to render it advisable to consider
them separately. These distinctions are due largely to the fact that the
former disorder affects mature tissues, whereas the latter is engrafted
upon tissues which are in the process of rapid growth and development.
The symptomatology is influenced also by the striking differences in
environment--the passive, shielded existence of the infant, contrasted
with the active and exposed life of the adult. Although we shall,
therefore, treat adult and infantile scurvy separately, it should be
borne in mind that, from an etiologic and pathologic viewpoint, such a
division is artificial and is resorted to merely for purposes of
clarity.
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