In this connection attention should be drawn to a peculiar and puzzling
clinical phenomenon, which we have noted several times. Even if the
antiscorbutic treatment is carried out incompletely and only for a short
period, recrudescences may not take place. We have seen cases where
orange juice was given for merely ten days or two weeks--that is, only
until all scorbutic signs had disappeared,--and yet the scurvy did not
return, the infants thrived for months thereafter, but were merely
somewhat pale and undernourished. In the case of two babies which we
have in mind, the diet remained absolutely unchanged, with the exception
of the short period of antiscorbutic treatment, but this seemed
sufficient to bring about a diminished susceptibility.
CHAPTER IX
TREATMENT
"Seek the cure of scurvy neither in the armamentarium of the physician
nor in the apothecary shops. The druggist will be of as little aid to
you as the art of the surgeon. On the other hand, employ fresh
vegetables, the juice of fresh antiscorbutic plants, oranges and lemons
or the juice of those fruits preserved with sugar; in this way without
other means you will be able to overcome this terrible disease." This
reads like the advice of some modern therapeutist; it is, however, the
conclusion of a physician (Kramer) who wrote on scurvy almost two
hundred years ago, and shows that the treatment of scurvy has undergone
no fundamental change in the intervening years. Our resources, however,
have been amplified by an increased knowledge of the relative value of
antiscorbutic foodstuffs and by the introduction of some new ones.
Public-domain text, read in full here on John Shaqi.
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