This short discussion as to how different people behave with regard
to the act of eating is of itself testimony that care should ever be
taken to keep alive the attention and interest for food and to promote
enjoyment of the repast--that is to say, that care should be taken of
the appetite. Every one knows that a normal, useful food is a food
eaten with appetite, with perceptible enjoyment. Every other form of
eating, eating to order or from conviction, soon becomes worse than
useless, and the instinct strives against it. One of the most frequent
requests addressed to the physician is to restore the appetite. Medical
men of all times and of every land have held it to be a pressing
duty, after overcoming the fundamental illnesses of their patients, to
pay special attention to the restoration of the appetite. I believe
that in this they are not only animated by an endeavour to free their
patients from troublesome symptoms, but also by the conviction that
the return of appetite of itself will favour the restitution of normal
digestive conditions. It may be said that to the same extent to which
the patient wishes back his appetite the physician has effectively
employed measures to restore it. Hence we have not a few remedies which
are specially named “gastric tonics,” and whose action is to promote
appetite. Unfortunately medical science has latterly deviated from
this, the correct treatment of the appetite, and that which corresponds
to the real conditions. If one reads current text-books on disorders of
digestion, it is remarkable how little attention is paid to appetite
as a symptom or to its special therapy. Only in a few of them is its
importance indicated, and then merely in short, parenthetic phrases.
On the other hand, one may meet statements in which the physician is
recommended to adopt no special means for counteracting so unimportant
a subjective symptom as a bad appetite! After what I have said and
demonstrated to you in these lectures, one can only designate such
views as gross misconceptions. If anywhere, it is precisely here
that symptomatic treatment is essential. When the physician finds it
necessary, in disorders of digestion, to promote secretory activity by
different remedies, this object can most certainly and completely be
achieved by endeavouring to restore the appetite. We have already seen
that no other excitant of gastric secretion, so far as quantity and
quality of the juice are concerned, can compare with the passionate
craving for food.
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Elsewhere in the archive
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account