The Propaganda for Reform in Proprietary Medicines, Vol. 1 of 2Council on Pharmacy and Chemistry (American Medical Association)
Science
The Propaganda for Reform in Proprietary Medicines, Vol. 1 of 2
Council on Pharmacy and Chemistry (American Medical Association)
Patent medicines
In order to get a fair conception of the actual food value of these
various preparations, it is desirable to make some comparison which
can be readily comprehended by every physician. The amount of good
milk necessary each twenty-four hours to sustain the vitality of
a patient during a serious illness is not less than 64 ounces, or
approximately 2,000 c.c. The food value in calories represented by
this amount of good milk may be placed at 1,430. This includes not
only the proteid and carbohydrate matter, but the fat as well. By
comparing this available potential energy with the total energy
available in the predigested foods under consideration, it can be
readily seen that if a physician depends on the representations made
by some of the manufacturers, and feeds his patient accordingly, he
is resorting to a starvation diet. The largest number of available
calories, including alcohol, present in any of the recommended daily
doses, is less than one-fifth of the number of calories represented
by 2,000 c.c. of milk; and the calories represented by the daily dose
of the preparation poorest in food products is only one-twenty-fifth
of the amount present in 2,000 c.c. of milk. These figures tell their
own story.
Making 2,000 c.c. of milk the basis of calculation, and estimating
the amount of the various preparations required to yield this number
of calories, it is found that the quantity to be administered daily
to supply 1,430 calories, including alcohol, varies from 716.2 to
1,506.2 c.c. In many cases the amount of alcohol exhibited by these
quantities would keep the patient in an alcoholic stupor continually.
The cost necessary to supply this energy varies from $1.48 to $3.39.
Compare these prices with the cost of two quarts of milk. Is further
comment necessary?
It is urged in justification of the use of preparations of this class
that they contain constituents not found in our ordinary foods and in
a more perfectly assimilable condition. As pointed out above, these
so-called predigested foods contain no fats; the carbohydrates in
them are the ordinary sugars present in our common foods, while the
proteins belong to the peptone or albumose class. It is for these
latter that the greatest claims are made, but even here no value can
be pointed out not found in whey, peptonized full milk or peptonized
skimmed milk.
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