Femina, A Work for Every Woman — John Stuart Mill — John Shaqi
Femina, A Work for Every Woman
John Stuart Mill · en
So never feel sorry or disappointed when the family physician makes a
professional visit, and fails to write a prescription, but instead,
gives you instruction in the art of feeding and nursing the patient.
Food and stimulants support the strength of the system until the
struggle between health and disease or between life and death is
overcome, and thus cure the patient by not allowing him to starve.
There is a large group of diseases for which there are no acknowledged
remedies, and in which a properly selected and regulated diet forms the
mainstay of successful treatment. This should be combined with healthy,
clean rooms, proper ventilation, and other hygienic means which may
suggest themselves to the intelligent practitioner.
The patient’s fancy for this or that article of diet is no index, as a
rule, of what is best suited for him; invalid appetites and cravings
are abnormal; they are like that of the chlorotic girl who eats chalk
and slate pencils, instead of wholesome food and some preparation of
iron.
An aversion to food is also no criterion of the patient’s need for
nourishment, for the sense of taste is generally blunted or perverted.
The desire for food is lost in all diseases of a catarrhal nature of
the mouth or stomach, and in those that are characterized by high
temperature. In typhoid fever and diseases of a typhoid nature this is
always the case.
With children this aversion to food is greater and more general than
with adults; and it must be made a rule that their refusal to take
nourishment must not be extended beyond several days, otherwise they
fail so rapidly in conjunction with the disease as to perish from
exhaustion.
The repugnance to food arises from abnormal conditions that are
generally localized in the mouth and especially in the parts of the
tongue which are supplied by the nerves of taste; these nerves are
the lingual branch of the trifacial and the glasso-pharyngeal. But
notwithstanding that the food is almost tasteless, when it gets into
the stomach it is retained and properly digested and the patient feels
better for having taken it. An appetite can be thus cultivated, and
after a few days of coaxing or perhaps of forcible feeding, which in
children who are failing rapidly becomes necessary in order to save
them, the taste and desire for nourishment become natural or restored.
Quite often patients beg and plead not to be given food; but in wasting
diseases it should be insisted that some at least should be taken
(always liquid of course), and when they are sufficiently rational they
will always afterward admit that the nourishment did them good.