Vol. 60, 1909 - University of North Carolina at Chapel Hill

136 THE CHARLOTTE MEDICAL JOURNAL. ..;
necessary: 5 to 10 per cent, naftalan, where aglycosuric. A moderate percentage off
there is delayed healing; 1 to 3 per cent, sugar is, therefore, not objectionable, pro- J
tumenol, if the itching is intense; 1 to 5 per vided a larger amount of carbohydrate is '-^
cent, lenigallol, for pronounced weeping; utilized. As a rule, the amount of bread )
2 to 5 per cent, sulphur, for the seborrhoic should not be reduced below 60 Gm. Ex- 'i
type; J^ to 2 percent, salicylic acid, for ceptions are where patients suffer from neu- ;
the dry and infiltrated form, etc. In very ralgia or other complications, as the symp- j
dry, obstinate types, the addition of 1 to toms generally disappear more rapidly if no J
1 per cent, of oleum rusci or oleum cadini sugar is excreted. A stricter diet should 1
will be serviceable, with small doses of also be enforced in very recent cases, in the'?
Fowler's solution internally, while the dis- hope that the process may be cured.
seminated form is often benefited by sul- Where an operation is contemplated, it
phur baths. is also desirable to have as little sugar in ^
The most important change to be made the urine as possible, though even large ^
in feeding is reduction of milk. Breast-fed wounds may heal with moderate glycosuria. '
I" more serious cases of diabetes, the fats :s I^
infants should receive only five feedings,
and gruels mav be added to the diet after are also imperfectly oxidized, leading to
the third month. In artificially fed chil- fatty degeneration, lipemia, and the excre-'
dren the amount of milk is reduced ji to tion of acetone. In such cases, the decom-
'A
liter. If no improvement is noticed in from position products of sugars, such as carbo'
one to two weeks, the milk is cut down still hydrate acids, glyconic acid, saccharic, an'
more, and the carbohydrates (gruels, sugar) mucinic acids or glycosamin, can be admin
are increased. There mav be a loss of isteied with good results, or the sugar may ,;
weight, amounting to from 5 to 10 per cent,
After the fourth month cereal decoctions
be given per rectum. Little benefit willre^
suit from the administratien of levulose o^
may be used more freelv, and the juice of lactose. •,
fresh raw fruits in teaspoonful doses is in- 1'l»e best results are obtained from oatdisated.
In the second half vear. finely meal, which will reduce the amount of i
mashed, stewed or raw fruit, potato, and sugar and acetone, often to a remarkable |
green vegetables can be given. In very ob- degree. What this action is due to is at j
stinate cases it may be necessary to with- present not known.—Berl. klin. Woch. ,
hold milk altogether for a few weeks, if the
child is over six months old. Skimmed or
buttermilic is usually better than full milk.
In the second vear the diet consists chiefly
of vegetables and fruits, with 1-4 to 1-5 liter
The Sign ol "Tapolagc" in Pulmonary
Phthisis.
I
I" 1904 Erni described a symptom which ;
of milk. Meat can usually be added by frequently exists in pulmonary tuberculosis,
the third or fourth year, but" eggs and broths 1" certain cases percussion—above all in