e carbohydrates as well as the purin-bearing foods in the diet. Only
the simplest foods are permissible. In acute attacks it has been found
that milk and alcohol cause less disturbance than meat and alcohol.
While the acute symptoms exist all meat should be avoided and the
daily allowance of alcohol cut down. Tea and coffee both contain
purins and should be avoided while the acute stage of the disease
continues. Cereal coffee, hot water tea, hot milk or buttermilk may
be substituted.

~Purin-free Diet.~--A purin-free diet is advisable during the acute
attack. The following is a sample menu of such a diet:

Breakfast--Banana, apple, grapefruit, orange or peach, etc.
Cereals: farina, hominy, or cream of wheat with
cream and sugar
1 egg, soft-cooked
Buttered toast
Cereal, coffee with sugar and cream or hot water
tea (milk and hot water) with cream and sugar

Lunch or Dinner--Poached egg on toast, 1 large baked potato with
butter, 1 mold of fruit jelly with cream

Supper--Rice and butter, bread or toast with hot milk
Apple sauce with cream

_Purin Per Cent._
Cocoa contains 1.00 per pint
Tea " 1.20 per pint
Coffee " 1.70 per pint

Purins are soluble in water, hence those foods that are boiled contain
less than those prepared by other methods of cookery.

~Foods More or Less Condemned.~--Salt has a tendency to bring about a
deposit of sodium urates in the body, and for this reason should be
sparingly used in the preparation of the diet. Alkaline waters are
inclined to produce a like result, consequently should be avoided by
the gouty individual. Condiments and spices are conducive to
constipation, a condition to be avoided if possible under the
circumstances. Certain physicians prohibit the use of oranges in the
diet of gout, while others do not. Strawberries are likewise condemned
and should be eliminated from the diet for both chronic and acute
gout.

~Diet in Chronic Gout.~--In chronic gout it is necessary to maintain
the general health of the patient by a well-balanced diet. This is not
difficult even if the dietary is so regulated as to be well within the
limits of his energy requirements. It is necessary