are manifested.

~Prostration~ may be great, according to the violence and duration of
the attack.

~Anemia~ follows many cases of poisoning as a result not only of the
impairment and lack of nutrition of the blood-making organs, but also
on account of the other symptoms, especially diarrhea occurring in the
disease.

ACIDOSIS

This condition is more or less common, especially in the disturbances
manifested by children.

~Cause~ of acidosis is believed to be an impairment of metabolism,
especially in regard to the fats.

~Starvation or Malnutrition~ is believed to produce many cases of
acidosis in childhood and adults suffering from diseases in which
certain foods have been limited.

~Dietetic Treatment~ like that used in acute gastro-intestinal
disturbances begins with a starvation period and is followed by a
simple fluid diet until violent symptoms subside. Examination of the
stools and the material vomited will, at times, furnish an insight as
to the source of the poison.

~Convalescent Diet~ is begun after the violent symptoms have subsided,
but care must be taken not to increase the diet too rapidly, owing to
the danger from relapse.

~Method of Administering Diet.~--First: a period of total abstinence
from food.

Second: fluid diet consisting of broth, buttermilk, or some of the
predigested liquid beef preparations which furnish both food and
stimulation necessary in such cases.

~Rectal Feeding~ may be found necessary when the prostration is great.

~Personal Idiosyncrasies~ should be taken into account and effort made
to find whether or not the attack is caused by any one food material
or by bad sanitation or unclean food. The patient should be warned
against the danger of taking a food which has caused a previous attack
of poisoning, especially in cases where a personal idiosyncrasy
against a food has been manifested.

PELLAGRA

The cause and cure for this disease are still a matter of discussion.
Whether it is due to the presence or absence of certain substances in
the food materials, is as yet to be determined.

~Diet in Pellagra~ is most important. It is impossible to say that
pellagra is a nutritional disease, but it is certain that in balancing
the diet much has been done toward relieving the condition.

~Diarrhea~ is one of the chief symptoms of the disease and great care
is needed in formulating the dietary in order not to increase this
condition.

~Conclusion.~--The diet is