on of the
accompanying nerve tissue.

A special group of muscular diseases consists of amyloid (fatty)
degeneration of vital muscle substance, as for instance of the heart,
the kidneys, the liver. These are also caused by faulty composition of
the blood, which does not feed the muscles with the substances required
and thus causes them to degenerate by developing too much fat.

The predisposition for such forms of disease is very often inherited.

Amyloid degeneration is often combined with wasting diseases, such as
atrophy, tuberculosis and dropsy.

_Therapy._

_Diet_: Sufferers from gout must always be guided by the necessity of
avoiding all food that contains large quantities of acid. In a general
way it is also necessary to live moderately in every respect and so
avoid all excesses.

There are a number of dishes that are harmful to such patients. Among
them are various meats, especially dark roast meat, also game. In
general, and especially in very severe cases, it is better to refrain
from white meat also. Spleen, liver, kidney, sweetbread, brains are
absolutely prohibited, also sausage and smoked and canned meats, oily
fish, especially eel, salmon, pike, and all smoked fish, because they
may create a large amount of uric acid.

The amount of meat eaten must not exceed 200 grams per day. The
following must also be avoided: all sharp cheeses, cabbage, sauerkraut,
and beans.

Among vegetables the following are recommended: asparagus, celery and
potatoes. The vegetables containing oxalic acid, such as spinach,
sorrel, rhubarb and cress it is best to avoid.

Butter is permitted in small quantities, also eggs.

Sweet farinose dishes are unnecessary.

Tea and coffee are allowed as beverages in very small amounts. The
principal drinks, however, should be mineral waters, such as Vichy,
Apollinaris, etc., which may be varied from time to lime.

It is strongly recommended that the patients eat much fruit. Fruit-acids
promote good circulation.

_Breakfast_: (a) In winter, tea made from the leaves of the haw,
blackberry, or strawberry, cereal coffee, weak cocoa with bread and
butter.

(b) In summer, sour milk, fruit juices, or fruit and bread; among
fruits particularly strawberries, currants, gooseberries, huckleberries,
cherries, grapes, apples.

_Mid-morning Lunch_: Radishes mashed with apples, also a raw cucumber or
tomato in the form of a salad.

_Dinner_: No meat, no soup; fresh greens, fresh vegetabl