.
_Supper_.--Three or four ounces of lean beef or fish; one or two glasses
of red wine.
_At bed-time._--Grog without sugar (whisky and water, or rum and water),
and one or two glasses of sherry or Bordeaux.
"Bantingism," to be effective, must be most closely followed, when,
unfortunately also, it proves extremely debilitating; it is suitable
only for sturdy, hard riding gluttons of the Squire Western type. The
patient rapidly loses strength as well as flesh, and speedily acquires
an unconquerable repugnance to the dietary. Further, from a strictly
physiological point of view, the quantity of meat is greatly in excess,
while with the cessation of the regimen, the fat quickly reappears.
Next Ebstein formulated a dietary that is certainly much better
tolerated than that of Harvey and Banting, and yields as good, or even
better, results. He allows patients to take a definite quantity--two to
two and a half ounces-of fat daily, in the form of bacon or butter
which, theoretically at least, offers several advantages: It diminishes
the sensations of hunger and thirst, and plays a special role with
respect to the albuminoids; the latter may thus be assimilated by the
economy without being resolved into fat, and thus the adipose of the
organism at this period is drawn upon without subsequent renewal. The
following is the outline:
_Breakfast_.--At 6 a.m. in summer; 7:30 in winter:--Eight ounces of
black tea without either milk or sugar; two ounces of white bread or
toast, with a copious layer of butter.
_Dinner_.--2 p.m.:--A modicum of beef marrow soup; four ounces of meat,
preferably of fatty character; moderate quantity of vegetable,
especially the legumines, but no potatoes or anything containing starch;
raw fruits in season, and cooked fruits (stewed, without sugar); two or
three glasses of light wine as a beverage, and after eating, a cup of
black tea without sugar.
_Supper_.--7:30 p m.:--An egg, bit of fat roast, ham, or bacon; a slice
of white bread well buttered; a large cup of black tea without milk or
sugar; from time to time, cheese and fresh fruits.
Germain See suggests as a modification of this regimen, the abundant use
of beverage, the addition of gelatins, and at times small doses of
potassium iodide in twenty cases he claims constant and relatively
prompt results.
Whatever may be urged for Ebstein's system--and it has afforded most
excellent results to Unna and to Lube, as well as its author--it
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