case a modification of the Karell Cure will prove
valuable (see p. 342).

~Kidney Complications~ develop in a certain percentage of cases, and
it then becomes necessary to institute one of the various diets
devised to meet the needs of those special conditions (see Chapter
XVIII).

~Restricting the Diet~ will be found to be necessary for those
individuals showing a tendency to cirrhosis, also for those in whose
family diseases of the liver are of frequent occurrence. Such
individuals should be warned of the dangers arising from
overindulgence in food or alcoholic beverages.

~Prohibited Foods~ are those which by reason of their astringent
qualities favor the development of constipation, such as condiments
and spices; those foods which exert a stimulating and irritating
effect upon the liver and bile passages, such as alcohol, malt
extractives, etc.; and fats and carbohydrates in excessive quantities,
on account of the extra amount of work required of the liver in order
to make them available in the body.

~Gallstones~ develop as the result of inflammation or clogging of the
bile passages.

~Treatment~ is dietetic in character and is directed toward relieving
or preventing inflammation in the bile passages, also in stimulating
the flow of bile in order that it may not become sluggish and thus
give rise to the development of the gallstones.

~The Fats~, therefore must be restricted in the diet, as they, more
than any of the other food constituents, favor the above conditions.

~Peristalsis~ in the intestinal tract must be stimulated to facilitate
a free flow of bile, which will not occur where the movements are
sluggish. Stasis of the bile must be prevented or stones will be apt
to form.

~Dietetic Treatment~ for gallstones is therefore directed to increase
the flow of bile and to avoid the inflammation of the gall bladder and
bile passages which may result from the product of intestinal
putrefaction.

~The Diet~ consists of foods simple in character, low in fats, but
abundant in quantity, in order to prevent constipation. It must be
selected carefully that digestional disturbances may not develop.

~The Meals~ should be frequent, from four to six a day, in order to
encourage a free flow of bile.

~Breakfast~ should be ample in order that the bile secreted and
accumulated during the night may be utilized as soon as possible.

~Constipation~ must be avoided, and the foods particularly adapted to
prevent o