have a
prominent place. As a rule, in the diet of an adult suffering from
pellagra, at least forty grams (about 60 per cent) of the necessary
proteins should be in this form. The diet for pellagra must
necessarily be such as to overcome as far as possible the progressive
emaciation which is an important symptom. However, it must be kept in
mind that gastro-intestinal disturbances are likewise prominent and
that diarrhea is often most difficult to overcome. For these reasons
it is essential to formulate a diet which will not interfere with the
treatment for the disease, and which will be at the same time one on
which the patient can gradually be built up, and in this way benefit,
as far as possible, under the circumstances. The diet used in the
treatment of anemia seems to be the one best suited to meet the
requirements of the patient suffering with pellagra; changes may be
made in this diet, however, by the physician, who will be able to
judge the need of the individual under his care. Whether pellagra can
be cured by dietetic treatment is very uncertain, but the condition of
the patient can undoubtedly be materially improved, provided the
treatment is begun sufficiently early; that is, before the disease has
progressed to such an extent that neither diet nor anything else can
bring about a cure.

The above dietetic treatment is not claimed to be infallible. It is
merely given as a suggestion to be used at the discretion of the
physician.

In all probability the treatment of pellagra will undergo a definite
change in the near future, but at present our best results accrue from
the giving of an adequate, well-balanced diet. The extent of the
relief of such dietetic measures depends, as has already been stated,
upon taking the disease in its early stage.

SUMMARY

~Food Poisoning~ is more or less common, being induced by polluted
water, milk, or other foods, bad sanitation, and imperfect canning, as
well as by certain obscure substances known as ptomaines.

~Shellfish~ have often been found to cause poisoning in certain
individuals. Stale fish may cause the most violent type of poisoning
in any individual.

~Chicken Salad~ which has been kept overnight in tin receptacles has
been known to cause violent attacks of poisoning.

~Ice Cream~ which is melted and re-frozen is likewise a source of a
number of the cases reported.

~Symptoms.~--Very like those of auto-intoxication, and violent
intestinal disturbances