By Carl Von Noorden
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Extra resources for Nephritis. Disorders of Metabolism and Nutrition
Sample text
Of protein) should not be given, for otherwise the amount of protein ingested becomes so large that there is no room for other articles of diet. In this way we are prevented from offering the patient variety and from increasing the nutritive value of the diet. The following articles of diet in addition to those that we have declared permissible in the earlier stage 64 NEPHRITIS. of the disease, may be added to the ordinary bill of fare —white bread, legumes, cereals (oats and barley), small quantities of mild fresh cheese (cream cheese), some fruits, particularly grapes, small quantities of e g g or meat (either white or red meat) (compare below).
I will not enter into a discussion of the statement made by Kolisch, that in nephritis the alloxuric bases are occasionally increased, while the uric acid is correspondingly decreased. This particular question is irrelevant, for it seems that all authors agree that the sum of these two closely related substances is normal in nephritis. säure-Ausscheidung bei einigen Krankheiten. Charité-Annalen 17. S. 206. —Zülzer, Ueber die A l l o x u r k ö r p e r - A u s s c h e i dung bei Nephritis. Berl. klin.
M y practical experience coincides altogether with this theoretical view, and I have arrived at the conclusion that vinegar is harmless in diseases of the kidneys, in renal lithiasis, and in diseases of the bladder and urethra. Contrary to the ordinary teachings I have been in the habit for many years of allowing such patients to take vinegar, and I have never seen the slightest disadvantage from this practice. (h) Uric Acid and Alloxuric Bases. It was formerly believed that uric acid is eliminated with difficulty in nephritis.