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LENHARTZ'S TREATMENT OF GASTRIC ULCER.
1780 found in the appendix. Sufficient attention has not been from enteric fever, reported a drawn to the necessity for counting the blood cells in all in infectious diseases carried
series of researches in conjunction with Dr. Meltzer. The cases included 7 of septicaemia, 4 of cases where suppuration is a possibility. I am, Sir, yours faithfully, angina, 1 of catarrhal pneumonia, 1 of rheumatic SKENE KEITH. June 14th, 1909. arthritis, 1 of erysipelas, and 2 of tuberculosis. The results were very like those obtained in enteric fever, in feverish stage as well as in convalescence. He LENHARTZ’S TREATMENT OF GASTRIC the further found in two patients suffering from anaemia and ULCER. gastric ulcer and in a patient suffering from pernicious anasmia that in these cases a chemical substance containing To tke Editor of THE LANCET. SIR,-In the account given by Professor Lenhartz of his much oxygen was retained in the organism. He concluded treatment of gastric ulcer in your report of the German that in morbid conditions leading to inanition, whatever the cause might be, the albumin of the body was oxidised in Congress of Internal Medicine in THE LANCET of June 12th, an abnormal way, so that the nitrogenous part was at once that he and of 40, says subsequently 50, grammes p. 1716, whilst the component consisting partly of carbon raw meat are given per day. A little later he says that the This carbonwas retained in the body for a long time. patient is not discharged from hospital until no blood has been present in the faeces for several weeks. It is important containing compound was eliminated through the lungs and would be interesting to know what diet Professor during convalescence whilst the nitrogen was again Lenhartz keeps his patient on for the few days previous to assimilated. The Metabolism of the Inorganic Constit1tents of the Tissues in the examination of the fasces, and how often this is done. Relation to Pathology. I am. Sir. vours faithfullv. W. CALWELL. Professor MAGNUS-LEVY (Berlin) said that the theory o ionisation made it possible to understand how substances of * Our correspondent will find the treatment of Professor inorganic origin might enter into chemical combination with Lenhartz set out at length with a diet table in an article by This process, in which inorganic organic compounds. Dr. J. Victor Haberman which was published in THE LANCET substances acquired properties not possessed by them when in of July 7th, 1906, p. 25. But the examination of the f2eces the free state, was, in fact, rather frequent. The mineral substances which were necessary for the organism were conis not mentioned.-ED. L. tained in the food, and when they were not already in a state of organic combination the body was able to convert them THE SEMON TESTIMONIAL. into organic compounds. A classic example was the inTo the Editor of TEE LANCET. organic iron which entered into the composition of haemoSIR,-Sir Felix Semon, physician- extraordinary to the globin. According to the opinion of Professor Bunge the King, is retiring from practice, and the occasion will be administration of iron was useless for the formation marked by a complimentary banquet to be given him by of hoemoglobin, but clinical experience has, nevertheless, his professional and other friends on Friday, July 2nd, at shown that this opinion was erroneous, and by experithe Whitehall Rooms, Hotel Metropole. The organisers of ments in animals it had been proved that ferrates, the banquet are anxious to found a lectureship or scholarship and even metallic iron, in a state of fine division, in his name to be a record of his scientific work as one of the were assimilated by the organism. With respect to calcium founders of the British School of Laryngology. Mr. Henry the speaker pointed out that the rachitis of children T. Butlin will preside at the dinner, and all communica- was not exclusively caused by a deficiency of calcium salts tions with regard to the Testimonial Fund or application in the food; it had been shown by experiments on young for seats at the banquet should be addressed to one of us, animals that the administration of food containing no the honorary secretaries. calcium salts produced a morbid condition clinically similar We are, Sir, yours faithfully, to rachitis, but that the microscope revealed the existence of ALFRED MOND, M.P., histological differences. The deficiency of lime in the food 35, Lowndes-square, S.W.; might, however, produce a liability to rachitis. In chronic P. WATSON WILLIAMS, M.D. Lond., exhausting diseases such as leukaemia and diabetes there was 4, Clifton-park, Bristol; weakness of the bones together with an abundant excretion H. J. DAVIS, of phosphates. Professor Magnus-Levy made only a short 8, Portman-street, London, W. allusion to compounds containing iodine because that question had been discussed in this Congress two years ago, and then took up the subject of chloride of sodium. He said THE GERMAN CONGRESS OF INTERNAL he that a daily quantity varying from 15 to 20 grammes of this MEDICINE. substance was harmless for healthy persons because it was discharged by the urine within 24 hours, but when the OUR BERLIN CORRESPONDENT.) (FROM kidneys were in a morbid condition they were unable to (Concluded, from p. 1718.) eliminate that amount and a retention of salt consequently occurred. This retention was frequently the cause of oedema. 1’he Treatment of Chronic Bronchitis and Bronchial Asthma A reference was made to Professor Widal’s observation that the by X Rays. oedema from which a patient was suffering disappeared as Dr. SCHILLING (Nuremberg) reported that he-had obtained soon as no chloride of sodium was given with the food, excellent results by the use of x rays in chronic bronchitis but re-appeared on the administration of ten grammes and bronchial asthma. The discharge became less abundant of the salt. A strict milk diet was not advantageous in these and the asthmatic trouble became better or even dis- conditions, because three litres of milk contained five appeared. In some instances the asthmatic attacks were grammes of common salt, but a mixed food, consisting of definitely stopped by a single application of the rays. The bread, potatoes, rice, butter, and some meat, contained only results were especially striking in children. In 70 per cent. from one to two grammes of salt, provided that no salt was of the cases complete recovery, or at least great improve- added in cooking the food. Under the regime achloruré of ment, took place. The improvement continued in a great Professor Widal excellent results had been obtained in cases number of cases for months and even for years. of Bright’s disease attended with cedema. The retention of Neurasthenia after Lead-poisoning. phosphates did not produce oedema. (Edema in diseases of Dr. OTTO NAEGELI-NAEF (Ziirich) reported an epidemic the heart and liver depended on other causes and were manifestation of neurasthenia in workmen suffering from therefore not so decidedly influenced by the food, but nevertheless some good results were obtained by similar lead-poisoning. The objective symptoms of poisoning were treatment. Retention of chloride of sodium occurred of but characteristic neurasthenia very slight, symptoms in arterio-sclerosis, gout, emphysema, and in all acute were present, having the appearance of a traumatic neurosis. infectious diseases ; a reduction of the amount of common Researches on Metabuhsm in Febrile Ihseases and salt in the food might therefore be useful in these conConvalescence. ditions. In the treatment of epilepsy, if food containing Dr. RoLLY (Leipsic), after alluding to some observations little chloride of sodium was given, this had the effect that formerly made by him on metabolism in patients suffering an alkaline bromide administered therapeutically was
consumed,
new
out
series of researches in conjunction with Dr. Meltzer. The cases included 7 of septicaemia, 4 of cases where suppuration is a possibility. I am, Sir, yours faithfully, angina, 1 of catarrhal pneumonia, 1 of rheumatic SKENE KEITH. June 14th, 1909. arthritis, 1 of erysipelas, and 2 of tuberculosis. The results were very like those obtained in enteric fever, in feverish stage as well as in convalescence. He LENHARTZ’S TREATMENT OF GASTRIC the further found in two patients suffering from anaemia and ULCER. gastric ulcer and in a patient suffering from pernicious anasmia that in these cases a chemical substance containing To tke Editor of THE LANCET. SIR,-In the account given by Professor Lenhartz of his much oxygen was retained in the organism. He concluded treatment of gastric ulcer in your report of the German that in morbid conditions leading to inanition, whatever the cause might be, the albumin of the body was oxidised in Congress of Internal Medicine in THE LANCET of June 12th, an abnormal way, so that the nitrogenous part was at once that he and of 40, says subsequently 50, grammes p. 1716, whilst the component consisting partly of carbon raw meat are given per day. A little later he says that the This carbonwas retained in the body for a long time. patient is not discharged from hospital until no blood has been present in the faeces for several weeks. It is important containing compound was eliminated through the lungs and would be interesting to know what diet Professor during convalescence whilst the nitrogen was again Lenhartz keeps his patient on for the few days previous to assimilated. The Metabolism of the Inorganic Constit1tents of the Tissues in the examination of the fasces, and how often this is done. Relation to Pathology. I am. Sir. vours faithfullv. W. CALWELL. Professor MAGNUS-LEVY (Berlin) said that the theory o ionisation made it possible to understand how substances of * Our correspondent will find the treatment of Professor inorganic origin might enter into chemical combination with Lenhartz set out at length with a diet table in an article by This process, in which inorganic organic compounds. Dr. J. Victor Haberman which was published in THE LANCET substances acquired properties not possessed by them when in of July 7th, 1906, p. 25. But the examination of the f2eces the free state, was, in fact, rather frequent. The mineral substances which were necessary for the organism were conis not mentioned.-ED. L. tained in the food, and when they were not already in a state of organic combination the body was able to convert them THE SEMON TESTIMONIAL. into organic compounds. A classic example was the inTo the Editor of TEE LANCET. organic iron which entered into the composition of haemoSIR,-Sir Felix Semon, physician- extraordinary to the globin. According to the opinion of Professor Bunge the King, is retiring from practice, and the occasion will be administration of iron was useless for the formation marked by a complimentary banquet to be given him by of hoemoglobin, but clinical experience has, nevertheless, his professional and other friends on Friday, July 2nd, at shown that this opinion was erroneous, and by experithe Whitehall Rooms, Hotel Metropole. The organisers of ments in animals it had been proved that ferrates, the banquet are anxious to found a lectureship or scholarship and even metallic iron, in a state of fine division, in his name to be a record of his scientific work as one of the were assimilated by the organism. With respect to calcium founders of the British School of Laryngology. Mr. Henry the speaker pointed out that the rachitis of children T. Butlin will preside at the dinner, and all communica- was not exclusively caused by a deficiency of calcium salts tions with regard to the Testimonial Fund or application in the food; it had been shown by experiments on young for seats at the banquet should be addressed to one of us, animals that the administration of food containing no the honorary secretaries. calcium salts produced a morbid condition clinically similar We are, Sir, yours faithfully, to rachitis, but that the microscope revealed the existence of ALFRED MOND, M.P., histological differences. The deficiency of lime in the food 35, Lowndes-square, S.W.; might, however, produce a liability to rachitis. In chronic P. WATSON WILLIAMS, M.D. Lond., exhausting diseases such as leukaemia and diabetes there was 4, Clifton-park, Bristol; weakness of the bones together with an abundant excretion H. J. DAVIS, of phosphates. Professor Magnus-Levy made only a short 8, Portman-street, London, W. allusion to compounds containing iodine because that question had been discussed in this Congress two years ago, and then took up the subject of chloride of sodium. He said THE GERMAN CONGRESS OF INTERNAL he that a daily quantity varying from 15 to 20 grammes of this MEDICINE. substance was harmless for healthy persons because it was discharged by the urine within 24 hours, but when the OUR BERLIN CORRESPONDENT.) (FROM kidneys were in a morbid condition they were unable to (Concluded, from p. 1718.) eliminate that amount and a retention of salt consequently occurred. This retention was frequently the cause of oedema. 1’he Treatment of Chronic Bronchitis and Bronchial Asthma A reference was made to Professor Widal’s observation that the by X Rays. oedema from which a patient was suffering disappeared as Dr. SCHILLING (Nuremberg) reported that he-had obtained soon as no chloride of sodium was given with the food, excellent results by the use of x rays in chronic bronchitis but re-appeared on the administration of ten grammes and bronchial asthma. The discharge became less abundant of the salt. A strict milk diet was not advantageous in these and the asthmatic trouble became better or even dis- conditions, because three litres of milk contained five appeared. In some instances the asthmatic attacks were grammes of common salt, but a mixed food, consisting of definitely stopped by a single application of the rays. The bread, potatoes, rice, butter, and some meat, contained only results were especially striking in children. In 70 per cent. from one to two grammes of salt, provided that no salt was of the cases complete recovery, or at least great improve- added in cooking the food. Under the regime achloruré of ment, took place. The improvement continued in a great Professor Widal excellent results had been obtained in cases number of cases for months and even for years. of Bright’s disease attended with cedema. The retention of Neurasthenia after Lead-poisoning. phosphates did not produce oedema. (Edema in diseases of Dr. OTTO NAEGELI-NAEF (Ziirich) reported an epidemic the heart and liver depended on other causes and were manifestation of neurasthenia in workmen suffering from therefore not so decidedly influenced by the food, but nevertheless some good results were obtained by similar lead-poisoning. The objective symptoms of poisoning were treatment. Retention of chloride of sodium occurred of but characteristic neurasthenia very slight, symptoms in arterio-sclerosis, gout, emphysema, and in all acute were present, having the appearance of a traumatic neurosis. infectious diseases ; a reduction of the amount of common Researches on Metabuhsm in Febrile Ihseases and salt in the food might therefore be useful in these conConvalescence. ditions. In the treatment of epilepsy, if food containing Dr. RoLLY (Leipsic), after alluding to some observations little chloride of sodium was given, this had the effect that formerly made by him on metabolism in patients suffering an alkaline bromide administered therapeutically was
consumed,
new
out