Drink restrictions (thirst cures) particularly in obesity : being part VI of several clinical treatises on the pathology and therapy of disorders of metabolism and nutrition / by Professor Dr Carl von Noorden ... and Dr Hugo Salomon.

  • Noorden, Carl von, 1858-1944.
Date:
1905
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Licence: In copyright

Credit: Drink restrictions (thirst cures) particularly in obesity : being part VI of several clinical treatises on the pathology and therapy of disorders of metabolism and nutrition / by Professor Dr Carl von Noorden ... and Dr Hugo Salomon. Source: Wellcome Collection.

Provider: This material has been provided by Royal College of Physicians, London. The original may be consulted at Royal College of Physicians, London.

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    than that it excludes at least one of the influences that may act cleleteriously upon the heart. As we know from experience that obese subjects very easily acquire the habit of imbibing large quantities of liquids, it is absolutely essential that the physician should inquire into the amount of fluid-intake in each case; only in this way can he advise some restriction of liquids with a view to exercising an intelligent prophylaxis even before the heart or arteries show any morbid symp- toms. This procedure is still more important in cases in which the heart is already weakened. We agree with numerous authors, who have expressed them- selves in this sense since Oertel’s publications, that signs of a weakened heart-action, e.g., dyspnoea, mild stenocardiac disturbances, irregularity of the pulse, slight degrees of cardiac dilatation, can frequently be favorably influenced, in obese subjects, by a certain amount of water restriction, even though no actual loss of fat occurs. In the case of fat people the same rules apply, as far as the heart is concerned, as in the case of sufferers from cardiac disorders; and the value of water-restric- tion in the latter class of patients has been fully dis- cussed in the clinical introduction to this article (see above). 2. In contradistinction to the untenable theories of Oertel and Schweninger, we do not consider the con- centration of the blood and tissue-juices to be an important factor in the destruction of body-fat. One good result may, however, occasionally develop from