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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    restriction of liquids is going to bring about the desired result or whether it is going to be without effect. Unless forced to do so by special reasons (see above, 1-3) we do not employ the restriction of liquids ex- tensively in our clinic—following in this respect the ideas enunciated by von Noorden in previous publi- cations; nevertheless the therapeutic results we obtain in obesity are as good and as uniform, if not more so, than those obtained anywhere else. When the heart is to be considered (see above), it is true, we do not permit more than % liters of liquids. This includes everything that flows, whereas the water contained in solid articles of diet is not considered. Only if large quantities of fresh fruit are given, that consists of about 90 per cent, of water, do we reduce the liquids still more. It is hardly necessary, how- ever, to particularly order this further restriction, be- cause the patients of their own account reduce the amount of beverages when they eat much fruit. If the restriction of liquids is carried no farther (maxi- mum permitted = % liters), and if attention is chiefly given to a regulation of the caloric values of the solid ingesta, then results are seen in reduction cures for obesity, that yield a gradual loss of flesh without any feeling of discomfort or deprivation on the part of the patient; the reduction in the weight of cases treated in this way is not very rapid, but it is sure to occur gradually. In the average case the further restriction of liquids is, to say the least, superfluous; if it is