Chapter 41

OATMEAL GRUEL NO. 2.--Pound one half cup of coarse oatmeal until it is mealy. The easiest way to do this is to tie the oatmeal in a coarse cloth and pound it with a wooden mallet. Put it in a pint bowl, and fill the bowl with cold water. Stir briskly for a few moments until the water is white, then allow the meal to settle. Pour off the water, being careful to get none of the sediment. Fill the bowl a second time with cold water, stir thoroughly, let settle, and pour off the water as before. Do this the third time. Boil the liquid one half hour, strain, and serve hot. If very thick, a little cream or milk may be added.

OATMEAL GRUEL NO, 3.--Add to one cup of well-cooked oatmeal while hot two cups of hot milk, or one cup of hot milk and one of hot water. Beat all thoroughly together, add a little salt if desired, strain, and serve.

PEPTONIZED GLUTEN GRUEL.--Prepare the gruel as directed for Gluten Gruel No. 1. Strain if needed, cook to lukewarm, and turn it into a pitcher, which place in a dish containing hot water even in depth with the gruel in the pitcher; add the peptonizing fluid or powder, stir well, and let it stand in the hot water bath for ten minutes. The temperature must not be allowed to rise over 130°. Put into a clean dish and serve at once, or place on ice till needed. Other well-cooked gruels maybe peptonized in the same way.

RAISIN GRUEL.--Stone and quarter two dozen raisins and boil them twenty minutes in a small quantity of water. When the water has nearly boiled away, add two cups of new milk. When the milk is boiling, add one heaping tablespoonful of Graham or whole-wheat flour which has been rubbed to a thin paste with a little cold milk. Boil until thickened, stirring all the time; then turn into a double boiler and cook for twenty minutes or half an hour. Season with salt and serve.

RICE WATER.--Wash half a cup of rice very thoroughly in several waters. Put it into a saucepan with three cups of cold water and boil for half an hour. Strain off the rice water, season with salt if desired, and serve.

PREPARATIONS OF MILK.

MILK DIET.--An almost exclusive milk diet is sometimes a great advantage in cases of sickness. It is usually necessary to begin the use of the milk in moderate quantities, gradually withdrawing the more solid food and increasing the quantity of milk. In the course of a week, all other food should be withdrawn, and the quantity of milk increased to three or four quarts a day. Milk is easily digested, and hence may be taken at more frequent intervals than other food.

_RECIPES._

ALBUMINIZED MILK.--Shake together in a well-corked bottle or glass fruit can, a pint of fresh milk and the well-beaten whites of two eggs, until thoroughly mixed. Serve at once.

HOT MILK.--Hot milk is an excellent food for many classes of invalids. The milk should be fresh, and should be heated in a double boiler until the top is wrinkled over the entire surface.

JUNKET, OR MILK CURD.--Heat a cup of fresh milk to 85°, add one teaspoonful of the essence of pepsin, and stir just enough to mix thoroughly. Let it stand until firmly curded, and serve.

KOUMISS.--Dissolve one fourth of a two-cent cake of compressed yeast, and two teaspoonfuls of white sugar, in three tablespoonfuls of lukewarm water. Pour this into a quart bottle and add sufficient fresh, sweet milk to nearly fill. Shake well, and place in a room of the temperature of 70° to 80° F., and allow it to ferment about six hours. Cork tightly and tie the cork in. Put in a cool place, act above 60° and let it remain a week, when it will be ready for use. In making koumiss be sure that the milk is pure, the bottle sound, and the yeast fresh. Open the bottle with a champagne tap. If there is any curd or thickening resembling cheese, the fermentation has been prolonged beyond the proper point, and the koumiss should not be used.

MILK AND LIME WATER.--In cases where milk forms large curds, or sours in the stomach, lime water prepared in the following manner may be added to the milk before using:--

Into a gallon jar of water, put a piece of lime the size of one's fist. Cover the jar and let the lime settle over night. In the morning, draw the water off the top with a syphon, being careful not to move the jar so as to mix again the particles of lime with the water.

Two tablespoonfuls of the lime water is usually sufficient for a pint of milk.

PEPTONIZED MILK FOR INFANTS.--One gill of cows' milk, fresh and unskimmed; one gill of pure water; two tablespoonfuls of rich, sweet cream; two hundred grains of milk sugar, one and one fourth grains of _extractum pancreatis_; four grains of sodium bicarbonate. Put the above in a clean nursing bottle, and place the bottle in water so warm that the whole hand cannot be held in it longer for one minute without pain. Keep the milk at this temperature for exactly twenty minutes. Prepare fresh just before using.

BEEF-TEA, BROTHS, ETC.

Beef tea and meat broths are by no means so useful as foods for the sick as is generally supposed. The late Dr. Austin Flint used to say of these foods, that "the valuation by most persons outside of the medical profession, and by many within it, of beef tea or its analogues, the various solutions, most of the extracts, and the expressed juice of meat, is a delusion and a snare which has led to the loss of many lives by starvation.

"The quantity of nutritive material in these preparations is insignificant or nil, and it is vastly important that they should be reckoned as of little or no value, except as indirectly conducive to nutrition by acting as stimulants for the secretion of the digestive fluids, or as vehicles for the introduction of the nutritive substances. Furthermore, it is to be considered that water and pressure not only fail to extract the alimentary principles of meat, but that the excrementitious principles, or the products of destructive assimilation, _are_ thereby extracted."

Vegetable broths prepared from grains and legumes possess a much higher nutritive value, while they lack the objectionable features of meat broths.

_RECIPES._

BEEF EXTRACT.--Take a pound of lean beef, cut it up into small dice, and put into a glass fruit jar. Screw on the cover tightly, put the jar into a vessel filled with cold water to a depth sufficient to come to the top of contents of the jar, and set over a slow fire. As soon as the water boils, set where it will keep just boiling, but no more; and cook for an hour or an hour and a quarter. Then strain, season, and serve. If preferred, a double boiler may be used for the preparation of the extract.

BEEF JUICE.--Cut a thick slice of round steak, trim off every particle of fat, and broil it over a clear fire just long enough to heat it throughout. Next gash it in many places with a sharp knife, and with the aid of a beef-juice press or lemon squeezer, press out all the juice into a bowl set in hot water, salt but very slightly, remove all globules of fat, and serve. This may also be frozen and given the patient in small lumps, if so ordered.

BEEF TEA.--Take a pound of fresh, lean, juicy beef of good flavor,--the top of the round and the back and middle of the rump are the best portions for the purpose,--from which all fat, bones, and sinews have been carefully removed; cut into pieces a quarter of an inch square, or grind in a sausage-cutter. Add a quart of cold water, and put into a clean double boiler. Place over the fire, and heat very slowly, carefully removing all scum as it rises. Allow it to cook gently for two or three hours, or until the water has been reduced one half. Strain, and put away to cool. Before using, remove all fat from the surface, and season. In reheating, a good way is to place a quantity in a cup, and set the cup into hot water until the tea is sufficiently hot. This prevents waste, and if the patient is not ready for the tea, it can be easily kept hot.

BEEF TEA AND EGGS.--Beat the yolk of an egg thoroughly in a teacup and fill the cup with boiling beef tea, stirring all the while. Season with a little salt if desired.

BEEF BROTH AND OATMEAL.--Rub two tablespoonfuls of oatmeal smooth in an equal quantity of cold water, and stir into a quart of boiling beef broth. Cook in a double broiler for two hours, strain, and season with salt and a little cream if allowed. Or, thin well-cooked oatmeal mush with beef-tea; strain, reheat, season, and serve.

BOTTLED BEEF TEA.--Cut two pounds of round steak into small dice, rejecting all skin and fat. Put it into a glass fruit jar with one cup of cold water. Cover the can sufficiently tight to prevent any water from boiling in, and place it on a wisp of straw or a muffin ring in a kettle of cold water. Heat very gradually, and keep it just below the boiling point for two or more hours; or, place the can in a deep dish of hot water, and cook in a moderate oven for three hours. Allow the meat to cook thus four or five hours, or until it appears white, by which time it will have discharged all its juice. Turn the liquor off, strain through a piece of muslin or cheese cloth laid in a colander, and cool; then if any fat has been left, it will harden on the top, and can be removed. When needed for use, reheat, season, and serve.

CHICKEN BROTH.--Take a well dressed, plump spring chicken, cut it into half-inch pieces, cracking well all the bones; add cold water,--a quart to the pound of meat and bones,--and cook the same as beef-tea. Allow the broth to cool before using, and carefully skim off all particles of fat before reheating. If allowed, a tablespoonful of steamed rice may be added to the broth, or a well-beaten egg may be stirred in while hot just before serving. Heat until the whole becomes thickened, but do not boil.

If preferred, the broth may be prepared by using only the white portion of the chicken in connection with lean beef. This is liked better by some to whom the strong flavor of the chicken is not pleasant. Or, prepare equal quantity of rich milk, season with salt, reheat, and serve. The broth may be flavored with celery if allowed.

MUTTON BROTH.--Cut a pound of perfectly fresh, lean mutton or lamb--the scrags of neck are best--into small dice. Add a quart of cold water, and simmer gently for two or three hours. Strain, and when cold skim off all fat. Reheat when needed for use.

If preferred, a tablespoonful of rice which has been soaked for an hour in a little warm water, or a tablespoonful of cooked barley, may be simmered in the broth for a half hour before serving. Season with salt as desired.

VEGETABLE BROTH.--Put a cupful of well washed white beans into a quart of cold water in a double boiler, and cook slowly until but a cupful of the liquor remains. Strain off the broth, add salt, and serve hot. If preferred, a few grains of powdered thyme may be added as flavoring.

VEGETABLE BROTH NO. 2.--Pick over and wash a cup of dried Scotch peas, and put to cook in a quart of cold water, cook slowly in a double boiler or in a kettle placed on the range where they will just simmer, until but a cupful of liquid remains. Strain off the broth, add salt and one third of a cupful of the liquor, without pulp, from well-stewed tomatoes. Serve hot.

MIXED VEGETABLE BROTHS.--Broths may be prepared as directed from both black and white beaus, and combined in the proportion of one third of the former to two thirds of the latter; or a broth of lentils may be used instead of the black bean.

_RECIPES FOR PANADA._

BROTH PANADA.--Use beef or chicken broth in place of water, and proceed the same as in Egg Panada, omitting the egg.

CHICKEN PANADA.--Take a cupful of the white meat of chicken, pounded to a paste in a mortar, and half a cup of whole-wheat crust or zwieback crumbs. Add sufficient chicken broth to make a thick gruel. Season with salt, boil up for a few minutes, and serve hot.

EGG PANADA.--Put two ounces of light, whole-wheat crusts into a pint of cold water in a granite-ware stewpan; simmer gently for three quarters of an hour, stirring occasionally. Season with a spoonful of sweet cream and a little salt, then stir in the well-beaten yolk of an egg, and serve.

MILK PANADA.--Heat a pint of milk to boiling, then allow it to cool. Add two ounces of nice, light, whole-wheat crusts, and simmer for half an hour, stirring frequently. Season with a little sugar, if allowed. Granola may be used in place of the crusts, if preferred.

RAISIN PANADA.--Boil a half cup of raisins in a half pint of water. Break a slice of zwieback into fragments in a bowl. Add a well-beaten egg and a teaspoonful of sugar. Pour in the raisins, water and all, and beat very thoroughly.

GRAINS FOR THE SICK.

For invalids able to digest solid food, rice, cracked wheat, Graham grits, oatmeal, barley, farina and other grains may be prepared and cooked as previously directed in the chapter on Grains.

The various cooked preparations of grains--granola, wheatena, avenola, wheat gluten and gluten meal--manufactured by the Sanitarium Food Co., Battle Creek, Mich., form excellent articles of diet for many invalids, when served with hot milk or cream, or prepared in the form of mush. Several recipes for their use have already been given in preceding chapters; the following are a few additional ones:--

_RECIPES._

GLUTEN MUSH.--Heat together a cup of thin cream and three cups of water; when boiling, sift in lightly with the fingers, stirring continuously meanwhile, enough wheat gluten to make a mush of the desired consistency. Boil up once and serve. A few blanched or roasted almonds may be stirred in just before serving, if desired.

TOMATO GLUTEN.--Heat a pint of stewed tomato, which has been rubbed through a fine colander to remove the seeds, to boiling, add salt to season, and three tablespoonfuls of gluten meal. Boil together for a moment until thickened, and serve hot.

TOMATO GLUTEN NO. 2.--Prepare the same as the preceding, using five tablespoonfuls of the gluten meal, and seasoning with two tablespoonfuls of rather thick, sweet cream.

MEATS FOR THE SICK.

All meats for the sick should be prepared in the very simplest way, served with the plainest possible dressing, and without the use of condiments other than salt.

_RECIPES._

BROILED STEAK.--Take a half pound of round steak and a slice of tenderloin; wipe well with a clean, wet cloth. Have a clear fire; place the meat in an open wire broiler or on a gridiron over the coals, and cook, turning as often as you can count ten, for four or five minutes, if the slices are about one inch thick; then with a lemon squeezer squeeze the juice from the round steak over the tenderloin, season with a little salt, and serve at once on a hot plate.

CHICKEN.--For an invalid, the breast of a tender chicken broiled quickly over hot coals is best. For directions for broiling chicken see page 406.

CHICKEN JELLY.--Dress a small chicken. Disjoint, break or pound the bones, and cut the meat into half-inch pieces. Remove every particle of fat possible. Cover with cold water, heat very slowly, and simmer gently until the meat is in rags, and the liquid reduced about one half. Strain off the liquor, cool, and remove all the fat. To make the broth more clear, add the shell and white of an egg, then reheat slowly, stirring all the time until hot. Strain through a fine cloth laid inside of a colander. Salt and a little lemon may be added as seasoning. Pour into small cups, and cool.

MINCED CHICKEN.--Stew the breast of a young chicken until tender; mince fine with a sharp knife. Thicken the liquor in which it was stewed with a little flour, add salt and a little cream if allowed, then the minced chicken, and serve hot on zwieback, softened with cream as directed in the chapter on Breakfast Dishes.

MUTTON CHOP.--Select a chop containing a large tenderloin: cut thick, and broil for eight or ten minutes as directed for beef steak. Season lightly with salt, and serve hot.

MINCED STEAK.--Mince some nice, juicy steak with a chopping knife, or in a sausage-cutter, rejecting as much of the fiber as possible; make into small cakes and broil the same as steak. Salt lightly when done, and for dressing use a little beef juice prepared as directed on page 427. It may be thickened with a little flour as for gravy, if preferred.

SCRAPED STEAK.--Take a small piece of nice, juicy steak, and with a blunt case-knife or tablespoon, scrape off all the pulp, being careful to get none of the fibers. Press the pulp together in the form of patties, and broil quickly over glowing coals. Salt lightly, and serve hot. It is better to be as rare as the patient can take it. Instead of butter, turn a spoonful or two of thick, hot beef juice over the steak, if any dressing other than salt is required.

EGGS FOR THE SICK.

_RECIPES._

FLOATED EGG.--Separate the white from the yolk, and drop the yolk, taking great care not to break it, into boiling, salted water. Cook until hard and mealy. In the meantime, beat the white of the egg until stiff and firm. When the yolk is cooked, remove it from the water with a skimmer. Let the water cease to boil, then dip the beaten white in spoonfuls on the top of the scalding water, allowing it to remain for a second or two until coagulated, but not hardened. Arrange the white in a hot egg saucer, and place the cooked yolk in the center, or serve on toast. This makes a very pretty, as well as appetising dish, if care is taken to keep the yolk intact.

GLUTEN MEAL CUSTARD.--Beat together thoroughly, one pint of rich milk, one egg, and four tablespoonfuls of gluten meal. Add a little salt if desired, and cook with the dish set in another containing boiling water, until the custard has set. Or, turn the custard into cups, which place in a dripping pan partly filled with hot water, and cook in a moderate oven until the custard is set.

GLUTEN CUSTARD.--Into a quart of boiling milk stir four tablespoonfuls of wheat gluten moistened with a little of the milk, which may be reserved for the purpose. Allow it to cook until thickened. Cool to lukewarm temperature, and add three well-beaten eggs, and a trifle of salt, if desired. Turn into cups, and steam over a kettle of boiling water until the custard is set.

STEAMED EGGS.--Break an egg into an egg saucer, sauce-dish, or patty pan, salt very slightly, and steam until the white has just set. In this way, it will retain its shape perfectly, and not be mixed with the few drops of water so annoying to invalids, and so hard to avoid in dishing a poached egg from water.

SOFT CUSTARD.--Boil some milk, then cool it to 180°, add three whipped eggs to each quart of milk, and keep at the temperature of 180° for fifteen or twenty minutes. The object is to coagulate the eggs without producing the bad effect of exposure to a high temperature.

RAW EGGS.--Break a fresh egg into a glass, add a tablespoonful of sugar, and heat to a stiff froth; a little cold water may be added if liked.

WHITE OF EGG.--Stir the white of an egg into a glass of cold water, or water as warm as it can be without coagulating the egg, and serve.

WHITE OF EGG AND MILK.--The white of an egg beaten to a stiff froth and stirred into a glass of milk, forms a nourishing food for persons of weak digestion.

REFRESHING DRINKS AND DELICACIES FOR THE SICK.

In many fevers and acute diseases, but little food is required, and that of a character which merely appeases hunger and quenches thirst, without stimulation and without affording much nourishment.

Preparations from sago, tapioca, and other farinaceous substances are sometimes serviceable for this purpose. Oranges, grapes, and other perfectly ripened and juicy fruits are also most excellent. They are nature's own delicacies, and serve both for food and drink. They should not, however, be kept in the sick room, but preserved in some cool place, and served when needed, as fresh and in as dainty a manner as possible. Like all food provided for the sick, they should be arranged to please the eye as well as the palate. The capricious appetite of an invalid will often refuse luscious fruit from the hand of a nurse, which would have been gladly accepted had it been served on dainty china, with a clean napkin and silver.

The juice of the various small fruits and berries forms a basis from which may be made many refreshing drinks especially acceptable to the dry, parched mouth of a sick person.

Fruit juices can be prepared with but little trouble. For directions see page 209.

Beverages from fruit juices are prepared by using a small quantity of the juice, and sufficient cold water to dilute it to the taste. If it is desirable to use such a drink for a sick person in some household where fruit juices have not been put up for the purpose, the juice may be obtained from a can of strawberries, raspberries, or other small fruit, by turning the whole into a coarse cloth and straining off the juice; or a tablespoonful of currant or other jelly may be dissolved in a tumbler of warm water, and allowed to cool. Either will make a good substitute for the prepared fruit juice, though the flavor will be less delicate. The hot beverages and many of the cold ones given in the chapter on Beverages will be found serviceable for the sick, as will also the following additional ones:--

_RECIPES._

ACORN COFFEE.--Select plump, round, sweet acorns. Shell, and brown in an oven; then grind in a coffee-mill, and use as ordinary coffee.

ALMOND MILK.--Blanch a quarter of a pound of shelled almonds by pouring over them a quart of boiling water, and when the skins soften, rubbing them off with a coarse towel. Pound the almonds in a mortar, a few at a time, adding four or five drops of milk occasionally, to prevent their oiling. About one tablespoonful of milk in all will be sufficient. When finely pounded, mix the almonds with a pint of milk, two tablespoonfuls of sugar, and a little piece of lemon rind. Place the whole over the fire to simmer for a little time. Strain, if preferred, and serve cold.

APPLE BEVERAGE.--Pare and slice very thin a juicy tart apple into a china bowl. Cover with boiling water, put a saucer over the bowl, and allow the water to get cold. Strain and drink. Crab apples may be used in the same way.

APPLE BEVERAGE NO. 2.--Bake two large, sour apples, and when tender, sprinkle a tablespoonful of sugar over them, and return to the oven until the sugar is slightly browned. Break and mash the apples with a silver spoon, pour over them a pint of boiling water; cover and let stand until cold; then strain and serve.

APPLE TOAST WATER.--Break a slice of zwieback into small pieces, and mix with them two or three well-baked tart apples. Pour over all a quart of boiling water, cover, and let stand until cold, stirring occasionally. When cold, strain, add sugar to sweeten if desired, and serve.

BAKED MILK.--Put a quart of new milk in a stone jar, tie a white paper over it, and let it stand in a moderately heated oven eight or ten hours. It becomes of a creamy consistency.

BARLEY LEMONADE.--Put a half cup of pearl barley into a quart of cold water, and simmer gently until the water has become mucilaginous and quite thick. This will take from an hour to an hour and a half. The barley will absorb most of the water, but the quantity given should make a teacupful of good, thick barley water. Add to this two teaspoonfuls of lemon juice and a tablespoonful of sugar. Let it get cold before serving. By returning the barley to the stewpan with another quart of cold water, and simmering for an hour or an hour and a half longer, a second cap of barley water may be obtained, almost as good as the first.

BARLEY AND FRUIT DRINK.--Prepare a barley water as above, and add to each cupful a tablespoonful or two of cranberry, grape, raspberry, or any tart fruit syrup. The pure juice sweetened will answer just as well; or a little fruit jelly may be dissolved and added.