Part 42

BARLEY MILK.--Wash two tablespoonfuls of pearl barley in cold water until the water is clear. Put it to cook in a double boiler, with a quart of milk, and boil till the milk is reduced to a pint. Strain off the milk, and sweeten if desired.

CRANBERRY DRINK.--Mash carefully selected, ripe cranberries thoroughly in an earthen dish, and pour boiling water over them. Let the mixture stand until cold, strain off the water, and sweeten to taste. Barberries prepared in the same manner make a nice drink.

CURRANTADE.--Mash thoroughly a pint of ripe, red currants, and one half the quantity of red raspberries; add sugar to sweeten and two quarts of cold water. Stir, strain, cool on ice, and serve.

CRUST COFFEE.--Brown slices of Graham bread in a slow oven until very ark in color. Break in pieces and roll fine with a rolling pin. A quantity of this material may be prepared at one time and stored in glass fruit cans for use. When needed, pour a cupful of actively boiling water over a dessertspoonful of the prepared crumbs, let it steep for a few moments, then strain and serve.

EGG CREAM.--Beat the white of an egg to a stiff froth, add one tablespoonful of white sugar, then beat again. Next add the yolk, and beat; then a tablespoonful of milk, one of cold water, and one of any fruit juice desired.

EGG CREAM NO. 2.--Prepare as above, using two tablespoonfuls of water instead of one of water and one of milk, and a teaspoonful of lemon juice in place of other fruit juice.

EGG CREAM NO. 3.--Beat the yolk of a freshly laid egg with a tablespoonful of sugar until it is light and creamy; add to this, one half cup of hot milk and stir in lightly the stiffly beaten white of the egg. Serve at once.

EGG LEMONADE.--Beat the white of an egg to a stiff froth, then mix with it the juice of a small lemon, and one tablespoonful of sugar. Add a half pint of cold water. Or, beat together with an egg beater a tablespoonful of lemon juice, a teaspoonful of sugar, the white of an egg and a cup of cold water, until thoroughly mingled, then serve at once.

FLAXSEED TEA.--Take an ounce of whole flaxseed, half an ounce of crushed licorice root, an ounce of refined sugar, and four tablespoonfuls of lemon juice. Pour a quart of boiling water over them; keep near the fire for four hours, and then strain off the liquid. The flaxseed should not be crushed, as the mucilage is in the outer part of the kernel, and if braised, the boiling water will extract the oil of the seed, and render the decoction nauseous. Make fresh daily.

GUM ARABIC WATER.--Pour a pint of boiling water over an ounce of clean gum arabic. When dissolved, add the juice of one lemon and a teaspoonful of sugar, and strain.

HOT WATER.--Put good, fresh water into a perfectly clean granite-ware kettle, already warmed; let it come to a boil very quickly, and use at once. Do not leave it to simmer until it has become insipid through the loss of the air which it contains.

HOT LEMONADE.--Put in a glass a thin slice of lemon and the juice of half a small lemon, being careful to remove all seeds; mix with it one dessertspoonful of white sugar, and fill the glass with boiling water. Or, remove the peel of a lemon in very thin parings, turn one pint of boiling water over them, letting it stand for a few moments covered. Remove the peel, add the juice of a lemon and one tablespoonful of sugar, and serve.

IRISH MOSS LEMONADE.--Soak one fourth of a cup of Irish moss in cold water until it begins to soften; then work it free from sand and tiny shells likely to be on it, and thoroughly wash. Put it in a granite-ware basin, and pour over it two cups of boiling water. Leave on the back of the range where it will keep hot, but not boil, for half an hour; strain, add the juice of one lemon, and sugar to taste. Drink hot or cold, as preferred.

ORANGEADE.--Rub lightly two ounces of lump sugar on the rind of two nice, fresh oranges, to extract the flavor; put this sugar into a pitcher, to which add the juice expressed from the oranges, and that from one lemon. Pour over all one pint of cold water, stir thoroughly, and serve.

PLAIN LEMONADE.--For one glass of lemonade squeeze the juice of half a small lemon into the glass; carefully remove all seeds and particles. Add a dessertspoonful of sugar, and fill the glass with cold water.

SLIPPERY ELM TEA.--Pour boiling water over bits of slippery elm bark or slippery elm powder, cool, and strain, if desired, a little lemon juice and sugar may be added to flavor.

TOAST WATER.--Toast a pint of whole-wheat or Graham bread crusts very brown, but do not burn. Cover with a pint of cold water. Let it stand an hour, strain, and use. Sugar and a little cream may be added if allowed.

TAMARIND WATER.--Boil four ounces of tamarinds and the same of raisins slowly, in three quarts of water, for fifteen or twenty minutes, or until the water is reduced nearly one fourth; strain while hot into a bowl with a small slice of lemon peel in it. Set away until cold before using.

BREAD.

For invalids who are able to partake of solid foods, the Breakfast Rolls, Whole-wheat Puffs, Beaten Biscuit, Crisps, and other unfermented breads, directions for the preparation of which are given in the chapter on Bread, will be found excellent.

The various crackers, wafers, and invalid foods manufactured by the Sanitarium Food Co., Battle Creek, Mich., are also to be recommended. Zwieback, prepared as directed on page 289, will be found serviceable and wholesome to be used with broths and gruels. It may be prepared so as to look especially tempting by cutting off the crust of the bread, and cutting the slice into fancy shapes with a cookie-cutter before toasting. In cases where their use is allowable, many of the various toasts given under the head of Breakfast Dishes will be relished.

_RECIPES._

DIABETIC BISCUIT.--Make a stiff dough of Graham or entire-wheat flour and water. Knead thoroughly, and let it stand three hours; then place on a sieve under a faucet, turn a stream of water over the dough, and wash out the starch, kneading and working with the hands so that all portions of the dough will be equally washed. When the starch has been all washed out, as will be indicated by the water running off clear, the dough will be a rubber-like, glutinous mass. It may then be cut into long strips, and these divided into equal-sized pieces or cubes. Place the pieces on shallow baking pans in a rather hot oven, which, after a short time, should be allowed to cool to moderate heat, and bake for two hours, when they should be of a dark, rich brown color and light and crisp throughout. If tough, they need rebaking. If the oven is too hot, the pieces will puff up, becoming mere hollow shells; if not sufficiently hot, they will not rise properly.

DIABETIC BISCUIT NO. 2.--Prepare a dough and wash out the starch as in the preceding. Add coarse middlings so that the dough can be rolled into thin cakes, and bake.

GLUTEN MEAL GEMS.--Beat together one half cup of ice water, one half cup of thick, sweet cream, and one egg; then add one cup and a tablespoonful of the gluten meal prepared by the Sanitarium Food Co. Turn into slightly heated gem irons, and bake in a moderately hot oven from one half to three fourths of an hour.

JELLIES AND OTHER SIMPLE DESSERTS FOR THE SICK.

Invalids whose digestion will allow of other than the plainest foods will find most of the desserts made with fruits and those with fruits and grains given in the chapter on Desserts, excellent for their use. The following are a few additional recipes of a similar character:--

_RECIPES._

ARROWROOT JELLY.--Rub two heaping teaspoonfuls of arrowroot smooth in a very little cold water, and stir it into a cupful of boiling water, in which should be dissolved two teaspoonfuls of sugar. Stir until clear, allowing it to boil all the time; lastly, add a teaspoonful of lemon juice. Serve cold, with cream and sugar if allowed.

ARROWROOT BLANCMANGE.--Rub two and a half tablespoonfuls of best arrowroot smooth in half a cup of cold milk, and stir slowly into two and one half cups of boiling new milk. When it begins to thicken, add three fourths of a cup of sugar, and cook, stirring constantly for several minutes. Turn into molds and cool. Serve with fruit juice or fruit sauces.

CURRANT JELLY.--Soak an ounce of Cox's gelatine in half a pint of cold water for fifteen minutes, then pour over it a teacupful of boiling water; strain, and add one pint at currant juice, one tablespoonful of sugar, and set on ice to cool.

ICELAND MOSS JELLY.--Wash about four ounces of moss very clean in lukewarm water. Boil slowly in a quart of cold water. When quite dissolved, strain it onto a tablespoonful of currant or raspberry jelly, stirring so as to blend the jelly perfectly with the moss. Turn into a mold, and cool.

ICELAND MOSS BLANCMANGE.--Substitute milk for the water, and proceed as in the foregoing. Flavor with lemon or vanilla. Strain through a muslin cloth, turn into a mold, and let stand till firm and cold.

ORANGE WHEY.--Add the juice of one sour orange to a pint of sweet milk. Heat very slowly until the milk is curded, then strain and cool.

WHITE CUSTARD.--Beat the whites of three eggs to a stiff froth, add a little salt if desired, and two tablespoonfuls of sugar. A bit of grated lemon rind may also be used for flavoring. Add lastly a pint of new milk, little by little, beating thoroughly all the while. Bake in cups set in a pan of hot water. When firm in the center, take out and set in a cool place.

TABLE TOPICS.

Regimen is better than physic.--_Voltaire._

Many dishes have induced many diseases.--_Seneca._

Dr. Lyman Beecher tells the following story of his aunt, which well illustrates a popular notion that sick people should be fed with all sorts of dainties, no matter what the nature of the disease. When a boy eight or nine years of age, he was one day suffering in the throes of indigestion, as the result of having swallowed a large amount of indigestible mince pie. His kind-hearted aunt noticed the pale and distressed look on his face, and said to him, with genuine sympathy in her voice, "Lyman, you look sick. You may go into the pantry and help yourself to a nice piece of fruit cake just warm from the oven."

Fix on that course of life which is the most excellent, and custom will render it the most delightful.--_Pythagoras._

A MERE indigestion can temporarily metamorphose the character. The eel stews of Mohammed II. kept the whole empire in a state of nervous excitement, and one of the meat-pies which King Philip failed to digest caused the revolt of the Netherlands.--_Oswald._

Few seem conscious that there is such a thing as physical morality. Man's habitual words and acts imply that they are at liberty to treat their bodies as they please. The fact is, that all breaches of the laws of health are physical sins.--_Herbert Spencer._

Practical right and good conduct are much more dependent on health of body than on health of mind.--_Prof. Schneider._

Dr. Abernathy's reply to the Duke of York when consulted about his health was, "Cut off the supplies and the enemy will soon leave the citadel."

FOOD FOR THE AGED AND THE VERY YOUNG.

FOOD FOR THE AGED

One of the first requisites of food for the aged is that it shall be easy of digestion, since with advancing age and decreasing physical energy, digestion and assimilation may be taken with impunity at an earlier period of life, overtax the enfeebled organs and prove highly injurious. The fact that the vital machinery is worn and weakened with age has led to the popular notion that old people require a stimulating diet as a "support" for their declining forces. That this is an error is apparent from the fact that stimulation either by drink or food lessens instead of reinforces vital strength, thus defeating the very purpose desired. Flesh food in quantities is a peculiarly unsuitable diet for the aged, not alone because it is stimulating, but because it produces a tendency to plethora, a condition which is especially inimical to the health of old persons. Eminent authorities on diet also reason that the loss of the teeth at this period, whereby thorough mastication of flesh food is done with difficulty, even with the best artificial aids, should be considered a sign that nature intends such foods to be discarded by the old.

A milk, grain, and fruit diet is undoubtedly the one best suited to the average person in old age. Vegetables and legumes in well-prepared soups may also be used to advantage. Directions for such soups, as also for cooking grains and grain products, will be found in the preceding pages.

The following bills of fare, one for each season of the year, will perhaps serve to illustrate how a varied and appetizing regimen may be provided without the use of flesh foods:--

BREAKFAST

Fresh Fruits Graham Grits and Cream Prune Toast Graham Puffs Cream Crisps Strawberries Caramel Coffee or Hot Milk

DINNER

Vegetable Broth with Toasted Rolls Baked Potato with Pease Gravy Stewed Asparagus Cracked Wheat and Cream Whole-Wheat Bread Canned Berries Manioca with Fruit Caramel Coffee or Hot Milk

BREAKFAST

Fresh Fruits Rolled Oats and Cream Baked Sweet Apples Macaroni with Cream Sauce Whole-Wheat Puffs Stewed Peaches Caramel Coffee or Hot Milk

DINNER

Lentil Soup Baked Potato with Cream Sauce Escalloped Tomato Green Corn Pulp Browned Rice and Cream Fruit Bread Lemon Apple Sauce Prune Pie Caramel Coffee or Hot Milk

BREAKFAST

Fresh Fruits Blackberry Mush and Cream Cream Toast Graham Crusts Blueberries Caramel Coffee or Hot Milk

DINNER

Green Pea Soup Mashed Potato Macaroni with Tomato Sauce Pearl Barley and Cream Cream Rolls Blackberries Stewed Fruit Pudding Caramel Coffee or Hot Milk

BREAKFAST

Fresh Fruits Rolled Wheat and Cream Tomato Toast Corn Bread Graham Gems Stewed Prunes Caramel Coffee or Hot Milk

DINNER

Vegetable Oyster Soup Baked Sweet Potato Mashed Peas Steamed Rice with Fig Sauce Graham Bread Stewed Dried Fruit Apples Caramel Coffee or Hot Milk

In the selection of a dietary for elderly persons, much must depend upon their physical condition, the daily amount of exercise to which they are accustomed, their habits in earlier life, and a variety of other circumstances.

The quantity as well as quality of food for the aged should receive consideration. Diminished bodily activity and the fact that growth has ceased, render a smaller amount of food necessary to supply needs; and a decrease in the amount taken, in proportion to the age and the activity of the subject, must be made or health will suffer. The system will become clogged, the blood filled with imperfectly elaborated material, and gout, rheumatism, apoplexy, or other diseased conditions will be the inevitable result. The digestion of heavy meals is a tax upon vital powers at any time of life, but particularly so as age advances; and for him who has passed his first half-century, over-feeding is fraught with great danger. Cornaro, an Italian of noble family, contemporary with Titian in the sixteenth century, after reaching his eighty-third year wrote several essays upon diet and regimen for the aged, in one of which he says: "There are old lovers of feeding who say that it is necessary that they should eat and drink a great deal to keep up their natural heat, which is constantly diminishing as they advance in years; and that it is therefore their duty to eat heartily and of such things as please their palate, be they hot, cold, or temperate, and that if they were to lead a sober life, it would be a short one. To this I answer; Our kind Mother Nature, in order that old men may live to still greater age, has contrived matters so that they may be able to subsist on little, as I do; for large quantities of food cannot be digested by old and feeble stomachs."

Cornaro lived to be one hundred years old, doubtless owing largely to his simple, frugal habits.

DIET FOR THE YOUNG.

A very large share of the mortality among young children results from dietetic errors which proper knowledge and care on the part of those who have them in charge might commonly avoid. From infancy to the age of twelve or eighteen months, milk is the natural and proper food. Milk contains all the food elements except starch, which cannot be digested by very young children, owing to the insufficient formation of digestive elements of the salivary secretion during the first few months. If the child is deprived of the milk provided by nature, the best artificial food is cow's milk; it, however, requires very careful selection and intelligent preparation. The animal from which the milk comes, should be perfectly healthy and well cared for. The quality of her food should also receive attention, as there is little doubt that disease is often communicated to infants by milk from cows improperly fed and cared for. An eminent medical authority offers the following important points on this subject:--

"The cow selected for providing the food for an infant should be between the ages of four and ten years, of mild disposition, and one which has been giving milk from four to eight weeks. She should be fed on good, clean grain, and hay free from must. Roots, if any are fed, should be of good quality, and she should have plenty of good clean water from a living spring or well. Her pasture should be timothy grass or native grass free from weeds; clover alone is bad. She should be cleaned and cared for like a carriage horse, and milked twice a day by the same person and at the same time. Some cows are unfit by nature for feeding infants."

Milk from the same animal should be used if possible. Changing from one cow's milk to another, or the use of such milk as is usually supplied by city milkmen, often occasions serious results. The extraction of the heat from the milk immediately after milking and before it is used or carried far, especially in hot weather, is essential. While the milk itself should be clean and pure, it should also be perfectly fresh and without any trace of decomposition. To insure all these requisites, besides great care in its selection, it must be sterilized, and if not intended for immediate use, bottled and kept in a cool place until needed. It is not safe to feed young children upon unsterilized milk that has stood a few hours. Even fresh milk from the cleanest cows, unless drawn into bottles and sealed at once, contains many germs. These little organisms, the cause of fermentation and decomposition, multiply very rapidly in milk, and as they increase, dangers from the use of the milk increase.

There is no doubt that cholera infantum and other digestive disturbances common among young children would be greatly lessened by the use of properly sterilized milk. Directions for sterilizing milk, and additional suggestions respecting points to be considered in its selection, are to be found in the chapter on Milk, etc.

Cow's milk differs from human milk in that it contains nearly three times as much casein, but only two thirds as much fat and three fourths as much sugar. Cow's milk is usually slightly acid, while human milk is alkaline. The casein of cow's milk forms large, hard curds, while that of breast milk forms fine, soft curds. These facts make it important that some modification be made in cow's milk to render it acceptable to the feeble stomach of an infant. Cases are rare where it is safe to feed a child under nine months of age on pure, undiluted cow's milk. A common method of preparing cow's milk so as to make it suitable for infant feeding, is to dilute it with pure water, using at first only one third or one fourth milk, the proportion of milk being gradually increased as the child's stomach becomes accustomed to the food and able to bear it, until at the age of four months the child should be taking equal parts of milk and water. When sterilized milk is to be thus diluted, the water should be first boiled or added before sterilizing. A small amount of fine white sugar, or what is better, milk sugar, should be added to the diluted milk. Barley water, and thin, well-boiled, and carefully strained oatmeal gruel thoroughly blended with the milk are also used for this purpose. A food which approximates more nearly the constituents of mother's milk may be prepared as follows:--

ARTIFICIAL HUMAN MILK NO. 1.--Blend one fourth pint of fresh, sweet cream and three fourths of a pint of warm water. Add one half ounce of milk sugar and from two to ten ounces of milk, according to the age of the infant and its digestive capacity.

ARTIFICIAL HUMAN MILK NO. 2.--Meigs's formula: Take two tablespoonfuls of cream of medium quality, one tablespoonful of milk, two of lime water, and three of water to which sugar of milk has been added in the proportion of seventeen and three fourths drams to the pint. This saccharine solution must be prepared fresh every day or two and kept in a cool place. A child may be allowed from half a pint to three pints of this mixture, according to age.

ARTIFICIAL HUMAN MILK NO. 3.--Prepare a barley water by adding one pint boiling water to a pint of best pearl barley. Allow it to cool, and strain. Mix together one third of a pint of this barley water, two thirds of a pint of fresh, pure milk, and a teaspoonful of milk sugar.--_Medical News._

Peptonized milk, a formula for the preparation of which may be found on page 426, is also valuable as food for infants, especially for those of weak digestion.

MUCILAGINOUS FOOD EXCELLENT IN GASTRO-ENTERITIS.--Wheat, one tablespoonful; oatmeal, one half tablespoonful; barley, one half tablespoonful; water, one quart. Boil to one pint, strain, and sweeten.--_Dietetic Gazette._

PREPARED FOODS FOR INFANTS.--Of prepared infant foods we can recommend that manufactured by the Sanitarium Food Co., Battle Creek, Mich., as thoroughly reliable. There are hundreds of prepared infant foods in the market, but most of them are practically worthless in point of food value, being often largely composed of starch, a substance which the immature digestive organs of a young child are incapable of digesting. Hundreds of infants are yearly starved to death upon such foods.

All artificial foods require longer time for digestion than the food supplied by nature; and when making use of such, great care should be taken to avoid too frequent feeding. It is absolutely essential for the perfect health of an infant as well as of grown people, that the digestive organs shall enjoy a due interval of rest between the digestion of one meal and the taking of another. As a rule, a new-born infant may be safely fed, when using human milk, not oftener than once in every three or four hours. When fed upon artificial food, once in five or six hours is often enough for feeding. The intervals between meals in either case should be gradually prolonged as the child grows older.

QUANTITY OF FOOD FOR INFANTS.--Dr. J.H. Kellogg gives the following rules and suggestions for the feeding of infants:--

"During the first week of a child's life, the weight of the food given should be 1/100 of the weight of the infant at birth. The daily additional amount of food required for a child amounts to about one fourth of a dram, or about one ounce at the end of each month. A child gains in weight from two thirds of an ounce to one ounce per day during the first five months of its life, and an average of one half as much daily during the balance of the first year.

"From a series of tables which have been prepared, as the result of experiments carefully conducted in large lying-in establishments, we have devised this rule:--