7 A.M.Egg; sugar, 4 gm.
8 A.M.Milk, 100 c.c.
9 A.M.Egg; sugar, 4½ gm.; scraped beef, 12 gm.
10 A.M.Milk, 100 c.c.
11 A.M.Egg; sugar, 4½ gm.
12 noonMilk, 100 c.c.
1 P.M.Egg; sugar, 4½ gm.; scraped beef, 12 gm.
2 P.M.Milk, 100 c.c.
3 P.M.Egg; sugar, 4½ gm.
4 P.M.Milk, 100 c.c.
5 P.M.Egg; sugar, 4 gm.; scraped beef, 12 gm.
6 P.M.Milk, 100 c.c.
7 P.M.Egg; sugar, 4½ gm.
Total: Eggs (raw), 7. Milk, 600 c.c. Sugar, 30 gm. Scraped beef, 36 gm.

SEVENTH DAY

7 A.M.1 soft-cooked egg
8 A.M.Milk, 100 c.c.
9 A.M.Egg; sugar, 13 gm.
10 A.M.Milk, 100 c.c.; scraped beef, 23 gm.; boiled rice, 33 gm.
11 A.M.1 soft-cooked egg
12 noonMilk, 125 c.c.
1 P.M.Egg; sugar, 13 gm.
2 P.M.Milk, 125 c.c.; scraped beef, 23 gm.; boiled rice, 33 gm.
3 P.M.1 soft-cooked egg
4 P.M.Milk, 125 c.c.
5 P.M.Egg; sugar, 14 gm.
6 P.M.Milk, 125 c.c.; scraped beef, 24 gm.; boiled rice, 34 gm.
7 P.M.1 soft-cooked egg
Total: Eggs (raw), 4; (soft-cooked), 4. Milk, 700 c.c. Sugar, 40 gm. Scraped beef, 70 gm. Boiled rice, 100 gm.

TENTH DAY

7 A.M.1 soft-cooked egg
8 A.M.Milk, 166 c.c.
9 A.M.Egg; sugar, 13 gm.
10 A.M.Milk, 168 c.c.; scraped beef, 23 gm.; boiled rice, 66 gm.; butter, 4 gm.
11 A.M.1 soft-cooked egg; zwieback (or soft toast), 20 gm.; butter, 4 gm.
12 noonMilk, 166 c.c.; minced chicken, 25 gm.
1 P.M.Egg; sugar, 13 gm.
2 P.M.Milk, 166 c.c.; scraped beef, 25 gm.; boiled rice, 66 gm.; butter, 4 gm.
3 P.M.1 soft-cooked egg; butter, 4 gm.; toast or zwieback, 20 gm.
4 P.M.Milk, 168 c.c.; minced chicken, 25 gm.
5 P.M.Egg; sugar, 14 gm.
6 P.M.Milk, 166 c.c.; scraped beef, 24 gm.; boiled rice, 67 gm.; butter, 4 gm.
7 P.M.1 soft-cooked egg
Total: Eggs (raw), 4; (soft-cooked), 4. Milk, 1000 c.c. Sugar, 40 gm. Scraped beef, 70 gm. Minced chicken, 50 gm. Butter, 20 gm. Boiled rice, 200 gm. Toast or zwieback, 40 gm.

GASTRIC CANCER

As a rule the seat of the gastric cancer is the pylorus. The patient gives evidence of chronic gastritis with continued pain, localized tenderness, vomiting of partially digested food and at times dilatation from extreme fermentation. The hemorrhages are as a rule not large, the blood having changed to a brownish color resembling coffee grounds. Vomiting, in cases where the pylorus is involved, generally occurs several hours after eating, the vomitus being in an advanced state of fermentation. Upon analysis of the stomach contents there is found to be a lack of free HCl.

Dietetic Treatment.—In the dietetic treatment of cancer of the stomach the most digestible forms of foods must be given, milk forming in this, as in other gastric disorders, the chief article of diet. As too much food cannot be tolerated, the meals must be small, even if given more frequently. The patient is often found to evince a distaste for meat, in which case fish may be substituted. When meat is given, it must be simple in form and preparation, such as boiled or broiled sweetbreads or brains, scraped beef or stewed chicken. Rice, farina, cornmeal mush, and other fine cereals, cooked with or without milk, are valuable additions to the diet. Well-cooked and strained spinach, green peas, cauliflower, carrots, and tender string beans and boiled or baked potatoes well mashed may be recommended. Tea, coffee, or cocoa may be used to flavor the milk. These must be given in small portions. The following diet list is recommended by Friedenwald and Ruhräh: