THE CRUX OF FLETCHERISM
The Value of Occasional Fasting—The Power of Freedom from Indigestion—Muscles have Memories
Almost everybody eats with sufficient care most of the time; otherwise, all would be on the sick-listallthe time and the death-rate would be increased enormously.
Whatever sickness, depression, weakness and other illnesses there are now are the result of occasional carelessness only.
The remedy for lapses from carefulness is knowledge of what the natural requirements are, and training the muscles and functions employed in nutrition to work always with careful deliberation and never allow themselves to be hurried with their work.
It should also be made a habit
NOT TO EAT ANYTHING
without a keen appetite. This involves knowing how to recognise a true appetite and also how to detect a false craving. Waiting for a healthful call for food, for any length of time, can do no harm, and should not cause any discomfort or inconvenience; but exciting a false desire and taking food before the body is "good and ready" for it, starts trouble brewing at once.
If the worst results of premature or hurried eating were immediately felt, no one would get in the habit of sinning in this manner. Like auto-intoxication from excess of alcohol, poisoning from unnecessary or unwelcome food—either an excess of it or when taken untimely—is an aftermath of unhealthy stimulation or exhilaration.
The crux, then, of dietetic righteousness, or, Fletcherism, is habituating thebody to practise that Eternal Vigilance, which is
THE PRICE OF FREEDOM FROM INDIGESTION
It should be much easier to instal a habit of carefulness than it is to permit habits of carelessness. It is possible so to sensitize the muscles which control swallowing that they will refuse to act and will cause choking if an attempt to swallow prematurely is made. Systematic attention to this detail of care for a week will secure it as a permanent habit without need of any further attention to it.
The statement that it is easier to do the right thing than it is to do the wrong thing: and that it is easier to fix firmly good habits than it is to acquire bad habits, will probably be questioned or disputed by many; but practice of the principles which underlie Fletcherism will cure such pessimism relative to the attitude of Mother Nature towards her most perfect product in general, Man.
Man is given more liberty and more license than any other natural expression and, with the endowment which we call "intelligence," he is raised to a position of partnership in assisting natural evolution and progress.
From inklings of experience it is reasonably inferred that Man is more susceptible to evolutionary influence than any of the animal kind; that he can ever progressively train himself towards higher and higher supermanhood; that he is able to perform marvels in taming and training other animals and in perfecting plant life to prodigious proportions. He is even "gifted" to the extent of overcoming, harnessing, and using at will the "forces of Nature," and dispelling the mysteries. He can only do this, however, by co-operating with Nature in the most intelligent and faithful manner.
To ascertain Nature's requirementsof preferences it is necessary to begin with the first essentials of care, the nutrition of the body and the management of the mind. These basic essentials are the first concern of Fletcherism and really the crux of the Scientific Management of the Highest Efficiency.
One of the most important discoveries in the development of Fletcherism is the fact that
MUSCLES HAVE MEMORIES
The usefulness of this discovery rests in the knowledge that it is possible to make the muscles connected with nutrition commit to memory the sequences of procedure in the processes of nutrition which accomplish the most profitable results, and then pass on to other details of responsibility care-free and thought-free, fully confident that everything will go on as Nature would have it go.
Without beginning this discipline of the muscular equipment at the rightpoint and in the right manner, no solid structure of Efficiency-Building can be secured. Any amount of indigestion, or unnecessary strain put upon metabolism, interferes with the smooth working of the organism in the same way that an infinitesimal weight put at the tip end of the long arm of a lever multiplies the burden of resistance at the short end many, many fold.
Therefore, the Crux of Fletcherism is found in first training the muscular and mental apparatus to proceed with thorough deliberation relative to every thing taken into the body; for from this intake, and especially from the manner of the handling of this material along the line of the alimentary canal, come efficiency or inefficiency.
It is first necessary to know what you want the muscles to habituate themselves to doing in connection with nutrition. They must learn to know what constitutes a true appetite, in contradistinction to indefiniteness of want or desire. The muscles will soon learn to know that real hunger (body need) is not expressed by any uncomfortable feelings below the guillotine line. Only in the head, where the senses are all bunched together for the most important team-work, is honest hunger sensed. We may rightly add to the list of the senses, Appetite, and trust it with confidence to tell us what the body can use to advantage of the foods available at the time. That the foods are appetizing is the only recommendation necessary to a set of muscles trained to treat them as Nature requires when they enter the laboratory of the mouth.
Connected with the training of the mouth-muscle outfit, there is the one standing order. Challenge everything applying for entrance, whether by special invitation or in the way of surprise, by testing it for taste-acceptability at the tip of the tongue. Then keep on tasting and testing, with reverential appreciation of the gustatory delight thereis in it, in the full knowledge that both digestion and assimilation, which are the prime necessities of nutrition, are healthfully stimulated by accentuated enjoyment.
It is not necessary to dwell intensively on sensual enjoyment of the material being automatically handled by the methodical muscles. The pleasant sense sensations surrounding taste may serve as an accompaniment to agreeable conversation, to the delight of beauty in any form, to flowers, to music, to graceful and vivacious femininity, or to any sort of charm, with added strength given to the effect on wholesome nutrition.
So much for the usefulness of the mouth-muscles, including that most wonderful of muscles, the tongue, in assisting in the healthful stimulation of nutrition. Their most important office is to stand guard against the contingencies that are liable to happen which are prejudicial to digestion. If there is worry in the atmosphere: "Don't letanything into the mouth on pain of court-martial and suffering!" Those are the "orders of the day" for the sentinel muscles of the mouth, serving at the outer entrance of the alimentary canal.
In the category of "worry" are included anger, argument, blues, or any other of the depressant passions, and no food or drink, other than water, should be admitted to the canal while any form of depressants are being suffered.
We must agree in the first place that it can do no harm to wait for a clearance of the mental atmosphere. Real hunger is not a painful craving for something or anything, but is a most accommodating waiter for final collection of all the taste dividends there are due in a big lump sum to compensate for not getting them by instalments. Consequently, if the mental atmospheric conditions are not favourable to the best nutrition, the best way to clear them is to wait. Nothing is so forceful in making one modify or forget passing clouds of pain or disappointment as growing healthy Hunger.
The mouth-muscles soon learn to know this beautiful provision of Mother Nature, whereby deferred collections by appetite are paid with compound interest sometimes sure, if by the waiting process the mental atmosphere is cleared of the elements of digestive lightning and thunder.
How delightful it is to be assured that the best way to secure the best nutrition is the easiest way and that it can be quickly installed as a habit, so that attention to the mechanics of the care is not necessary, leaving the whole battery of appreciation to employ itself with the gustatory festival.
FLETCHERISM AND VEGETARIANISM
The Danger of Excess of Protein—The Use of Meat and Uric Acid—To Sum Up—Profitable Economy
In the warfare against the "Demons of Dietetic Disturbances" most of the volunteer recruits go into the camp of theMealers, that is, they become vegetarians,quasi-vegetarians, or partial vegetarians, and array themselves against human carnivorous habits and practices. They are comparatively few in numbers, but make up in enthusiasm what they lack in numerical strength. Some of them base their objection to meat-eating on physiological grounds, others on sentimental susceptibility, and yet others are influenced by reasons of economy.
With world-wide and centuries-old evidence before me in forming an opinion, I say without hesitation that the weight of argument is in favour of a meatless diet most, if not all, of the time, and that all who subsist on the first-hand fruits of the soil and do not resort to cannibalism, except in cases of emergency, are on the safer side.
THE DANGER OF EXCESS OF PROTEIN
To mention the greatest danger from using meat for nutrition first, we find it almost impossible to eat most meats without taking into the organism more protein (nitrogen) than is required for repair of the broken-down tissues; and we now know that any excess of protein or nitrogen imposed upon the body is not good for it. Large excess is positively deadly in its final effects, and many, if not all of the so-called uric-acid troubles or diseases are traced to such abuse.
Not only are the kidneys worn out long before their time, but high blood-pressure is one of the baleful resultsthat lead to untimely demise. To be sure, persons are reported to have lived to near or quite an hundred years of age as habitualmeaters, but their occupations or activities have been favourable to burning up the dregs of metabolism, and the belief is reasonable that if they had not been thus self-abusing during the first century of their life they might have gone quite a piece into the second century with their matured experience, example, and wisdom, serving the world to good advantage.
THE USE OF MEAT
That meat is an emergency expedient in the natural nutrition of man is pretty certain. Strictly speaking, we are all of us subsisting on meat all of the time, but it is onlyone degree removed from the vegetable kingdom, when we ingest only the first fruits of the soil, as vegetarians do, and make meat of it within us. The vegetable nutriment is transformed into our own flesh and blood in the form of fat chiefly, and then is used to furnish whatever heat and repair material we happen to need. When second-hand, already dead and decomposing meat is eaten and thus used for life-giving purposes, it is really not only second-hand supply but third-hand material. For instance, we may subsist exclusively on vegetable or farinaceous material and get our repair or fuel supply from such sources only. The result is, in part, the forming of the walls of our own stomach. These walls are meat. Should we turn into cannibals, devouring each other as the Pacific (?) Islanders used to treat missionaries and enemies, the stomach walls become tripe and are easily digestible. While they were live walls, holding in place glands secreting powerful gastric juice, they resisted the digestive aggression of their own juice, but the moment they were separated from their own living combination, quite similar gastric juice digested them as quickly as it does the white meat of a pet chicken. It is physiologically possible to cut out a part or the whole of our own stomach, and then devour and digest it as tripe in the small intestines.
Hence it is that we are allmeaters, perforce, but not all of us are third-degree-removed cannibals. What we call "pure vegetarians" are only second-handmeaters.
I am indebted to the distinguished champion tennis-player, diet-reformer, and restaurator Eustace Miles, for the name "Meaters" to designate those who eat meat; and I have coined the term "Mealers" to stand for those who take only first-hand earth-fruit products for their nutrition, disregarding the fact that all aremealers who takemealsof victuals. To offset this addition to the vocabulary, it would do no harm to drop off the use of "Meals" and "Victuals,"leaving "Meal" to mean only one thing; viz., ground cereals or vegetables.[P]
One of the details of carefulness in Fletcherism is expressed in the statement that we should notproscribe as food anything that Nature permits to be utilized as food; but the same carefulness prescribes that we do notprescribe it as food for everybody all of the time. Everything in its proper time and place is one of the common-sense rules of the system.
Captain Amundsen and his comrades, as I have already observed, were quitejustified in devouring their faithful and friendly sledge dogs when necessary to preserve their own lives. I have the acquaintance of a collie dog whom I love devotedly; and I say "whom" appropriately because he is as intelligent as I am, and far more consistent in his habits of orderliness and naturalness. He is a real gentleman at all times and as good a Fletcherite when the food substance and occasion demand as I am. He has learned to eat and enjoy apples and no one could give more careful mouth-treatment to some sorts of food than Bruce. I am sure that he would want me to eat him if I needed him to preserve my life, just as unselfishly as the Japanese soldiers, and more recently the Balkanese soldiers, gave their lives for their causes. Whether I would eat him or not I cannot say, and I do not know if he would have similar consideration or otherwise for me.
I merely use this illustration as an aside in consideration of the question offlesh eating on emergency or sentimental grounds. Nature permits Bruce and me to eat each other, and if we managed it skilfully we could attack each other's extremities at the same time, as long as we did not encroach on our vital machinery, and really eat each other up, as young lovers would like to do.
Thus much for sentiment. We are subsisting on ourselves all of the time; we can nourish ourselves at the expense of each other if we will.
We can eat human flesh as nourishingly as we can a Spring chicken, and if we do not know what we are eating, Nature will say us never "No," but there are other considerations more practical for every-day consideration. These are: physiological and economic expediency.
MEAT AND URIC ACID
In the thorough investigation that Dr. Hindhede, of Copenhagen, has conducted for the past few years, and inwhich I have assisted, I have followed the quest with eagerness because of the thoroughness of it. It has been proven that very little protein or nitrogen is needed for the human body even under strain of hardest physical or mental activity. On the other hand, it has been found that any appreciable excess of protein or nitrogen results in both uric acid secretion and increased blood-pressure, meaning, in all probability, finally fatal strain on the organism. It has also been demonstrated that it is almost impossible to take the leaner meats without getting more protein or nitrogen than the body needs.
It is quite easy to get excessive protein and nitrogen from vegetable, farinaceous, and hen-fruit material, and cheeses are richer than anything in these "strong" food ingredients; but these are not such subtle foolers of the appetite as meats done up in spicy gravies and accompanied by appetising fats.
I purposely avoid giving any figuresrelative to the food values under mention because the first rule of Fletcherism in connection with the selection and intake of food is to leave that entirely to appetite, working intelligently and normally in relation to the food that is available at the moment.
To my thinking, the most important consideration is economy, not alone of the money cost of food, but economy of energy-consumption within the body. There may be times when economy of money-cost means much to persons struggling to lay aside an independent competency for the purchase of leisure in old age, or for insurance against becoming a burden upon others; and this is sure to happen to all who are not cursed by the handicap of money inheritance. But it is the internal economy of the body that counts for most in estimating values. There is no doubt but what flesh food is a stimulant of the same or similar character of alcohol. Both of these subtle agents ofintemperance invite the starting and accumulation of vicious cycles or circles (swirls) of over-stimulation that have one bad effect, at least, on the comfort and efficiency of the muscular tissues. They facilitate fatigue and "that tired feeling," and also may result in contingent "soreness" of muscle after unusual exercise.
Faithful Fletcherizing has resulted in regulating these matters in a way that is nothing less than marvellous until the reasons are revealed.
Not only does observance of the habit and practice which Mr. Rockefeller has condensed into thirty-three words, including several repetitions for emphasis, result in settling the questions of appropriateness, economy, emergencies, and comfort in general between theMeaters and theMealers; between the mixedMeaters andMealers; and between the Physiology and Psychology of normality; and which Mr. Rockefeller calls "Fletcherizing," but a whole lotof beneficent cycles or circles (rhythms) of profitable felicities are set in motion.
TO SUM UP
TheMealers have the advantage of the argument in that they are always on the safer side of prudence, and there is no real deprivation involved in the experiment.
At the present moment I am, personally, still in the experimental field as regards everything that Nature permits as food or drink. There is one point that vegetarianism has not satisfactorily answered as yet. The great majority of conscientious vegetarians have not the pink complexion that is usually reckoned as a sign of beauty or robustness, but I have known one, Frederick Madsen (Madsen the Faithful), an assistant of Dr. Hindhede in Copenhagen, to subsist on potatoes and butter, or margarine, alone, for three hundred days consecutively, stopping only because the potatoes to be had in the market werenot as good as desired, and he lost none of his pinky-pinkness of complexion of the richest Scandinavian brilliancy. I have done the same for four months with similar results of retention of pinkness of complexion. Another question is: Does pinkness indicate health? It is not the necessity of health among Latins and bronzed Orientals, but it underlies the bronze exterior in even African Negroes, if they are healthy. Sallow is the reverse of healthy in proportion to the sallowness, as a usual thing.
Just here is where the efficacy of careful eating, which has been formulated as Fletcherism, comes into service most agreeably to make life really worth living and actually one continuous festival of usefulness and pleasure. It is only once formed into a habit and set to working automatically under the direction of Appetite, Taste, Feeling, Instinct, and the other attributes of sub-conscious Intelligence.
It will be noted that Mr. Rockefeller, in his recent pithy, gisty utterance relative to the merits of Fletcherizing, makes no mention of the kind of food to be recommended. Happily, as far as I know, he is not in the food business, has no connection with any special food supply, and cannot recommend any of the products of petroleum as food or drink. He should be absolutely unprejudiced in his judgment, and seven or eight years of recuperative experience, similar to mine of a longer period, is material for judgment and recommendation.
Some years ago there was born in me the ambition to formulate the rules of economic procedure in securing optimum nutrition in a space of not more than ten pages of coarse print that mothers, teachers, and children of primary school age could understand as easy as the noses on their faces. Mr. Rockefeller has "beat me out" in brevity by several lengths. He has made the revelationwith the lucky number of thirty-three words, and left room for a final remark full of scriptural tone, as is his wont.
PROFITABLE ECONOMY
There is one argument in favour of a meatless diet that appeals to everybody, and that is the economy and cleanliness of it. In Professor Irving Fisher's classic investigation to test the merits of Fletcherism it was proven that careful attention to the mastication, insalivation, and enjoyment of food while in the mouth, and swallowing only in response to a strong invitation to swallow, and removing from the mouth whatever remainder that did not practicallyswallow itself, a net gain of approximately 40 per cent. was achieved without any attempt at economy. The saving was in the money cost alone, and it came from more and more inclination towards farinaceous and vegetable foods and away from more expensive meat.
This form of saving is very telling.Dr. Francis E. Clark, founder and permanent president of the great International Christian Endeavour organization, noticed a reduction of one-third in the food expenses of his family. The health officer of a suburb of Hamburg accomplished a saving of two thousand marks a year in his family of three without other assistance than careful eating and an inclination towards non-flesh food material. The "Poor White Trash" community in America, before mentioned, saved an average of three dollars a month each, three thousand dollars a month among a thousand members of the community, and the missionary workers who taught them to Fletcherize save half of the cost of their sustenance. Accompanying all of this wonderful economy was an immunity from the ordinary illnesses that was worth more than the money saving.
In the Rockefeller family any decrease in the cost of food is a negligible quantity in comparison with the total expenses, but seven years of immunity from indigestion and replacing the demon with good golf-health form have been worth more than millions of money.
WAS LUIGI CORNARO RIGHT?
>A PAPER READ BEFORE THE PHYSIOLOGICAL SECTION OF THE BRITISH MEDICAL ASSOCIATION, AUGUST, 1901, BY ERNEST VAN SOMEREN
Mr. President and Gentlemen:
Being a general practitioner, it is with some trepidation and an apology that I present myself before this section. The reasons for my doing so are: First, that I believe that a hitherto unsuspected reflex in deglutition has come to light which has an important bearing on health, the prevention of disease and on metabolism. Second, that any theory whatever, based on a possible physiological function, claiming to diminish, as this does, the amount of sickness and suffering now existent, should have serious investigation. Third, that I desire to enlist your skilled help in the considerationof the theories I have doubtless crudely erected on my premise.
According to the "Encyclopædia Britannica," "Luigi Cornaro (1467-1566) was a Venetian nobleman, famous for his treatises on a temperate life. From some dishonesty on the part of his relatives, he was deprived of his rank and induced to retire to Padua, where he acquired the experience in regard to food and regimen which he has detailed in his work. In his youth he lived freely, but after a severe illness at the age of forty, he began under medical advice gradually to reduce his diet. For some time he restricted himself to a daily allowance of 12 ozs. of solid food and 14 ozs. of wine. Later in life he still farther reduced his bill of fare, and he found that he could support his life and strength with no more solid meat than an egg a day. So much habituated did he become to this simple diet that when he was about seventy years of age the addition, by way of experiment, of 2 ozs. a day had nearly proved fatal. At the age of eighty-three he wrote his treatise on the 'Sure and Certain Method of Attaining a Long and Healthful Life.' And this work was followed by three others on the same subject, composed at the ages of eighty-six, ninety-one, and ninety-five, respectively. 'They are written,' says Addison ('Spectator,' No. 195), 'with such a spirit of cheerfulness, religion, and good sense, as are the natural concomitants of temperance, and sobriety.' He died at the age of ninety-eight." Some say of 103!
Now, was Luigi Cornaro right? Did he make use of a physiological process unknown to us of the value of which he was not cognisant? To live to an advanced age, must we be as temperate as he, reducing the quantity of our food to a minimum required by Nature?
That we all eat more than we can assimilate is unquestionable. How can we determine the right quantity? Instinctshouldguide us, but an abnormal appetite often leads us astray. Nature's plans are perfect if her laws are obeyed. Disease follows disobedience. Wherein do we disobey?
We livenotupon what we eat, but upon what we digest; then why should undigested food, recognisable as such, be deemed a normal constituent of our solid egesta?
Something like the following must be a common experience to general practitioners, especially to those practising on the Continent. The patient comes to see us and volunteers the information that he or she has the "gout," "rheumatic gout," or "dyspepsia." Symptoms are asked for. The case is gone into carefully for causation. An appropriate diet and an appropriate bottle of medicine prescribed. As the patient leaves the room, we may, or may not, call attention to the fact that both teeth and saliva are meant to be used. The patient returns, better,in statu quo, or worse. If better, he remains so while under treatment, and relapses when he returns to ordinary habits. If unaffected, or worse, we try again and again, until we despair, then take or send him to a consultant. Temporary benefit, possibly owing to renewed hope, results; but finally the unfortunate gets used to his sufferings, and, if he can afford it, is sent to join the innumerable hosts that wander from one Bad to another, all Europe over, trying, praising, and damning each in turn. Their manner of living is, of course, at fault.Nature never intended that man should be perpetually on a special diet and hugging a bottle of medicine, nor did she ordain that he should go wandering over the map of Europe drinking purgative and other waters.
Though early yet to speak with certain voice, it would seem that we are provided with a Guard, reliance on which protects us from the results of mal-nutrition. There seems to be placed in the fauces and the back of the mouth a Monitor to warn us what we ought to swallow and when we ought to swallow it. The good offices of this Monitor we have suppressed by habits of too rapid eating, acquired in infancy or youth.
Last November my attention was called by Mr. Horace Fletcher, an American author living in Venice, to the discovery in himself of a curious inability to swallow, and a closing of the throat against food, unless it had been completely masticated. My informant stated that he noticed this peculiarity after he had begun to excessively insalivate his food, both liquid and solid, until all its original taste had been removed from it. Any tasteless residue in the mouth, beingrefused by the fauces, required aforcedmuscular effort to swallow. He further told me that since adopting this method of eating he had been cured of two maladies, adjudged chronic, the suffering from which rendered him ineligible for Life Insurance. His weight now became reduced from 205 lbs. to 165 lbs. He had practised no abstemiousness, had indulged his appetite, both as to selection and to quantity, without restraint, and for the last three years had enjoyed perfect health.
After his cure, he was accepted without difficulty for insurance, the last examination finding him an unusually healthy subject for his age. Having leisure, he had spent three years in investigating the cause of his cure, had pursued experiments upon others, and had extended his inquiries, both in America and Europe, until our meeting in Venice. He had also published a statement and inquiry in book form, entitled "Glutton or Epicure," which had been reviewed by the "Lancet."
For nearly a year I also had been experimenting on myself and others with various diets, and was ready to believe that in themanner of taking food and not altogether in its varyingmatterlay perhaps its protean effects on our system. I at once adopted the same method of eating. At the end of six weeks, I noticed that not only did the fauces refuse to allow of the passage of imperfectly prepared food, but that such food was returned from the back to the front of the mouth by an involuntary, though eventually controllable, muscular effort taking place in the reverse direction to that occurring at the inception of deglutition.
What actually happens is this: Food, as it is masticated, slowly passes to the back of the mouth, and collects in the glosso-epiglottidean folds, where it remains in contact with the mucous membrane containing the sensory end-organs of taste. If it be properly reduced by the saliva it is allowed to pass the fauces,—a truly involuntary act of deglutition occurring. Let the food, however, be too rapidly passed back to these folds,i. e., before complete reduction takes place, and the reflex muscular movement above referred to occurs. The process of this reflex is as follows: The tip of the tongueis involuntarily fixed at the backs and bases of the lower central incisor teeth by the anterior fibres of the geniohyoglossi muscles. With this fixed point as fulcrum, the lower and middle fibres of these muscles, aided by those of the stylohyoid and styloglossi muscles raise the hyoid bone, straighten out the glosso-epiglottidean folds, passing their contents forward, by the fauces, the opening of which is closed by approximation of its pillars and contraction of the superior constrictor. The tongue, arched postero-anteriorly by the geniohyoglossi, palato, and styloglossi muscles, laterally, by its own intrinsic muscles, is approximated to the fauces, soft and hard palates in turn, and thus, the late contents of the glosso-epiglottidean folds are returned to the front of the mouth for further reduction by the saliva preparatory to deglutition.
The word reduction is used for the reason that all foods tested, without exception, give an acid reaction to litmus, when served at table. The reflex muscular movement occurs in the writer's case from five to ten times during the mastication of each mouthful of food, according to its quantity andits degree of sapidity. As often as it recurs, the returned food continues to give an acid reaction, while food allowed to pass the fauces is alkaline.
Saliva, flowing in response to the stimulation of taste, seems more alkaline than that secreted in answer to mechanical tasteless stimulation. It is found that the removal of original taste from any given bolus of food coincides with cessation of salivary flow and complete alkaline reduction. The fibre of meat, gristle, connective tissue, the husk of coarse bread and cellulose of vegetables are carefully separated by the tongue and buccal muscles and rejected by the fauces. To swallow any of these necessitates aforcedmuscular effort, which is abnormal.
Adult man was not originally intended to take his nourishment in a liquid form, consequently all liquids having taste, such as soup, milk, tea, coffee, cocoa, and the various forms of alcohol, must be treated as sapid solids and insalivated by holding them in the mouth, moving the tongue gently, with straight up and down masticatory movements, until their taste be removed. Water,not having taste, needs no insalivation and is readily accepted by the fauces.
In explanation of the phenomenon described, the following theory is advanced: The fauces back of the tongue, epiglottis, in short, those mucous surfaces in which are placed the sensory end-organs of taste and "taste buds" (the distribution of which, by the way, has yet to be explained), that these surfaces, readily becoming accustomed to an alkaline contact by excessive insalivation and consequent complete alkaline reduction of the food, afterwards resent an acid contact and express their resentment by throwing off the cause of offence by the muscles underlying them.
This phenomenon must not be confused with the cases of rumination and regurgitation, which from time to time are recorded. The food in this case is not swallowed, nor does it pass any point from which it can be regurgitated. Eighty-one individuals of different nationalities and from several classes of society whom we have studied are now in conscious possession of their reflexes. These seem readily educated back to normal functions by all who seriously and patiently adopt the habit of what seems only at first to be excessive insalivation.
The dictum "bite your food well" that we so often use, has no meaning to those suffering from the results of mal-assimilation and mal-nutrition, especially should they have few or no teeth of their own. I make so bold as to state that dyspepsiaet morbi hujus generis omniswill cease to exist if patients be persuaded to bite their food until its original taste disappears, and it is carried away by involuntary deglutition.
The important point of the whole question seems to be this alkaline reduction of of acid food before it passes on to meet subsequent digestive processes elsewhere, which then become alternately acid and alkaline.
In the first few months of infant life, when saliva is not secreted, Nature ordains that mammary secretion be alkaline. With the eruption of teeth come an abundant flow of saliva and a synchronous infantile capacity for managing other foods. This flow ofsaliva depends on a thorough demand and use to maintain its generous supply. It is just at this time that children learn to bolt their food,—the demand fails, with a consequent detriment to the salivary glands, digestive processes, and the system generally.
A, B, C, and D were placed on an absolute milk diet. A drank his milk in the ordinary way, and at the end of three days begged to discontinue the experiment owing to disgust at the monotony of the diet. B, C, and D continued the experiment for seventeen days, insalivating the milk, but to a varying extent, B the least and D the most. Though D took most milk, he excreted least solid egesta, C excreting less than B. Can one infer that increased insalivation of a non-starchy food insured its better digestion and assimilation? Each subject took as much milk only as his appetite demanded, D taking the most, which never exceeded two litres daily. The weights of the subjects after the usual sudden drop of the first three days remained remarkably even until the end of the experiment. B, C, and D all relished the diet, and it satisfied the requirements of their appetites, but they experienced an increasing monotony.
As long ago as the seventeenth century, before the transformation of matter into energy by the animal organism, known as Metabolism, was understood, the fact was recognised that by the lungs, kidneys, skin, and intestines, substances no longer useful to the organism were eliminated, the retention of which proved harmful. The nature of these substances was unknown, but it was noted that however much the food was increased the weight of the body remained the same. In other words, a state of complete nutritive equilibrium was maintained.
The following table contains therésuméof two experiments in which a state of complete nutritive equilibrium was maintained by individuals of about the same weight, on widely different quantities of food similar in quality. The subjects of the experiments were a laboratory assistant of Dr. Snyder, of the U. S. Department of Agriculture, and the writer. The experiment of the former was made primarily to show the relative digestibility of the several articles of diet, potatoes, eggs, milk, and cream:
Dr. Snyder's Experiment. Published in Bulletin 43Writer's Experiment.Age of subject22 years30 yearsDuration of experiment4 1/3 days5 daysNumber of meals1310Weight at beginning62.5 kilos57.3 kilosWeight at end62.6 kilos57.5 kilosPotatoes (daily average)1587.6 grammes159.4 grammesEggs (daily average)411.08 grammes124.7 grammesMilk (daily average)710 c.c.710 c.c.Cream (daily average)237 c.c.237 c.c.Daily urine1108 grammes1098 grammesDaily fæces204 grammes18.9 grammes
The daily diet of Dr. Snyder's subject consisted of three and one-half pounds of potatoes, eight eggs, a pint and a half of milk, and half a pint of cream. The writer's diet of twelve ounces of solid food (like Luigi Cornaro) consisted of three eggs, the remainder of the twelve ounces in potatoes, and an equal quantity of similar liquid food to that taken by Dr. Snyder's subject. The exercise of the laboratory assistant comprised his daily routine of laboratory work, while that of the writer consisted of six sets of tennis, or an hour and a half on horseback, with an hour to an hour and a half's walk or climb daily, in addition to much reading and writing.
In each case complete nutritive equilibrium was maintained, although the author subsisted on three-seventeenths of the solid food taken by the other subject.
Again, cannot one infer that better assimilation and less waste resulted from the better preparation of the smaller quantity of food by insalivation? Surely, too, there must be less daily strain on the intestinal canal, and body generally, in getting rid of 18.9 grammes of inoffensive dry waste, than in getting rid of 204 grammes of humid, decomposing, and offensive matter.
"Considerable importance has been attached to the normal action of the bacteria in the intestines; and it has even been supposed that the presence of bacteria is essential to life. Such a view has recently been shown to be erroneous by an elaborate and painstaking research carried out by Nuttall and Thierfelder, who obtained ripe fœtal guinea-pigs by means of Cæsarean section carried out under strict antiseptic precautions. They introduced the animals immediately into an asceptic chamber through which a current of filtered air was aspirated, and fed them hourly on sterilised milk day and night for over eight days.
"The animals lived, and throve, and increased as much in weight as healthy normal animals subjected to a similar diet for the purpose of controlling the results. Microscopic examination at the end of the experiment showed that the alimentary canal contained no bacteria of any kind, nor could cultures of any kind be obtained from it.
"The same authors, in a subsequent paper, described the extension of their research to vegetable food. This was also digested in the absence of bacteria. Under such conditions cellulose was not attacked. Hence they consider that the chief function of this material is to give bulk and proper consistency to the food so as to suit the conditions of herbivorous digestion." (Schäfer's "Text-Book of Physiology," vol. i., p. 465.)
Now, inasmuch as bacterial digestion has no place in the animal economy, surely it can only occur at the expense of the organism?
Can micro-organic action take place in the intestines without the production of toxins and the consequent absorption of these toxins into the blood?
We know that the metabolism of a cell is determined by the general physical environment of the whole organism, by supplies of oxygen and water, on nervous impulses, and, what chiefly concerns this argument, on the nature and amount of the pabulum supplied to it. This pabulum is derived from the alimentary canal.
Are not even those of us who may be enjoying seemingly the best of health supplying to our tissues pabulum containing mild toxins, thus causing an increased katabolic action to occur in each individual cell of our bodies?
Are not the blood elements, floating in a plasma containing such toxins, rendered resistant, weaker, less capable of fulfilling their functions as carriers and combatants of disease?
Are not their and our lives, in consequence, more painful and shorter than they need be?
Would not the elimination of these toxins render us less liable to disease? And is not their presence an important element in predisposition to disease?
When this reflex is restored micro-organisms get no further than the stomach. They are destroyed there by the acid gastric juices, then only stimulated to their full and normal secretion by the presence of a sufficiency of alkaline substance. Undigested matter having been eliminated, micro-organisms, still existing in the intestines, deprived of their means of subsistence, decrease, and, in time, may cease to exist. The body no longer absorbs the toxins these produced. To this fact may be ascribed the increase of mental energy, the general physical betterment, the cessation of morbid cravings for food and drink and of those of a sexual nature, which are noticed and experienced.
What has just been stated is based not entirely on experimental evidence but somewhat upon inference. The inference seems justified because the excreta, more especially of the intestines, but also of the kidneys and skin, become almost odourless and entirely inoffensive. The solid egesta are voided thickly covered with mucus, leaving the end of the bowel dry and clean. The sense of cleanliness can only then be appreciated to the full, for it is internal as well as external.Flatusis no longer produced.The urine is inoffensive and seems to be materially changed in quality, as shown by chemical analysis. Uric acid, the chlorides, and, more markedly, aromatic sulphates are reduced in quantity.
Owing to deliberation in eating, necessitated by this new habit, satiety occurs on the ingestion of considerably less food. By carefully studying one's self I believe it possible to cultivate an instinct which will regulate not only the quantity but the quality of food that the body may need, and that in thenormal healthof a full-grown body, no more food either in quantity or quality should be supplied than suffices to supply diurnal waste. Any excess must result in pathological processes.
Although there results enhanced pleasure in the taking of all foods, rich and simple, and especially in the appreciation of good wines, the quantities of these foods and beverages that suffice to fully satisfy the appetite are much smaller than before, while there is a marked preference for the simpler kinds of food. The writer now can imagine no more pleasurable meal than one consisting of good brown bread, eggs, butter, cheese, and cream. These, with fresh vegetables and a very little fruit, form his staple diet. This tendency and preference for simple foods is the general experience among those who have recovered their reflexes of deglutition.
Following on the ingestion of a lessened quantity of food and on its better assimilation, there is less waste, the egesta are voided less frequently, sometimes only once in five to eight days.
The lower bowel is not the reservoir it formerly was. So hæmorrhoids cease from troubling and constipation cannot exist. For this same reason the body, at the beginning of the practice, commences to approximate to its normal weight, increasing or decreasing as the individual's environment demands.
A few more words only need be said. It has been easy to state the results of experiments and observations: but the acquiring of this new reflex, while pursuing daily occupations, is not easy, and needs more than a little patience and much serious thought. The habits of a lifetime cannot be changed in a few days or weeks. The shortest timein which the reflex has been re-established is four weeks, and this only by avoiding conversation at meal-time and concentrating the attention on keeping the food in the mouth until complete alkaline reduction has taken place and sapidity has disappeared.
In closing I wish to maintain as a fact, gentlemen, of the truth of which you will only be convinced by actual experience, that by the restoration of this reflex and in complete dependence on its use, there lies true health, the establishment of a condition of stable nutrition and the possible abrogation of two great predisposing factors of disease, mal-assimilation and mal-nutrition. Unless there be among you, as in the "Cities of the Plain," a parlous minority who possess this reflex and take your food as you ought, none of you are in the enjoyment of such health as you might have. A like punishment will be meted out to you as was visited on those cities, for you will all be consumed long before your day by the unnecessary combustion in your bodies caused by the circulation in them of toxins, the product of undigested and decomposing food.
The writer, bearing in mind the warningsuggested by the Frenchman whose donkey died as soon as he had reduced his food to a single wisp of straw, finds that he is taking less and less food. While his mind is open as to his arriving at the final diet of Luigi Cornaro, yet it is easily conceivable that living a similar life of retirement in a placid environment, it would be quite possible to do as he did. Hence the title of this paper and the queries at the commencement.
The objects in publishing and distributing this paper are twofold: to make the subject as widely known as possible, and to solicit the aid of colleagues in investigating it more fully.
There is ready at the service of the general practitioner an important and potential therapeutic agent in the saliva of his patients and in the usead finemof their salivary digestions.
Editor's notes.(1) Confirmatory evidence of the correctness of the deductions made in this paper has begun to come in from many professional sources and notably from a famous child specialist who aversthat children would follow the natural requirements in eating were it not for artificial food, bad example, and bad teaching.
(2) In a report of a paper read before theSociété de Biologie, Paris, France, March 15th, 1902, by M. Max Marckwald, of Kreuznach, "On Digestion of Milk in the Stomach of Full-grown Dogs," the following appears: "Hence these experiments confirm those of Horace Fletcher and Ernest H. Van Someren on the importance of prolonged mastication" (translation). Referring, as the latter statement does, to mastication (insalivation) of liquid, it gives an important suggestion relative to some probable causes of uncertain or defective digestion in human nutrition.