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April, 1944 RICE DIET—KEMPNER 125 ter in Chapel Hill, with smaller hospital units in strategic regions of the state. The magnificent plan as it develops should carry with it the idea that the units should not be for hospitalization only, but should also be health centers concerned with the great field of preventive medicine. It is in such centers that cancer control should be carried on. The present small beginnings of cancer control work should receive the whole-hearted support of the organized medical profession of the state. You may be assured that this is only a beginning; for, judging by the experience with other states, as the Woman's Field Army grows in strength, so will grow the demand for adequate cancer control measures. Public opinion once aroused is a powerful force, and if I am not mistaken in my North Carolina, the demand will be for a service second to none. TREATMENT OF KIDNEY DISEASE AND HYPERTENSIVE VASCULAR DISEASE WITH RICE DIET Walter Kempner, M.D. Durham A dietary regimen consisting of rice, sugar, fruit and fruit juices supplemented by vitamins and iron has been used during the past four years in a series of patients with acute and chronic glomerulonephritis and hypertensive vascular disease. The diet contains in 2000 calories about 15-25 Gm. of protein, 4-6 Gm. of fat, 460-470 Gm. of carbohydrate, 0.25-0.4 Gm. of sodium, and 0.1-0.15 Gm. of chloride. The amount of fruit juices given daily is usually 700-1000 cc. In a great number of the 140 patients who followed this regimen for periods ranging from four days to thirty months in the hospital and at home, the diet proved to be beneficial. Apart from the subjective improvement, there were favorable changes in the blood pressure, in the heart size, in the electrocardiogram, in the eyegrounds and in the urine and blood chemistry findings, and loss of edema. In no instance has the diet proved to be harmful. Careful medical supervision, however, including studies of blood and urine chemistry, is essential. A detailed account of the results obtained with the rice regimen will be given elsewhere. The histories of 2 patients, one with chronic glomerulonephritis, the other with hypertensive cardiovascular disease, are given here as a preliminary report. Case 1 F. C., a 25 year old white farmer, was admitted to Duke Hospital with the complaints of weakness, swollen ankles and "sick headaches". History. His mother had died at 30 of "Bright's disease". The patient had "always been well;" he had had no childhood disease except "German measles" at the age of 20. A herniorrhaphy was done when he was 5, and a tonsillectomy when he was 10. In November, 1942, he had a cold, with general malaise, and was in bed for two weeks. There was no sore throat, but he had pain in "both sides", bright red urine, burning on urination, and nocturia (two to three times nightly) for three or four days. He was told that he had albuminuria. In December, 1942, he noticed puffiness around his eyes and ankle edema. He had not been feeling "up to par" since and had been in bed most of the time. In February, 1943, he was rejected by the army because of marked albuminuria and high blood pressure. He had had sick headaches with vomiting spells for the past month. Since the onset of his illness he had been treated with bed rest and a high caloric, high vitamin, salt-poor diet, with restriction of fluids. He was referred to Duke Hospital with the diagnosis of chronic nephritis and nephrosis "which has failed to improve and in which the outlook is bad." Examination. On June 2, 1943, his temperature was 36.8 C., his pulse 80, respirations 20, blood pressure 186 systolic, 110 diastolic. His height was 167 cm., his weight 74 kilograms. There was a 1 plus pitting sacral edema. His eyegrounds showed bilateral venous engorgement and tortuosity, with narrowing and tortuosity of the arterioles; there were small plaques of exudate around the macula on the left. His teeth were in good condition and his tonsils had been removed. There were no pathological findings in the lungs. His heart was enlarged bilaterally (fig. 2). The rhythm was regular. There was a soft systolic murmur over the entire precordium, loudest over the aorta. The liver was not enlarged. A flat plate of the abdomen showed nothing grossly abnormal. The hemoglobin was 76 per cent and there were 3,610,000 red blood cells and 8920
Object Description
Rating | |
Fixed Title * | NCHH-17: North Carolina Medical Journal [1940-2001] |
Document Title | North Carolina Medical Journal [1940-2001] |
Subject Topical Other | Public Health -- Periodicals.; Physicians -- North Carolina -- Directory.; Societies, Medical -- North Carolina -- Periodicals. |
Description | Includes Transactions of the Society, -1960; 1961- , Transactions issued separately, bound in.; Includes Transactions of the auxiliary to the Medical Society of the State of North Carolina and Proceedings of the North Carolina Public Health Association. Official organ of the Medical Society of the State of North Carolina, 1940-May 1972; of the North Carolina Medical Society, June 1972-. Vols. for 1940-May 1972 published by the Medical Society of the State of North Carolina; June 1972- by the North Carolina Medical Society. |
Contributor | Medical Society of the State of North Carolina. Transactions.; Medical Society of the State of North Carolina.; North Carolina Medical Society.; North Carolina Medical Society. Transactions.; North Carolina Public Health Association. Proceedings. |
Publisher | [Winston-Salem] : North Carolina Medical Society [etc.], 1940- |
Repository | University of North Carolina at Chapel Hill. Health Sciences Library. |
Host | University of North Carolina at Chapel Hill |
Date | 1944 |
Identifier | NCHH-17-005 |
Form General | Periodicals |
Language | English |
Rights | This item is part of the North Carolina History of Health Digital Collection. Some materials in the Collection are protected by U.S. copyright law. This item is presented by the Health Sciences Library of the University of North Carolina at Chapel Hill for research and educational purposes. It may not be republished or distributed without permission of the Health Sciences Library. |
Digital Collection | North Carolina History of Health Digital Collection |
Sponsor | The North Carolina History of Health Digital Collection is an open access publishing initiative of the Health Sciences Library of the University of North Carolina at Chapel Hill. Financial support for the initiative was provided in part by a multi-year NC ECHO (Exploring Cultural Heritage Online) digitization grant, awarded by the State Library of North Carolina, and funded through the Library Services and Technology Act (LSTA). |
Volume Number | 5 |
Health Discipline | Medicine |
Digital Format | JPEG 2000 |
Print / Download PDF Version | http://archives.hsl.unc.edu/nchh/nchh-17/nchh-17-005.pdf |
Document Sort | all; nchh-17 |
Volume Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/identi/searchterm/NCHH-17-005 |
Title Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/documa/searchterm/NCHH-17 |
Catalog Record link | http://search.lib.unc.edu/search?R=UNCb1306322 |
Revision History | done |
Description
Fixed Title * | Page 125 |
Document Title | North Carolina Medical Journal [1940-2001] |
Subject Topical Other | Public Health -- Periodicals.; Physicians -- North Carolina -- Directory.; Societies, Medical -- North Carolina -- Periodicals. |
Description | Includes Transactions of the Society, -1960; 1961- , Transactions issued separately, bound in.; Includes Transactions of the auxiliary to the Medical Society of the State of North Carolina and Proceedings of the North Carolina Public Health Association. Official organ of the Medical Society of the State of North Carolina, 1940-May 1972; of the North Carolina Medical Society, June 1972-. Vols. for 1940-May 1972 published by the Medical Society of the State of North Carolina; June 1972- by the North Carolina Medical Society. |
Contributor | Medical Society of the State of North Carolina. Transactions.; Medical Society of the State of North Carolina.; North Carolina Medical Society.; North Carolina Medical Society. Transactions.; North Carolina Public Health Association. Proceedings. |
Publisher | [Winston-Salem] : North Carolina Medical Society [etc.], 1940- |
Repository | University of North Carolina at Chapel Hill. Health Sciences Library. |
Host | University of North Carolina at Chapel Hill |
Date | 1944 |
Identifier | NCHH-17-005-0133 |
Form General | Periodicals |
Page Type | all; article; article title |
Language | English |
Rights | This item is part of the North Carolina History of Health Digital Collection. Some materials in the Collection are protected by U.S. copyright law. This item is presented by the Health Sciences Library of the University of North Carolina at Chapel Hill for research and educational purposes. It may not be republished or distributed without permission of the Health Sciences Library. |
Filename | northcarolinamed51944medi_0133.jp2 |
Digital Collection | North Carolina History of Health Digital Collection |
Sponsor | The North Carolina History of Health Digital Collection is an open access publishing initiative of the Health Sciences Library of the University of North Carolina at Chapel Hill. Financial support for the initiative was provided in part by a multi-year NC ECHO (Exploring Cultural Heritage Online) digitization grant, awarded by the State Library of North Carolina, and funded through the Library Services and Technology Act (LSTA). |
Volume Number | 5 |
Issue Number | 4 |
Page Number | 125 |
Health Discipline | Medicine |
Full Text | April, 1944 RICE DIET—KEMPNER 125 ter in Chapel Hill, with smaller hospital units in strategic regions of the state. The magnificent plan as it develops should carry with it the idea that the units should not be for hospitalization only, but should also be health centers concerned with the great field of preventive medicine. It is in such centers that cancer control should be carried on. The present small beginnings of cancer control work should receive the whole-hearted support of the organized medical profession of the state. You may be assured that this is only a beginning; for, judging by the experience with other states, as the Woman's Field Army grows in strength, so will grow the demand for adequate cancer control measures. Public opinion once aroused is a powerful force, and if I am not mistaken in my North Carolina, the demand will be for a service second to none. TREATMENT OF KIDNEY DISEASE AND HYPERTENSIVE VASCULAR DISEASE WITH RICE DIET Walter Kempner, M.D. Durham A dietary regimen consisting of rice, sugar, fruit and fruit juices supplemented by vitamins and iron has been used during the past four years in a series of patients with acute and chronic glomerulonephritis and hypertensive vascular disease. The diet contains in 2000 calories about 15-25 Gm. of protein, 4-6 Gm. of fat, 460-470 Gm. of carbohydrate, 0.25-0.4 Gm. of sodium, and 0.1-0.15 Gm. of chloride. The amount of fruit juices given daily is usually 700-1000 cc. In a great number of the 140 patients who followed this regimen for periods ranging from four days to thirty months in the hospital and at home, the diet proved to be beneficial. Apart from the subjective improvement, there were favorable changes in the blood pressure, in the heart size, in the electrocardiogram, in the eyegrounds and in the urine and blood chemistry findings, and loss of edema. In no instance has the diet proved to be harmful. Careful medical supervision, however, including studies of blood and urine chemistry, is essential. A detailed account of the results obtained with the rice regimen will be given elsewhere. The histories of 2 patients, one with chronic glomerulonephritis, the other with hypertensive cardiovascular disease, are given here as a preliminary report. Case 1 F. C., a 25 year old white farmer, was admitted to Duke Hospital with the complaints of weakness, swollen ankles and "sick headaches". History. His mother had died at 30 of "Bright's disease". The patient had "always been well;" he had had no childhood disease except "German measles" at the age of 20. A herniorrhaphy was done when he was 5, and a tonsillectomy when he was 10. In November, 1942, he had a cold, with general malaise, and was in bed for two weeks. There was no sore throat, but he had pain in "both sides", bright red urine, burning on urination, and nocturia (two to three times nightly) for three or four days. He was told that he had albuminuria. In December, 1942, he noticed puffiness around his eyes and ankle edema. He had not been feeling "up to par" since and had been in bed most of the time. In February, 1943, he was rejected by the army because of marked albuminuria and high blood pressure. He had had sick headaches with vomiting spells for the past month. Since the onset of his illness he had been treated with bed rest and a high caloric, high vitamin, salt-poor diet, with restriction of fluids. He was referred to Duke Hospital with the diagnosis of chronic nephritis and nephrosis "which has failed to improve and in which the outlook is bad." Examination. On June 2, 1943, his temperature was 36.8 C., his pulse 80, respirations 20, blood pressure 186 systolic, 110 diastolic. His height was 167 cm., his weight 74 kilograms. There was a 1 plus pitting sacral edema. His eyegrounds showed bilateral venous engorgement and tortuosity, with narrowing and tortuosity of the arterioles; there were small plaques of exudate around the macula on the left. His teeth were in good condition and his tonsils had been removed. There were no pathological findings in the lungs. His heart was enlarged bilaterally (fig. 2). The rhythm was regular. There was a soft systolic murmur over the entire precordium, loudest over the aorta. The liver was not enlarged. A flat plate of the abdomen showed nothing grossly abnormal. The hemoglobin was 76 per cent and there were 3,610,000 red blood cells and 8920 |
Digital Format | JPEG 2000 |
Print / Download PDF Version | http://archives.hsl.unc.edu/nchh/nchh-17/nchh-17-005.pdf |
Document Sort | all; nchh-17 |
Article Title | Treatment Of Kidney Disease And Hypertensive Vascular Disease With Rice Diet |
Article Author | Walter Kempner |
Volume Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/identi/searchterm/NCHH-17-005 |
Title Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/documa/searchterm/NCHH-17 |
Catalog Record link | http://search.lib.unc.edu/search?R=UNCb1306322 |
Revision History | done |
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