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Copyright 2020 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part. WCN 02-200-203
Copyright 2020 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part. WCN 02-200-203
 About the Authors
Linda Kelly DeBruyne, M.S., R.D., received her B.S. and M.S. degrees
in nutrition and food science from Florida State University. She is a founding mem-
ber of Nutrition and Health Associates, an information resource center in Tallahassee,
Florida, where her specialty areas are life cycle nutrition and fitness. Her other publica-
tions include the textbooks Nutrition for Health and Health Care, and Health: Making
Life Choices. She is a registered ­dietitian nutritionist and maintains a professional
membership in the Academy of Nutrition and Dietetics.

Kathryn Pinna, Ph.D., R.D., received her M.S. and Ph.D. degrees in nutrition
from the University of California at Berkeley. She taught nutrition, food science,
and human biology courses in the San Francisco Bay Area for over 25 years and also
worked as an outpatient dietitian, Internet consultant, and freelance writer. Her other
publications include the textbooks Understanding Normal and Clinical Nutrition and
Nutrition for Health and Health Care. She is a registered dietitian and a member of the
American Society for Nutrition and the Academy of Nutrition and Dietetics.

Copyright 2020 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part. WCN 02-200-203
Copyright 2020 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part. WCN 02-200-203
 Brief Contents
Chapter 1 Chapter 12
Overview of Nutrition and Health 1 Nutrition through the Life Span: Infancy,
Childhood, and Adolescence 343
Chapter 2
Digestion and Absorption 37 Chapter 13
Nutrition through the Life Span: Later Adulthood 391
Chapter 3
Carbohydrates 65 Chapter 14
Illness and Nutrition Care 419
Chapter 4
Lipids 95 Chapter 15
Medications, Diet-Drug Interactions, and Herbal
Chapter 5
Products 449
Protein 125
Chapter 16
Chapter 6
Specialized Nutrition Support: Enteral and
Metabolism, Energy Balance, and Body Parenteral Nutrition 469
Composition 149
Chapter 17
Chapter 7
Foods and Food Consistency for Upper GI
Weight Management 181 Disorders 503
Chapter 8 Chapter 18
The Vitamins 207 Fiber-Modified Diets for Lower Gastrointestinal
Tract Disorders 529
Chapter 9
Water and the Minerals 245 Chapter 19
Carbohydrate- and Fat-Modified Diets for
Chapter 10
Malabsorption Disorders 549
Fitness and Nutrition 279
Chapter 20
Chapter 11
Nutrition Therapy for Liver and Gallbladder
Nutrition through the Life Span: Pregnancy
Diseases 569
and Lactation 311

vii

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 Chapter 21 Chapter 24
Carbohydrate-Controlled Diets for Diabetes Energy- and Protein-Modified Diets for Metabolic
Mellitus 593 and Respiratory Stress 679

Chapter 22 Chapter 25
Fat-Controlled, Mineral-Modified Diets for Energy- and Protein-Modified Diets for Cancer
Cardiovascular Diseases 623 and HIV Infection 699

Chapter 23
Protein-, Mineral-, and Fluid-Modified Diets for
Kidney Diseases 651

viii Brief Contents

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 Contents
Preface xvii The Lymphatic System 49
Transport of Lipids: Lipoproteins 49
Acknowledgments xxi
2.5 The Health and Regulation of the GI Tract 51
Gastrointestinal Hormones and Nerve Pathways 51
Chapter 1
Gastrointestinal Microbes 51
Overview of Nutrition and Health 1 The System at Its Best 52
1.1 Food Choices 2 Nutrition in Practice Food Safety 55
1.2 The Nutrients 6
Six Classes of Nutrients 6 Chapter 3
kCalories: A Measure of Energy 7 Carbohydrates 65
1.3 Nutrient Recommendations 8 3.1 The Chemist’s View of Carbohydrates 66
Dietary Reference Intakes 8 Monosaccharides 66
Acceptable Macronutrient Distribution Ranges 10 Disaccharides 67
1.4 National Nutrition Surveys 11 Polysaccharides 67
National Health Goals 11 3.2 Digestion and Absorption of Carbohydrates 70
1.5 Dietary Guidelines and Food Guides 13 3.3 Regulation of Blood Glucose 70
Dietary Ideals 13 3.4 Health Effects of Sugars and Alternative Sweeteners 71
Dietary Guidelines for Americans 14 Sugars 72
The USDA Food Patterns 16 Alternative Sweeteners: Sugar Alcohols 76
MyPlate 21 Alternative Sweeteners: Nonnutritive Sweeteners 77
1.6 Food Labels 22 3.5 Health Effects of Starch and Dietary Fibers 79
The Ingredient List 23 Carbohydrates: Disease Prevention and
Nutrition Facts Panel 23 Recommendations 79
Claims on Labels 25 Carbohydrates: Food Sources 82
Nutrition in Practice Finding the Truth about Nutrition 32 Carbohydrates: Food Labels and Health Claims 84
Nutrition in Practice The Glycemic Index in Nutrition
Chapter 2 Practice 89
Digestion and Absorption 37
Chapter 4
2.1 Anatomy of the Digestive Tract 38
The Digestive Organs 38 Lipids 95
The Involuntary Muscles and the Glands 40 4.1 Roles of Body Fat 96
2.2 The Process of Digestion 43 4.2 The Chemist’s View of Lipids 97
Digestion in the Mouth 43 Triglycerides 97
Digestion in the Stomach 44 Fatty Acids 98
Digestion in the Small and Large Intestines 44 Phospholipids 101
2.3 The Absorptive System 45 Sterols 101
The Small Intestine 46 4.3 Digestion and Absorption of Lipids 102
Absorption of Nutrients 47 4.4 Health Effects and Recommended Intakes of Fats 102
2.4 Transport of Nutrients 47 Fats and Heart Health 103
The Vascular System 48 Recommendations 106

ix

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4.5 Fats in Foods 107 Guidelines for Identifying Those at Risk from Obesity 170
Finding the Fats in Foods 108 Other Risks of Obesity 171
Cutting Solid Fats and Choosing Unsaturated Fats 110 Nutrition in Practice Eating Disorders 174
Nutrition in Practice Figuring Out Fats 117
Chapter 7

Chapter 5 Weight Management 181

Protein 125 7.1 Causes of Obesity 182
Genetics and Weight 182
5.1 The Chemist’s View of Proteins 126 Environmental Stimuli 185
The Structure of Proteins 126
Nonessential and Essential Amino Acids 127 7.2 Obesity Treatment: Who Should Lose? 187
5.2 Protein Digestion and Absorption 128 7.3 Inappropriate Obesity Treatments 187
Over-the-Counter Weight-Loss Products 188
5.3 Protein Turnover and Nitrogen Balance 128 Other Gimmicks 188
Protein Turnover 129
Nitrogen Balance 129 7.4 Aggressive Treatments of Obesity 188
Obesity Drugs 188
5.4 Roles of Body Proteins 129 Surgery 189
5.5 Protein and Health 132 7.5 Reasonable Strategies for Weight Loss 190
Protein Deficiency 132 A Healthful Eating Plan 190
Malnutrition 133 Physical Activity 193
Protein Excess 134 Behavior and Attitude 194
Protein and Amino Acid Supplements 135 Weight Maintenance 196
Protein Recommendations and Intakes 136
7.6 Strategies for Weight Gain 197
5.6 Protein in Foods 137
Nutrition in Practice Fad Diets 203
Protein Quality 137
Protein Sparing 138
Chapter 8
Protein on Food Labels 138
Nutrition in Practice Vegetarian Diets 142
The Vitamins 207
8.1 The Vitamins—An Overview 208
8.2 The Fat-Soluble Vitamins 210
Chapter 6
Vitamin A and Beta-Carotene 211
Metabolism, Energy Balance, and Body Vitamin D 215
Composition 149 Vitamin E 219
Vitamin K 220
6.1 The Organs and Their Metabolic Roles 150
The Principal Organs 150 8.3 The Water-Soluble Vitamins 222
The Body’s Metabolic Work 151 The B Vitamins 222
Thiamin 224
6.2 The Body’s Use of Fuels 152 Riboflavin 224
Energy Metabolism 152 Niacin 225
Glucose Production 154 Pantothenic Acid and Biotin 226
6.3 Energy Imbalance 156 Vitamin B6 226
Feasting 156 Folate 227
The Economics of Fasting 157 Vitamin B12 228
6.4 Energy Balance 160 Non–B Vitamins 230
Energy In 160 Vitamin C 230
Energy Out 160 Nutrition in Practice Phytochemicals and Functional
Estimating Energy Requirements 163 Foods 238
6.5 Body Weight and Body Composition 165
Defining Healthy Body Weight 165 Chapter 9
Body Composition 167 Water and the Minerals 245
How Much Body Fat Is Too Much? 168 9.1 Water and Body Fluids 246
6.6 Health Risks of Underweight and Obesity 169 Water Balance 246
Health Risks of Underweight 169 Fluid and Electrolyte Balance 248
Health Risks of Overweight and Obesity 169 Acid–Base Balance 249

x Contents

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9.2 The Major Minerals 250 Healthy Support Tissues 313
Sodium 251 The Events of Pregnancy 314
Chloride 252 Nutrient Needs during Pregnancy 316
Potassium 252 Food Assistance Programs 321
Calcium 253 Weight Gain 322
Phosphorus 257 Weight Loss after Pregnancy 323
Magnesium 257 Physical Activity 324
Sulfate 259 Common Nutrition-Related Concerns of Pregnancy 325
9.3 The Trace Minerals 259 Problems in Pregnancy 326
Iron 259 Practices to Avoid 328
Zinc 264 Adolescent Pregnancy 331
Selenium 266 11.2 Breastfeeding 332
Iodine 267 Nutrition during Lactation 332
Copper 268 Contraindications to Breastfeeding 334
Manganese 268 Nutrition in Practice Encouraging Successful
Fluoride 269 Breastfeeding 340
Chromium 269
Other Trace Minerals 269
Chapter 12
Nutrition in Practice Vitamin and Mineral
Supplements 275 Nutrition through the Life Span: Infancy,
Childhood, and Adolescence 343
Chapter 10
12.1 Nutrition of the Infant 344
Fitness and Nutrition 279 Nutrient Needs during Infancy 344
10.1 Fitness 280 Breast Milk 346
Benefits of Fitness 280 Infant Formula 349
Developing Fitness 283 The Transition to Cow’s Milk 351
The Components of Fitness 283 Introducing First Foods 351
Cardiorespiratory Endurance 284 Looking Ahead 354
Muscle Strength and Endurance 285 Mealtimes 355
A Balanced Fitness Program 285 12.2 Nutrition during Childhood 356
10.2 The Active Body’s Use of Fuels 286 Energy and Nutrient Needs 356
Glucose Use during Physical Activity 286 Hunger and Malnutrition in Children 360
Fat Use during Physical Activity 289 Lead Poisoning in Children 361
Protein Use during Physical Activity 290 Food Allergy 362
Hyperactivity 364
10.3 Vitamins and Minerals to Support Activity 293
Childhood Obesity 365
Dietary Supplements 293
Mealtimes at Home 370
Nutrients of Special Concern 294
Nutrition at School 374
10.4 Fluids and Electrolytes in Physical Activity 295
12.3 Nutrition during Adolescence 375
Temperature Regulation 295
Growth and Development during Adolescence 376
Fluid Needs during Physical Activity 296
Energy and Nutrient Needs 376
Sports Drinks 297
Food Choices and Health Habits 377
Enhanced Water 298
Other Beverages 298 Nutrition in Practice Childhood Obesity and the Early
Development of Chronic Diseases 385
10.5 Diets for Physically Active People 299
Nutrition in Practice Supplements and Ergogenic
Chapter 13
Aids Athletes Use 306
Nutrition through the Life Span: Later
Chapter 11
Adulthood 391
Nutrition through the Life Span: 13.1 Nutrition and Longevity 392
Pregnancy and Lactation 311 Slowing the Aging Process 393
11.1 Pregnancy: The Impact of Nutrition on the Future 312 Nutrition and Disease Prevention 395
Nutrition Prior to Pregnancy 312 13.2 Nutrition-Related Concerns during
Prepregnancy Weight 312 Late Adulthood 396

Contents xi

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 Cataracts and Macular Degeneration 396 Drug Effects on Nutrient Excretion 457
Arthritis 396 Dietary Effects on Drug Excretion 457
The Aging Brain 397 Diet-Drug Interactions and Toxicity 457
13.3 Energy and Nutrient Needs during 15.3 Herbal Products 459
Late Adulthood 399 Effectiveness and Safety of Herbal Products 459
Energy and Energy Nutrients 400 Use of Herbal Products in Illness 461
Vitamins and Minerals 402 Nutrition in Practice Complementary and Alternative
Nutrient Supplements for Older Adults 403 Therapies 464
The Effects of Drugs on Nutrients 404
13.4 Food Choices and Eating Habits Chapter 16
of Older Adults 404
Individual Preferences 405 Specialized Nutrition Support: Enteral and
Meal Setting 405 Parenteral Nutrition 469
Depression 405 16.1 Enteral Nutrition 470
Food Assistance Programs 405 Oral Supplements 471
Meals for Singles 406 Candidates for Tube Feedings 471
Nutrition in Practice Hunger and Community Tube Feeding Routes 472
Nutrition 413 Enteral Formulas 475
Administration of Tube Feedings 477
Chapter 14 Medication Delivery during Tube
Feedings 481
Illness and Nutrition Care 419 Tube Feeding Complications 482
14.1 Nutrition in Health Care 420 Transition to Table Foods 482
Effects of Illness on Nutrition Status 420 16.2 Parenteral Nutrition 484
Responsibility for Nutrition Care 421 Candidates for Parenteral Nutrition 484
Nutrition Screening 422 Venous Access 484
The Nutrition Care Process 422 Parenteral Solutions 485
14.2 Nutrition Assessment 424 Administering Parenteral Nutrition 488
Historical Information 425 Managing Metabolic Complications 489
Food Intake Data 426 16.3 Nutrition Support at Home 491
Anthropometric Data 428 Candidates for Home Nutrition Support 491
Biochemical Analyses 431 Planning Home Nutrition Care 491
Physical Examinations 434 Quality-of-Life Issues 492
Determining Energy Requirements 435
Nutrition in Practice Inborn Errors of Metabolism 497
14.3 Implementing Nutrition Care 437
Dietary Modifications 437
Chapter 17
Approaches to Nutrition Care 439
Documenting Nutrition Care 440 Foods and Food Consistency for Upper GI
Improving Food Intake 441 Disorders 503
Nutrition in Practice Nutritional Genomics 445 17.1 Modifications in Food Texture
and Consistency 504
Chapter 15 Mechanically Altered Diets 504
Clear Liquid Diet 505
Medications, Diet-Drug Interactions,
17.2 Conditions Affecting the Mouth
and Herbal Products 449 and Esophagus 506
15.1 Medications in Disease Treatment 450 Dry Mouth 506
Risks from Medications 450 Dysphagia 506
Patients at High Risk of Adverse Effects 451 Gastroesophageal Reflux Disease 510
15.2 Diet-Drug Interactions 453 17.3 Conditions Affecting the Stomach 511
Drug Effects on Food Intake 453 Dyspepsia 511
Drug Effects on Nutrient Absorption 453 Nausea and Vomiting 513
Dietary Effects on Drug Absorption 454 Gastroparesis 513
Drug Effects on Nutrient Metabolism 455 Gastritis 514
Dietary Effects on Drug Metabolism 456 Peptic Ulcer Disease 514

xii Contents

Copyright 2020 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part. WCN 02-200-203
17.4 Gastric Surgery 516 Risk Factors for Cholesterol Gallstones 583
Gastrectomy 516 Treatment of Gallstones 584
Bariatric Surgery 519 Nutrition in Practice Alcohol in Health and Disease 588
Nutrition in Practice Nutrition and Oral Health 525
Chapter 21
Chapter 18 Carbohydrate-Controlled Diets for Diabetes
Fiber-Modified Diets for Lower Gastrointestinal Mellitus 593
Tract Disorders 529 21.1 Overview of Diabetes Mellitus 594
18.1 Modifying Dietary Fiber Intake 530 Symptoms of Diabetes Mellitus 594
Diagnosis of Diabetes Mellitus 594
18.2 Disorders of Bowel Function 531
Types of Diabetes 595
Constipation 531
Acute Complications of Diabetes Mellitus 597
Diarrhea 532
Chronic Complications of Diabetes 599
Irritable Bowel Syndrome 533
21.2 Treatment of Diabetes Mellitus 600
18.3 Inflammatory Bowel Diseases 535
Treatment Goals 600
18.4 Diverticular Disease of the Colon 538 Evaluating Diabetes Treatment 601
18.5 Colostomies and Ileostomies 540 Nutrition Therapy: Dietary Recommendations 602
Nutrition Therapy: Meal-Planning Strategies 604
Nutrition in Practice Probiotics and Intestinal
Health 545
Insulin Therapy 607
Antidiabetic Drugs 610
Physical Activity and Diabetes Management 610
Chapter 19 Sick-Day Management 612
Carbohydrate- and Fat-Modified Diets for 21.3 Diabetes Management in Pregnancy 613
Malabsorption Disorders 549 Pregnancy in Type 1 or Type 2 Diabetes 613
Gestational Diabetes 613
19.1 Malabsorption Syndromes 550
Evaluating Malabsorption 550 Nutrition in Practice The Metabolic Syndrome 618
Fat Malabsorption 551
Bacterial Overgrowth 553 Chapter 22
19.2 Lactose Intolerance 554 Fat-Controlled, Mineral-Modified Diets for
19.3 Disorders of the Pancreas 555 Cardiovascular Diseases 623
Pancreatitis 555 22.1 Atherosclerosis 625
Cystic Fibrosis 556 Consequences of Atherosclerosis 625
19.4 Disorders of the Small Intestine 558 Causes of Atherosclerosis 626
Celiac Disease 558 22.2 Coronary Heart Disease 627
Short Bowel Syndrome 560 Evaluating Risk for Coronary Heart Disease 627
Nutrition in Practice Anemia in Illness 565 Lifestyle Management to Reduce CVD Risk 628
Vitamin Supplementation and CHD Risk 631
Chapter 20 Lifestyle Changes for Hypertriglyceridemia 632
Drug Therapies for CHD Prevention 633
Nutrition Therapy for Liver and Gallbladder Treatment for Heart Attack 633
Diseases 569 22.3 Stroke 635
20.1 Fatty Liver and Hepatitis 570 Stroke Prevention 635
Fatty Liver 570 Stroke Management 635
Hepatitis 571 22.4 Hypertension 636
20.2 Cirrhosis 572 Factors That Influence Blood Pressure 636
Consequences of Cirrhosis 573 Factors That Contribute to Hypertension 637
Treatment of Cirrhosis 576 Treatment of Hypertension 637
Nutrition Therapy for Cirrhosis 577 22.5 Heart Failure 640
20.3 Liver Transplantation 580 Consequences of Heart Failure 640
20.4 Gallstone Disease 581 Medical Management of Heart Failure 641
Types of Gallstones 581 Nutrition in Practice Helping People with Feeding
Consequences of Gallstones 582 Disabilities 646

Contents xiii

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 Chapter 23 24.2 Nutrition Treatment of Acute Stress 683
Determining Nutritional Requirements 683
Protein-, Mineral-, and Fluid-Modified Diets for Approaches to Nutrition Care in Acute Stress 685
Kidney Diseases 651 24.3 Nutrition and Respiratory Stress 686
23.1 Nephrotic Syndrome 653 Chronic Obstructive Pulmonary Disease 686
Consequences of the Nephrotic Syndrome 653 Respiratory Failure 689
Treatment of the Nephrotic Syndrome 653 Nutrition in Practice Multiple Organ Dysfunction
23.2 Acute Kidney Injury 656 Syndrome 695
Causes of Acute Kidney Injury 656
Consequences of Acute Kidney Injury 656 Chapter 25
Treatment of Acute Kidney Injury 657
Energy- and Protein-Modified Diets for Cancer
23.3 Chronic Kidney Disease 659
Consequences of Chronic Kidney Disease 659 and HIV Infection 699
Treatment of Chronic Kidney Disease 661 25.1 Cancer 700
Kidney Transplants 666 How Cancer Develops 700
23.4 Kidney Stones 668 Nutrition and Cancer Risk 701
Formation of Kidney Stones 668 Consequences of Cancer 703
Consequences of Kidney Stones 669 Treatments for Cancer 705
Prevention and Treatment of Kidney Stones 669 Nutrition Therapy for Cancer 707
Nutrition in Practice Dialysis 674 25.2 HIV Infection 711
Consequences of HIV Infection 712
Treatments for HIV Infection 714
Chapter 24
Nutrition Therapy for HIV Infection 715
Energy- and Protein-Modified Diets for Metabolic Nutrition in Practice Ethical Issues in Nutrition
and Respiratory Stress 679 Care 721
24.1 The Body’s Responses to Stress and Injury 680
Hormonal Responses to Stress 680
The Inflammatory Response 681

Appendix A Aids to Calculation A-2 Glossary GL-1

a.1 Conversion Factors A-2 Index I-1
a.2 Percentages A-2
a.3 Weights and Measures A-3
Appendix B WHO: Nutrition Recommendations B-1
Case Studies
Chapter 11
Appendix C Choose Your Foods: Food Lists for Diabetes C-1
C.1 The Food Lists C-1 Woman in Her First Pregnancy 334
C.2 Serving Sizes C-1 Chapter 12
C.3 The Foods on the Lists C-1 Boy with Disruptive Behavior 364
C.4 Controlling Energy, Fat, and Sodium C-2
Chapter 13
C.5 Planning a Healthy Diet C-3
Elderly Man with a Poor Diet 406
Appendix D Physical Activity and Energy Requirements D-1
Chapter 14
Appendix E Nutrition Assessment: Supplemental
Nutrition Screening and Assessment 437
Information E-1
E.1 Weight Gain during Pregnancy E-1 Implementing Nutrition Care 442
E.2 Growth Charts E-1 Chapter 16
E.3 Measures of Body Fat and Lean Tissue E-2 Injured Hiker Requiring Enteral Nutrition
E.4 Nutritional Anemias E-8 Support 482
E.5 Cautions about Nutrition Assessment E-12 Patient with Intestinal Disease Requiring Parenteral
Appendix F Enteral Formulas F-1 Nutrition 491

xiv Contents

Copyright 2020 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part. WCN 02-200-203
Chapter 17 Chapter 12
Woman with GERD 512 Protect against Lead Toxicity 362
Nutrition Care after Gastric Surgery 519 Chapter 13
Chapter 18 Turn Convenience Foods into Nutritious Meals 408
Young Adult with Irritable Bowel Syndrome 535 Stretch Food Dollars and Reduce Waste 415
Chapter 19 Chapter 14
Child with Cystic Fibrosis 558 Measure Length and Height 429
Patient with Short Bowel Syndrome 562 Measure Weight 430
Chapter 20 Estimate and Evaluate Changes in Body Weight 431
Man with Cirrhosis 580 Estimate Appropriate Energy Intakes for Hospital Patients 436
Chapter 21 Help Hospital Patients Improve Their Food Intakes 442
Child with Type 1 Diabetes 612 Chapter 15
Woman with Type 2 Diabetes 614 Prevent Diet-Drug Interactions 458
Chapter 22 Chapter 16
Patient with Cardiovascular Disease 640 Help Patients Improve Intakes with Oral Supplements 471
Chapter 23 Help Patients Cope with Tube Feedings 477
Woman with Acute Kidney Injury 658 Plan a Tube Feeding Schedule 479
Man with Chronic Kidney Disease 666 Administer Medications to Patients Receiving Tube Feedings 481
Calculate the Macronutrient and Energy Content of a
Chapter 24
Parenteral Solution 488
Patient with a Severe Burn 686
Chapter 17
Elderly Man with Emphysema 689
Improve Acceptance of Mechanically Altered Foods 509
Chapter 25
Manage Gastroesophageal Reflux Disease 512
Woman with Cancer 711
Alter the Diet to Reduce Symptoms of Dumping Syndrome 518
Man with HIV Infection 717
Alter Dietary Habits to Achieve and Maintain Weight Loss after
Bariatric Surgery 521
How To Features Chapter 19
Chapter 1 Follow a Fat-Restricted Diet 553
Calculate the Energy a Food Provides 7 Chapter 20
Chapter 3 Help the Cirrhosis Patient Eat Enough Food 578
Reduce Intakes of Added Sugars 74 Chapter 21
Chapter 4 Use Carbohydrate Counting in Clinical Practice 605
Make Heart-Healthy Choices—by Food Group 110 Chapter 22
Chapter 5 Implement a Heart-Healthy Diet 632
Calculate Recommended Protein Intakes 136 Reduce Sodium Intake 639
Chapter 6 Chapter 23
Estimate Energy Requirements 164 Help Patients Comply with a Renal Diet 666
Chapter 7 Chapter 24
Apply Behavior Modification to Manage Body Fatness 195 Estimate Energy Needs Using Disease-Specific Stress
Factors 684
Chapter 9
Cut Salt Intake 251 Chapter 25

Add Calcium to Daily Meals 257 Increase kCalories and Protein in Meals 708
Add Iron to Daily Meals 265 Help Patients Handle Food-Related Problems 709

Contents xv

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Copyright 2020 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part. WCN 02-200-203
Preface
and protein digestion to each individual chapter, simplified
Numerous discoveries in nutrition science the main Gastrointestinal Tract figure, added a new sec-
over the past few years have continued to benefit the field tion on GI tract health, regulation, and microbiota, added
of health care. In revising this tenth edition of Nutrition a new handwashing figure to the Nutrition in Practice, and
and Diet Therapy, we have been pleased at the number of enhanced the table showing refrigerator home storage times
new findings we have been able to incorporate into these for fresh and processed foods.
pages. As always, major goals of this textbook are to pres-
ent both core nutrition information and guidelines about Chapter 3
the prevention of, and care during, illness. Another mis- Added information about added sugars in ultra-processed
sion is to help nutrition students evaluate information and foods, added a discussion of sugar and diabetes, included
products available from the media, colleagues, and the tips to increase fiber intake in the table of fiber in foods,
marketplace. and included additional individual characteristics that
As in the previous edition of this book, Chapters 1 influence a person’s blood glucose response to food in the
through 10 introduce basic concepts in nutrition and Nutrition in Practice.
explain how sound nutrition supports health. Chapters 11
to 13 apply nutrition principles to individuals during dif- Chapter 4
ferent stages of life, from pregnancy and birth through old Moved the table of major sources of fatty acids from the
age. The second half of the book addresses the concerns Nutrition in Practice to the chapter, and added a discus-
of individuals who are at risk of illness or have medical sion and table of the Mediterranean diet to the Nutrition in
conditions that require nutrition therapy. A hallmark of Practice.
the text is the “Nutrition in Practice” section located at
the end of every chapter: these sections provide coverage Chapter 5
of current research topics, advanced subjects, or specialty Added the definition of processed meat, added a table
areas. of the USDA Healthy Vegetarian Eating Pattern to
the Nutrition in Practice and added a new figure of
the vegetarian MyPlate.
Changes for This Edition
Each chapter of this book is based on current nutrition Chapter 6
knowledge and the latest clinical practice guidelines, and Added a brief discussion of intermittent fasting, added
features new learning objectives for each major section. and defined a new term, adiposity-based chronic disease,
Some major content changes in this edition include the and included information about metabolically healthy
following: obesity.

Chapter 1 Chapter 7
Added a new section on marketing and food choices, Added a brief discussion about ghrelin, sleep, and obesity,
added a discussion of processed and ultra-processed foods included a discussion of obestiy and the gut microbiota,
versus whole foods and included definitions for each simplified the discussion of over-the-counter weight loss
term, expanded the discussion of Healthy People goals drugs and herbs, enhanced the discussion of energy
and progress made so far, enhanced the Nutrient Intake density and weight loss and reworded the section on
Recommendation figure and the Accurate/Inaccurate behavior modification and deleted the food diary figure to
View of Nutrient Intakes figure, added information about emphasize mobile applications to track food and activity.
the job duties of dietitians in the Nutrition in Practice.
Chapter 8
Chapter 2 Replaced drawings with photos in the figures showing
Moved Digestion/Absorption chapter from Chapter 5 to good sources of certain vitamins, simplified the figure of
Chapter 2 and dispersed details about carbohydrate, fat, the blood-clotting process, reorganized the niacin section,

xvii

Copyright 2020 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part. WCN 02-200-203
deleted How to Estimate Dietary Folate Equivalents, added nutrition support), modified the table comparing tube
a section about choline, shortened and simplified some feeding routes, reorganized the sections about administra-
sections in the Nutrition in Practice, and added definitions tion of tube feedings, modified sections on formula safety
of edamame, miso, and soy milk. and initiating and advancing tube feedings, and modi-
fied dietary recommendations for phenylketonuria in the
Chapter 9 Nutrition in Practice about inborn errors.
Deleted the figure called what processing does to sodium
and potassium contents of foods, replaced drawings Chapter 17
with photos in figures showing good sources of certain Added a discussion about gastroparesis; modified some
minerals, and included a new figure of a supplement label material in sections on gastroesophageal reflux disease,
in the Nutrition in Practice. gastritis, and bariatric surgery; and added glossary defi-
nitions for acid regurgitation, heartburn, bloating, and
Chapter 10 pernicious anemia.
Defined and discussed myokines, reorganized the section
on glucose use during physical activity, created a table of Chapter 18
carbohydrate recommendations for athletes, updated pro- Revised the discussion about intestinal gas, added a defi-
tein recommendations for athletes and created a table of nition for FODMAPs, modified the table of foods that
food sources, and added a discussion of dietary nitrate increase intestinal gas, revised some material in the sec-
as an ergogenic aid; removed chromium picolinate and tion on constipation, added calcium channel activators to
ribose. the table of laxatives and bulk-forming agents, and revised
the paragraphs on nutrition therapies for irritable bowel
Chapter 11 syndrome and diverticular disease. In the Nutrition in
Rewrote parts of the beginning of the chapter, deleted the
Practice on probiotics, modified the table of intestinal bac-
infant mortality figure, included a section on choline dur-
teria, the section about dietary sources of probiotics, and
ing pregnancy, added a new table of advice for preganant
the paragraph about safety concerns associated with the
and lactationg women eating fish, and added a new table
use of probiotics.
listing signs and symptoms of preeclampsia.

Chapter 12 Chapter 19
Modified the section on evaluating malabsorption,
Improved and simplified the table of supplement recom-
added definitions for oxalates and bacterial translocation,
mendations for infants, added a new section called How
revised some information about nutrition therapies for
to Feed Infants that includes and defines responsive feed-
acute and chronic pancreatitis and cystic fibrosis, and
ing, added information about hunger and satiety signals to
added some gluten sources to the table describing the
the table of infant development and recommended foods,
gluten-free diet.
included updated American Academy of Pediatrics juice
recommendations for infants and children, and rewrote
and shortened the section on nutrition at school. Chapter 20
Shortened the paragraph on the nutrition treatment for
Chapter 13 hepatitis, modified the table of laboratory values for the
Deleted the table of ineffective dietary strategies for arthri- evaluation of liver disease, modified the table listing the
tis and shortened the discussion of food insufficiency and clinical features of hepatic encephalopathy, and revised
obesity in the Nutrition in Practice. the section on the nutrition therapy for cirrhosis, includ-
ing the table summarizing nutrition recommendations.
Chapter 14
Updated laboratory values in the table on routine labo- Chapter 21
ratory tests, added a short table showing examples of Updated statistics throughout the chapter; modified the
nursing diagnoses that have nutritional implications, and section on type 1 diabetes; distinguished between periph-
rearranged several paragraphs in the section on Dietary eral and autonomic neuropathy in the section on diabetic
Modifications. neuropathy; revised various sections on nutrition therapy
to reflect updated clinical guidelines; modified the table
Chapter 15 on insulin preparations, including the addition of inhaled
Updated tables related to herbal products, and updated insulin; added sodium-glucose cotransporter 2 (SGLT2)
statistics and terminology in the Nutrition in Practice inhibitors to the table listing the different types of anti-
on CAM. diabetic drugs, modified the section on physical activity in
diabetes management, added a box showing the glycemic
Chapter 16 goals for pregnant women with diabetes; in the Nutrition
Refined the terms related to nutrition support (intro- in Practice, added a figure showing how metabolic syn-
duced the terms specialized nutrition support and oral drome varies among ethnic groups and removed the figure

xviii Preface

Copyright 2020 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part. WCN 02-200-203
showing how it varies with age, and updated several sec- key terms appear in the margins. “How To” skill boxes
tions in the Nutrition in Practice on metabolic syndrome, help readers work through calculations or give prac-
including a modified discussion about obesity’s influence tical suggestions for applying nutrition information.
on hypertension. Learning objectives at the beginning of each chapter and
“Review Notes” at the end of each major chapter section
Chapter 22 help students assimilate the material and assess reading
Updated statistics throughout the chapter; revised vari- comprehension.
ous paragraphs in the sections on CVD lifestyle man- Study tools include the “Self Check” at the end of each
agement, hypertension, and heart failure; updated chapter, which helps readers test their understanding of
the box showing how blood pressure measurements the chapter material. “Your Diet” exercises ask students
are classified; updated the table of recommended life- to apply nutrition information from each chapter to their
style modifications for blood pressure reduction; added own diets. Case studies in the later chapters challenge
a box describing the effects of drugs used in hyper- readers to apply chapter information to clinical situations.
tension treatment; and in the Nutrition in Practice on “Clinical Applications” provide practice with mathemat-
feeding disabilities, modified several paragraphs and ical calculations and help students understand the impact
changed the photo showing an example of adaptive of nutrition-related issues on health care professionals and
feeding equipment. their clients.
“Nutrition Assessment Checklists” summarize assess-
Chapter 23 ment parameters relevant to different stages of the life
Updated statistics throughout the chapter, modified cycle or groups of disorders. “Diet-Drug Interaction”
the table on causes of acute kidney injury, revised the boxes point out interactions relevant to the medica-
section on malnutrition in chronic kidney disease and tions described in each chapter. The appendixes include
introduced the term protein-energy wasting, revised the a wealth of information on enteral formulas, WHO
table on dietary guidelines for chronic kidney disease, Nutrition Recommendations, food lists for diabetes,
introduced hypocitraturia as a risk factor for calcium physical activity and energy requirements, additional
kidney stones, revised and reformatted the table of information about nutrition assessment, and aids to
foods high in oxalates, and in the Nutrition in Practice calculations.
on dialysis, revised the description of the different types We hope that as you discover the many fascinating
of hemodialysis. aspects of nutrition, you will ­enthusiastically apply the
concepts in both your professional and your personal life.
Chapter 24 To a­ ccess additional course materials including MindTap,
Revised the section on micronutrient needs in acute stress, please visit www.­cengage.com. At the Cengage.com home
shortened the section on causes of chronic obstructive page, search for the ISBN of your title (from the back
pulmonary disease, revised some sections on nutrition cover of your book) using the search box at the top of the
therapy for respiratory failure, modified the section on page. This will take you to the product page where these
nutrition support in respiratory failure, and added infor- resources can be found.
mation about the types of oxygen equipment available for
patients on oxygen therapy.
MindTap: Empower Your
Chapter 25 Students
Updated statistics throughout the chapter, updated the
tables on factors that influence cancer risk, revised the MindTap is a platform that propels students from memo-
section on cancer immunotherapy, revised the section rization to mastery. It gives you complete control of your
about food safety concerns for immunosuppressed cancer course, so you can provide engaging content, challenge
patients, included information about prophylactic medi- every learner, and build student confidence. Customize
cations used in persons at risk of HIV exposure, updated interactive syllabi to emphasize priority topics, then add
the definition of AIDS-wasting syndrome to reflect cur- your own material or notes to the eBook as desired. This
rent guidelines, and in the Nutrition in Practice on ethical outcomes-driven application gives you the tools needed
issues, revised some glossary definitions and modified the to empower students and boost both understanding and
discussion about the effectiveness of advance directives in performance.
medical care.
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Throughout the book, the readable text and pedagogic Cut down on prep with the preloaded and organized
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and retention of the material. For example, definitions of with interactive multimedia, assignments, quizzes, and

Preface xix

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118 A CLINICAL REPERTORY Strabismus. — ^Ain., Aim., Bz.

n., Ca. p., Cb. a., Cic. v., Cin., Co. a.» Cyc, Ery. a., Jab.» Nax, Oln.,
PiiL s.. Pod., Sap., Soor., Sec.,. SpL, Stm., Syph., Tab., Zin.
DiTKBaENT. — Mor., Na. sa. Ikwabd, Bight. — ^Tan. Bight. — 8p. m.
Straiiis.— Ars., Gale, Ga. fl.. Lye, SiL See also Ankle, Sfbain of ; and
Spmlns. Strangury.— Ac. L, Arm., Bel, Cam., Cth., Epg., E. pu., Jn. v.,
Lach.^ Nx. m., Onia., Pig., Pr. s., SbL, Sbi., Sntn., Sara., SiL, Tax.»
T&r., Thl. Striotare.— Ghm. u., Med., Pb., Pr. b., Bhs., Syph., Ter.,
Thio. Spasmodic. — Sec. Urethral. — Snl. L {Su also Urethra^
Stricture of.) See also Reotum, Stricture of. Struma.— Ech. a., Vis.
Strychnine Poisoning. — Euc, Oxg. Stomp, Irritable. — Symt.
Neuralgia in. — Am. m. Stuttering.— Cic. v. See also Speech,
Arrested, &o. ; and Stammering. Stye.— Cyp., Pag., Fe. p., Hep,, Lc.
f., Pi. x., PuL, Sac. 1., Sga., Sep.,. So. o., Stii., Stp., Ur. n., Vi. o., Ziz.
SubinTolntion.— Na. hch. See also Uterus, Subinvolution of.
SulTooation, Fitb of. — Chi. Sun, Effects of. — Cac., Sel. See also
Sun-headache ; and Sunstroke. Sunburn. — Sol. Sun-headache.—
GeL, Olc, E. bi.. Elm., Stm. Sunstroke.— Ami., Ant. c, Cac., Cam., Cit.,
Crt. h., Eu. pi., (Jel., Glo^ Hy. X., Hfb., Lye, Na. m.. Dpi., Pop. c, Sol.,
Stm., Syph. Ve.v. Chronic Effects of.— Na. c. Suppressed Eruptions,
Effects of.— Aps., Bry., (Pso.), (Sul.) See also Eruptions, Suppressed;
Itch, Suppressed; and Suppressions. Suppressed Menstruation.— As.
h. See also Menstruation, Suppressed. Suppressions.— Zin. See also
Eruptions, Suppressed; Feet, Sweat of. Suppressed; and Itch,
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A CLINICAL REPERTORY 119 SnppiiratioiL— ilm., An,, Buf.,

Cain,, Dxn., PI. x., Hep,, Mr, sol, Mth. b., Met. s., Sil. See also
Oangrenoiu and Fetid Suppurations; and Joints, SUPPUBATION ot
Snpra-OFbital Neuralgia.— (Acn.), Mr. c. See also Ciliary Neuralgia ;
and Neuralgia, Supba-Obbital. Surgical FeYer.— Mere. See also
Operations, Effeotb of; Traumatic Fever; and Traumatism.
Swallowing, Constant. — Ar. m. Constant, while Talking.— Stp.
Sweat. — Am. ac., Bnz., Ga. hp. ExcBSBivB. — ^Eser. {See also
Perspiration, Excbbsivb.) Local. — Pie. Pbofuse. — Ph, a?., Psc.
Viscid. — Phal. See also Perspiration. Sycosis.— Anan., Ank., Ant. t,,
Aps., Ast. r., An. m. n., Bz. x., Calo., Cast., Cnb., Bphr., K. bi., K. m.,
Na. s., Pi. x., Sbi., Thu. Hahnemanni.— Mil., (Nt. x.), Ph. x., (Thu.).
Mbnti. — Oalc. Sycotic Diathesis.— Gph. Ebuptiomb. — Sto. c.
Syncope.— Amg., Prt. See also Fainting. Synovitis.— Ant. t., Pul. See
also Joints, Sykovitib of. Syphilis.— ^^ps., AH., Alns., Anag., Anan.,
Aps., Ag. i., Ag. n., As, t., As. mt., Asa., Aso. t., Au. ar., Au. i., Aur,,
Au. m., Au. m. n., Bad., Ber. a., Ca. fl., Ca. s., Cltr., Cb. a., Caus.,
Chm. u., Ch. ar., Ohr. c, Cnb., Crl., Cry., Crt. h., Cnd., Cu. b., Ech. a.,
Eryth., Euc, Bub., Per., FL x,, Fno., Qph,, Gui., Hec, Hep., Hpz., Hoa.,
Hdr., Hyd., led., Ja. o., Ja. g., Jg. r., K, hi,, E. br., E. phi., K, t.. Ere.,
Lc. c, Laoh., Li. c, Mr, sol,, Mr. bin., Mr, c,, Mr. i. f., Mez,, Nt, x,, Osm.,
Pet., Ph. x., Pho., Phyt, Pso., Sang., Sars., Sel., Sti., Stil,, Syph., Thu,,
Thyr., Ul. f.,Vi.t. Nebvbb, of. — Mr. n. See also Congenital Syphilis;
Eyes, Stphilitic Affections of ; Headache, Syphilitic; Kerato-iritis
Syphilitica; LiYer, StphuiIB of ; Syphilitic Deafhess, &o. ; and
Testicles, Syphilitic Enlaboement of. Digitized byVjOOQlC
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120 A CLINICAL REPERTORY Syphilitio Deafhest.— Ere.

Ebuptions. — Osm., Phyt. Pains. — ^B. pf. SoBE Thboat. — ^Bor.,
Elm. Syriiigo-myelia.— P^. Tabes Mesenterioa*— Bap., Calc:, lod,,
Mr. c, Pet., Pb., Pyro., Sac. o. Tachycardia.— Adr. Tape-womi. —
Arec., Calc, Ca. cs., Cnb., Cue. p., Co. a., FiL, Erg., Gm., Earn., Ecu.,
Plat., Pul., Sbd., SI. x., Stn. Tamntnla-bites.— Los. Tarsal Cysts.— Fe.
p., Fe. py., E. i. Tarsal TnmoiiFs.— Stp., Zin. Tartar.- Sa. m. See also
Teeth, Tabtab, on. Taste, Abnobmal. — Lye. Altbbbd. — Mac, Ant. L,
Ag. n., Crv., Chel, Fag., Gne. Bad.— -BA^. Defbavbd. — Pid.
Dibobdbbbd. — Aim., Am.^ Bel., Bor., Calc., Cam., Chi., Hdr., Mag. €.,
Mag. m., Mr. sol., Mr. c, Na. m., Nt. x., Nux. Illusions of. — ^Pod.,
StU. Loss of.— Chlf., Na. m.. Per., Pod., Pul. Pebvebted. — ^Pod., Zn.
m. Tea, Effects of.— Ab. n., Chi., Dio., Lo. i., Nux, Thu. Teeth,
Affections of. — ^Eub., Mr. v., Mez. Cabies of. — Cdic., Hec., Ere.,
Pip. n., Sil., Sip., Syph., Thu. Cbumbling. — Ph. h. Defective —
^Bac., Fl, x. Opebations on. — Aln. Pitted. — ^Bao. Tabtab on. —
Ca. ren., SU. m. Teething.— Gel. See also Dentition ; and Wisdom-
Teeth, Effects of Cutting. Temperature, Lowered.— Sap. Tendo
Aohillis, Affections of. — Mu. x. Pain in. — Ari., My. c, Ttr., Dp.
Tendons, Contbactbd. — Cans., Mez. Cbeaking of. — E. m. Inflamed.
— Ant. c. Digitized by VjOOQIC
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A CLINICAL REPERTORY 121 Tenesmus.— Ags., Alo., Aph.,

Bel, Hep,, Ign., Mr. c, Ntix, Pb. ohr., Pod., SU., So. t. 8B., Sul
Testicles, Appbotions ot—Aco., Aur., Ba. m., Bel, Con., Khs., Stp.
Atrophy of. — Sbl. • Induration of. — Agn., Bro., Ox. x. Inflammation
of. — Clem,, Ham., Spo. Neuralgia of.— Na. as., 01. a. Pains in. —
Osm., Ox. x., Oxt. Eetraction of.— Ol. a. Swelling of. — Agn., Ca. p.,
Var. Syphilitic Enlargement of. — Mr. bin. Tubercle of. — ^Bao. t.
Tuberculosis of. — Ten. s. Undeveloped. — Aur. Tetanus. — Acn.,
Aco., Amg., Ang., Atr., Bz. n., Cain., Cam., Can. s., Cbn., Crb. h., Crb.
s., Oast., Chlf., Cic. m., Cic. v., Crt. h., Cur., Glv., Grfc., Hel., Hy. x.,
Hfb., Hyo., Hyp., Ipo., Jas., Jn. v., K. br., Lau., Led., Mil., Mor., Net.,
(Una., Ox. x.. Pas., Phst., Phyt., Pb., Sntn., Scor., Bin., Son., So. c. So.
n., Stm.. Sty., Sul. h.. Tab., Ter., Tber., Thyr., Up., Vm., Ver., Vb. p.
Neonatorum. — ^Pas. * See also Jaws, Clenched; Look-jaw;
Opisthotonos; and Trismus. Tetany,— Aco. Tetters.— Anag., Con., Jg.
c. Ph. x. Moist and Itching. — Aim. Thi^, Pain in.— Hi. Sweat on. —
^En. g. Thirst. — Aco., Amm., Ant. t, Am., Ars., Bel, Bry., Cth., Chi.,
Crt. h., Dul, B. pf., (Na. m.), Stm., Sid. Absence of. — Cyc, (Pul.)
Thought, Difficult.— So. m. Thread-worms. — Bap., Cin., Na. p., Scir,
Sin. a., Spi., Teuc. Throat, Appbctions of. — Aco., jSJsc, Aln., Aim.,
Ag. n.. Cans., Cen., Qui., lod., Thev. Atrophic Pharyngitis. — Sbl.
Burning in. — Pop. c. Catarrh of. — Lc. f.. Sum. Constricted. — Gn.
1. Constricted, Sorb. — ^Lc. x. Contraction of. — ^Rat. Deapness.
— Hdr., Mr. sol Diphtheritic. — ^Phyt. Digitized by VjOOQIC
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122 A CLINICAL REPERTORY Throat, Dbtness of. — Dbn.,

Onos. Fish-bone Sensation in. — Phst. Gbanulab. — ^Homa., Phyt.,
Yuc. ' Haib Sensation in. — K. bi. Herpetic. — Phyt. Inflamed. — Mr.
c. Mucus in. — Na. c, Pho,, Pso,, SuL, Trf . p. Pakalysis of. — ^Pop.
c. EisiNG in.^Amt. See also Globus Hysterious; aiid Hysteria. SoBB.
— Atp., Aps,, Ars., Asi., Ba. c, BeL, Bz. x., Bro., Ca, p., Cth.^ Cap.,
Chr. o., BpL, Bug., E. pu., Bu. a., Fag., For., Gam., Gn. c.,. Ger., Gno.,
HsBm., EQi., Hep,, Hpt, Homa., Hdr,, Hyn., Ign,y Ja. g,, K W., K. ca.,
K. pm., Lc. c, Loch., Lc. x., Lc. v. f.„ Lo. s., Lrs., Lyc.f Mth. pi., Mr. r.,
Mr. ac, Mr. cy., Mr. d., Mr. $. /., My. c, Naj., Nic, Nym., Onos., Ov. g.
p., Ph8t.> Phyt, Pie., Ex. ac., Bum., Sbd., Sbl., SI. x., Sg. n., Snc,
Sga., Trf. p., Ts. p., Urt., Ver., Vin., Vis., Wye., Zin. See also
Clergyman's Sore Throat; Pharyn^tis; Sora Throat; and Syphilitic
Sore Thboat. SOBB, Catarrhaii. — Sbl. Sore, Varicose. — (Ba. m.),
(Ham.) Spasm of. — Sum. Ulceration of. — Elp., Idm., Bum., Syph.,
Vi. t. Thrombosis.— Antf., Sec. Tibia, Burning in. — Zin. Pain in.—
Bad., DuL, Mn. o., Nt. s. d., Stp., Syph., Trb., Ts. p. . Tic ConYulsif.—
Aga., Anan. Tic Douloureux.— Anan., Ccn. s., Der., Gel., K. chl., K. i.,
Mag. p. See also Neuralgia; and Prosopalgia; fto. Tioklishness.—
Son. Timidity.— Amm., Dt. m. Tinea Capitis.— Bap., Ba. m., Mez.,
Pso. {See also Ringworm.) CiLiARis. — ^Mag. m. Faciei. — ^Pso.
Versicolor. — (Bac), (Chs. x.), Mez., (Sep.), (Tel). Tinnitus Aurium.—
Acr. r., Ba. m., Chn. a., Chi., Ch. sal., Ccs. c.,. (Cur.), Fe. pi., K. i.,
Kim., Kis., Lach., Let. v., Led., Mag. c.„ Pim., Pin. s., PI. n.. Eat., Eho.,
Sin., Sang., Sg. n., Spi.. Thio.» Ve.n. See also Ear, Noises in ; Ear,
Beports in ; Headache, with: Tinnitus ; and Noises in the Head.
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A CLINICAL REPERTORY 123 Tobacco, Effects of. — Ab. n.,

Ch. ar., Ch. m., Gel., Kim., Net., So. m., Stp. Habit.— ilr*., Ca. p..
Cam., Chi,, Nux, Pho., Pint., P6., Spi. Hbabt. — Apo., Sou.
Intolebance of. — E. bi. Toe-nailSy Affections of. — Per. Ikgbowing.
— Stp. {See also Ingrowing Toe-nails.) Toes, Affections of. — Bn. s.
Tongue, Affections of. — Aon., Aco., JSsc, Ars., Au. m. n., Bel., Caj.^
Cb. a., Cans., Dul, Glv., OeL, Ore., Hdr., Man., Mr. sol, Mr. v., Mr. c,
Mez., Mu. x., Nux, Ox. x., Bhs. BiTiNa of. — Sec., Thu. Blistbbbd. —
Na. m. Blub. — Gno. BuBNiNQ in. — Pod., Snc. Canobb of. — Crt. h.,
K. cy., Vb. p. CoATBD. — Ant. c, Ant. t, Bry., (Bqu.), Lye, Oln., PuL,
Sul. Coated White. — Na. m. Cracked. — Ar. t., Bs. v., So. t. 8B.,
Syph. Cbamp in. — Lye., But. Ebuption on. — Pip. n. Heavy. — Na.
m., Pip. n. Indtjbation of. — Smp. Inflammation of. — Cth., Crt. h.
{See also Glossitis.) Mapped.— ^Jkfr. v., Bn. s., Trx. Neubaloia of. —
K. as., K. i. Nodules on. — Av/r. Numbness of. — Li. m., Bhe. (Edbma
of. — Aps. Painful. — Crv. Pabalysis of. — Ac. c.,. Ast. r., Bth., Cap.,
Cans., Cnn., Guac.» Ln. u., Lo. p., Mrl., Pb., Pyr. a., Tep., Zn. s.
Pabched.— Oln. Patched. — Mnc. Peeling of. — Bn. s. Pbiokling on.
— Lina. Psobiasis of. — Mu. X. Bingwobm of. — Snc. BouGHNEBS of.
— Lina. Sensibility of, Lost. — Clch. Shbiyellbd. — Na. hch.
SoBENBSS of. — Bz. X., Osm., Phel. Spasm, of. — Cbn. Stiffness of.
— Ohm. m., Nic. Digitized by VjOOQIC
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124 A CLINICAL REPERTORY Tongue, Stbawbebby. — Frg,^

Sap. SwBLiiiNa of . — Ast. r., Caj., Erg., E. tel.» Mns., Mez., Na. hoh.
(Ena., Rut., Vsp., Vip. Thickening of. — Sul. i. Ulcerated. — Aps,^ Ag.
»., Bap., Bov., Fl. a?., Lc. v., Nt. a;., (Ena. Syph., Thu. Vesicles under.
— ^Lort., TonsiUitis. — ^Ba. m., Ca. s., Qhn. a., Dul., Fe. m., Gui,
Mr. i. f., Bap., Stp., Sul., Ust. See also Quinsy ; and Tonsils, Inflamed.
TonsllSy CONCBETIONS in. — Pso. Enlarged. — Ba. c, Bz. x., Bro.,
Ga, p,, Pb. i., Pip. Hypertrophy of, Chronic. — Sul. i. Inflamed. —
^Bro. {See also Quinsy ; and Tonsillitis.) Swollen. — Am. m., Gre.
Tootluudie. — Ago., Act. s., Aga*, Agn., Am. o., Amph., Aug., Atp.,
Aph., Api. g., Aran., Arm., Ast. f., Bis., Bry., Caj., Calc., Ca. cs., Cbl. X.,
Ced., Cham., Chm. m., Chm. u., Chr. o., Clem., Ccn. s., Cof., Col.,
Com., Dph., Dig., Dio., Eub., Bpn., Fer., Fe. s., Fl. X., Glv., Gel., Glo.,
Gm., Gui., Gno., Heo., Hyo., Ign., Ind., Inu., Ipc., Itu, K. ca., Ere.,
Mag. c, Mag. p., Mag. s., . Mgt., Mgt. n., Mn. s., Mr. sol., Mr. i. f., Na.
c, Na. hch., Nio., Nx. m., Onis., Prt., Pet., Pbyt., Pip. m., Pip. n.. Pint,
Pie., Pr. s., Pul., Rap., Rho., Sbd., Sbi., Snc, Soil., Sep., Spi., Stp., Sul.,
Tab., Tep., Ther., Thu., Til., Ton., Trb., Val., Ver., Xan., Zn. a. See also
Eye-teeth, FainB in ; and Pro^anoy, Toothache of. ToFtloolUs.— Gui.
See also Wry-neok. Touoh, Sense of, Disordered.— Par. Traohea,
Affections oL-^Ars., Calc., Cb, a., K. bi., Lack., Nux, Rum., SU., Stn.
Cartilagbb, Affections of. — (Stil.) Dryness of. — Gh, v. Irritation of.
— Aps., Bro., StU. Mucuia in. — Can. s. Pain in. — Bry., Osm. Tickling
in. — Cap., Pho. • Traohoma. — Ch. m., Cu. s., Mrl. See also under
Eyes; Granular Coi^anotiYitis ; and Granular Lids. Trauma.— Cep.,
Glo., (Su. x.). {See also Traumatism.) Digitized by VjOOQIC
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A CLINICAL REPERTORY 125 Tranmatio FeTer. — Aco., Am,,

Ars., Gao., Chi., Loch., Mero. See also Surgioal FeTer; and
Traumatism. TranmatiBm.— Bis., Eu. pi. See also OperatioiiBy Effects
of; and Teeth, Opebationb on. TraTellln^ Effeots ot— Cai., Clcn.
Tremors. — Act r., Aga., Ant. t., OeL, Ign., LoL, Mr. sol, Stm.
Mebourial. — Zn. p. Trichiasis.— Bor., Gph., (Tel.) See also Entropion;
ajid under Eyes. TricliinflB.— ilr^., Bap. Trifboial-nerTe Paralysis.—
Na. m. ' Trismus.— Acn., ^th., Ag. p., Aim., Bz. n., Orb. o., Chr. o.,
Cic. v.,. Con., Ln. u., Mor., So. n.. So. t, Stm. Tubercular Diarrhoea.—
Cto. Tuberculosis.— Avn., Bac., Bel, Bro., Calc., Ch. ar., Pe. i., Hpz.,
lof., Lp. a., Led., Mrt., Na. as., Pho., Pyro., Spo., Teu. s., Tub., Une..
See also Consumption; Laryn^tis, Tubbbculab; Phthisis; and
Testicles, Tubeboulosis of. Tumours. — Anan., Aps., Am., Ast. f., Aur.,
Au. m. n., Ba. c, Ba. i.^ Ba. m., Bis., Ber., Bov., Ca. ar., Gale., Ca. s.,
Chel., Col., Con.,. Cro., Cp. L, Dal., Euc, Epn., 60s., Oph., Hec., E. i.,
Lach., Lp. a., Lau., Mag. c, Na. sf., Pho., Phyt., Sang., Sil., So. t.^
Stp., Tm., Thio., Thu., Vac. Bbbast, of. — Bro., Ca. i. {See also
Breast, Tumoub of.) Canobbous. — ^Pho. EbeothiB. — Pho.« Fatty.—
S^ Fatty Tumours. Pibboid.— iSfig Fibroma. Polypoid. — Pho. {See
also Polypus.) Tabsal.— Stp., Zin. Turpentine, Effects of.— Nx. m.
Tvitching.— Cam., Cin., Se. j. See also Spasmodic Twitching.
Tympanites, or Tympany. — Amb., Asa., Cb. v., Chi., Coc. i., Mor.^
Dpi., Rm. c. So. n., Ter. Typhlitis. — Crd. m., Clch., Gam., Gas., Pb.,
Pyro., Rm. c. See also Appendicitis. Typhoid FeTer. — Abs., Aga., Ail.,
Ar. t., Bap. c, Bnz., Ber. a., Cld.,. Ca. ar., Calo., Clch., Dor., Dal, Ech.
a., Euc, Fe. m., Hel., K ca., Lo. p., Lye, Mnc, Mos., Nph., Nt. s. d..
Nap., Phen., Sec., Sptn., So. n., Sol. h., Sam., Trx., Tri., Ver., Ye. v.,
Zin.,. Zn. m. Digitized byVjOOQlC
 126 A CLINICAL REPERTORY Typhoid Fever, HiBMOBBHAGB
in. — Aln., Nx. m. Lack of Becupbbation after. — Cast. See also
Enteric Fever. Typho-malarial Fever.— Los. Typhus Fever. — Aga,y
Ail., Aim., Aps., Ars., Asr., Bap., Cli, Cb. v.. Oast., Ch. «., Chlf., Chlm.,
Hdr., Hyn., Mr. v,, Mr. bin., Mu. X., Pest., Ph. X., Pho., Bhs., Stm.
Ulceration. — Amm., Cb. a., Cry., Cro., Cur., Dor., Hyp., Mst. s. En. fl.
UloerB. — Aln., Am. m., Anan., Athra., Ar. Ip., Arm., Ars., Asa., Ast, r.,
Bal., Bel, Bz. x., Bor., Brs., Bro., Ca. si., Ca. s., Galn.t Cb, v,, Cbl. X.,
Cans., Cet., Cham., Chlm., Chr. o., Cis., Com., Con., Crt. h,, Cnd.,
Cup., Ech. a., Eub., Gli., Get., Gph., Gnd., Ham,, Hel., HI. v., Hpz.,
Hoa., Hn. m., Hdr,, Hfb., Jeq., K. as., K. bi., E. chl., K. i,, E. ph.. Ere.,
Lc. o.. Loch,, Lia., Mgt., Mr, sol, Mr. ac,, Mez,, Na. m., Nt, x., Poo,,
Ph. x., Pho,, Phyt., Pb. i., Pig., Pso., En. a., Sars., Sec., Sil^ So. n.,
SuL, Su. X., Syph., Syz., Tep., Trao., Xan., Zin. Ill-conditioned. —
Anag. Malignant. — Chm. u. Obstinate. — ^Pyro. Vabicose. — (Ord.
m.), Euc, Gas. (Ham.), Pyro. See also Rodent Ulcer. Umbilicus,
Abscess of. — Pb. Hebnia of. — Pb. Inflammation of. — Phst., Sac. 1.
Oozing from. — Abr. Pain in.— Ph. x., Prf. Uramia. — ^Am. c, Asc. s.,
On. i., Cbl, x., Cu, a,, Opi,^ Phen., Ter., Ure., Urt. Urttmic
Convulsions.— Hy. x., Pilo. Ureter, Pain in. — Scro. See also Renal
Colic. Urethra, Cabuncle of. — Can. s., Euc. Excbescences in. —
^Teu. Inflammation of, Chbonic. — Pet. Ibbitation of. — Onos.
Spasm of. — Nux, Strictube of. — Clem,, Euc, Ind., I^. i., Pet., Pho,,
Silt Sul. i. Striotubb of. Spasmodic. — Aco,, Cam, Urethral Fever.—
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A CLINICAL REPERTORY 127 Urethritis.— Aps., Caus., Cop.,

Cyc, Dor., K bi., Li. c, Pip. m., Rm. f. See aUo OonorriiOBa; Gleet;
and Urethra, Inflammation of, Chronic. Urio Aoidy Deposit of. — ^Li.
bz. Diathesis. — Ccs. c, Lys., Thl. Excess of. — ^Pip. m.
UricaddaBiiiia.— Pb. Urinary Affections. — Cf. t., Uva. Calculi. — Lips.
(See also Bladder, Stone in.) Difficulties. — Apo. {See aUo Dysuria ;
and Urination, Difficult.) DisoBDBBS. — Arm., Asp., Caj., C3ii. i.,
Chm. u., Cbn. s.. Dig., Li. c. Urination, Delayed.— Pint. Difficult. —
Apo., Dul., But. {See also Dysnria.) Difficult, of Childbbd. — Ehe.
Frequent, too. — K ca,, Lil., Nux, Sntn. {See also Polyuria; Urine,
Excess of; and Urine, Increased.) Straininq. — Mag. m. XjRGiNa to.
— Carl Urine, Abnormal.— id^s., Gth,, Ign., Lye, 0cm., Ox, x.
Alkaline. — E. ac. Black. — Bz. d. Bloody. — Pi. x. Deposits in. —
Ard., Spa. u. Disorders of.^ — Arb., Bz. x., Ber., Cap., Caus., Oph.
Excess of. — Pier., Scil. {See also Polyuria; Urination, too Frequent;
and Urine, Increased.) Fetid.— Trp. Fishy Odour of. — Ur. n.
Incontinence of. — ^Dul., Ery. a.. Per., Fe. p., Hdm. a., K. br., Kre.,
Lth., Pul, Sbl., Sep., Sil., Trt., Tur., Ur. n., Vbs. {See also Enuresis.)
Increased. — Pin. s., Thri. (See also Polyuria; Urination, too
Frequent; and Urine, Excess of.) Milky. — Cin. Offensive. — Sto. b.
Phosphatic. — Ph. X. Purulent. — (Ber.) Bed. — Bhe. Bbtbntion of. —
Api. g., Equ., E. pa., Hyo., Opi., Ter., Zea. st. Bbtention of, Hysterical.
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128 A CLINICAL REPERTORY Urfaiet Slimt. — ^Prei.

STBONG-SMBLIiINa. — BoT., Pin. 8. SuppBsssiON ol.—Aco., Ag. p.,
Gam., Mds., Qpi., SIA, Ter., Zea Bt.» • Zng. Urtioaria.— Amg., Ank.,
Atp., Api. g., Ar. dm., Bom., Bov., Calc, Ch. 8., Chi. h., Cop., Co. c,
Crt. h., Cub., Erg., Ga. x., Hli., Hep,, K. ca., K ph., Ln. u., Lips., Med.,
My. c, Na. p., Phy., Pod., Bh8., R8. v.. Bob. Bmn., Sntn., Sko., So. a..
So. o., Sirf., Ttr., Til., Tri., Urt., Voe. Giant. — Sntn. Nodosa. — Urt.
TimSBOBA. — ^Bo. ItL See also Nettle-raah. « Uteras, Apfbctions of.
— Act. r., Aln., Ast. r., Bel, Gale., Cur., Frz., Oel, Ham., Hlon., Hdr.,
lod., Kre., Lo. c, LH., PaL, Prf., Phyt., Sbl., Thl., Vic. AiB in. — Bro.
Atony of. — Caul., Lap., Bs. a. Bearing down in. — Gbs., Sep., Til.,
Vb. o. Blbeding from. — Sbi., Vin. (See also Ksmobbhagb from; and
Metrorrha^a.) Cancer of.— Arg., Cahi. (Clt.), Cb. a., Gph., K. ca.,
Tm.. Thl. {See also Scirrhub of.) Congestion of. — Ve v. Cramps in.
— Onos., Pip. n., Vb. o. Debility of. — Als. DisOHABGB from.
Offensive. — Cain. Diseases of. — Gham. Displacements of. — Ab. c,
CbL x., Lil. Fatigxted. — ^Bls. HiBMORRPAGE from. — Au. m., Aur.
m. k., Jn. v., Bs. a., Thl. {See also Bleeding from ; and Metrorrha^a.)
Hyperplasia of. — Ant. i. Induration of. — Aw., Au. m. k., Au. m. n.,
Mag. m., Plat. Inertia of. — Dpi., Sec. Inflammation of. — Cain., Pul.,
Til. Inflammation of, Follicular. — Hyd. Misplacement of. — Hit., Ov.
g. p., SbL Neuralgia of. — Crt. c, Cu. as., Sec., Tm. Pains in. — Alet.,
Asc. s., Col., Mag. m., PI. n. Polypus of. — Ca. p., Erod. Prolapse of.
— Aco., -2Bsc., Alet., Alo., Ar. Ip., Arg., Ca. p., Fe. br., Fe. i., Frx.,
Hfb., Mwr., Nx. m., Nux, Onos., Ov. g. p., Pal., Ph. X., Pod., Pul., Pyr.
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A CLINICAL REPERrORY 129 UteroB, Betrovbbted.— Ov. g.

p. (?) SoiBBHUs of. — An. m. n. {See also Gancbb of.) Sodden. —
Na. hoh. SoBENBSS ot — Bno. Spasm of. — Caul. Subinvolution of.
— LU., Na. hoh. TuMOUBS of. — Au. m., Prx., Sbl., (Sno.) Ulobbated.
— ^Vsp. Wateb-IiOogbd. — Na. hch. See also Cenlz Uteri, Affections
of ; Os Uteri, Dilated ; and Rl^dOs. UTnla, Affections of. — (Hyc),
Wye. BuBNiNG in. — Ts. p. Elongated.— (Hyo.), Mr. c, (Phyt.), Bx.
ao., Sbd. Enlabged. — Idm., C^hyt.) Pain in.— Trf. p. Belaxbd. —
Ahi. SwoLLBN. — E. pm. Ulcebated. — ^Idm. Taooination. — Aps.t
Mr. sol, Mez., Sil., Sko., SuL^ Thu. Effects of. — Aco.^ Crt. h., Ech.
a., Gph., K m., Mid. Ywocbd9L.—Bel., Pho., Vac. YaooinofliB.— Lc. o.,
Mid., Thu., Vac., (Yar.) Tagina, Am in.— J3ro. {See also PhyBometFa.)
BuBKiNG in. — ^Pop. c. Cysts in. — Kho. DiscHABGE from, Sbbous.
— Lo. i. Heat, Bubning, and Itching of. — ^An. m. Pain in. — Col.
PfiOLAPSB of. — Nnz, Oom., Stn., (Stp.), Su. x. Pbubitus of. — Hyd.
Spasm oL—Eam., Ign., Ph., Sil. {See also TaginifoniiS.) YagiiiiBmus.—
Aln.» Ber., Cao., Hfb., Mag. p., Na. m., Plat., Pb., Thn. See also
Tagina, Spasm of. Yaginitis.— Cur. Yaricella.— Led. Yarioes. — Calo.,
Mil., Mu. z., Na. m., Pet., Ph. x. Yarioooele.— ^rt. h., Ham., Pnt.,
But., Sul., Tab. Yariooee Ulo6F8.-~
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130 A CLINICAL REPERTORY Tarioose Telns. — (Amb.)i

Aps., Ord. m., Gaus., Chi., Ch. s., EL a0.» Lo. c, PsBO., Sep. See dUo
TeinSy Yabioose. TariooBis.— Ao. x., fils., Gain., Grd. b., Grt. h., Fi. x.,
Lyo., Mgli. s., Mr. cy., Pyro., En. b., Sofa:., So. n., Spo., Sto. b., Sto.
o., Sul., Su X., Yip., Zin. Of Extbbnaii Gbnitals. — Zin. DuBiNG
Pbbgnancy. — Zin. See also irms, Vabioosis of. Variola.— Aps., Bap.,
Ch. s., Pho., Sin. n. See also Small-pox. YarioloicL— Ani t.
YegetationB.— Mr. n. Teins, DisBASED. — Fl. x. DiBTBMDBD. — Ghn.
8. PuENBSfl of. — Opi. Inflammation of .— PtiZ. {See also Phlebitis.)
Swollen. — Rut. Vabicobb.— ^e. p,, Ham., Lach,, Ph., Pul, But. {See
also Tarioofle Veins; and Yarioosis.) Tertebrtt, Affbotions of .— Prf .
Gbbvical, GBACKiNa in. — Mgt. n. Pain in.— Ov. g. p., So. t. 8B.
Pulsation in. — So. t. ad. TuMOUEB of. — Tm. See also Spine,
Affbotions of, &e. yePti|0. — Aco., Ms. g., Ag. e., Atb., Aur., Bel, Bis.,
Bzn., Bor., Bro. Bry., Gaj., Ga. ao., Calc., Ghi., Ghlf., Coc. «., Gf. t.,
Gnn., Con., Glv. d., GuL, Gyc, Dt. a., Dgn., Dbn., Eth. n., Bv. a., Pgs.,
Fer.^ Oel, Gre., K. ca,, E. n., E. so., E^m., Lab., Laoh., Li. br., Lo. p.,
Mgn. gr., Mrl., Mor., Mos., Na. m., Nux, Oln., Oxt., PflBO., Phal., Ph.
X., Pin. s., Prm. ve., Qer., Sbd., Sx, p., Sil., So. a., So. n., Sta., Std.,
Tep., Ther., Urt., Ver., Vsp., Voe., Wis. AuBAL.— Pilo. {See also
Meniere's Dtsease.) Gabuca. — Na. hoh., Wis. Vesication of Skin.—
Gth. Tesioles.— Eu. cy. Yeta.—See Moimtain Sickness, yicarious
Mbnstbuation. — ^Epn. NOSB-BLBBD. — Lsch. See also Epistaxis,
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A CLINICAL REPERTORY 131 Tisiony Affections of.— Crd. b.,

01. j., Sto. o. {See aiso BLfitt^ AffboTIONS ot) GoMUBBD. — Anh.
Dbfbctivb. — ^Bap. o., Elae. Dm.— 8g. t., Spm., Tax. DiBOBDEBBD.
— Anh., Atr., Aur., Bnz., Cb. a., Cnn., Con., Dig., Dxn., Dbn., Eub., Pe.
mg., Grt., Hyn., Hyo., Prf., Prt., Per., Sro. Hallucinations of.— Dgn.
(See also Glairroyaiioe.} Illusions of. — Glv., Mor. (See also
GlairToyanoe.) Impaibed. — Nio. Lost. — Jg. o. Yellow.— Sntn.
Titnoiis, Opaoitiafl of.— Ghlst., Pr. s. Yoioe, Affections of. — Am., Ber.
a., lod,, Prm. ve. Altered. — Ckc. x. HoABSE.- Ar. t., Au. m., Stp. {See
also Hoaneness.) Loss of.— Arg., Oaus., Fe. pi., (M., Ign., Pho. {See
also Aphonia.) Low. — Ant c. Nasal. — Stp. Weakness of. — Coca,
Mth. pi« Tomitlii^ — Aon., Ac. c, ^th., Ag. p., Amm., Ant, t, Ap. a.,
Apa, Ars,, Bis., Bro. x., Ga. m., CbL x., Ger. o., Goc. i., Gri. r., Cue. p.,
Gu. as., Dxn., Drs., Bit., Bth., B. pu.. En. !., Fe, w., Fe. p., Gni., Hli.,
Hmer., Hnr. o., lod., Ipc., Ir. t., IriSf Jat., K ox., Elm., Ere., Lc. x., Mr.
soL, Pet^ Phal., Bm. f.. Sang., Sntn., Sch., Sin. a., Tng., Thev.
BiLions.-~Grt. h. Black. — Pix. Oebbbbal. — Apm. Milk, of. — Snc.
MOBNING, OF BeBB DbINKEBS. — (Gup.) Pbbgnanoy, dubing. —
Act. r.. Ana., God., Gvl, Cno. p., Lo. i. {See also Morning Sickness of
Pbbgnanot ; Ppe|nanGy, Sickness of; Pregnanoy, Sickness of,
Mobnino; and Pragnanoy, VoMiTiNa oi) Beflbx. — Apm. Watbb, of. —
Sno. See also Abdomen, Opebations on, Vohiting after; Carriage
Sioknese; Sea-sickneBs; and Hysterical Vomiting. TnlTa, Bbuption
on. — Gen. Inflammation of. — Gop., Jtn. SOBBNBSS of. — Oy. g. p.
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132 A CLINICAL REPERTORY Tulva, Thbobbing in. — Cen.

YiilYitis,— Cop., Itu. Waking, Scbbaminq on. — Cham. Stabts and
Scbeams on.— J5ry. Weeping on. — Cic. v. Walking, Delay in. — As.
f., Calc., Pin. s., Sil. Wandering Rheumatism.— Ap. a., PI. n. Warts.
— Ao. x., An. oc, Ana., Ant. c, Ag. n., An. m., Au. m. n., Ba. o.^ Boy.,
Galc.t Ga. o. t., Ct. eq.. Cast., Caus., CheL, Chr. o., Cnb.» Cp. 1., Dul.,
Bub., Fe. mg., Fe. pi., K. hi., K, w., K pm., Kis., Lc. c, Lach., Lye, Mag.
s., Med., Na. c, Na, m., Na. s.,. Nt. s. d., Nt. X., Pal., Pet. (Phas.), Ph.
x., Phyt., Rn. b., Rhs., But., Bars., Sep., Stp., Sul., Su. x., Thu, See
also Lupoid Warts ; and Prepuce, Wabtb on. Water, Epfeots of. —
Phst. Waterbrash.— jB?7., Lye, Mag. m., Nux, Ver. Pbegnanoy, of. —
Dio. See also Pregnancy, Pybosis of ; and Pyrosis. Weaning,
Complaints after.— Cyc, Frg. Wens. — Ba. c, Bz. x.. Con., Gph., Hep.,
K. ca., K. i., Lo. i., Nt. x.^ Ph. X., Phyt., Bhs. White-leg.— Crt. h.
White-swelling.— Sul. Whitlow.— All., Am. c, Athra., Asa., Brc. x.,
Bov., Buf., Calc, Caln.y Cep., Chm. u., Dio., Fe. mg., Fl. x., Gno., Hec,
Hep., Iris, K ph., Lach., Led., Mst. s., Pho., Pul., Sang., Sil., Syph.,.
ThL, Wis. Whooping-cough. — Acq., (Amb.), Am. br.. Am. pi., Ana.,
Aug., Ant. c.„ Ant. t., Am., Ars., Bad., Bel, Bry., Cap., Crb. h., Cst. v.,.
Cans., Cep., Cham., Chel., Cin., Ccs. c, Crl., Crt. h., Cu. a.^ Cu]^.,
Cur., Drs., Dul., Fe. p., Gph., Gre., Hep., Hpz., Hy. x.^ Hyp., Ipc, K.
bi., K. ca., K sc, Kre., Let. v., Lau., Lo. L,. Lye, Mag. m., Mag. p.,
Mep., Mos., Mu. x., Nph., Na. m., Nic, Nt. jc.. Dpi., Oxg., Pod., Sbl.,
Smb. n., Sang., Soil.^ Sga., Sep., Spo., (Sue), Thu., Urt., Vac,
Ver.,"Vi. o., Vi8.» Zin. Wisdom-teeth, EflTects of Gutting.— Chei.
Worm Complaints. — Cio. v. Worm FcTer.— Bel, Chm. m., Ipo.
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A CLINICAL REPERTORY 133 UTonns.— Abr., AIL, Ap. a.,

Ars,, Art. v., JBop., Old., Cafc., Chne., Gic. v., Cm., Euo., Fe. m., Fe.
s., Gph., Ind., lod., Jab., Jat., Lips., Lun., Lye, Nph., Na. m., Na.p., Nx.
m., Nnx, Ph. x.. Pint., Pod., Ptl., Qua., Eat., Sbd., Sntn., Soil., Sdr.,
SU., Sin. a., Spi.j Spo., Stn., Sul, Sum., Tan., Tel., Ter., Teu., Urt., Zin.
LuMBKici. — Ohn. a.. Pin. s., Pie., Sntn. See also Helminthiasis;
Tape-womi; Thread-wonns ; and TriohiiiflB. Worry.— Sul. Vonnds. —
Anag., Aps., Am., Ars., Brc. x., Bov., CaJ/n,, Cro., Erig., Ery. a., E. pf..
Ham., Hli., Hel., Hyp., Loch., Led., Pho., Phst., Pint., Se. a., Symt., Zn.
m. Hbaling of, TOO Kapid. — Hfb, PuNOTUBED. — ^Phas. {See also
PnnotiiFed Wounds.) See also Dissection Wounds ; Onnshot Wounds
; and Poisoned Wounds. Wristy Affections of. — ^Per. Boils on. —
Snc. Pain in, — Homa., Pie., Bho., Trm. Paralysis of. — Hpm.
Bheumatism of. — Hpm., Vi. o. Writer's Cramp or Spasm.— Ana.,
Cyc, Enb., Fe. i., Fe. p. h.. Gel., Lol., Mag. p., Mr. i. f., Pi. x., Rn. b.,
Sil., Trl. Wry-neok (Torticillis).— ^s. g., Atr., Chi. b.. Qui., Lchn.
Xerostoma. — Ir. t. Tavning. — Aco., Am., Ca. p.. Cast., Ghel., Cim.,
Elt., Ign,, Ere., Let. v.. Lye, Man., Na, m., Nux, Bap., Bhs., SuL, Tel.
Spasmodic. — Plat. Yellow FeTer. — Aco., Ars., As. h., Bry., Cd. s..
Cap., Cb. v., Cep., .Crt. h., Cup., Ipc., Lpt., Pho., Ver. Zona.— Ag. n.,
Cis., Com., 6ph., E. m. See also Herpes Zoster ; and Zoster. Zoster. —
^Bor., Iris, E. m. See also Herpes Zoster; and Zona. Zygoma, Pain in.
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 PABT II. REPERTORY OP CAUSATION NOTE. AiiMOST all
remedies have relations of some kind to the various accidents and
conditions of ordinary life. Their symptoms are made worse or better
by heat or cold, rest or motion, by night or by day, or other
circumstances or conditions. Many remedies are related to the
effects of certain conditions. This is not just the same thing as
ag^avation, though allied to it and sometimes identical with it. £^or
instance, Arnica removes morbid conditions (apart, of course, from
surgical injuries such as broken bones) caused by falls; Euta relieves
the effects of bruised bones. It is not correct in either case to
describe these as aggravations, and therefore I thought well to
arrange such relationships under a separate heading in the
Dictionary, These I have now indexed, and repertbrised, in the
subjoined list. Although Causation and Aggravation are not the
same, they are closely allied. Rhas is related to the effects of damp
weather, and appears in the list of remedies having this Causation ;
but it also has its symptoms, when not caused by damp, aggravated
in a supreme degree by conditions of damp. Therefore the prescriber
who uses this list of Causes as a rough list of Aggravations also will
not go far wrong, and may find no little help from it in some of his
cases. The names of a few remedies have been added which do not
occur in the Dictionary of Materia Medica. These, for the most part, I
have enclosed in brackets. When a cause is associated with any
particular effect, that effect is placed in brackets and precedes the
name of the remedy which corresponds to it. For instance, **
Washing clothes " causes ill effects to which certain remedies
correspond. Phosphorus corresponds to heada^che resulting from
washing clothes. In the list of remedies this fact is marked thus : **
rheadache) Pho." When, in a list of remedies, one of them has a
qualifying word or phrase thus prefixed to it, the qualification must
be understood to apply to that remedy only, and not to those which
follow. Abdominal Operations.— Bis. (See also Operations.) Aoid
Food. — Na. m. Air, Cold. — Cam. Draught of. — Cd. s., Lach.
Draught of, cold, when perspiring. — Mr. i. f. Draught of. — Cd. s.,
Lach. Hot, inhaled from Fire. — Cb. v. 137 Digitized by VjOOQIC
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138 REPERTORY OF CAUSATION Air, Snowy. — Con., Sep.

Alool^oL— (Are.), Aur., Bry., Gale, Od. s., Ob. v., Ohi., Ort. h., Dig.,
Gel., Laoh., Led., Lo. i., Nx. m., Noz, Opi., Qner., Bn. b., Bel., Sep.,
Strp., Sul., Ter., Ver. (See also Bear; Uqaora; Wines, &o.) Alcoholism.
— Aga., Ars. Anger. — ^Alm., Am., Bry., Cham., Chi., Goc. !., Ool.,
GeL, E. br., Lach., Lyo., Me2., Na. s., Noz, Opi., Pho., Sao. o., Sep.,
Sip., (led nose) Yin., Zin* Effects of. — (cough) Ant. t., Aur. Shghtest.
— Bhs. Slightest lit of. — (trembling and dyspncBa) Bn.b.
Suppressed or Beserved. — ^Aur., Ipec., Stp. See dUo Passion; and
Rage. Anxiety. — Act. r., Lye, Smb. n. (See aiso Care; Kental
Distress, te. ; and Wwry.) Apiirtthsnsion.— Ag. n. Arms, Baismg. —
Su. x. Baising high to lift things. — ^Bhs. Asoending.— Ca. p.
Angnst, Hay-fever of. — Oep. Antonm. — (epidemics of spasmodic
cough) Oep., (affections in general) K.bi. Bad Beer.— Nx. m. Eggs. —
Ob. V. Eat (rancid).— (Ars.), (Cb.v.). Ksh.— Ob. a., Ob. v. Oep. Pood.
— Ob. V. Liquors. — Cb. v. Lobster Salad. — (Ars.). News, hearing.
— ^Aln., Aps., Art. v., Ca. p., Gel., Paao., Ph. x., Tm. Smells.—
(Bap.), Ere. (See dUo Mozioos Bfflnvia; and Sewergas.) Vegetables.
— Cb. a. Water, drinking. — ^All, Ort. h. Wines. — Cb. v. Bath. —
(suppressed menses) Nx. m. Bathing, Cold.— Mag. p., Phst. Fresh or
Salt Water, m,r— Bhs. Sea. — Ars., Mag. m. Bed-sores. — Sul., (form
soon in typhoid) Val. Digitized by VjOOQIC
 REPERTORY OF CAUSATION 139 Beer. — (morning
vomitiing, Cup.)* K. bi., (headache) Bhs., Thu. Bad. — Nx. m. Bee-
stings.— Urt. BereaTement.— Plat. Bites.— Hyp., Led. Dog-bites.—
Hfb. Poisonous. — Sga. Snake-bites. — Lo. p., Phit. Bitter Foods.—
Na. p. Blood-letting.— Se. a., Soil. Blood-poisoning.— Aga., Lo. p.,
Pyro. {See also Sepsis.) Blows.— Con., Hel, K. m., K. ph., Mag. o.,
Phst., Pso., Sep., Sul., Symt., Urt. Head, on. — Art. v., Mrl. Bones,
Injuries to. — Heo., But., Symt. Boots, Tight.— Peeo. Brain,
Concussion of. — Su. x. Overworked. — Cu. a. » Bread. — Na. m.,
Zng. Braises. — (Am.), Led., Li. c, PaBO., Pint., But., Su. x. Bums. —
(or scalds) Gaus., K. m.. Pint., Urt. Business Embarrassments.— Act.
r., K. br. Losses. — K. br. Batter.— Cb. v. Cabbage.- Pet. Camp Life.—
Mir. Care.— Ars. {See also Anxiety ; Kental Distress, &c. ; and
Worry.) Carriage, Biding in. — Lye, Pet. Carrying Heavy Wei^ts.—
But. Catheterism.— Mag. p. Caastio, Lanar. — Na. m. Chafing. — Su.
x. Chagrin.— Au. m., Bry., Ck)l., Lye, Ph. x. {See also Yexation.)
Charooal Fames.— Opi. Checked Eraptions, kc.—See Bappressed.
Cheese.— Nt. s. d. Child-bearing.— Act. r., Stm. Chill.— Aco., Chi.,
Khn., Mos., Pul., Spi., Sul., Vis. Overheated, when. — K. sc. Water, in
the. — Ars. Clay, Gold, Working with. — Mag. p. Climbing
Mountains.- Ars. Digitized by VjOOQIC
 140 REPERTORY OF CAUSATION Coffee.— (abuse of) Grt.,
Nux, Ox. x., Thu. Coitus.— Aga., Stp. , Cold.— Ant. 0., Arm., Pig.,
Ehe. Air. — Cam« Bathing. — Mag. p., Phst. Catching. — Col., Ea.
ca., Rho. Clay, working with. — Mag. p. Damp weather. — Lth., Mr. i.
f. Damp, with.— Dul., Phyt. ' Drinks, effects of, when overheated. —
^Bls. • Dry winds. — Aco., Hep. Exposure to, and damp. — Phyt.
Milk, drinking. — K i. Moist winds. — Cala, Cep. Water, standing in.
— ^Mag. p. Wind.— Bry., Cd. s., Mag. p. Wind, driving in. — Sg. n.
Contradiction, Effects of .— Aur. Contusions. — Con., (enlarged
testicle) Var. Coryza, Suppressed.— Chi. Cuts. — K. m., Pint., (clean-
cut wounds) Stp. Damp.— Cac., Pig. Cellars.— Ter. Cold weather. —
(or warm) Gel., Lth., Mr. i. f. Cold winds and weather, effects • of
exposure to. — Calc, Cep. Cold, with.— Dul., Phyt. Sheets.— Ehs.
Warm Weather.— Cb. v. Weather.— Gel., Lth., Sin. n., Syph. Weather,
warm or cold. — Gel. Debauohery.— Cb. v., Nux, Sel. Decayed
Yegetables, Eating.— Cb. a. Dentition.— Cham., Mag. c, Mag. p.,
Bhe., Stn., Stp. Deranged Internal Functions.— E. m. Depressing
Emotions.— Gel. Diet, Errors in. — Dio., Mag. c. Mixed.— Pul. Poor.
— ^Ars. Disappointed Love.- Act. r., Ant. c, Aur., Cac., Ca. p., Hel.,
Ign., lod., Lach., Ph. x., Tm., Ver. Disappointments.— Ahn., Na. m.
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 REPERTORY OF CAUSATION 141 Disoharges, Sappressed.—
Bry., Led., Vi. o. (See also Sappressed Disoharges, &o.) Didooations.
— Pso., Bhe. Displeasure, Beserved. — Axir,, Ipo., Stp. {See also
Anger.) Dissecting Wounds.— Pyro. Distress, Mental.— Mag. c.
Disturbance, Emotional.— E. br. Dog-bites.— Hfb. Draught of air.—
Cd. s., Lach. Cold, when perspiring. — Mr. i. f . Drenching Rains,
Exposure to. — Pho. Drinks, Cold, when overheated.— ^Bls., Na. c.
Drinking Ice-water. — Cb.v., Bhs. ' Milk, cold.— K. i. DriYing in Ck>ld
Wind.— Sg. n. Drunkenness. — ^Aga., Ars. {See also Alcohol.) Dry,
Ck>ld Winds.— Aco., Hep. Early Rising.— Mth. pi. Eating.— Cb. a.
Excess in. — All., Ant. c, Bry., Dio., Na.m, Fish, spoiled. — Cb. a., Ob.
v., Cep. Fruit.— Bho. Fruit, unripe. — ^Bhe. Prunes. — ^Bhe. Veal.—
K. n. Vegetables, decayed. — Cb. a. See also Bad Eggs, &o.; Butter;
Cabbage; Cheese; Diet; Fat; Food; Onions; Pastry; Pork; Poultry;
Rice; Sausages; Sugar; Sweets. EfBuTia, Noxious.— Crt. h. Eggs,
Bad.— Cb. v. Electric Sheck.- Mor. States of atmosphere. — Na. c.
Embarrassments, Business. — E. br. Emissions. — Stp. Emotional
Disturbance.- E. br. Emotions.— (Fer.), Phst., Pso., Stn. Depressing.
— Gel. Pleasurable, effects of. — Cof. {See also Joy, Sudden.)
Strong. — Pho. Sudden, effects of, especially pleasurable ones. —
Cof. Errors in Diet.— Dio. Digitized by VjOOQIC
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142 REPERTORY OF CAUSATION EraptiimB, Checked,

Bepelled, or Suppressed. — Ana., Ant. c., Aps., Bry., OaJc., Cam.,
Cans., Cn. a., Dal., Hep., Ipo., Nz. m., Pet., Pb., Pso., (asthma) Ptl.,
(milk cmet, nenrons paroxysms following) Yi. t., Zin. Examinations.—
Ana. Exanthema, Checked. — Hel. Suppressed. — Ver. Excess.— See
Debanoliery ; Eatidg; Sexual; and Yenery. Excitement. — (Ag. n.),
Con., Scu. Mental. — Aga., (headache) Cod., Sac. 1. Nervous. —
Ann. Sexual, indulged in or suppressed. — E. ph. Unusual, as going
on a visit. — ^Eps. See also Mental Excitement, Ac. Exertion.— Sel.
Bodily. — Aim. Mental. — Nx. m., Pho., Pi. x., Sbd., (tremulousness
and starting) Vin, Unusual, as doing a day's shopping. — Eps.
Exposure. — Elm., Sg. n. Cold, to.— Phyt. Damp, to. — Phyt.
Drenching rains, to— Pho. Eyes, Injuries to. — Symt. ■ Operations
on. — Aln. Over-exertion or Strain of. — Onos., But., (Sul.). Failnre,
Business. — ^Act. r. FaHs. — liC. c, Li. c, Sep., Sti., Stp., Sul., Su. x.,
Symt., Tel., Ter., Tm. Height, from.^-Mil. Fasting— Dio. Fat— (Cb. v.),
(Ipc), Na. m., Pul. Food. — Cb. v., Na. m., Na. p., Pul. Meat.— Thu.
Pork. — Sep. Rancid.- (Ars.), (Cb. v.). Fati^e.— Act. s., Cai.,
(headache) Cod., Oof., Fe. pi., Pi. x., Sac. 1. {See also Joomeys,
Long ; Orer-exertion, Ac.) Fear. — Aco., Ag. n., Cof., Olo., Qph., Lye,
Opi., Pho. {See aiso Fright) Feeding Injudicious. — Dio., Mag. c.
Feet, Wetting. — Cep., Lo. i., Pul., Xan. Digitized by VjOOQIC
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REPERTORY OF CAUSATION 143 FeveFB. — Lye. Fire, Heat

of.— Olo. Hot air inhaled from. — Ob. v. Rah, Bad.— Ob. a., Ob, v.,
Cep. Tlstala, Operation for. — Oa. p. Flow, HsBmorrhoidal,
suppressed. — Lcs. Flowers. — (fainting) Pho. Fluids, Loss of.—
Oalo., Ob. a.,. Obi.,- Na. m., Ph. x., Pho., Sel., Sil. (Sul.). Food, Acid.
— Na. m. Bad.— Ob. V. {See also Bad Eggs, Ac.) Bitter. — Na. p. Pat.
— Ob. v., Na. m,, Na. p., Pol. LidigestiUe. — ^Ipc. Rich.- K. m. Salt.
— Ob. V. • Foot-sweat, Ohecked or suppressed. — Arm., Ba. o., For.,
Merc, 01. a., SI. z. (Sea dUo Suppressions.) Forei^ Bodies.— Lo. i.,
Sil. Fraotures.— But., Symt. Fresh or Salt Water, Bathing in.— Bhs.
Fri^t. — Aco., Act. r., Act. s., Aga., Aps., Ag. n., Am., Ars., Art y^ .
(effects of) Aur., Au. m., Bry., Oalc, Ooc. i., Oof., Crt. h., Oup., Gtel.,
Glo., Hyp., Ign., K. br., Lach., Lau., Lye, Merc, Na. m., Nx. m., Opi.,
Plat., Sbd., Smb. n., Stm., Stn., Ver., Vis., Zin. {See also FttUP.) Frost
— Aga., Zin. Fruit.— Ars., Bho. Melons. — Zng. Prunes. — ^Bhe.
Unripe. — ^Rhe. Functions, Deranged Internal.— K m. «as.— Pho.
Gaslight.— Na. c Oleet, Bepeated Attacks of. — Agn. •Gluttony. —
All., Ant. c, Bry., Die, Nx« m. Oonorrhosa, Badly treated, or
suppressed. — ^Tho. • Bepeated attacks of. — Agn. Suppressed. —
^Merc, Na. s. •Grief. — Aps., Ars., Art. v., Aur., Oa. p., Oaus., Olch.,
OoL, Oon., Gph., Ign., Laoh., Lo. s., Naj., Ph. x., Pho., Phsi, Smb. n.,
Zin. Digitized by VjOOQIC
 144 REPERTORY OF . CAUSATION HsBmoFPlia^es. — Sti.,
(chronic sequelae) Sto. c. HsunoFPhoidal Flow, Suppressed.— Lcs.
Hcdr-cattiiig.— Bel., Led., Pho. Head, Blow on. — Art. v., Mrl. Injury
to. — Na. m., (fall) Na. s. Wet, getting. — ^BeL, Bhs. Heat. — Aco.,
Gal., Na. c. Eire, of.— Glo. Sun, of. — Aco., Ant. c. Heated, Getting
Wet when. — ^Rhs. (See also Orer-heated.) Hl^ LiYing.— Dig.
Home, Separation from. — Ph. x. Honour, Injured. — ^Ver. Hot Air
inhaled from Fire. — Cb. v. Hot Weather.— Ant. c, K. bi. Ice-cream.-
Pul. loe-water.— Cb. v., Bhs. Icee.— Ag. n., Ars., (Bis.), Cb. v., (Pul.).
Indigestible Foods.— Ipc. Indigestion.— Cham. Indignation. — Col.
(See also Anger ; Passion ; Rage.) Indidgenoe, Beer, in. — E. bi.
(See also Beer.) ^ Malt Liquors, in. — K. bi. Injured Honour.— Ver.
Pride.— Ver. Injuries. — Aco., Bis., Cep., Dul., Glo., Ham., Hep.,
(Hyp.), Ipc., K. 8c.„ Lach., Lc. V. d., Nux, (Ena., (from tight boots)
Psdo., Par. Ph. X., Phst., Pso., Rn. b., (gangrene) Sec, Sep., Sil.,'Stp.,.
(hydrocele) Smb. n. Bones, to. — Hec, Rut., Symt. Eye, to. — Symt.
Head, to.— Na. m., (fall) Na. s. Mechanical.— Am., Fe. p., E. ph. (See
also Wounds.) Nerve, to. — (Hyp.), (of tooth) Men., Xan. Periosteum,
to. — Symt. Shock, from. — Gam., Ver. Slightest. — (spasms) Val.
Spinal, old. — ^Ign. Spine, lower, to. — Calo. Tetanus, likely to
cause. — ^Teu. Influenza.— Scu. Intemperate Habits.— Ag. n. (See
also Alcohol ; Beer ; Debaoohery ; Drunkenness; Liquors.) Digitized
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REPERTORY OF CAUSATION 145 Internal FonotionB,

Demnged. — E. m. Iodide of PotaeslanL— Aor. Iodine. — An. Jar.—
Sep. Jarring — Glc, Snc. Jealooey.— Aps., Hyc, Ign., Laoh. .
Jonmeys, Long. — Gof . Joy, Sudden. — Opi. {See aiso Emotione,
Pleasurable.) Labour, Mental. — ^Pbo. Laughing. — (headache) As.
mt. lAnndry Work.— (Pho.), Sep. {See also Washing.) Lead.— Opi.
Uloers maltreated with. — Cans. Lemonade.— Sel. Ufikt, Bright.—
Olo. Lifting — ^Alm., Ca. p., Ob. a., Cb. v., Mil., Pho., (abortion) Sec.
— — — Arms. — Su. z. (Over-lifting). — Agn., (prolapsus uteri) Pod.
Li^tning.— Crt. h., Hor., (blindness) Pho. liquors, Bad. — Ob. v.
Lobster Salad, Spoiled.— (Ars.). Ijoohla, Suppressed. — ^Hyo., Mil,
Ye. v., Zin. Long Journeys. — Oof. Loss of Fluids.— Oalc, Ob. a., Ohi.,
Na. m., Ph. x., Pho., Sel., Sil., (Sul.). Losses in Business.— E. br.
Love, Disappointed. — Act. r., Ant. c, Aur., Oac., Oa. p., Hel., Ign.,
lod., Laoh., Ph. X., Tm., Ver. Lunar Caustic— Na. m. Kalt Liquors,
Indulgence in. — E. hi. {See also Bear.) Kasturbation.- Arg., Ag. n.,
Gale, Chi, Dio., Oel., Lach.> Lye, Na. m., Nux, Plat., BeL, Stn., Stp.
Mechanieal Injuries.- Am., Fe. p., E. ph. {See also Wounds,) Kelons.
— Zng. Menses, Suppressed. — Oalc, Mil., Se. a., Ye. v., Yis., Xan.,
Zin. Mental Application or Excitement.— Aga. Distress.- Mag. o. {See
also Anxiety; and Worry.) Excitement. — Sac. I. {See also
Excitement.) Excitement, Excessive. — (headache) Ood. 11 Digitized
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