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FOOD: The Salisbury Plan

Open Letter to J. Marion Sims, MD, LLD from Ephraim Cutter, published in Gaillard’s Medical Journal, February, 1881

One of your peers has said that food is an agent of tremendous power. In support of this opinion, I have only to refer to the fact that all organized beings in the animal and vegetable kingdoms exist by means of food. Not only the existence but the character of fauna and flora depends on the quality of food. Anything that sustains, nourishes and augments an organism is food. … Before proceeding farther, I desire to acknowledge my indebtedness to Dr. James H. Salisbury, of Cleveland, Ohio, for his original and fruitful investigations in relation to food.

FOOD IN HEALTH: Dr. Salisbury says that if we can find out what is the natural food of an animal, we can have healthy feeding. Give the animals a chance and they will only partake of their natural food and be healthy, other things being equal.… We say that the plant or the animal instinctively feeds on its appropriate food, when it can be obtained. A healthy, whole body is the result as a general rule. … Among savage races we find specimens of health, so much so that some people seem to think that they have no diseases at all, and even have perfectly normal parturition. But while it is true that savage races bear more severe strains on their systems than the civilized, still the testimony of travellers and others combine to show that savages are not exempt from diseases, and suffer accidents of parturition. The same is true of animals. But why should we regard it as forcing things to infer that the Creator made His creatures adapted to the different kinds of food He intended they should have. Have not the bovines a wonderful digestive system exactly adapted to the digestion of vegetable food? Is not the common fowl provided with a digestive system which will easily appropriate the grains that would be almost indigestible to man? And so on, dairymen, hostlers, and ladies know something about these facts, and successfully practice on them when they feed kine [cattle], horses and birds. But I never heard of any of the parties named feeding their charges on food simply because they thought it looked, tasted and smelt pleasantly to the animals named. … But what is a healthy feeding for man? Upon this subject there are many opinions. … It seems as if the question turned on animal or vegetable food. … I follow the dicta of my master, and assent that two-thirds animal and one-third vegetable food is the healthy proportion of food for man, when he has arrived at adult life. I suppose not even the most ardent vegetarian would insist that milk from the mother’s breast was not the natural aliment of a newborn babe. Our rule applies to the period subsequent to lactation. There are said to be examples of adults living [exclusively] on animal food. An informant tells me that in the recesses of Central America there have been individuals who lived to extreme old age ? even to 150 years ? on animal food exclusively. They had not their savage lives influenced by civilization. Sir Francis Head, in 1825, explored the pampas of South America. He was attracted by the diet of the herdsmen ? beef and water. Although he had his French cuisine with him, still he adopted the methods of the herdsmen, and said he could not better express himself, in speaking of the results, than by saying, he had a feeling of indescribable lightness, that he felt no exertion could kill him. Why animal food two-thirds, vegetable food one-third, is the natural proportion? Because in the human adult in health there are thirty-two teeth. Twenty of them are for animal food, and the balance for vegetables, as indicated by their structure. …

When the savage eats a grain of wheat, he gets all the gluten [germ] cells that God intended man should get when he eats wheat. The civilized man eats flour made from wheat. To be white in color there is the withdrawal of three-fourths of the gluten cells. So because society insists that bread, to be good, must be white, the civilized man loses three-fourths of the nerve food that the savage gets when he eats wheat. I regard this as an evil. But, supported as it is by a gigantic monetary and industrial interest, I think it will be a long time before it is abated. A history of the resistance to the efforts to correct this evil would be a convincing argument for those who believe in the depravity of mankind.

THE SALISBURY PLAN LIST OF FOODS: ANIMAL FOOD: Milk, Pigeon, Eggs, Squab, Cream, Fish of all kinds, Cheese, Beef Steak, Sirloin Steak, Porterhouse Steak, Roast Beef, Corned Beef, Beef Tongue, Tripe, Ox Tail, Calves Feet & Heads, Pork fresh & salt, Salmon, Eels, Haddock, Soup, Perch, Halibut, Swordfish, Clams, Clam Water, Pig’s Feet and Heads, Shell Fish, Sausages, Chicken, Geese, Oysters, Scallops, Shrimps. VEGETABLE FOOD: Wheat, whole, cracked and crushed, baked like oatmeal, Oats, Rye, Buckwheat, Maize, Celery, Onions, Spinach, Lettuce, Dandelion, Parsley, Radish, Cranberry, Turnip, Squash, Carrot, Pickles, Peas, Fruit, Cabbage, Apples, Tomatoes, Irish Moss.

FOOD AS A CAUSE AND CURE OF CATARRH: … the conditions I mean were those that were caused by inflammations, ulcers, vices of secretion, adenoid hypertrophy and an asthenic condition of the inside of the nose. I believe they are all diseases of weakness caused by malnutrition from faulty respiratory and stomachic food. Dr. Elsberg says that our topical applications to the parts affected are not directly curative of themselves. They, to use a vulgar phrase, kick up a row with the parts, and the hope of cure resides in the fact that nature, when the row is over, settles down into a healthy or peaceful condition. But the trouble I have found with these cases is that the row I kicked up with my applications did not settle down into health. Sometimes it seemed to me like kicking a sick dog or a dead lion; there was not life enough present to respond to the stimulus. But when I fed my patients on the Salisbury Plan, and had infused new life into them, then the stimulus acted like magic in the cure. Sometimes, with no topical applications more than half the cure could be effected. I remember a lady of middle ag, who had a bad case of pharyngitis sicca. Her family attendant said it could not be cured. It was very interesting to see the moisture return on the polished membranes of the throat simply by food. … The fact was she had been living on starch and sugar, mainly. She did not get force enough from her food to run the concern, so to speak. The moment her nerve centres were well fed by an abundant supply of nutritious food, the moisture returned to the mucous membrane. The throat is a part of the body that never can have a rest, like a broken limb, for example. Hence it is more liable to give out. …

FOOD A CAUSE AND CURE OF AGALAXIA OR WANT OF MILK: To my mind, one of the greatest offences against a man is to deprive him of the normal supply of nourishment during infancy. It gives a bad start. He is shorn of his natural rights. I think it is the duty of all physicians to do what they can to have the rising generation enjoy their due supply of normal food. If there is a healthy, well-fed mother, I see no reason why they should cheat their offspring of their natural rights. And if the mother lives on the normal food, the act of giving nourishment by the breast is one of delight. The present abundance of nursing bottles and infants’ foods in the drug stores is evidence of degeneration. If my experience is borne out in the history of other physicians, they are unnecessary evils. … Shall our children be sacrificed to the moloch of aesthetics that requires flour to be white in order to be fit for food?… As the object of lactation is a plentiful supply of milk that answers the above standards, the nursing mother should not allow love of the beautiful alone to select her food. While food should not offend the senses, it should contain all the elements found in the infant’s body, be rich in blood, nerve, bone, muscle, vascular, glandular, respiratory elements. In other words, as we feed kine for milk, birds for health and horses for work, by giving them their natural food, so we should feed nursing women on their natural food, to wit, two-thirds animal and one-third vegetable (Salisbury). Besides, it would be better to live on the diet during gestation.

FOOD AS A MEDICINE IN UTERINE FIBROIDS: You know very well that I have not been timid in my attacks on uterine fibroids surgically; but as time goes on, I predict the adoption of the Salisbury Plan ? that is, if our experience is repeated in that of others.… The rationale of the Salisbury Plans is that uterine fibroids are diseases of nutrition ? an hypertrophy of the fibrous and muscular tissues due to impoverished food, and an excess of carbohydrates. When you reflect that no agency comes so intimately, so continuously and so naturally as food, and that there is a considerable amount of force expended in simply replacing tissues, it is easy to see that if the repair forces of the system are not kept up to their normal strength, that the tissue may run riot, just as when governments have all their energies occupied.

FOOD AS A CAUSE AND CURE OF DIABETES According to Dr. Salisbury: In this disease the lobules of the liver, or that portion of the gland which is directly connected with the blood vessels, and which organizes glycogenic matter or animal sugar, is the part that is directly involved. This portion of the liver is too active and makes more sugar than is required. This excess has to be eliminated, and the kidneys have this work to do. Soon they become overactive, and little by little become involved indirectly in the disease. To effect a cure we must cut off all food, as far as possible that goes to make animal sugar. …

FOOD IN CONSUMPTION: In 1858 Dr. Salisbury had a work ready for the press, in which he relates the account of his experiment with over two thousand swine. As to food, he fed 1026 swine on food filled with yeast. Soon diarrhoea came on. He found the yeast in the blood and, to be brief, in the course of eight weeks 246 of the swine died, and of these 104 were examined with the result stated. Moreover, he hired men by the day to eat their food filled with yeast, or food that is the food of the yeast plant. Diarrhoea came on in all, and the presence of the yeast was found in their blood. Again, he has treated over 1,000 cases in the last 25 years, and, to put it mildly, he has claimed to cure over two-thirds of the cases. … Although medicines play an important part in the cure of consumptives, still the keynote of the Salisbury plans is to remove the yeast from the blood and build up the system by putting the great glands in good order, so that they can run the system properly. The full development of this topic would fill a large volume. Indeed it fills a volume. I hesitate not to repeat for myself that I have found nothing like this in the history of medicine. Consumption is a lung disease, found in the blood a year before organic lung disease. Tubercle is an accident, a secondary formation, caused by embolism.

FOOD IN DISEASES DEPENDING ON FATTY DEGENERATION: Atheroma, broken heart, cerebral haemorrhages, Bright’s disease of the kidneys, in some of its forms, come under this head. The rationale of their production, in the light of the food question, is clear. It is only necessary to have starch and sugar in excess so as to have conditions favorable to the development of the different forms of fatty degeneration; that tissues are changed into fat and thereby weakened in strength; they are not able to stand the normal vascular pressure, and thence rupture like a worn-out hose pipe, so that some of the pathological results of this lesion are explained on the ground of mechanical weakness. Of course it does not explain all the symptoms, but it is a most important pathological condition. It is relieved by excluding starch and sugar from the diet. …

FOOD A CAUSE AND CURE OF DISEASES OF THE NERVOUS SYSTEM: It is easy to see that if the nerve centers do not receive their proper food, the nervous system is liable to suffer. For this reason we deprecate the withdrawal of the gluten [germ] cells from our flour as a direct damage to the nervous system. The chemists tell us that there is a withdrawal of 75 per cent of the phosphates from the milling of flour. The morphological examination of flour and wheat compared confirms this statement. Now, when we consider that flour is the preeminent food of the present time, we think we are not mistaken if we feel like referring the general prevalence of neurasthenia and other nerve disorders, as compared to former times, when the use of flour was not so common, other things being equal, to the use of this impoverished food. We have been told that the treatment of imbeciles and idiots is now based on this idea. As we look at it, we cannot expect to have good nervous systems, unless the proper nerve food is present in the aliment. Of course other causes cooperate, but as bricks cannot be made without straw, so cannot the nervous system be organized normally out of elements that are deprived of their phosphates and other nerve elements. This subject is capable of great expansion. We might show how we believe that the prevalence of the neurotic diseases of women abound because of the exclusion of the phosphates from the food.

FOOD AS A CAUSE AND CURE OF INDIGESTION. The microscopical and macroscopical examination of the fibres reveals the most striking evidence as to this department. Probably no man has done more in this direction than my associate. I have followed him somewhat long enough to sustain his position. Muscular fibres are found in the feces, but not abundantly unless salted or fried. The teguments of the grains ? the connective fibrous tissue ? the parenchyma of roots, stems, fruits and vegetable food in general occur in large quantity in healthy feces. Dr. Salisbury is particularly opposed to the use of beans as food. They go through the alimentary canal en masse, generally undigested. This is due to their structure … Owing to its great indigestibility, Dr. Salisbury says beans ought to be cut off from human foods, as man has not the digestive apparatus for them, and they don’t digest well. The subject of chronic diarrhoea has been made a special study by Dr. Salisbury. It is the old story of starch fermentation and its products, acting physically on the intestines, making the villi drunken with carbonic acid gas. In this state, the epithelial cells take in anything, like a drunken man, and transmit it to the blood. In fact, a vast deal of trouble is caused by the abnormal fermentation in this disease.

Editors Note: The problems Dr. Salisbury found with digestion of legumes may have been due to improper preparation.

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