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TO LET OR FOR SALE.-On Broad- -wood Road two semi-detached 5 room- ed houses with Tennis Court and Garage to each house...Reply Secre- tary P.O. Box No. 22..
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THE CHINA MAIL,
DEBILITATED CHILD
His Health Abnormalities Examined
SYMPTOMS DISCUSSED
nervous"
A. B. C. .D. E. 203 68 38 $9
JE NAPPEN DO
for the six months ending 30th June, 1929, will be payable on
The following interesting lecture dyspepsia," and (E) FRIDAY, 2nd August, on which
children. date Dividend Warrants may be on "The Debilitated Child" was re-
Wilfred Nervoumess at the cently delivered by C. obtained on application Company's Office, 8, Chater Road. Viring, M.D., F.R.C.P., Professor of Loss of appetite 207 88 44 48
The TRANSFER BOOKS of the Children's Diseases, Leeds Univer- Wasting or "no
gain"
203 74 47 37 Company will be CLOSED from sily, and Physician to the Children's
Tired feelings 164 67 $3 80 29 General Infirmary, Pailor or "faints" 152 54 30 33 SATURDAY, the 20th July, to Department, THURSDAY, the 1st August (both Leeds, and was published in the Disturbed sleep. 147 60 24 26 Constipation 145 5€ 26 34 during which British Medical Journal :-—----
120 Limb pains
58 23 20 We are living at a time when pre-Headaches period no Transfer of Shares can
107 40 20 vention of disease and the recogni- Threadworms te registered.
tion of its earliest signs are being Abdominal pain 91 69 called for in no uncertain voice, Habit spasm... and those of us who are specially "Sweating" engaged in work amongst children Nocturna realize only too well the difficulties met with in the understanding and interpretation of defects in health at an age period when one would expect the problem to be in its sim- plest form.
By Order of the Board of ·
Diectors, 1. S. GREENHILL,
Secretary.
Hong Kong, 16th July, 1929.
LAMMERT BROS.
AUCTIONEERS, APPRAISERS
AND SURVEYORS. ·
- Public Auctions
Auction
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SATURDAY, July 20, 1929, commencing at 11 a.m., at No. 241, Nathan Road (Top Floor), Kowloon.
A Quantity of VALUABLE HOUSEHOLD
FURNITURE
Catalogues will be issued.
On View from Friday, July 19; 1929.
Terms: Cash on Delivery.
LAMMERT BROS.
Auctioneers Hong Kong, July 15, 1929.
PLEASE DON'T WASTE WATER
Bilious attacks.
enuresis
97 29 20
Relief from
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·EHETICIAN Muse a 12500 SERIA-MISENIO
Bitive diathesls group, which in- 42 cludes the old scrofula typë, and
the neuro-arthritic group. He be 45 lieves that the two types are the 35 result of inherited constitutional: 87 peculiarities which make the child 29 react differently to abnormalities of his environment. Cameron re- garda catarrhal affections general- ly, glandular enlargements, and the 81 tendency to rheumatic and tuber- culous affections as characteristic of the former group, and nervous' ggilupsets, cyclical vomiting, vaso- smotor disturbances, and lack of 5 energy as characteristic of the latter group. My own feeling is
.9
51
32
50 18. 22
48
9
41
21
5
33 2013
7 12
2
0
12
8
5
3
21 ૐ, 5 5
that the insistence upon s diathesia
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WE ARE AT YOUR SERVICE.
as an explanation for the way in diet does not contain excess of fat,
The Nervous Child.
with
*
ASK FOR
un-
atates of
Sore throats...
Swollen glands" 37 Loose stools... Latent chorea Pain in the side 28 12 Depraved ар-
petite
which the child responds to infec- The system in vogue in Britala, while it offers liberty of the
Without for the moment commit-tion and environmental stimuli is the explanation then being that the
child possesses
an inherited subject and free choice of doctor, ting ourselves to an opinion as to not without value in some cases, has the disadvantage that it leaves the production of these symptoms, but I doubt whether it is possible stable metabolism and a nervous the decision as to whether the child
we can at least view them as bein the majority of children to system which are easily influenced by environmental and toxaemic needs medical attention to the longing to three main groups: (1). make any such differentiation. I
stimuli. parent rather than to the expert. those related to the digestive fancy it is better to accept each
My criticism of this explanation No doubt the development of the system and intestinal tract, in case on its merits rather than en- would be this: While agreeing school medical service will do a which group we would place ab-deavour to judge it in the light of
immediate that the THE Undersigned have received to remedy this, Many theory diathesis, I instructions to sell by Public abnormalities which we, as experts: dominal pain, constipation, and less although it must be confessed that acidosis can bo met by increasing
Cameron's "nervous child,"
the sugar ration, I would hesitate recognize as evidence of health de- the presence of a toxaemia-for fect, possibly of a serious nature example, aching limbs, tired feel-his special liability to metabolic to believe that the prevention and cure of the debilitated state are looked upon by parents as partings, listlessness, and headaches; upsets, is very true to life.
and its acidosis exists in the of the natural development of the and (3) those related to diatur-
free - use of easily assimilated child. Paina in the legs are grow-bances of the nervous structures- Though no one explanation ade- carbohydrate. In the first place, namely, nervous, irritability, quately covers all cases, certain the majority of these children fidgety states, habit spasm, disturb facts and probabilities may be ad- get little but carbohydrates. ed sleep, nocturnal enuresis, and mitted. Nervousness is of two Though their diet may be short in nervous unrest generally. The main types. There is the un- total calories it is certainly not re- children frequently seem to classify restrained and more positive type, latively short in carbohydrate themselves in this way, certain in which the nervousness is more calories. A starvation diet may re- symptoms being so prominent that active and insistent; the children sult in acidosis, and the child with we label this child as an example of this type are highly strung, a lost appetite may get his acidosis of chronic intestinal dyspepsia (or, emotional, restless, and mentally in this way, but this is merely a ing pains, nervous conditions are
as Reginald Miller has designated alert, though lacking the ability to vicious circle which may be broken due to worms, refusal to gain
specially temporarily by the addition of weight proves that the child is wiry him, the "intestinal child"); an- concentrate; they are and following in his father's foot other child, with aching limbs, prone to habit spasm, so-called sugar. The prevention and cure of steps, or the child's C3 condition. tired feelings, and want of energy, latert chorea described by Re-the underlying condition which has
pointing to the
originald Miller, tired feelings, aching led to the formation of the vicious is accepted as evidence of a delicate toxaemia, we may label as "toxic limba, nocturnal enuresis, bilibus circle is a very different problem. constitution inherited from the
debility" or the "rheumatic type"; attacks, and headaches. In the In the second place, acidoals is far mother's side.
while a third child we may label second and, in my opinion, more more frequently the result of a Valvular Disease
"nervous" because of the pro-common type the child is charactoxaemia than it is a primary con- I have met with some twentyminence of the nervous manifesta-terized by irritability of temper,dition, and if we concentrate our children with established acquired tions. The symptoms of another fretfulness, and timidity. I would attention upon the acidosis we may heart disease who had not at any
child may suggest the possibility however, again emphasize the point miss its underlying cause. I have time been under medical treatment. of tubercle, in that wasting, cough, that there is no clear line of dis-no doubt that Dr. Cameron and Dr. In none of these children had there catarrhal bronchial tubes, and tinction, the majority of our cases Osman would be the last to insist been a history of chorea or joint sweating are prominent in the his- presenting nervous symptoms in all that carbohydrate is the most im- rheumatism, and in five of them the tory obtained from the parent. I kinds of groupings and in combina-portant constituent of the child's most detailed inquiry failed to want, however, to make it quite tion with other abnormalities in a diet, and any criticism I have put | elicit from the parent evidence of clear that any such grouping of way that makes it hopeless to at-forward is offered rather to em- any health disturbance whatsoever.symptoms and children is arbitrary, tempt classification. There is, bow-phasize the Importance of other Personally I refuse to believe that and is carried out merely to call ever no doubt that only in
constituents of the diet, specially of a child can acquire valvular disease attention to certain types which minority of these children is there the protein, which of late have been without there having been some present themselves at the clinic. an inherited nervous instability, relegated to a less important posi- degree of health disturbance dur-Too much pigeon holing and classi- but while symptoms such as habit tion than they deserve. ing its development. As one who fication may lead to failure to ap-spam, bed-wetting, and night ter- has worked in a large out-patient preciate the main underlying de-rors may occur in children who by department for some fifteen years, fects. We find that nervousness of no stretch of the imagination eculd during eight of which my patients some degree is common to all be called debilitated, it is when the have been children, nothing has im-groups, that loss of appetite is child with the inherited instability
The following is a list of pressed me more than the large found as frequently in other groups become debilitated that these ner number of children who are as it is in the child classified as vous symptoms are acutely develop-notifiable diseases notified during brought with health defects which "intestinal," and that constipation, ed. But taking nervousness gen- the week ended July 18: are accompanied by no gross phy- loss of weight, and sweating are erally, I would say that the large sical signs, yet whose disabilities to be found distributed among all majority of nervous children ac- are more or less serious, frequent-types. In order to show this I have quire their nervous instability dur- ly chronic, and most baffling in compared the four subgroups with ing life, and that it is among de- their refusal to respond to any the main group as a whole.
bilitated children that the majority of the nervous cases are to be; treatment we can offer in hospital
found.
{THE Undersigned have received 100-gallon Stee! Drum for sale,instructions to sell by Public. these are good strong tanks for re- Auction serving water for household use, and are galvanised inside and outside, no rust will
Price $15.00 each. Kwong Sang Hong Limited, or 134/5, Praya East, Wanchai.
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VESTOVER--STEVENAGE, Within
ON..
MONDAY, the 22nd July, 1929, commencing at 11 am.,
at No. 10, Carnavon Building; Kowloon.
A Quantity of VALUABLE HOUSEHOLD
FURNITURE.
(Catalogues will be issued.) Terms: Cash on Delivery.
On View from Sunday, the 21st July, 1929.
an hour from London. In healthy www neighbourhood. SCHOOL for GIRLS and SMALL BOYS.; A few Boarders
LAMMERT BROS,
Auctioneers. Hong Kong, 15th July, 1929.
received in the House at the Principal BEST COAL & CHEAPEST PRICE
Individual care and attention. Particulars apply to:
MISS RUTH CULLEY
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TERMS VERY MODERATE Consultation Free.
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The Yuen Wo Seamen's Institute always has men available to ship as watch- BICE, JERMEN, &C.
Our men are employed by the leading passenger Fines. We guarantee salis- faction.
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I have deliberately chosen the
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Physical Characteristics
The Causes of Acquired Nervous Instability.
The clinical examination also re- title "The debilitated child" inveals certain physical characteris- order to allow myself freedom to tica which are more or less com- discuss the subject from any point mon to all the groups. The chil. While agreeing that the environ- of view. I prefer not to use the dren are underweight, pale, acmement, in which deli.word "delicate" because this infers times sallow, and many have dark Parental care, bad hygiene, and ex- congenital weakness. While a cer-rings under their eyes. They are cessive mental and physical stimu tain minority of these children are usually fidgety, and some show lation, will accentuate the condi-
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WEEK'S DISEASES
Small-pox
Diphtheria
Enteric fever
Cases Deaths
2
2
Cerebro-spinal fever. Puerperal fever “.......... All were Chinese, with the ex- ception of two
British cases
of enteric fever.
1
included HONG KONG HOTEL VISITORS
July 15.
Messrs. Gordon Adair, and J. S.
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UNCLAIMED TELEGRAMS.
THE GREAT NORTHERN TELEGRAPH CO., LTD. OF DENMARK.
The following unclaimed tele- grams are lying at the office of the Great Northern Telegraph Com- pany (Limited) of Denmark:-
Milladvert, from Dairen. Jainomoto, from Osaka.
E. V. JESSEN,
Superintendent.
Hong Kong, 11th July, 1929.
THE EASTERN EXTENSION AUSTRALASIA & CHINA TELEGRAPH CO., LTD.
undoubtedly the victims of a bad habit spasm, and generally they ition, it is my belief that the chief Allen. Mrs. H. Bisbjerg, Telegraph Co, office, Hong Kong:- the majority acquire ill health for and apprehensive, Their muscular/chronic toxaemias and deficiencies Messrs. N. Brandel, D. M. Barry.
Mr. and
start in life, I am convinced that give the impression of being timid factors producing nervousness are The deficiency is reasons and from causes which I systems are toneless and poorly de in the diet. propose to touch upon in this lec-veloped, and this tends to produce usually not in tota! calories there atooping and general "op," which children are not starved children results in an exaggeration of the in the true sense of the word-but natural curves of the spine and a relative deficiency in one or more prominence of the abdomen. In a essential constituents, which, act over a prolonged period, proportion of the children the ab domen actually is slightly distend-gradually brings about debility and Laurin.
ture.
Different Angles The debilitated child is brought to us for many reasons, and his health abnormalities can be view ed from different angles.
The
and Phra Bhajakora. Mr. D. Goetschel. Messrs. Inglis Hosang, H, E. Heacock and W. S. Hooper.
Mr. A. Jenking.
Miss Hillie and Mr. L.
Mr. R. Ricard
Mr. A. A. Strickland. Mr. E. W. J. Wesson,
The following unclaimed tele- grams are lying at the E. E
Gibson Craig Franke, from Charminster.
Granitoid, from New York.
S. LACK,
Superintendent
Hong Kong, July 11, 1929.
For the information of visitors the following list of some of the highest points on the Island and Mainland is published:
Island.
Victoria Peak..
majority of these children are ed. The glands in both triangles damage of the delicate nervous d J. B. Marsden, C. May HONG KONG HEIGHTS found among the hospital class, of the neck are more easily felt structures of the growing child. I and B. Moran, though by no means an inconsider than in a healthy child, and this have myself pointed out that of the able minority are found aroangst is specially true of the glands of symptoms of these debilitated chil the children of the well-to-do. I the posterior triangles. This is not dren can be legitimately grouped am going to deal with the age merely a local enlargement, as the under the heading of rheumatic period 3 to 12 years most of the axillary glands are nearly always toxaemia. All authorities are cases range between 6 and 10 year felt to a degree unusual in the agreed that nervous instability important part of the and I can best develop my sub healthy child, and sometimes the forms an Ject by giving a list of the symp hyperplasia is very evident The rheumatic picture, and the question toms presented by these children tonsils are frequently enlarged and at issue would therefore appear to and noticed during periods of ob sometimes unhealthy in appear be this: Is the nervous instability servation varying from a few ance; evidence of adenoids is not evidence of an inherited diathesis months to several years. A
uncommon. Needless to say, the favourable to the development of The first perfectly just criticism degree of physical defect varies the rheumatic affection, or of an will be that I am bunching together from ease to case, and in many the acquired health defect which may a number of entirely different con- degree of physical debility has not Precede by months or years the full ditions. My answer is that I am parent, who may assure us that the Toxic Irritation
reached a stage recognizable by the development of rheumatism? meraly stating the actual symptoms
of a large group of children whose child was perfectly well until a The presence of toxaemia is diffi- histories repeat themselves with Week or two previously, when a cult to prove or disprove, but it is monotonous frequency, and whose particular symptom manifested it not unreasonable to believe that many of these nervous phenomena appearance, behaviour, and physi Belf, NY
cal condition seem to indicate that The Explanation of the Symptoms are caused by toxic irritation. The they have some features in eptanon What explanation can be offered toxic state may be bacterial or which make it desirable that they for these symptoms? In discussing metabolic in origin. Cameron, and should be studied, at least in the this I must refer to the subject of recently Osman, have suggested first Instance, as a group. Can we diathesis, which has been revived that the cause of many of the ner- make any kind of order out of this during recent years. The expres vous phenomena is an acidosis or asiona lymphatic, axudative, ner ketosis, and recommend as trest- seeming confusion
Yous, rheumatic, and tuberculous ment the free use of sugar and the Analysis of the Symptoms
rical frequency of symptoms have been used from time to time. reduction of fat in the diet. We 300 debilitated I doubt whether they have done find acidowle not infrequently
tive fre- more than to make confusion worse,amanget children whose parents.
191
our arbi- confounded are endoavouring to ensure againat Dr. T. C. Cameron has suggested tuberculosis by forcing on them The division of children inte milk Zoods and cream, and acidosis testinal using groups, namely, the ends may also occur in the child whose
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