BACK TO HEALTH Is Diabetes Curable? How Those Afflicted with Diabetes and Bright’s Disease Can Be Helped to Restoration by the New Scientific SANBORN TREATMENT PUBLISHED BY THE SANBORN LABORATORIES Battle Creek, Michigan Non-Technical Edition. Copyright, 1923, by The Sanborn Laboratories DEDICATION To Dr. Ida M. Sanborn, who has lit the Lamp of Hope for thousands, has stimulated an understanding of Diabetes and Bright’s that may revo- lutionize our conception of these grim tools of Death, and completely change the present methods of treatment, this treatise is dedicated in grateful recogni- tion of her devoted work for humanity. CONTENTS Page Introduction . 5 Chapter I.—The Menace of Diabetes 9 II.—Bright’s Disease 18 III. —Starving the Starved 21 IV. —The Newer Knowledge 27 V.—Treatment 37 VI.—How the Sanborn Treatment Operates 40 VII.—How the Patient May Hurry His Relief— A Little Chat with Dr. Sanborn 43 VIII.—What to Eat 46 IX.—“Acidosis” 51 X.—Why the Sanborn Treatment Can be Ad- ministered Only by Trained Specialists 56 XI.—A Human Interest Story 60 XII.—Additional Evidence 64 XIII. —How the Sanborn Treatment Can be Given with the Utmost Success by Mail 72 XIV. —Why We Advertise 73 XV.—Some Repetition—and a Few New Points. . .75 INTRODUCTION One in every five of the adult population of this country is afflicted with some well-defined abnormal condition in- volving the kidneys. This manifests itself in the'appearance of albumin, sugar or casts in the urine—or in dropsy, blood tension, or heart irregularity. So that at the present time perhaps the most dangerous menace to life and health in America lies in the prevalence of these insidious dis- orders, the presence of which is rarely even suspected until the body defense has been undermined, and the gnawing tooth of disease has eaten away the prop of life. Especially are these conditions to be dreaded after creeping age has slowed the powers of repair and retarded recuperation. Disheartening progress has been made in the treatment of these disorders. This is in part due to the failure of medical men to recognize their underlying causes— Until recently, it has been the general practice to attack the symptoms — rather than the thing the symptoms represent. In Diabetes, for instance, every effort is bent to keep the urine free from sugar—even the last bearable degree of starvation being employed for this purpose. This practice —protracted over any considerable time—so depletes the system that recovery is difficult, if not altogether impossible. It would, on the face of it, seem obvious that to deprive a diabetic of all sugar-forming foods is no more likely to cure him of a disease—one symptom of which is the appearance of sugar in the urine—than would depriving him of meat and all albuminous foods cure him of Bright’s Disease—one symptom of which is the appearance of albumin in the urine. 5 6 Bach to Health And, as a matter of fact, it rarely does. For the chief cause remains untouched in either instance. This failure to take the cause into account results in the death of thousands who succumb every year to these insidious disorders. The reason is plain. Physicians are taught in most medical schools that the only relief for Diabetes—usually pronounced incurable—is in rigorous and protracted diet, often lasting the remainder of the sufferer’s life, coupled in many cases with periods of actual starvation. This same teaching largely applies to Bright’s Disease. What the physician has been thus taught, he practices. His entire training and experience have to do with these methods. He is familiar with the symptoms and successive developments of his particular form of treatment, and therefore has some idea as to what to expect and what to do for the symptoms that develop during his treatment. Dr. Ida M. Sanborn, who perfected the system of diag- nosis and medication now employed solely by the Sanborn Laboratories, went through the same futile medical schooling. However, fortunately for thousands whose lives she has already saved, perhaps millions to come who may be restored to life and health through the means perfected through her intelligent and inspired effort, Dr. Sanborn was forced to take up a postgraduate course in medicine, in which she was both student and instructor. As a result of this intensive study and training, Dr. Sanborn has turned the old and generally accepted treat- ment of Diabetes and Bright’s Disease inside out and upside down. The food which other physicians fear to give she con- siders essential to relief, and to the restoration of normal functioning. The Sanborn Treatment 7 She claims, and she has proved her contention in thou- sands of cases, that nothing hut food—wholesome, nourish- ing, well-balanced food—can possibly rebuild a single cell of wasted tissue or restore a particle of lost strength or energy. Dr. Sanborn realizes that deprivation of certain food may tend to lessen the showing of sugar or albumin in the patient’s urine, but it does it only at the expense of the body tissues and vital resistance. And, meanwhile, the source of the disease remains untouched. For deprivation of food will stop the disease itself only when the deprivation is continued long enough to stop the person who has the disease. We use a lot more common sense and good judgment in dealing with a machine. If, for instance, the steam begins to fail in the engine, no sensible person would attempt to remedy the difficulty by cutting off the supply of fuel. Yet, this is exactly what many orthodox medical men do when attempting to cure Diabetes or Bright’s Disease. For you must remember that food is the fuel of the human engine. Nothing but food can possibly keep this complicated and delicate machine in operating condition. Even medicines are not food. The medicines combined by Dr. Sanborn with such rare judgment are designed to repair, but not to operate, the human engine. They merely help the treatment of these diseases in a more or less specific way, enabling the patient meanwhile to absorb and utilize the food necessary for his restoration. If the patient be not so depleted, by starvation or other- wise, as to have lost the power to digest, absorb and assimi- late the necessary food elements when given, arrest of the disease and restoration of health are confidently looked for. Many years of experience in hundreds of cases inspire this confidence. In these pages we shall try to make clear how and why this confidence has been developed; and why we believe this confidence is absolutely justified. 8 Bach to Health We feel strongly that no more important message has ever been given to the millions who suffer from these dis- orders—not alone in America, but in the entire civilized world. The Sanborn Laboratories. CHAPTER I THE MENACE OF DIABETES Diabetes is one of the penalties inflicted upon us by what we are pleased to call “civilization.” The fortunate inhabitants of the South Sea belts and the aborigines of Australia or the Congo basin are blissfully ignorant of its ravages — another exemplification of the law of compen- sation. In 1917 there were 16.9 deaths from Diabetes per 100,000 population; while 107.4 out of 100,000 died of Bright’s Disease. It is estimated that there are, at the present time, at least a million cases of Diabetes in this country. The number of nephritics is even greater. Dr. Eugene Lyman Fisk, of the Life Extension Institute, in discussing this matter, says: “Of course we have no morbidity statistics for the whole country, and can only estimate the morbidity from these troubles. It is easier to fix figures for Diabetes than so-called ‘Bright’s Disease,’ which varies in degree from slight, low-grade, chronic kidney changes to the acute forms. “However, from our own records, I am able to say that about 20 per cent of the active working population show definite signs of kidney irritation, such as albumin, casts, blood or low efficiency test. To these we would have to add those who are on the sick list, and who do not come under our observation. The fact of the matter is, the kidneys participate in the deterioration which affects all the tissues of the body as age advances. Hence my aversion to attempt any classification by specific diseases.” Statistically, it would sum up something as follows:— Diabetes— 1917 1901-1905 Death-rate per 100,000 population... 16.9 11.5 Nephritis or Bright’s Disease— Death-rate per 100,000 107.4 97.0 From 1910 to the present time, however, owing to a broader conception of the factors entering into the develop- 9 10 Back to Health ment of the disease, as well as to the adoption of more radical methods of dealing with it, this heavy mortality has been considerably lowered. THE STALKING SPECTER Yet Diabetes is in no sense a “modern disease;” for it is referred to in the Papyrus Ebers, that most hoary- headed of medical documents, recovered from the ancient Egyptian tomb. Celsus, the great Greek contemporary of Galen, speaks of the polyuria—the excessive urination—and the abnormal thirst of the disorder to which Arteus gave the name Diabetes—the Greek word for syphon. This, based on his belief that all liquids of the body were changed into urine by the disorder. However, according to the Ayur Veda (500 A. D.) the sugary nature of diabetic urine was known to Hindu physicians from the remotest times. Without doubt a de- scription of a disease characterized by “Honey Urine” refers to Diabetes Mellitus. It was not, however, until 1835 that the apothecary, Amboosian, conclusively demonstrated the presence of sugar in the urine. The work of Claude Bernard—published first in 1845 and 1850—gave for the first time a true con- ception of certain essential facts in the relation of the liver to sugar formation. These experiments pointed a path of investigation which is still being followed by physiologists and pathologists. TWO KINDS OF DIABETES There are two chief varieties of diabetes — Diabetes Insipidus and Diabetes Mellitus. Diabetes Insipidus is relatively a rare disease, occurring on an average of once in 10,000 hospital cases — which makes it only about one one-hundredth time as frequently met as is Diabetes Mellitus, or “Honey Urine.” The Sanborn Treatment 11 Diabetes Insipidus has thoroughly earned its name, “Syphon Disease,” for many sufferers from it have actually been known to drink from ten to twelve gallons of water a day—literally syphoning the water into the system, with, of course, a corresponding increase in urination. The specific gravity of the insipidus urine is low — 1.000 to 1.005. Unlike Diabetes Mellitus, it contains neither albumin nor sugar. Often the health is only slightly impaired, although generally there is dryness of the skin, with progressive weakness and emaciation, as in Diabetes Mellitus. Nervous shock, the effect of blows or falls, pregnancy, syphilis, and possibly brain tumors or lesions, are supposed to be the most frequent causes for Diabetes Insipidus; although there is no reason for not believing that the toxic origin — the most probable cause of Diabetes Mellitus — should also account for Diabetes Insipidus. Insipidus is not necessarily fatal, although it is a most incapacitating disease. “HONEY URINE” Diabetes Mellitus, on the contrary, is a grave and — under present accepted methods—a generally fatal con- dition. Indeed, it is quite universally contended that a well-developed case of Mellitus in a child under twelve years of age probably never recovers. So great an authority as Dr. Nellis B. Foster, Assistant Professor of Medicine at Cornell University, has said: “With children and young adults, the progress and termi- nation of Diabetes may be seen definitely. The children all succumb within a comparatively short period after the disease is recognized; two years from the time of the first symptom is the longest tenure that has come to my observa- tion. I have known of no case of recovery.” In Diabetes Mellitus there is a hypersecretion of urine highly charged with sugar. The specific gravity of this urine varies from 1.020 to 1.040, or even higher; the per- 12 Bach to Health centage of sugar from y2 to 10 per cent, or even more, although it is rarely indeed that this latter high percentage is reached. Diabetes Mellitus is found more frequently in the rich— who can afford to indulge their appetites—than in the poor, and is probably three times more frequently met with in men than in women. It is especially prevalent among Hebrews, and is only rarely found among negroes. ONSET SLOW The onset of Diabetes Mellitus is usually slow and in- sidious, and any one of its symptoms may appear first. As a rule, however, the earliest symptoms observed are unusual thirst and dryness of the mouth and throat and viscidity of the saliva. Polyuria (frequent urination) may either occur at the same time or be the first symptom noted, the daily output of urine varying from only a slight increase above normal to as much as twenty-five or thirty pints, and in some cases even more. Pruritis (intense itching) is a common symptom, particu- larly among women, and one that may cause considerable annoyance. The sufferer may sweat profusely under the influence of slight exertion or during moderately warm weather, or his skin may be dry and harsh. Bulimia (excessive appetite) is a common symptom, though the patient gains no weight or even loses flesh and grows progressively weaker. As the disease progresses, complications may be looked for. Neuritis is frequently observed. Gangrene may be readily produced by what under normal conditions would prove to be a trifling injury, an abrasion, a boil, etc. It is apt to begin in an extremity, especially the great toe, and extend upward. Gastro-intestinal disorders are frequently observed, con- sisting of indigestion, constipation or diarrhea. The Sanborn Treatment 13 In addition, he is often liable to successive crops of boils or carbuncles. Frequently he suffers intensely from itching, particularly of the genitals and in the anus; while eczema may at times manifest itself. Cataract is occasionally met with. The poisonous effect of the sugar-laden blood also induces loss of sexual desire and other manifestations of nerve exhaustion. Coma is the terminal symptom, most justly dreaded in the diabetic. It is caused by the accumulation in the system of poisons of a highly toxic nature—including acetone and diacetic acid—elaborated in the body of the diabetic by the disturbed process of metabolism. Coma is sometimes ushered in by cramp-like pains in the abdominal region, although often the only noticeable symptom of its presence is a drowsiness, gradually increasing, until profound coma develops. Then usually follow the convulsion—the last scene of all in this strange, eventful history. Brain lesions, degeneration of the “Islands of Langer- hans” in the “tail” of the pancreas; physical and mental overwork; overeating and obesity are believed to be the most common causes. Dr. F. A. Berry claims that about one-half of the cases of Diabetes are probably due to some pathology of the pancreas, most likely found in the Islands of Langerhans. The other 50 per cent is possibly due to one of several factors: a disturbance of the glycogenic function of the liver or some dysfunction of the suprarenals. Joslin especially stresses the influence of obesity in pro- ducing Diabetes and claims that 60 per cent of diabetic cases are the result of overeating. In a group of 457 patients, 38 ranging in age from 12 to 24 years were 3 pounds overweight; 27 ranging from 25 to 29 years were 54 pounds overweight; 72 ranging A FEW OF THE CAUSES OF DIABETES 14 Bach to Health from 30 to 39 were 23 pounds overweight; while 320 ranging from 39 years upward were on the average of 37 pounds overweight. In a large proportion of cases, the trouble is brought on by the presence in the blood of an excess of the normal waste-products—toxins. The accumulation of these poisons is principally due to the ingestion of food in excess of the body’s needs. Overeating becomes more active as a cause of Diabetes when alcoholics are used. This accounts for the fact that Diabetes is often observed in vigorous subj ects who are large eaters, particularly those who partake freely or habitually of alcohol. All conditions that impose excessive strain, wear and tear upon the body, such as prolonged overexertion, mental or physical, worry, anger,—which are all attended by excessive production of waste-products,—favor the development of Diabetes. This is an extremely important matter, and one to which perhaps the majority of diabetics do not give sufficient attention — which is all the more deplorable, inasmuch as prevention lies very largely within the hands of these potential diabetic. DIABETES IN EVERY BOX To the fact that we are becoming a nation of “sugar hogs” may also be attributed a rather rapid increase in the number of cases of Diabetes in this country. For the eating of sugar in excess of the oxidizing capacity of the system is pernicious in the extreme. Our grandfathers and grandmothers, between 1800 and 1810, consumed but 11 pounds of sugar a year. Between 1910 and 1917 we had increased the consumption of sugar 73 pounds! At the present time it is nearly 90 pounds. And heaven only knows how much farther it will go—with a candy shop on every corner in the country taking the place of the two saloons that formerly occupied these coigns of vantage. The Sanborn Treatment 15 Of course, it may well be contended that the lessened consumption of alcohol in these piping days of prohibition contributes somewhat to curtail the grand total of the number of diabetic cases. For your alcohol is a sure pro- voker of much more than “nose-painting, lechery and urine.” The underoxidation of the protein molecule, for which it was and is frequently responsible, must necessarily produce highly irritating toxins. It is the irritating effects of these toxins upon the protoplasm of the pancreatic cells that occasions the high incidence of Diabetes among drinkers— especially among those who drink beer to excess. YET ALCOHOL IS A WONDERFUL SOURCE OF ENERGY IN DIABETES And yet, when the diabetic is upon a drastically re- stricted diet, there is nothing in the whole pharmacopea or in the diet tables that can supply him the energy he gets in concentrated form in alcohol. This is because of the fact that alcohol is the only product that will yield heat and force without the expense of any digestive energy. For alcohol is immediately ab- sorbed and promptly utilized as heat and energy. Each gram of alcohol thus consumed yields seven large calories of heat and energy, which materially aid in con- verting fats and oxidizing fats and proteins, thus preventing the development of acetone and diacetic acid. WHY THE DIABETIC IS SO HUNGRY The body is a sugar-burning engine, running largely by the combustion of glucose derived from the ingestion of starch and sugar. All starch and sugar taken into the body must first be transformed into glucose, or dextrose, before it can be utilized to yield heat and energy. When, for some unknown reason, this glucose is lost to the system by being voided in the urine, actual starvation is 16 Back to Health produced. The hungry tissues cry out day and night for their fuel food. This creates the abnormally large appetite (called “Bulimia”) present in most diabetics—especially in the early stages. Even though this appetite be catered to, however,—which it never is under the generally accepted form of treatment, —the patient progressively loses flesh. As the disease ad- vances, he becomes more and more emaciated, more and more weak and debilitated. For his diabetic process is robbing him of his only source of strength and energy—the tissue-building and energy-creating value of his food. The diabetic, as a result of lowered nutrition and defi- cient resistance, is subject to every conceivable disease that may develop. He is particularly susceptible to pulmonary tuberculosis and all infectious diseases, gout and rheu- matism. Albuminuria occurs in connection with a large number of cases of Diabetes—generally late in the disease. This form may be brought about by the excessive strain of elimination on the kidneys, although frequently the same degenerative process responsible for Diabetes is also re- sponsible for Bright’s Disease. SOME COMPLICATIONS A DIABETIC UNTIL DEATH It is interesting to note that most medical men regard a diabetic as incurable. Dr. Joslin, one of the greatest of all experts on Diabetes, says: “The treatment of a patient with Diabetes lasts through life. All too often in the recent years it has been felt that if the urine were rendered sugar-free by fasting, the treatment of the diabetic ended; in reality it has hardly begun.” “Treatment must, therefore, be adjusted to the condition of the patient, and should be so arranged that it can be continued for years, not only without harm, but with as The Sanborn Treatment 17 little annoyance and interference with the daily routine as possible.” HOW AUTHORITIES REGARD DRUGS Joslin says: “Drugs are not recommended by physicians like Professor Naunhyn, the Nestor of diabetic treatment, or by those concerned in the recent advance in diabetic treatment in this country. Drugs are not prescribed with the purpose of lowering the sugar in the urine in the most famous of our large hospitals.” This is the general concensus of opinion among medical men on this subject. Yet the astonishing results in the treatment developed by Dr. Ida M. Sanborn and her asso- ciates merely demonstrate how wrong medical men may be who still believe that therapeutic nihilism and a fatuous dependence on a semi-starvation diet are justified. CHAPTER II bright’s disease THE DIAGNOSIS IS THE EASIEST PART OF IT Nephritis, commonly called Bright’s Disease, is an in- flammation of the kidney, although not always of the same structure or part of the kidney, and may be either acute or chronic in form. That it is a serious disease no one who has it will deny. And that it is one of the most frequent causes for inefficiency, incapacity and death is evidenced by the fact that it affects probably 20 per cent of the working population in this country. With the acute varieties of Nephritis, we are not here concerned. Suffice it to say that they are dangerous because of their immediate consequences. Yet they are even more dangerous because they are likely to leave the kidney in a crippled condition, making it more susceptible to the chronic forms of the disease. A FEW OF THE CAUSES The causes of Nephritis are so many and varied that it is not always possible to determine the exact cause in a particular case. But that you may know what the common causes are and, knowing, be able to avoid them, thereby enhancing your chances for recovery, we will briefly give you some of the most frequent. a. Habitual overeating. This very common but dangerous habit results in burdening the system with waste-produets, thereby putting an overload on the kidneys that in time leads to irritation and congestion which may, under certain conditions, develop into Nephritis. b. The continuous use of alcoholic beverages over a considerable period of time. c. Infectious diseases — Scarlet Fever, Typhus Fever, Smallpox, Malaria—cause a large per cent of the cases of acute Nephritis, a great many of which, because of neglect or improper treatment, run into the chronic form. 18 The Sanborn Treatment 19 d. Certain occupations seem to favor the development of Nephritis. Workers in lead and mercury are especially prone to diseases of the kidneys. It is also a well-known fact that engineers, firemen and others whose occupation subjects them to constant vibration and jars are particularly susceptible to Nephritis. Workers in cooling-rooms of packing-houses and others engaged in occupations that expose them to extremes in heat and cold are frequent victims of Nephritis. e. Pregnancy has long been recognized as a cause of Nephritis. f. Acute gastro-intestinal disorders appear to be the starting-point of Nephritis in many cases. g. Heredity plays a very important part in the develop- ment of kidney troubles. There can be no question that a tendency to Nephritis is frequently transmitted. h. Anxiety, worries and the high nervous tension incident to modern business activity favors the development of chronic Bright’s Disease, particularly where these causes are associated with overindulgence in rich foods, alcoholics, and sedentary habits. CHARACTERISTIC SYMPTOMS One of the chief reasons for the heavy mortality of Bright’s Disease is its slow, insidious onset, in which the symptoms are so seemingly trifling and unimportant that the sufferer fails to heed them until the disease is well advanced. If potential nephritics knew the “danger- signals” and would take immediate steps to combat the development of the disease at the first indication of trouble, the present mortality figures of Bright’s Disease would be tremendously reduced. A whole volume might be written on the value of the early detection of the signs of impaired renal function— the key-note of success in the treatment of Bright’s Disease is promptness. 20 Bach to Health One of the early and most constant symptoms of Bright’s Disease is an increase in the quantity of urine passed, coupled with a frequent desire to urinate, not only during the day, but often two or three times through the night. This may be aggravated by the hyperacidity of the urine and by an irritability of the prostate gland, so often associated with kidney disease, particularly in those past middle life. Other symptoms are progressive weakness, often accom- panied by a gradual loss of flesh, disinclination to exertion, headaches, attacks of indigestion, a puffiness under the eyes, or swelling of the lower extremities and shortness of breath. Arteriosclerosis, or hardening of the arteries, is very frequently met with where Bright’s Disease is well defined, and, while not a symptom of the disease, is undoubtedly a phase of the same general process that causes the Bright’s. The association of Diabetes and Bright’s Disease is well known to most laymen, as well as to all physicians. The reasons for this association are perhaps not so well understood. We believe, however, that before the reader is more than halfway through these pages he will clearly see the relationship; for in the light of the newer knowledge of Diabetes and Bright’s Disease, much of hopefulness and helpfulness has been developed. CHAPTER III STARVING THE STARVED The whole philosophy of the accepted treatment of Diabetes is summed up in Question No. 20, which Joslin asks himself in his “Manual,” and which he himself answers with thorough assurance. The question is, “How can sugar be removed from the urine, or, in other words, how can the patient become sugar-free?” The answer is:— In mild cases, by eating less and exercising more, with a conse- quent loss in weight. In moderate cases, by still greater care in avoiding unnecessary food, and often by reducing the quantity of carbohydrates, protein and fat. In severe cases, by omitting the fat from the diet, by which procedure the danger of acid poisoning is prevented, and then reducing the carbohydrates and protein, or, in a few cases, by fasting. In these words Joslin admirably expresses the orthodox opinion on the subject of the treatment of Diabetes. It is quite generally believed that improvement takes place when the urine is kept free from sugar. For in Diabetes the physician knows that his patient is being poisoned by sugar (glucose), which for some reason his system is not utilizing, or taking care of, as Nature in- tended. “Disturbed Metabolism” he calls it. He knows that this sugar is manufactured in his patient’s digestive apparatus out of the food he eats, be- cause of some complicated pathological disturbance in the pancreas, or because of some nervous or mental influence which disturbs the normal physiological activities of the liver and the pancreas. Therefore, to stop the sugar poisoning he stops the food, so far as he dares, which, of course, tends to lessen the sugar manufacture, thereby satisfying the patient, for the moment, that he is getting better. But when he stops the food, other things stop as well. The patient’s strength and vitality and energy, and the restoration of his wasted tissues depend upon his food. 21 22 Bach to Health When the food stops, they stop. For wasted tissues are never restored with wind. THE HORSE DIES WHILE LEARNING TO DO WITHOUT OATS The physician is in a grave dilemma. If he starves the patient to reduce the urine-sugar, his patient loses his strength and weight and energy. It he doesn’t starve him, the sugar manufacture and poisoning go on all the faster, and the patient’s strength and weight and energy fall away the faster. The distracted doctor does not know how to solve the problem of permitting his patient to take the food his body needs and still avoid the sugar poisoning. He is in exactly the position of the gentleman who conceived the idea of educating his horse to do without oats. The horse’s educa- tion progressed beautifully—up to the point where he had almost learned to do without eating. And then the horse died. THE LOW DIET ALSO GENERALLY PRACTICED IN BRIGHT’S Also, in Bright’s Disease, whether it be chronic or acute in type, the physician knows in general that his patient’s kidneys are in process of degeneration — that actual particles of these structures and kidney cells are passing away in the urine. Some physicians think that meat is one of the chief contributing causes and therefore cut off meat. Some think that poisons, biological, chemical or mineral, which are disintegrating the kidneys, can be flushed out. These doctors advise great draughts of water, and the flushing out of the system. Others, on the contrary, say that a diseased organ should be kept at rest — as is done with a broken bone or an ulcerated stomach — and they therefore limit the intake of fluids, to rest the diseased kidneys. The Sanborn Treatment 23 There are various factors entering into the symptoma- tology which influence certain changes in the treatment. But, in the main, the generally accepted method is to starve the starved victims to the last limit of tolerance con- sistent with keeping the breath of life in their bodies. THE NE PLUS ULTRA OF SCIENTIFIC STARVATION Perhaps the utmost refinement of scientific starvation in Diabetes has been achieved in the now well-known Allen Treatment, originated by Dr. Frederick M. Allen, of Harvard and the Rockefeller Institute. This consists of putting the patient to bed, allowing him no food save whisky, black coffee and plenty of water. An ounce of whisky is given every hour from 7.00 a. m. until 7.00 p. m., together with bicarbonate of soda if there is any tendency toward acidosis present, as indicated by the strong acetone and diacetic acid reaction in the urine, or by the pronounced acetone odor of the breath. In most cases the precaution is not necessary, as there is no danger, so it is claimed, of producing coma by starvation. And so the patient is kept in bed and fasted until he is sugar-free. The disappearance of the sugar is rapid. If there has been five or six per cent of sugar, after twenty- four hours it declines to two or three per cent. And by the end of three or four days the patient may be absolutely sugar-free; for he hasn’t had anything out of which to make sugar except the material stored up in his own tissues. If he is obese, he may excrete sugar for a long time and still retain a considerable part of his weight, even though he is taking next to nothing in the way of carbohydrates. Indeed, it would seem to be quite clearly established that the obese patient’s digestive apparatus, having been overloaded with carbohydrates for many years, stores up the excess carbohydrates as fat, until finally the ability of the system to take care of the excess of carbohydrates be- comes lessened or impaired—and sugar appears in the urine. 24 Bade to Health However, in the Allen Treatment, after the patient has been starved sugar-free, he is put on a diet of what is termed “5 per cent vegetables” — vegetables containing 5 per cent carbohydrates, prepared by boiling the vegetables in three successive waters, so as to extract the free starch. Then the attempt is made gradually to increase the amount of tolerance for food of all varieties, so as to bring the patient up to a point where he can utilize, according to the measurement used by these doctors, 1,800 to 2,000 calories per day. A COMPLETE CURE HARDLY TO BE HOPED FOR But even under the most favorable conditions, a cure of a diabetic is hardly ever even to be hoped for under this procedure. Joslin states the orthodox conviction in connection with this class of cases very clearly when he says:— The treatment of a patient with Diabetes lasts through life. All too often in recent years, it has been felt that if the urine were rendered sugar-free by fasting, the treatment of the diabetic ended; in reality, it has hardly begun. Treatment must therefore be adjusted to the condition of the patient, and should be so arranged that it can be continued for years, not only without harm, but with as little annoyance or interference with the daily routine as is possible. In other words, while with certain types of Diabetes the patient may hope to live for a time, in the majority of instances, as Joslin says, it is but rarely that he entirely recovers function. He may work up a fair carbohydrate tolerance; but he very seldom, if ever, is so completely restored as to be able to eat the foods and drink the drinks that a normal indi- vidual may eat or drink. And, understand, we are not here discussing any of those forms of Diabetes the origin of which is in the brain, that are incident to pregnancy, acute appendicitis, cancer of the liver or gall-stones. The Sanborn Treatment 25 WHY THE TISSUES DRY OUT The curtailment in the amount of carbohydrate food causes a progressive dehydration, or loss of the water from the system. There is some unknown factor in a rich carbohydrate diet that tends to cause a retention of water in the system— and with this a corresponding retention of normal weight. Some authorities contend that the consistent loss in weight, which is one of the most characteristic symptoms of Diabetes, is caused by the loss of the carbohydrate normally found in the body as glycogen. This, however, can have no foundation in fact, inasmuch as the total glycogen stored in the system amounts to only 400 grams, and therefore the loss of even the entire amount would not materially affect the total weight. Both fat and the carbohydrates (sugars and starches) contain the same elements—hydrogen, oxygen and carbon. When these are consumed by oxidation, the resultant products are water and carbon-dioxide; neither of which can linger long in the system when it has once been jolted out of its combination. ONE MAY HAVE A SMALL AMOUNT OF SUGAR, BUT A LARGE AMOUNT OF DIABETES Many diabetics may have a relatively low amount of sugar in the urine, or be “sugar-free,” and yet be in a most dangerous condition as regards the possibility of their developing gangrene, acidosis, or even coma, when least expected. These are the cases in which the starvation treatment is practically negative of results. For, while it is relatively easy to fast an obese, high-living, high-sugared patient and get him to quit eliminating sugar in his urine,—for a while, at least,—it is quite another matter to starve a rather spare, low-sugared patient and get him to stop excreting sugar. 26 Back to Health CATARRH AND DIGESTIVE TROUBLES HELPED BY FASTING Of course, it is obvious that starvation temporarily helps one important source of diabetic trouble—disorders of the gastro-intestinal tract. In this connection it must be con- ceded to be of undoubted value. So much so, that in many cases in which gastric catarrh is a prominent symptom, the clearing up of the catarrhal condition by appropriate treat- ment results in an improvement of the Diabetes. Funk, Dietrich and others have mentioned gastric and intestinal catarrh—colitis—and the beneficial influence of their correction upon certain cases of Diabetes in their practice. “HOW MUCH SUGAR CAN HE TAKE?” The chief problem considered by the average physician in the treatment of Diabetes is, “How much sugar can this particular patient utilize?” The answer to this query is important, since if an amount beyond the power of the system to utilize be taken, not only is this excess excreted through the kidneys, but the ability of the tissues to utilize sugar is progressively reduced and the system is poisoned by the excess. Because of this impaired function, the tissues are unable to utilize sugar as a source of energy, nor can it be stored as glycogen. Therefore, in a broad, general sense, diabetic treatment has for its object the regulation of the “warehousing” func- tion of the system for glycogen, together with a restoration of the ability of the system to metabolize sugars and starches. This is the effect sought for. And all methods, irrespec- tive of their theory of cause, or the philosophy upon which they may be founded, must necessarily fail if they do not accomplish this object. CHAPTER IV THE NEWER KNOWLEDGE In the second edition of his “Diabetic Manual,” Dr. Joslin has a chapter eighty-seven words long. It is entitled “Drugs in the Prevention of Diabetes.” The first fifty words of the chapter state that “drugs are not recommended by physicians like Professor Naunhyn, the Nestor of diabetic treatment, or by those concerned in the recent advance in diabetic treatment in this country. Drugs are not prescribed with the purpose of lowering the sugar in the urine in the most famous of our large hospitals.” Dr. Nellis B. Foster, in his book on “Diabetes Mellitus,” writes more than ten thousand words on “treatment,” but without one solitary reference to medication, other than a brief reference to neutralizing or lessening acidosis. Also, a eulogy of the value of alcohol, which, by the way, is thoroughly justified. His “medication” consists in cutting the carbohydrate to the vanishing-point, and not infrequently abbreviating even the protein intake to the last bearable degree Dr. Allen’s book and articles, as well as the writings of Woodyatt, Sansum and other authorities, are equally illumi- nating in what they fail to say about the value of medicine in Diabetes and Bright’s. In fact, orthodox medical men, convinced in their own minds of the utter uselessness of any medication in these disorders, are quite in accord with the spirit of therapeutic nihilism, which has stolen out of the German and Austrian universities and saturated the medical mind of the entire world. So they give little, if any, medicine in cases of Diabetes and Bright’s. If they give any, it is usually more for the mental effect than for any expected therapeutic value. Their nihilistic views, however, are thoroughly justified from the standpoint of their conception of the etiology, or cause, of the trouble. 27 Back to Health 28 THE CAUSE OF THE CAUSE This cause, according to Dr. William H. Porter, Emeri- tus Professor of Pathology and Clinical Medicine in the Postgraduate Medical School and Hospital, New York, is underoxidation and imperfect elimination of the end- products of digestion. In other words, the incomplete conversion and abnormal retention of products formed by putrefactive fermentation in the intestinal canal. In discussing this question in his eminently practical book, “Eating to Live Long,” Dr. Porter says:— “The problem is to prevent the excessive formation of uric acid and such putrefactive toxic products as cause chronic irritation of the kidney structure. “Incomplete oxidation of the proteins frequently results in either the uric acid or the diabetic conditions, largely because of an excess of sugars, starches or fats in the diet. Much more oxygen is utilized to oxidize, or convert the protein molecule into its end-products. On the other hand, the molecule of starch, sugar or fat requires far less oxygen for its complete reduction and the formation of end- products, but it is oxidized so rapidly and in such large numbers that there is not enough oxygen available to satisfy a molecule of protein parentage. “Perhaps a slightly greater restriction in the use of starches may be required in the initial stages of the treat- ment of Diabetes; but, in a general way, what is effective in reducing the underoxidation in Nephritis is equally effec- tive in Diabetes, gout, rheumatism, high blood-pressure, arteriosclerosis, intestinal indigestion, senility, and even in anemia, tuberculosis and other degenerative disorders.” Again, Dr. Porter says: “Because glycogen occasionally has been found in the liver, it has been looked upon as a ‘stored-up’ product. Much, if not all, of the glycogen pro- duced in the system, however, is derived from oxidation reduction of the nitrogenous products—from the albumin. When oxidation is incomplete, it passes as glycogen, or The Sanborn Treatment 29 some other form of antecedent product, to the kidneys, where it is seized by the kidney cells and discharged in the urine, giving rise to the condition known as glycosuria, or Diabetes.” BARKING UP THE WRONG TREE If it be true that the real factor in the development of Diabetes is the underoxidation of the protein molecule, and that if there are degenerative changes in the liver or the pancreas, these usually develop as a result of poisoning by the products of underoxidation, and not because of an intrinsic deficiency or disease in these organs themselves, our entire philosophy of sugar tolerance may be founded upon a misconception. And our attempt to cure Diabetes by withholding easily converted starches, or already con- verted sugar, is a terrible mistake, as it inevitably tends to lower the oxidizing power of the system in the oxidation reduction of the protein molecule, as well as to further deplete the system already sadly deficient in stores of energy. If, as Professor Porter says, the free-burning sugar is the kindling that oxidizes the fat, and the free oxidation of fat yields heat and energy to normally transform the end-products of protein digestion, it is obvious that we have been working on an erroneous foundation in altogether with- holding the kindling that would tend completely to consume these poisonous end-products of albumin metabolism. And, it is more than likely that Diabetes may be the “expression of resentment on the part of liver or pancreas against overwork—in the frequent result of the absorption of toxins that paralyze the normal functioning of the gland.” IN SUPPORT OF THE NEWER KNOWLEDGE This theory is gradually gaining ground among modern authorities. It is the piece de resistance of Philip Horowitz’s 30 Back to Health book. In fact, Dr. Horowitz plainly states his belief that “Diabetes and other forms of metabolic disturbances, such as nephritis, arteriosclerosis, gout, etc., are the results of an autointoxication causing an interference with the function of the ductless glands, or irritation of these and other organs.” Dr. Thomas W. Edgar (“Patient’s Handbook on the Treatment of Diabetes Mellitus”) also gives autointoxica- tion a large share of credit — or blame — for causing Diabetes. It cannot be denied that treatment based on this pathol- ogy, directed toward the correction of all fermentative conditions in the small intestines,—as determined by the elimination of indican from the urine,—is most vital. THE FOCUS OF A STELLAR FACT IN SCIENCE It is, no doubt, in strict conformity with these advanced theories that the astonishing results secured by Dr. Ida M. Sanborn are brought about. In fact, it is of intense scientific interest, as well as to the interest of every person afflicted with Diabetes or Bright’s, to note that independently of each other, Dr. Porter and Dr. Sanborn had for twenty years past been evolving what must now be recognized as the ultra-modern conception of the etiology, or cause, and the treatment of underoxidation disorders—a conception to which many of the most eminent physiologists and clinicians in this country and in Europe are now, as we have seen by the references noted above, definitely committed. Dr. Sanborn has had, for upward of a score of years, an astonishing degree of success in clearing up all evidence of Diabetes and Bright’s Disease in patients of all ages, many of whom were in well-advanced stages of the dis- orders. A large percentage of these patients were afflicted with both Diabetes and Bright’s Disease; the diagnosis estab- The Sanborn Treatment 31 lished beyond a question, and confirmed by the observation of some of the ablest men in the country, under whose care not an inconsiderable number of these patients had origi- nally run the gamut of all the accredited forms of treatment now in general use. Now, if a patient, after any course of treatment, so improves that all sugar, acetone, diacetic acid, albumin and casts clear up, and if he remains in this normal condition for a number of years, he may truly be said to have been cured of his disease. If, in addition, application for heavy life insurance by this patient is favorably passed upon, it would tend to confirm the conviction that all discoverable symptoms of any abnormal condition must have been removed. For these conditions, as may be again emphasized, are not mental or subjective — as in neurasthenia, where the patient’s symptoms may fluctuate with every breeze that blows across the mazes of the mind. On the contrary, they are capable of being accurately checked in any laboratory properly equipped to make the necessary urinary tests. FOOD IS GOOD MEDICINE IF IT CAN BE UTILIZED The orthodox method of rigorously restricting the diet in the treatment of Diabetes is about as sound as to expect an engine to continue to run without fuel. If you put no fuel in the furnace there will be no ashes (refuse—waste material), but neither will there be any fire. And so it is with the human body. If you withhold all sugar-forming foods, no sugar (ash) will be eliminated; in fact, the urine may be made sugar-free by starvation— but the disease remains. And because of the weakening effect of the withdrawal of all heat- and energy-producing foods, the sufferer is reduced to a weakened, emaciated, helpless condition, and is an easy prey to coma or any of the infectious or wasting diseases that are ever present and waiting a favorable opportunity to strike. 32 Bach to Health A form of diet calculated to turn Jack Dempsey or Vladek Zbyszko into a pale-faced invalid most emphatically could not be depended upon to restore robust strength and the hue of health to those whose feet are stumbling down the steep slopes that lead into the Valley of the Shadow. This is why Dr. Sanborn and the physicians of the Sanborn Laboratories prescribe nourishing and well- balanced food for diabetics and nephritics, such as a normal person of like weight and activities ought to have. Of course, many patients who write or send for treat- ment have been so reduced by starvation and their disease that it is often necessary to build up the diet for them by gradual stages. Sometimes it has been found necessary to begin with an entirely liquid diet. However, the Staff, guided by a careful and scientific examination of the urine in each case, prescribe the food best adapted to the patient’s existing condition, and change the kind, variety and amount as rapidly as the progress of the case warrants. MEAT IN DIABETES AND BRIGHT’S Dr. Sanborn and the physicians of the Sanborn Labora- tories believe that all varieties of food are important; but the proteins are the most important, not only for the work they accomplish, but also for the potentialities for harm that are wrapped up in them if their debris—their organic ashes and clinkers—are not removed from the alimentary firebox after their parent forms have “done their bit.” For the proteins are the undisputed champions of the body’s poison squad. This does not mean that they should be eliminated, but only that they should be thoroughly digested. And the most certain way to insure their proper digestion is to take them in their most digestible form— meat (preferably beef), eggs and milk. Only 2.8 per cent of beef is lost in its passage through the alimentary canal; 2.9 per cent of eggs, and 5.7 per cent of milk; as against 80 per cent of the protein of oats, for The Sanborn Treatment 33 instance, which passes undigested through the alimentary tube of the sturdy Scot. The same ease of digestion holds true for animal foods generally, but the three here men- tioned are the best for practical utility. WHY THE STEER HAS 200 FEET OF INTESTINES Of course, protein can be extracted from vegetable foods. But do not forget that God gave the steer 200 feet of intestines, so that he could break up vegetable protein, and make it easier for human consumption in meat form. Which is a mighty good excuse for recommending a well-balanced diet, with meat as the piece de resistance. THE CALORY FAD One fact that must establish Dr. Sanborn and her asso- ciates as advanced medical thinkers is their repudiation of the calory as a measure of food value. They believe, with Dr. Porter, that food which is oxi- dized, or consumed, in the body, is burned by chemical action—which is an entirely different thing from combus- tion, the combustion that takes place in a furnace, or a calorimeter bomb, and is the basis of calory measurement. On the basis of these measurements, fat, for instance, yields approximately twice as much heat as the sugars or starches, or even protein. In fact, weight for weight, fats have a much higher caloric value than any other type of food. Yet, who would be obtuse enough to believe that a fine calory-filled diet of fat would be best adapted to supply all the requirements of growth and nutrition? CALORIES CAN’T BUILD TISSUE, MAKE BLOOD, OR CONSTRUCT BONE Calory scientists lose sight of the fact that a considerable part of the heat which results from the oxidation of food in the body goes to maintain normal temperature, and that 34 Bach to Health where the oxidation processes are impaired by disease or faulty nutrition, no amount of calory value can be de- pended upon for this purpose. Nor can calories, no matter how numerous, put iron into an anemic blood corpuscle, nor increase the amount of manganese in the coloring matter of the blood. Foods which have the very highest percentage of calories are absolutely worthless for building fluorides around the tooth structure, or for feeding calcium and phosphorus into the bones. Calories have nothing to do with maintaining the normal alkalinity of the blood, and preventing acidosis; or supply- ing the body with magnesia, sodium, sulphur, potassium, or other mineral salts and colloids, which are indispensable in the control of the various intricate metabolic processes of the body. In short, the scientists and dietitians who have become devotees in the worship of the great god Calory have entirely lost sight of the fact that the food requirements of the body, as expressed in the actual chemical needs of the organism, and the fuel, or energy requirements, as expressed in the terms of calories, have no more to do with one another than have ships, soup-tureens and mad hatters. It is interesting to note that Dr. Sanborn has, for twenty years, advocated what Dr. Allen now consistently recom- mends—a reasonable amount of exercise for all diabetic patients able to take exercise. Fat is reduced and muscle tissues are built up by exer- cise. But, most of all, respiration is deepened, oxygenation is increased, and oxidation-reduction enhanced by the influence of exercise. Also, it may be interesting to know that Dr. Sanborn has found that where it is necessary to restrict temporarily to a starch-free diet, the ordinary gluten breads so gener- ally used are, if anything, worse than white bread itself. EXERCISE IN MODERATION A SPLENDID THING The Sanborn Treatment 35 This experience of many years is borne out by the anal- ysis of the Connecticut Agricultural Experiment Station, which has proved that many gluten flours, recommended to diabetics in the fatuous belief that the products are starch-free, contain anywhere from 4 or 5 to 78 per cent of starch. When starch is temporarily contraindicated, it may be just as well for the physician therefore to assure himself that it is not present in the flour he recommends. SOMETIMES WELL NOT TO PAY EXAGGERATED ATTENTION TO SMALL AMOUNTS OF SUGAR The presence of a small amount of sugar in the urine is of little moment, provided active elimination of the toxins is kept up, and does not call for “meddling” with the diet. First, because the accurate weighing of each mouthful is somewhat of a hardship, and, secondly, because the capacity for completely oxidizing a given quantity of nutriment is not always the same. Again, much may depend upon the ability and the oppor- tunity for taking exercises, which, of course, would hasten the oxidizing process. Also, it would be well to emphasize that articles of food which may well be tolerated at one time totally disagree at another, and vice versa. This is one of the reasons why the patient who thor- oughly understands and intelligently applies the instruc- tions given from time to time may do much better than a patient whose pathology is not nearly so grave, but who, because of that very fact, is less faithful to the treatment. THE VALUE OF ELIMINATION While the most scrupulous attention should be given to insure thorough elimination, and to prevent the accumu- lation of poisons within the system, all drastic purgatives 36 Back to Health are usually to be avoided, as they tend to deplete a system already low in vital resistance. The tendency toward acidity also is reduced by the use of soda bicarbonate, or else by the free use of one of the alkaline waters, which tends to alkalinize the blood, and yet is followed by no disagreeable reaction on the hydro- chloric acid-secreting action of the stomach. CHAPTER V TREATMENT We come now to the part of our subject which is nearest the heart of every sufferer—the remedy. If you have read the preceding pages attentively, you have seen that the Sanborn Treatment is directed at what wTe believe to be the underlying cause—the body’s impaired power to utilize sugar—rather than at the result of that condition—sugar in the urine. We know that if we artificially reduce the sugar in the urine by starvation—or drugs, and there are drugs that act very powerfully in this- direction—we have by no means removed the disease. We have only done away with one of the symptoms—muffled the danger-signal, as it were, and actually left our patient in a more dangerous condition than before. We now have nothing to guide us as to what is going on internally. We are working in the dark and cannot tell as to the progress of the disease. While we do not claim to know all there is to know about Diabetes or Bright’s Disease or to be able to relieve every case, we honestly believe that we have the safest and most reliable treatment for these deadly maladies that is known today. We restore every year hundreds upon hun- dreds of sufferers whose cases had absolutely refused to yield to every other treatment that had been tried, and no sufferer should give up in despair before giving the Sanborn Treatment a trial. Some of our cases elude us in spite of all we can do, but these are few. Generally speaking, they are cases of the most malignant type and of long standing, where the poisons resulting from the faulty metabolism have set up serious complications which are quite as hard to combat as the original disease. And in many cases we have to fight almost as hard to overcome the effects of the “treatments” previously undergone as we do to combat the disease itself. 37 38 Back to Health HOW THE SANBORN TREATMENT WAS DISCOVERED Twenty-five years ago, Dr. Sanborn—then a surgeon of promise—was told that her father had Diabetes and that medical skill could do nothing more for him. Faced with this verdict, Dr. Sanborn consecrated herself to the saving of her father’s life. She found that little was known of the disease beyond the fact that the examination of the urine showed sugar, and that the recognized form of treatment was to deprive the patient of all sugars and starches in the hope of some- what retarding the progress of the disease. Almost always, however, it was found that the patient got worse instead of better—that depriving the system of the foods it required for the maintenance of health and strength was a serious injury rather than an aid. Dr. Sanborn started where other physicians left off. She equipped her home with a complete laboratory for the study of Diabetes. She labored day and night, giving her whole energy toward the saving of her father’s life. And she was successful. Her father was completely restored to health and strength. He lived more than twenty years afterward and died not long ago of pneumonia at the ripe age of eighty-seven. From her intensive laboratory work which led to the mastery of her father’s case, Dr. Sanborn discovered that many tests besides the ones for sugar were necessary in order to determine the progress of the disease. Sometimes these tests of a single specimen were carried on for days before a positive diagnosis was made. When these tests were completed, then and only then could an intelligent treatment be given. The Doctor’s find- ings enabled her to treat the cause of the disease rather than the results of that cause. Therefore, in order to derive the full benefit from the Sanborn Treatment for either Diabetes or Bright’s Disease, it is first necessary to make a careful urinalysis in order to The Sanborn Treatment 39 discover the exact stage of the disease and govern the treatment and the diet accordingly. This urinalysis is made by trained chemists of long experience in laboratories equipped for this particular type of work. All research work is under the direction of thoroughly trained and competent chemists and laboratory technicians. And it is to the thoroughness and completeness of these urinalyses that the Sanborn Treatment owes much of its wonderful success. CHAPTER VI HOW THE SANBORN TREATMENT OPERATES We are often asked, “How does the Sanborn Treatment act?”, “How can it be so effective when the orthodox treatment for Diabetes and Bright’s Disease is so un- satisfactory ?” While the underlying cause of Diabetes and Bright’s Disease is still not definitely known, it is the contention of Dr. Sanborn, as stated in a preceding chapter, that both of these diseases—quite generally held to be incurable—are the result of underoxidation of the end-products of diges- tion—a contention supported by Professor Porter. If the waste materials incident to the processes of life are not properly oxidized and rendered harmless, they irritate and upset the delicate nervous mechanism that controls the secretory, circulatory and nutritive functions of the renal glands, the pancreas and the suprarenal capsules—the three organs directly involved in the pro- duction of these diseases. That the Sanborn Treatment in some way stimulates the oxidation processes or has to do with assisting the faulty, fagged or diseased function of the internal secretory glands —to which an increasing number of medical authorities now attribute many bodily diseases and imperfections—is evi- denced by the results it accomplishes. Whatever the explanation, the fact remains that many hundreds seriously ill with these insidious and dangerous diseases recover complete health as a result of the Sanborn treatment, and, after all, what the victim of Diabetes and Bright’s Disease really wants to know is — not what the actual or underlying cause of his disease is, but how he can get rid of it. This question seems to have been answered in a remark- able degree by Dr. Sanborn, who, in a lifetime of earnest endeavor, has given humanity a boon the value of which can be measured only in terms of mended function and the saving of precious lives. 40 The Sanborn Treatment 41 HOW THE SUGAR OUTPUT VARIES During the progress of treatment by the Sanborn method, the sugar content may vary from time to time. In fact, it is rather to be expected that sugar will continue to be present for some considerable period after beginning treatment. This is largely because of the fact that it is considered of far greater importance that a diabetic may partake of an adequate and nourishing diet, and digest and assimilate the same, than that he should be rendered sugar-free at once. In this, the average physician who depends on the effects of a starvation diet, and who knows nothing of the specific results of medication in certain phases of these disorders, commits a great error. He bends every effort toward keeping his patient from eliminating sugar, even though the patient be maintained on a diet so low in energy-yielding values as to sap his strength, and markedly weaken vital resistance. As a matter of fact, there are a number of other patho- logic states for which tests and examinations are made in connection with the Sanborn Treatment that have quite as much bearing on the case as do the sugar findings. The results of the Sanborn Treatment, not in a few cases, but in hundreds upon hundreds, removes all doubt that the proper kind of medication is of tremendous value in enabling the diabetic or the nephritic to digest, assimilate and metabolize an increased amount of food. DURATION OF TREATMENT As to the duration of treatment, it would be utterly im- possible definitely to forecast the time required in any case. Six months to eight months seems to be the average. Some- times it takes longer. On the other hand, three or four months have sufficed in many cases. And, of course, there 42 Back to Health have been cases wherein the objective of the treatment could not be accomplished, irrespective of the time. This objective is the elimination of both the physical and urinary findings in Diabetes or in Bright’s — with reasonable assurance of non-recurrence under a practically unrestricted diet. CHAPTER VII HOW THE PATIENT MAY HURRY HIS RELIEF A LITTLE CHAT WITH DR. SANBORN In this chapter, Dr. Sanborn has epitomized for us the instruction usually given her patients. It is valuable advice, built on sound judgment and long experience. It should prove exceedingly useful to every reader who, himself, is a diabetic or nephritic. But, let Dr. Sanborn tell it herself:— “Nature’s restorer and upbuilder is food. You cannot regain and cannot keep your health and strength without it — in proper balance and quantity. Starvation means depletion instead of restoration. We recognize this from the start and are generous in our food allowance, both as to variety and quantity. “Where the patient’s condition warrants, the diet is practically unrestricted and nourishing. Upbuilding foods in proper balance and quantity are permitted, leaving the medicine to take care of the disease. In other cases, a specific diet is prescribed until the nutritive functions of the body are sufficiently restored to permit wider latitude. It often happens, especially in Diabetes, that the patient’s system has been so depleted by starvation, or semi-starva- tion, that strong, nourishing foods cannot wisely be given, in the first instance. In such cases, a modified diet is directed; in extreme cases, it has been limited to liquid foods. “Do not permit yourself to forget, however, that over- feeding — eating more than normal bodily maintenance requires — carries its own penalties; and that any but the most modest indulgence in sweets and pastries usually amounts to overfeeding, even for those who are well. For those who are ill—such indulgence, of course, is inexcusable. “Never eat anything which is not digestively agreeable. You alone are the judge of this. And you should never overload your stomach. Too little is far better than too much in a condition such as yours. 43 44 Back to Health “Whole-wheat bread is best for you, or bran bread when constipated. You may also have rye bread, if you care for it. White bread I do not recommend. It has been robbed of practically everything of value except starch the wheat kernel contained, and occupies space that should be given to more wholesome and nourishing food. “I do not advise the use of saccharin in sweetening. Saccharin is a coal-tar product, and is exceedingly irritating —especially to the kidney cells. “I should prefer that you use chemically pure dextrose, instead. Dextrose is almost as sweet as powdered sugar, and can be used freely without increasing the sugar output. In fact, it tends to decrease the sugar, and to eliminate acetone and diacetic acid, because it favors the perfect oxidation of the fats, as well as the protein molecule. “Be very careful that you do not exercise at any time to a point of exhaustion. Even in reading, you should not become overtired. Be out-of-doors as much as possible in favorable weather, but you must at all times remember that in your present condition you are unusually susceptible to complicating conditions, and for that reason you must be extremely careful that you subject yourself to no undue exposure. “You must keep regular hours, both as to sleep and meals. You should have at least nine or ten hours’ sleep each night, preferably from ten o’clock in the evening until seven or eight o’clock in the morning. Do not remain in bed after eight o’clock, unless for some fairly special reason which makes your doing so either necessary or advisable. “Many headaches and other disagreeable symptoms are due to improper elimination. Remember that you must keep your bowels open at all times, and should not have less than two movements per day. “You must make it a point to keep in close touch with the doctors by letter, as well as by the specimens. In fact, you should send a letter at the time of mailing each specimen, covering all the symptoms as to how you are The Sanborn Treatment 45 feeling. Do not hesitate to write at any time, and if you are in doubt upon any point, no matter how trivial it might seem to you, be sure to ask, so that it can be made plain to you. “And after all signs of sugar or albumin—the telltale of Diabetes and Bright’s Disease—have disappeared, the treatment should be continued for a reasonable time, suffi- cient to guard against return. “If you are subject to ‘gum boils,’ have your teeth X-rayed. If there are local infection areas at the roots of any of your teeth, it might be well to have such teeth removed. See your dentist. “If the X-ray shows faulty root canal filling, it would be good judgment—and may prove very helpful—to have the tooth canal opened up, treated and properly filled. “Many cases of Diabetes, Nephritis, rheumatism and high blood tension have been caused by nothing more or less than poisons absorbed from some local foci of decay in the cavity of the mouth. “There are many cases on record where these disorders have been entirely cleared up by the relief of this septic local condition. “Boils, ulcers and gangrene are conditions that often occasion grave concern, and justly so. The Sanborn Treat- ment will usually take care of these conditions by indirect action. If necessary, however, special adjunct treatment will be prescribed. “And one last word:— “Cease making analyses and tests. “Cease weighing food. “Cease figuring ‘calories.’ “Simply follow directions— and the best of luck, long life and happiness to you.” CHAPTER VIII While the diet permitted—or rather encouraged—under the Sanborn Treatment—is infinitely more liberal than would be generally countenanced even by radical specialists today, at the same time, it is absolutely essential, in order to secure the quickest and most satisfactory results with any method of treatment, to pay scrupulous attention to a sensible form of diet. With the Sanborn Treatment, however, it is not advised that a “restricted diet” be undertaken, in the sense that the word “restricted” usually conveys. For it is not so much to eliminate carbohydrate from the diet as it is to develop a diet that will be thoroughly balanced in the proper proportions of proteid, fats, sugars, starches and mineral salts. Dr. Sanborn contends that the restriction of a nephritic, for instance, to a diet of skimmed milk and fruit, as is so frequently insisted upon in this condition, is one of the surest and most definite ways of robbing the patient of his last slim chance of life. For it not only deprives him of needed building material and body fuel, but, by creating pathological fermentative changes, it adds immeasurably to his excessive stock of indol and other putrefactive poisons. Also, the drastic reduction in the carbohydrate intake exerts an even more deleterious influence upon the organism —as it utterly destroys the normal food balance. Dr. Sanborn is absolutely convinced—as the result of more than a quarter century of experience and observation — that the best and most rational diet for any under- oxidation disorder — whether it be Diabetes, Nephritis, rheumatism, or increased uric acid production — is a properly balanced diet. It is, of course, impossible to give a concrete general diet, suitable to every case, because of the varying condi- tions of patients. As a matter of fact, and particularly WHAT TO EAT 46 The Sanborn Treatment 47 during the earlier stages of the treatment, the selection may range all the way from an all-liquid diet in one case to anything and everything on the most liberal list in other cases. The better to visualize just what is or is not permissible under the Sanborn regime, we append a specimen menu containing an entire week’s food allowance — such as is available to the average patient in four to six weeks after the treatment is instituted. You will note the absence of any reference to grams, calories and so forth:— SUNDAY BREAKFAST Grapefruit Oatmeal Soft boiled eggs Bread and butter Coffee DINNER Soup Roast beef or lamb Baked potato Cauliflower or string beans Combination salad Jello Coffee SUPPER Cold roast beef or lamb One hard boiled egg Bread and butter Cup custard Tea or milk MONDAY BREAKFAST Orange Cream of Wheat Poached eggs and bacon Bread and butter Coffee LUNCHEON Sardines or smoked fish Bread and butter Lettuce and tomato salad Cheese Tea or milk DINNER Beef stew, with vegetables Bread and butter Asparagus or green peas Tapioca pudding Tea or milk TUESDAY Grapefruit Shredded wheat Omelet Bread and butter Coffee Smoked fish Any green vegetable Combination salad Bread and butter Cheese Tea or milk Soup Steak Baked potato Spinach Celery Orange ice Coffee, tea or milk WEDNESDAY Baked apple Oatmeal Ham and eggs Bread and butter Coffee Baked or broiled fish Any green vegetable Bread and butter Cheese Tea or milk Soup Lamb chops Brussels sprouts or asparagus Vegetable salad Bread and butter Tea or milk 48 Back to Health THURSDAY Grapefruit Any kind of cereal Poached eggs Bread and butter Coffee Soup Any green vegetable Cheese Jello Tea or milk Chicken, roasted or stewed Baked potato Bread and butter Green peas Lettuce and tomato salad Coffee, tea or milk FRIDAY Stewed prunes Oatmeal Bacon and eggs Bread and butter Coffee Soup Any green vegetable Corn bread and butter Combination salad Tea or milk Fish of any kind, baked or broiled Any green vegetable Combination salad Tapioca pudding Tea or milk SATURDAY Grapefruit Any cereal Scrambled eggs, with ham or bacon Bread and butter Coffee Soup Sardines, with lemon Bread and butter Vegetable salad Tea or milk Beef stew, with carrots and onions Bread and butter Cup custard Cheese Coffee, tea or milk NOTES Potatoes should always be thoroughly baked or boiled in the skin. Bread means whole wheat, rye or bran. Dextrose or a little saccharin may be used for sweetening as necessary, until sugar is permitted. Soups—unthickened, from any good soup stock. (Canned soups may be used.) Between meals, fresh fruits of any kind may be taken with the exception of bananas. Also, milk or buttermilk, malted milk or egg-nog. Ham and bacon should always be broiled. Do not toast bread without special permission. Use French dressing on salads. Cream may be used on cereals and in coffee. Cheese—Cottage or American. Please remember that variety of foods is desirable in order to stimulate the appetite and maintain a proper balance. It would not do to make an entire meal, for instance, out of starchy foods, such as bread, potatoes, vegetables and cereals. Neither should an entire meal be made out of protein foods, such as meat, fish, eggs, cheese, The Sanborn Treatment 49 etc. Neither would fruits alone do. Keep the balance in mind. CHRISTMAS MENU OF A VERY BAD CASE It may be interesting to some well-advanced case of Diabetes to note what Dr. Sanborn permits occasionally to those ordinarily kept as close to the starvation point as is possible, without pushing the patient over the ragged edge of collapse. Here is what one of the very worst cases ever treated by Dr. Sanborn was allowed by way of a little laxity for his holiday menu:— BREAKFAST Strained juice of two oranges Broiled bacon and two poached eggs Two slices whole wheat bread, with butter Coffee and cream DINNER Celery and olives Roast turkey Baked potato Canned spinach Asparagus tip salad, with French dressing Jello Tea, with lemon SUPPER Cup chicken broth (canned) Cold turkey Two slices whole wheat bread, with butter It would take a person a long time to starve to death on a diet of this character. So, from these menus, it can readily be seen that there is an abundance of the usual nourishing, wholesome foods, — including meat, fish or poultry, once and not more than twice a day, — with plenty of green vegetables. The following restrictions are recommended by Dr. Sanborn, at least during the earlier periods of treatment: Moderate amount of sugar and sweets, if any at all. No white bread. Use instead, untoasted whole wheat bread or bran bread; bran especially if constipated. No pork, except bacon and ham. Fruits (except bananas) may be taken midway between meals; none with meals, except an orange or grapefruit at breakfast. Most of these restrictions are merely such as a perfectly healthy, normal person ought generally to observe, with any indulgence the exception, and not the rule. An athlete 50 Back to Health in training would be held to most of them. They are not so much restrictions, therefore, as sound dietetic rules. It is a fact, as the medical profession generally will soon concede, that nothing but food can rebuild wasted tissue or renew strength and energy; and that while seeking restoration one should confine himself to foods which have high restorative value, and not allow foods of low restora- tive value to take their place. He should cater to his bodily needs rather than to his palate. Also, it must not be forgotten that overeating, instead of being curative and productive of increased health and strength, may in itself be a cause of disease, even in a well person. Dr. Sanborn has the true appreciation of the value to an invalid of husbanding and conserving his vital forces. Therefore, to each and every patient she says:— “During the process of your restoration, strength and energy must be carefully conserved. Under no circum- stances permit yourself to become overtired or to approach exhaustion in any degree—and this means mentally as well as physically. Stop well within your limitations, for you can easily tear down much faster than we can possibly build up.” CHAPTER IX Acidosis is the coup de grace which Nature reserves for the diabetic. It is the cause of the coma which ushers in the last chapter of his life. Acidosis arises mainly from the incomplete combustion of the fats; for it is evident that fats can be completely oxidized only when carbohydrate is being simultaneously burned. As one writer expresses it: “Fat only burns completely in a fire of carbohydrate. If the carbohydrate fire lags or goes out, as it does in Diabetes, then the fat fire smokes. The smoke is oxybutyric acid.” The philosophy of this condition is very simple. The facts are these: Owing to the inability of the system to utilize the carbohydrates, and to store the unburned product as glycogen, the carbohydrate is hurried through the system, and lost to the animal economy. Therefore the energy required to run the body machinery must be provided for by the proteins and fats. The proteins are easily utilized, but apparently it takes so much draught to consume them that there is not enough oxygen left properly to oxidize the fats. “acidosis” WHERE THE POISON COMES FROM The products of this incomplete combustion accumulate in the system and overcome the patient. As Osier says: “He is suffocated quite as effectually as he would be from the carbonic oxide of a charcoal stove.” The chief product of this incomplete combustion of the fats is B-oxybutyric acid, which in itself is a source of diacetic acid and acetone. In acidosis, the fixed alkaline bases of the body are depleted in the effort to maintain blood alkalinity. But carbonate is lacking to combine with the carbon-dioxide— the CO, — in the tissues. So the tissues are loaded up with this C 02, which cannot be taken up by the blood, 51 52 Bach to Health carried to the lungs, and burned in the white fire of the oxygen taken into the system during the act of respiration. Instead, the blood—even the venous blood—becomes charged with oxygen, until it becomes almost as bright as is the arterial blood. Then develops that dyspnea (short- ness of breath) without the cyanosis—the bluish discolora- tion—so generally found in underoxidation. The successful removal of acidosis symptoms depends largely upon early recognition of the condition. This is determined most quickly and readily by the increased ammonia content of the urine. In fact, the quantity of ammonia elaborated by the metab- olism and excreted in the urine is a measure of the reaction of the body to counteract acidosis and maintain blood alkalinity. If the twenty-four-hour total ammonia does not exceed three or four grams, the acidosis is usually not con- sidered serious. A LAWYER CANNOT SUCCESSFULLY PLEAD HIS OWN CASE While many informed patients are qualified by expe- rience to make the various tests for acetone and diacetic acid, and are thoroughly familiar with the Gerhardt ferric chloride reaction, as well as with Legal’s and Folin’s tests, it is deemed much better that the patient does not concern himself too much with the urinic tests. The lawyer does not try to plead his own case; the physician does not attempt to prescribe for himself, or even for members of his own family. So, for infinitely better reasons, the patient should not attempt to judge his progress by laboratory methods. His technique may at times be faulty, or the strength and accuracy of his reagents may vary in a way that might produce serious discrepancies in the end-results of his calculations. Perhaps the best means for noting significant lowered tissue alkalinity lies in the increasing languor, drowsiness, The Sanborn Treatment 53 and disinclination to do anything—together with the sensa- tion of not getting sufficient air, accompanied by the tendency to take deep, full breaths. Even where these symptoms might be attributed to some other cause,—which would be most usual,—the attempt to eradicate them would be, in any event, highly constructive. This is best done by taking an alkaline enema of a strength of two ounces of sodium bicarbonate to the pint. Liberal quantities of soda bicarbonate should be taken by the mouth—a teaspoonful in a glass of water, repeated every two hours, is not too much. DIET IN COMBATING ACIDOSIS Citrus fruits—oranges, lemons and grapefruit—tend to prevent acidosis and may be freely used, as their weak acids are split off into alkaline bases by the digestive process, and help, in this way, to alkalinize the blood and tissues. A BAKED POTATO HELPFUL It is a matter of scientific knowledge that a diabetic can tolerate on an average of three times as much potato (weighed raw) as he can of white-flour bread. The whole potato contains approximately 20 per cent of sugar and starches, 2.5 per cent of protein, and a trace of fat. But the most valuable things it contains—considered for the purpose of warding off acidosis — are calcium, potassium and iron. The alkalinity of the potato, it may be stated, is esti- mated by Prof. H. C. Sherman, of Columbia University, at 8.6. This, of course, only when baked, or boiled in the skin, so as to retain the mineral salts. In our ignorance of food preparation, the potato and other vegetables are usually peeled and sectioned, and boiled until all mineral salts and much of the nitrogenous matter is extracted. After this is thoroughly accomplished, the water is thrown down the kitchen sink. 54 Bach to Health This act of dietetic vandalism effectually converts a valuable base-forming alkaline food into a demineralized, acid-forming pulp—an actual menace to the health of even a healthy individual. The water-leached potato is like all other acid-forming food in respect to the fact that not only does it refuse to contribute any basic nutrient material for the internal secretions, but it also helps to rob them of the alkalies already in solution. OATMEAL ALSO OF VALUABLE ASSISTANCE Van Norden’s very excellent work has also done much to establish the value of whole oatmeal (not the scoured product) with a little butter fat—to make up the fat defi- ciency—in the treatment of Diabetes, and in the relief of acidosis. The oatmeal should be thoroughly cooked in a double boiler, using water slightly salted. While still hot, strain through a sieve and add a little butter, well stirred in. It is hardly possible, nor is it thought desirable by the staff of the Sanborn Laboratories to maintain any of the special diets except as emergency measures, as the patient tires of them so readily. Special diets are intended merely to tide the patient over until the condition of acidosis, for which they were origi- nally given, has subsided; after wdiich they become merely a part of a much more liberal dietary. Alcohol is one of the most valuable of therapeutic agents in acidosis, as Nebauer, Porter and others have demon- strated, and may be used liberally in the form of wine, whisky or brandy. AN ACIDOSIS VICTIM SHOULD CAREFULLY CONSERVE HIS STRENGTH And, last of all, an acidosis patient should carefully conserve his strength and his heat units. He should go to bed and keep warm, thereby avoiding needless loss of body The Sanborn Treatment 55 heat through exertion or exposure. Every effort should be made to keep him as quiet and tranquil as possible. Plenty of liquids should be taken to help flush the poisons out of the system. These are best given hot—in the form of broths and soups, tea, coffee and hot water or clam bouillon. An average of one quart of hot fluids should be given every six hours, until the urinary balance is improved, or until the symptoms of languor and debility are relieved. Fresh air, day and night, and absolute cleanliness of the body are most helpful. Yet it is well to avoid the shock of extremely cold baths, unless the reaction is very prompt, which is rarely the case with the diabetic or a nephritic. After all, the successful care of acidosis consists merely in the recognition of its fundamental causes, and the use of common-sense principles for overcoming the effects of these causes; at the same time employing every endeavor to eradicate the cause itself. When this is said—it’s all said. CHAPTER X WHY THE SANBORN TREATMENT CAN BE ADMINISTERED ONLY BY TRAINED SPECIALISTS It has been repeatedly asked, “Why cannot the Sanborn Treatment be described in detail and the medication out- lined so clearly that physicians everywhere could take it up and put it into practice with their own patients?” The answer to this question is obvious. Physicians generally are unqualified to administer the Sanborn Treat- ment because the ordinary practitioner is totally unpre- pared — by reason of his lack of special training and experience — to administer the treatment. His medical teaching has been to the effect that the only relief in Diabetes lies in the exclusion or in the limitation of carbohydrates. His dietetic treatment of Bright’s involves the exclusion or the limitation of meats. He knows from experience the symptoms his patients develop under such a dietary regime, and for the little that can be done for them under this method, he knows what to do. MAKING MEDICINE OF FOOD The Sanborn Laboratories’ specialists, on the contrary, give carbohydrates in Diabetes, and meat and eggs in Bright’s. They believe that there is only one way in which a victim of either of these disorders can ever be restored to normal—and this is by helping his system to digest, assimilate and metabolize food, and to oxidize and eliminate the end-products of this food. In other words, to use properly converted food as a medicine for the purpose of overcoming the pathologies which improperly converted food brings about. Therefore, symptoms developed by the patient under the Sanborn Treatment are entirely different in important aspects from the symptoms he might normally develop while under orthodox treatment. 56 The Sanborn Treatment 57 These symptoms he will be totally unable to estimate, meet or overcome. He must, therefore, learn the Sanborn Treatment before he can practice it successfully—exactly as he must learn any special branch of medicine or surgery before he can practice it successfully. He must acquire technique in the Sanborn method just as he acquired technique in his present specialty. He must understand Sanborn medication,—understand that the in- gredients which are given differ in different cases, and at different times in the same case. The practitioner must know how these medicines operate under those varying conditions; what symptoms will or may develop; and what to do under those conditions. Without this knowledge clearly and fully at his command, he would be unable intel- ligently to use the Sanborn medication, even though it were placed at his disposal. THE LAST WORD IN LABORATORY EQUIPMENT The Sanborn Laboratories are equipped with expensive and the most delicate apparatus, such as few physicians in all the country possess, and only the most perfectly equipped college laboratories can boast. Many of the results and determinations made in these laboratories would be considered impossible of achievement by the average practitioner, whose laboratory is inadequate, and whose urinary examinations are often wholly inadequate. MORE IN THE URINE THAN MOST DOCTORS EVER FIND Also, the ordinary practitioner is satisfied with a brief test. He would be apt to smile if told that the Sanborn Laboratories’ analyses often require twenty-four hours. As a matter of fact, Dr. Sanborn, for more than twenty years, has been laughed at as either amateurish or old- fogyish, or both, for devoting so much time to this work. Yet a physician or a patient who attempts his own urinary 58 Back to Health examinations along orthodox lines may easily be deceived by a faulty or an incomplete analysis. The absence of sugar, for instance, may prove utterly deceptive in a given specimen. In this way, physicians have been known wrongly to diagnose serious cases of Diabetes, because no sugar showed. It may, for example, be news to most diabetics to know that there are two types of glycosuria—which may be dis- tinctly differentiated by a complete urinalysis. In one of these types, the glucose as found in the urine is the result of extrinsic causes, such as eating too much, inability to oxidize, lack of out-of-door exercise, and so forth. In the other type of glycosuria, there is some well-defined intrinsic change, which plays an important role in the production of the glucose and its presence in the urine. SUGAR SOMETIMES THE LEAST IMPORTANT FACTOR In connection with the question of urinalysis, it may be pertinent to ask: “If the sugar content alone were the sole factor to be determined, would not the absence of sugar imply a negative Diabetes, or a freedom from pathological conditions ?” In this respect, it is interesting to note that the Sanborn Laboratories’ specialists have had many cases running an extraordinarily high percentage of sugar, which permitted the most favorable prognosis. These cases readily yielded to treatment by Sanborn medication. On the other hand, many cases of Diabetes have applied for treatment which were sugar-free, and yet from whom little or no response could be hoped for under any treatment. THREE TYPES OF ALBUMIN AND THEIR SIGNIFICANCE With albumin, as sugar, the urinary test discloses several types. The very translucent type of albumin indicates merely a slight disturbance in metabolism, but without The Sanborn Treatment 59 retrograde changes in the kidney cells, either present or proximate. A second type, which is decidedly opaque, is seen in varying amounts. Then there is a third type in which the precipitate is in the form of a highly caseous, dense mass. This form usually indicates a pronounced parenchymatous metamor- phosis taking place in the renal cells, and is of a most serious nature. It is usually most pronounced in syphilitic cases; less fatal, however, in this connection than in the absence of this infection. In the face of these facts, it is obvious that a peculiar knowledge of a distinct technique is required for the proper administration of this treatment. An amateur would only bungle the matter, and bring discredit upon the treatment, and disability or death to the patient. CHAPTER XI A HUMAN INTEREST STORY Perhaps the most convincing proof of the value of any form of medical treatment is a statement from the lips of one who has gone down into the Valley of the Shadow and has come back to the bright sunlight of perfect health and strength. To a diabetic who, month after month, finds himself sinking deeper and deeper into the quicksand, there can be no story of more transcendent interest. We have, therefore, asked Mr. Charles S. Harmon, former President of the Analytical Laboratories, Inc., to tell his story here in detail. The recital should light a flame of hope for many who now merely screw their courage to the sticking-point — braced with fortitude to meet the inevitable. A STATEMENT BY CHARLES S. HARMON “In 1910, after months of gradual decline in weight and strength, with constantly increasing parching and thirst, and greatly disturbed sleep and rest because of the fre- quency of urination, I finally broke down, and was confined to bed at the Hotel Seville, in New York City, where I was then staying. For the first time in years I was attended by a physician, Dr. Purdy, the house physician, being called by the manager of the hotel. “Dr. Purdy told me that I had Diabetes, and that in spite of my reduced physical condition and consequent weak- ness, my only hope of relief lay in rigorous diet and rest. “This was later confirmed by other medical opinion, and I was told that, because my percentage of sugar was so high, no treatment was likely to do me any good. The advice of the best London and Paris specialists gave me no greater hope. “By rigid dieting, rest and extreme care I was able to get about again, but lacked the strength and energy that 60 The Sanborn Treatment 61 always had been mine, because in order to keep the sugar down I was obliged to deny myself the nourishing foods my system needed. “I was at that time senior member of a prominent law firm, doing an extensive law business in Chicago. “In 1913 my law offices were closed by my clerks, my office furniture and equipment being placed in storage. In spite of the most rigid dieting and the best my doctors could do for me, my condition grew worse, so in 1914 I had to be operated upon for a serious diabetic swelling on my neck. This operation was performed at the Albany Hospital, Albany, N. Y., by Dr. A. W. Elting. “Later, in January, 1915, by Dr. Elting’s advice and in the same hospital, I took the Allen treatment for Diabetes under the direction of Dr. I. W. Gorham, an Albany physician, who was then fresh from the Rockefeller Institute in New York City, and a specialist in that class of work. “After five days of absolute starvation, without a mouthful of anything but water, sugar had disappeared from my urine, and the slow process of developing what the doctor called my ‘tolerance for carbohydrates’ began. “My prescribed diet was very limited, and for months I carried with me little scales on which my food was care- fully weighed at each meal. I continued to be weak, and, in effect, was spending all my time in keeping myself alive. “Even this care did not suffice to keep me sugar-free, or even to keep the sugar from increasing, and later, in 1916, 1 was taken to the Lakeside Hospital, in Chicago, where I was operated upon for serious diabetic swellings on my right leg by Dr. A. R. Johnstone, chief of the surgical staff, and Dr. Charles H. Loder, my family physician. “After leaving the hospital, I remained under Dr. Loder’s care, and by his direction reinforced a rigid diet by frequent fasts—usually one day each week—often more —of actual starvation. 62 Bach to Health “In April, 1917, I was induced by William H. Dyren- forth, Esq., General Patent Counsel for the Standard Oil Company, and senior member of the firm of Dyrenforth, Lee, Chritton & Wiles, to see Dr. I. M. Sanborn, and take up the Sanborn Treatment. Mr. Dyrenforth was an old- time friend and associate of mine, who himself had been cured of Diabetes and Bright’s Disease by the Sanborn Treatment four years before. Later, his daughter-in-law, living in Florida, had been likewise cured—without ever having seen her benefactor. “On April 25, 1917, I presented myself to Dr. Sanborn for treatment. The analysis of my urine at that time was:— Specific Gravity 1.040 Acid'itv 65 Degrees Urea .3 Sugar 11.4 Per Cent Acetone Heavy Diacetic Acid Light “It may seem almost incredible to diabetics and to physicians familiar with the treatment of diabetes, yet, in a comparatively short time, during which I was put on a wholesome, nourishing, upbuilding diet, a decided improve- ment was manifested. After three months I felt positive that I was going to be cured. My sugar and other diabetic conditions gradually cleared up, and in about nine months I was fully restored to health. “My weight, which for years had been about 200 pounds, under the influence of the disease and the treatment I was taking, fell as low as 128 pounds. Under the Sanborn Treatment it increased to 166, to 170 pounds, which was quite enough for my height. “My strength and energy are said to be unusual for one of my age, sixty-nine years. I deny myself absolutely nothing that I wish in the way of food, and am in every respect living and enjoying life almost as I did twenty-five years ago. “Charles S. Harmon, “University Club, Chicago, 111.” The Sanborn Treatment 63 Mr. Harmon, who is a lawyer like his distinguished relative, Gov. Judson Harmon of Ohio, had been in active practice of his profession for many years, with offices in both New York and Chicago, at the time he was stricken down with Diabetes. In earlier years he was closely associated with the late Judge Christian C. Kolsatt, of the United States District and Circuit Courts of Chicago, but in later years devoted himself to corporation law. CHAPTER XII ADDITIONAL EVIDENCE This chapter is a challenge — a challenge to the most rigid investigation. The claims made in it are substantiated by the irrefutable testimony of men and women of irre- proachable integrity. These men and women gladly and cheerfully testify that while they were sick, some of them with the Clammy Hand of Death almost at their throats, they are now well. They have given their testimony in the goodness of their hearts, and in the sincere desire to help others find the path by which they climbed back into wholesome life. They are grateful and highly appreciative of the broad, generous sympathy of the good woman doctor and of her associates of the Sanborn Laboratories whose skill and profound knowledge in their specialty have restored them once more to the fulness of health. These men and women have, under the Sanborn Treat- ment, recovered from Diabetes and Nephritis—two of the most desperate and fatal diseases that afflict humans when allowed to develop into the degenerative stages* that char- acterize these disorders. They are now well. Many of them have been well for years following this remarkable treatment. They know they are well, not alone because they feel well, and are once more restored to a full life of usefulness, but also because Diabetes and Nephritis are the two diseases which admit of no question. Either one has, or has not, Nephritis or Diabetes. There is no guesswork about the diagnosis. For the presence or the absence of either of these disorders can be determined by scientific laboratory tests in conjunction with the clinical findings. When there is a complete clearing up of all pathological evidence in the urine,—even to such an extent that appli- cations for heavy life insurance policies are favorably 64 The Sanborn Treatment 65 passed upon,—and when the very obvious clinical symptoms are entirely removed, there is positive evidence that these patients are no longer suffering from either Bright’s Disease or Diabetes. NOT A MATTER OF FAITH OR FEELING It is not a matter of faith or feeling. It is not a condition which permits of the corrective or curative value of the mental state—as is frequently the case in neurasthenia, or in many conditions which the influence of suggestion or any subconscious mental activity may bring about. Diabetes and Nephritis are very definite abnormal states, capable of determination by any qualified medical examiner, and capable of being checked up by any number of independent examiners, as hundreds of these cases have been. CAN BRIGHT’S DISEASE AND DIABETES BE CURED? Read these letters and these laboratory reports and then judge for yourself. They need no comment. St. Joseph, Mich. Dear Dr. Sanborn:— In June, 1911, when I had been suffering from Bright’s Disease for a long time, your treatment very fortunately was recom- mended to me. I began the treatment at once and by October of the same year albumin had entirely cleared. By December, 1911, I was completely cured, and since that time my health has been normal. « I cheerfully recommend your treatment to others, and authorize you to refer anyone to me at any time. Wishing you and your treatment the success deserved, I am, Gratefully yours, (Signed) Mbs. E. A. Graham. When Mrs. Graham, the widow of the founder of the Graham & Morton Lines of Great Lakes Steamships, first came under Dr. Sanborn’s treatment, her urine showed as follows:— 66 Bach to Health Specific Gravity 1.004 Reaction Alkaline Sugar Trace Albumin Very Heavy Under the microscope there were many fine granular casts and a few hyaline, many pus cells, squamous epi- thelium, bacteria and many urates. Mrs. Graham began to improve almost from the very beginning of treatment, and in the course of six months she felt perfectly well. The treatment, however, was extended a little beyond that time, to obviate all reasonable possibility of a recurrence. She was discharged by Dr. Sanborn on Jan. 15, 1912, free from every evidence of Nephritis, and remained so uninterruptedly to the date of this writing. The chief thing to emphasize, however, is the fact that the earlier in the stage of the disease the treatment is instituted, the more readily it responds. The longer treat- ment is deferred, in useless experiments with inadequate and weakening measures, the more difficult it becomes to bring about a complete restoration of health. A GRATEFUL TRIBUTE Mount St. Scholastica’s Academy, Canon City, Colo., July 25, 1922. Dear Dr. Sanborn:— To be grateful in the ordinary sense is commonplace and has no special significance, but to be grateful for the saving of life, a young life dedicated to God’s service, means that it comes from the heart, and such is my gratefulness to you. It is genuine and true, and I am ever ready to preach it. Five years have now passed since you told me that I need no longer consider myself a patient. I hardly needed to be told, because I felt and knew that I was again well and strong. But it was none the less gratifying to learn that the albumin and casts, those two things which I had so justly dreaded until I found you, had completely disappeared. Need I picture myself before that time? Won’t it do just to say that I was not only tuberculous, but that Bright’s Disease had fastened its deadly grip upon me and that, by reason of it, The Sanborn Treatment 67 on three occasions—occasions which I will long remember, but which no longer haunt me—I was told that I could not live more than a few months at the best! In all fairness, I think you must share with this wonderful climate my thanks for relieving my tuberculosis, but you alone do I thank for ridding me of the dreadful Bright’s Disease. I am entirely free from it. Devotedly, (Signed) Rev. Robert M. Hennesey, C. M. Father Hennesey was sent to Colorado on account of his tuberculous condition by the famous Dr. John B. Murphy, of Chicago, who was his friend as well as his physician. While there, Bright’s Disease developed, for which he was successively treated by three Denver physicians — Drs. Carlin, Mathews and Monaghan. Finally, he learned of Dr. Sanborn’s treatment. In fourteen months he was pronounced cured. One of his former physicians, who chanced to meet him in Denver after Dr. Sanborn discharged him, was amazed, calling his cure absolutely miraculous. Mr. P. M. Heimbach is a department head for Marshall Field & Co., Chicago, with which firm he has been connected for more than thirty years. On Feb. 15, 1911, he began treatment with Dr. Sanborn. He was suffering from Bright’s Disease, and found it very difficult to meet the exacting duties of his position. In fact, he found it neces- sary to remain in bed for a day or two at frequent intervals, and was rapidly on the decline in spite of the very best that many specialists had been able to do for him. At that time his urine showed in part:— Specific Gravity 1.008 Reaction Mildly Alkaline Albumin Heavy Under the microscope there were many casts, both granular and hyaline, many pus cells and several calcium oxalates. 68 Back to Health In July, 1912, Mr. Heimbach was discharged as cured,- and has had no recurrence whatever of any of the conditions for which he was treated. His urine was absolutely negative at the time of his discharge, and has so remained throughout these ten and more years. His weight, strength and vitality were at par at the time of his discharge and have remained so without interruption to the time of this writing. It is our policy to make occasional examinations for at least a year subsequent to a patient’s discharge. This enables us to guard against any recurrence. In only a very small per cent of the many hundreds of discharged cases has it been found necessary or advisable to resume the treatment: Dr. E. D. Perkins, Sutter, Calif., April 3, 1923. The Sanborn Laboratories, Battle Creek, Mich. Dear Dr. Perkins: I was very glad indeed to get your letter of March 27th, advising me that it would be safe for me to dis- continue the treatment. I would have kept on for another month had you wished, but I am glad it will not be truly necessary. I will send a specimen at intervals of about eight weeks, according to your instructions, and will finish such medicines as I have on hand. It has been several years since I have been in such good health as I now find myself. Before I knew I had any trouble with my kidneys I suffered such dreaufui headaches almost continually and was dizzy, my eyes hurt and vision affected. Then last March (a year ago) I had an acute attack, when the doctor was called in and I learned the real trouble. I was dreadfully sick then and bloated all over. A milk diet helped me over this attack a little and then I heard of the Sanborn Treatment. My strength has now returned so that I can do all my work and, besides, I enjoy it. I can again take my place socially, do club work and all the other things that had made my life happy. And so you see how truly grateful I am for my health to be restored in such a degree as I now find it. Please accept my thanks for your interest and wise counsel. I have found nothing unpleasant during the entire course of treatment and corre- spondence. Sincerely yours, (Signed) Mrs. C. C. Epperson. The Sanborn Treatment 69 . A FEW CONDENSED REPORTS OF TYPICAL CASES DISCHARGED AS CURED Mr. W. H. Dyrenforth is senior member of the firm of Dyrenforth, Lee, Cliritton & Wiles, Marquette Building, Chicago, and is General Patent Counsel for the Standard Oil Company, in addition to other important connections. When Mr. Dyrenforth first presented himself for treat- ment, in September, 1912, his urine at that time showed in part as follows:— Specific Gravity 1.046 Reaction Acid Albumin Heavy Trace Sugar 10.8 Per Cent Acetone Heavy Diacetic Acid Heavy Of course he was emaciated and in a very critical con- dition, just as the urinary findings would indicate. He was discharged in January, 1914, having completely regained his health and vigor, and with a negative urine. It took sixteen months to accomplish this, but even that is a short time when the seriousness of the case and the permanence of the results of the treatment are taken into consideration. Mr. Dyrenforth has had no return whatever of Diabetes in either the clinical or the pathological findings, and is one of the most active men in his profession today. Mrs. John Collette, of Chicago, 111., presented herself for treatment on July 4, 1919. At that time she was thirty years of age and her urine showed in part:— Specific Gravity 1.034 Reaction Acid Sugar 6.1 Per Cent Acetone Heavy Diacetic Acid Trace By September, 1919, every symptom, both physical and urinary, had been cleared up, and she was discharged as cured on Nov. 12, 1919. 70 Back to Health Miss Gladys Blair is the daughter of a prominent mer- chant of Owosso, Mich. On Oct. 5, 1911, she came under Dr. Sanborn’s treatment for Diabetes. She was then twelve years of age, very weak and emaciated, and confined to the house most of the time. She had been under treatment by local physicians and specialists from Detroit for nearly two years. When the Sanborn Treatment was instituted, her urine showed in part:— Specific Gravity 1.039 Reaction Sharply Acid Sugar 4.7 Per Cent Acetone Heavy Trace Diacetic Acid Negative After nine months’ treatment she was a perfectly normal girl for her age and the urinary findings were negative. There has not been the slightest recurrence of the trouble during these many years that have intervened, and she is now in perfect health. You will be glad to read a letter from her, which follows:— Owosso, Mich. Dear Dr. Sanborn:— Nothing but your letter of recent date would have reminded me that I had ever suffered from Diabetes. I am so well now, and have been for so many years, that it is hard for me to realize that there was ever a time when I was so seriously threatened. It was in the latter part of 1911 and after my parents had made every effort to bring relief, but with no success, that I first came under your care. About all that I remember is that up to that time I had been alternately starved and tempted until there was little left of me and I had no interest in the future. At that time I was only twelve years of age, and did not fully appreciate the seriousness of my condition for one of my years. Had I really understood it all, I would probably have given up all hope. The next thing of importance which I remember is that you discharged me less than a year afterward, by which time I was again in the fulness of youth and vigor, and without the slightest trace of what once had been a severe case of Diabetes in a little girl of twelve years of age. I have never had the slightest return whatever of it, and shall be glad indeed if you will refer anyone to me at any time. With every good and sincere wish. Sincerely yours, (Signed) Gladys Blair. Owosso, Mich. The Sanborn Treatment 71 A recent letter from Mr. J. C. Crossley, President of the Ley-Cross Printing Co., of Chicago, 111., sums up his condition at the present time (about a year after his dis- charge) in a few, but adequate words. It follows:— Chicago, April 20, 1923. The Sanborn Laboratories, Battle Creek, Mich. Dear Sirs: Thanks for your kind letter of the 17th. You folks are certainly fine to me and I want you to understand that I appreciate it. In accordance with your request, I sent you a specimen yester- day and hope you will be able to give me a clear report. But, anyway, if I am in as good condition as I feel, I must be in the Dempsey class! I have been eating regular meals, white bread, potatoes, etc., etc. . . . Have been doing the work of two men every day and sleeping like a log every night. Thanks for your many kindnesses. Sincerely yours, (Signed) J. C. Crossley. The specimen to which Mr. Crossley refers in his letter showed as follows:— Specific Gravity 1.020 Reaction Mildly Alkaline Urea 1.6 Albumin Negative Sugar Negative Acetone Negative Diacetic Acid Negative He would have been passed without question by any life insurance examiner. CHAPTER XIII HOW THE SANBORN TREATMENT CAN BE GIVEN WITH THE UTMOST SUCCESS BY MAIL The query may come to your mind, “Can Diabetes and Bright’s Disease be successfully treated at home?” We unhesitatingly say “Yes”—because for years the Sanborn Treatment has been doing that very thing. Hun- dreds upon hundreds of patients living in every part of the country, whom neither Dr. Sanborn nor any member of her medical staff ever saw, have been restored by the Sanborn Treatment. Every detail of the treatment was conducted by correspondence. This is possible because the diagnosis of both Diabetes and Bright’s Disease is really made from the urine by means of the test tube and microscope, even in office patients. A scientific and complete urinalysis tells plainer than any words or any description of symptoms possibly could tell the patient’s exact condition, how serious or far advanced the disease may be, and what his approximate chances for recovery are. When the diagnosis is made the medicinal remedies can be mailed. Instructions regarding diet, hygiene and general care can be given in writing as well as orally. In fact, the results are usually better. For if given by word of mouth the instructions may be forgotten and thus not carried out. But if given in writing, the patient has them for continual future reference. You know from your own experience, and your doctor will confirm this, that the true index of your condition—the factor more important than any group of how-you-feel, or wdiat-you-can-tell symptoms is the condition of the urine on analysis. This can be told quite as readily if the postman brings it as if you bring it. And your medicine can reach you quite as readily through being delivered by the mailman as though you went or sent to the drug-store after it. 72 CHAPTER XIV WHY WE ADVERTISE Mr. Francis H. Sisson, Vice-President of the Guaranty Trust Company, of New York, in his 1923 address before the Associated Advertising Clubs of the World, at Atlantic City, as reported in the Press, placed advertising as a “clear call to duty” on the part of those who could, through its medium, benefit their fellow-men. He said there was no code of ethics that prevented professional people from advertising their services as merchants advertise their merchandise, and then pointed to the fact that many of those who had formerly thought it unseemly to advertise had dispelled that “bugbear” through realization that the great forward movements had few other highways upon which they might travel. This was clinched by the assertion that “in the sale of any service as intimate and personal as law and medicine, standards of taste might readily be involved, but not of ethics.” The Sanborn Laboratories, although under the super- vision and management of regularly graduated and licensed physicians, have unhesitatingly, and without fear or apology, adopted the one method recognized by Mr. Sisson and all progressive, forward-looking persons as modern and competent to reach the greatest number of those who may benefit by the discoveries which they have made. How else in the lives of the millions of those sufferers now living is this knowledge to be brought to their attention ? Who is to tell them that they can be, in the majority of instances, restored to health? Who is to direct them to possibly the only source from which help may be expected ? However, notwithstanding the fact that even churches and ministers of the gospel today advertise their services to mankind, many physicians condemn us because of the fact that the Sanborn Laboratories make an appeal directly to the sufferer. 73 74 Bach to Health But happily only a very small minority of the rank and file of the medical profession are sufficiently narrow-minded to advance this objection. The vast majority of fine, big- hearted medical men are only too happy to recommend to their patients a treatment that has shown such wonderful results in hundreds of cases considered beyond help and that has the endorsement of so many men and women high in the social and business world. If your Doctor is really interested in your welfare he will put your interest—your restoration to health—above every other consideration. We hold that the true mission of the physician is to save life. If he should attempt to dissuade you, knowing absolutely nothing about the Sanborn Treatment or its wonderful work in the relief and cure of these deadly diseases, you may draw your own conclusions. CHAPTER XV SOME REPETITION AND A FEW NEW POINTS Diabetes is insidious in its inception, often very gradual in its development, but deadly in its results. Many thou- sands—many hundreds of thousands—suffer from it and when finally awakened to its presence and seriousness are all too often informed that nothing better can be done than to go upon a starvation diet in hopes of somewhat cheeking the progress of the disease. Bright’s Disease is equally insidious in its inception, and apt to be more rapid in its progress and is equally deadly in its results. The number of its victims is appalling and far exceeds those from Diabetes. The Sanborn Treatment is not the “Fountain of Youth” sought by Ponce de Leon. It is not a panacea for all ailments. Its wonderful record of achievements is confined to Diabetes and Bright’s Disease. But these constitute an age-long and world-wide field that a thousand remedies have failed to check. We do not,however,claim to cure, or materially help ALL cases, even, of those diseases. We hold out hope of help to all, but some wait until it is too late for any human aid. Cases are not uncommon in which the patient’s system has been so depleted by starvation, and his power to take and assimilate the proper nourishment has been so reduced, that when we give him the food his body needs, he has lost the ability to take advantage of it. Our medicines, themselves, are not nourishment. They only make it possible for you to take nourishment in the presence of Bright’s Disease or Diabetes, and gradually remedy those conditions if your power of assimilation and recuperation has not been too far destroyed. Continuity of effect is of exceeding importance. Little is promised to the intermittent user. The remedies are in simple form, easily carried and easily taken, but they must be taken regularly, as directed, during the period of treatment. 75 76 Bach to Health There is no “ROYAL ROAD TO HEALTH.” If our pathway leads you there, be equally assured that the Sanborn Treatment constitutes no ROYAL WARRANT permitting those who have reached the goal of health through this treatment thereafter to ignore the laws of health and right living. As well try to ignore the law of gravitation when mountain climbing as to ignore the laws that Nature has imposed upon all humankind for the pro- motion of health and long life. These words are for your guidance after you have been cured. You personally may not need them. Some do. We have cured patients enthu- siastic—and foolish—enough to think that they are safe— with the Sanborn Treatment available—and that everything thenceforth is simply carte blanche. NATURE CANNOT BUILD WITHOUT FOOD Nature’s restorative and builder is FOOD. You cannot regain your health and strength without it — in proper balance and quantity. Starvation means depletion, weak- ness, disease. We recognize this and our practice is to put the patient, from the start, on as nearly a normal ration as his condition will permit. Physically he is greatly run down—his strength and vitality are at a low ebb. Our purpose is to build him up—to strengthen and to increase his resistance to disease and give him greater recuperative powers. PERHAPS YOU, TOO, MAY HAVE DIABETES OR BRIGHT’S DISEASE WITHOUT A THOROUGH EXAMINATION OF YOUR URINE YOU CANNOT KNOW From most reliable sources we are informed that from one to two per cent of the total population have Diabetes; while twenty per cent have a more or less well developed involvement of the kidneys. In 1917 there were 16.9 deaths from Diabetes for every 100,000 population; while 107.4 The Sanborn Treatment 77 out of every 100,000 were destroyed by Nephritis or Bright’s Disease. It is also a universally recognized fact that the fore- going mortality figures could be tremendously modified if a thorough examination of the urine was made at least once a year, that the trouble might be detected and proper steps taken to combat the disease at its very inception. A whole book might be written on the virtues of early detection and prompt treatment of these diseases. The very keystone of the successful treatment of both Diabetes and Bright’s Disease is PROMPTNESS. If you have any cause to suspect either Diabetes or Bright’s Disease, or even a tendency toward either, you should lose no time in having your urine thoroughly examined by some completely equipped, modern laboratory. The sufferer should not wait until the ravages of the disease or the starvation diet imposed upon him have sapped all his physical reserve and destroyed his ability to take and assimilate the nourishing food the body needs and must have if it is to be restored. When he reaches that stage we know as well as those responsible for permitting him to reach that stage, that the chances are 100 to 1 against him. Sometimes, when urged, we have taken such apparently doomed cases in the hope that there might be an unexpected reserve sufficient for restoration. Sometimes, not always, we have succeeded. No one is warranted in waiting until there is only one chance in a hundred left, or what is almost as bad, in waiting until the most that expert physicians can offer is a more or less prolonged life and that only upon condition that he deny himself the things that mean strength and energy and ambition, and make life worth living. If you suffer from Diabetes and Bright’s Disease, we want to help you if we can and if you want us to and will give us your full co-operation. Without such co-operation on your part, which means faithfully following the sug- gestions as to diet and general methods of living that we may find applicable to your case, and the taking of such 78 Bach to Health remedies as we will prescribe and send you, you might waste your time and also ours—time and effort for which your money alone would not pay. OUR FINAL WORD All our hopes of bringing relief to those suffering from Diabetes and Bright’s Disease are predicated upon what the Sanborn Treatment has achieved for others. Our con- fidence is based upon just such reports as those contained in this book. We know no more. You must judge for yourself. GAGE PRINTING CO.. LTD., BATTLE CREEK, MICH.