The Mehlnährschaden of the Germans, or the "starch injuries," have been extensively discussed in the German literature, especially in the writings of Czerny and Keller, and the Breslau school, and elaborated by the studies of Risel and Rietschel. To the genius of Czerny and Keller we are indebted for the conceptions of injuries to the organism produced by fat and starch and overfeeding with milk. These studies gave a great impetus to investigations of injurious effects produced by the component parts of milk. Thus, the ill-effects from excessive feeding of sugar, salts, starches, proteins and fats have been extensively studied.
In this brief clinical report I desire to review the work of the German authors on the starch injuries and to recite personal experiences. I feel it necessary to acknowledge that no original contribution is being offered, and feel that sufficient excuse for the publication of this report lies in