Entered according to Act of Congress in the year 1889, by The Trommer Extract of Malt Co., in 
the office of the Librarian of Congress at Washington. 
EXTRACT OF MALT. 
~(Trommer’s.) 
ITS PROPERTIES, REMEDIAL VALUE AND U$S> 
PAGE. 
Analyses of Extract of Malt, by Professors Rkdwood and A. 
Rivers Wilson, of London; Fresenius, of Wiesbaden and 
other eminent chemists 4 
History of the Manufacture of Diastasic Malt Extract in the United 
States 6 
Digestion in Plants and Animals 6 
Nutritive Constituents, and Digestive Powers S 
Diet in Acute Febrile Diseases Prof. Uffelmann 9 
Value and uses in Chronic Diseases Prof. Immermann 10 
Adaptation to Infants and Children 1 1 
Usefulness in the Debility of Old Age Dr. Darling 12 
Nutrition in General Functional Neuratrophia, C. H. Hughes, M. D. 12 
Diseases of the Bones and Joints Prof. Wyman 14 
Notes on Therapeutic Uses of Extract of Malt. . .Du. D. Morton 15 
In Cholera Infantum and after Surgical Operations, Prof. Webber 17 
Report of Cases Treated J. J. Mulheron, M. D. iS 
Diseases of Children Prof. Larrabee 19 
Food and Food Medicines in Surgery Prof. Cowling 21 
Professors Niemeyek, Hoppe-Seyler, and Werber; Dr. 
Lersch, Staff Surgeon Heimerdinger, Dr. Gusman, etc., on 
the Medicinal Value and Uses of Extract of Malt 22 
List of Preparations 23 
Diastasic Food, A Nourishment for Infants and Invalids 31 IMPRINTED FOR 
THE TROMMER EXTRACT OF MALT eO. 
MANUFACTURERS OF 
OIASTASIO NUTRIENTS, 
FREMONT, OHIO, U. S. A. Entered according to Act of Congress in the gear 1889, hy The Trommer Extract of Malt Co., in 
the office of the Librarian of Congress at Washington. 
Extract of Malt 
(Trommer's) 
Its Properties, Remedial Value and Uses. 
The work in our laboratory during the past sixteen years has not been 
directed merely to the attainment of perfection, in the greatest degree 
possible, of the products of our manufacture, but investigations relating 
to the properties and adaptation of special forms of medicinal foods, and 
studies in the physiology and pathology of digestion and nutrition, prop- 
erly pertaining to this field of inquiry, have not failed to receive that con- 
sideration which in this connection they naturally awaken and suggest 
to the mind of the physician and chemist.* 
The digestive forces of plant life which are developed and spring into 
action during the processes of germination, and by whose agency the 
constituents of the seed,—whether albuminoid, starchy or earthy matters, 
—by true digestive changes are transformed into diffusible bodies 
adapted to assimilation and nutrition, had not anywhere been rendered 
available in therapeutics, until, by the successful employment of methods 
devised by us, they were, in our preparations of barley malt, presented in 
stable form and well adapted for remedial use. Malt Extract had been 
indeed long esteemed as a bland and largely predigested nutrient, com- 
prising the principal elements essential to the nutrition of the body; but 
the preservation in the extract of active diastase was our own conception 
and was achieved by us in the successful production of Trommer’s Im- 
proved Extract of Malt. 
Digestion 
and 
nutrition. 
Dfgestira 
forcesia 
plant life. 
* The originators and manufacturers of Trommer’s Extract of Malt and Diastasic Food are practic- 
ing physicians and chemists. They consequently have kept in view the adaptation of these prepara- 
tions to practical therapeutics. In the course of correspondence with physicians extending through a 
series of years they have received much useful information and many valuable suggestions which are 
thankfully acknowledged. They are ever ready to respond to all inquiries relating to these prepara- 
tions and their appropriate uses. 2 
An Error of Dr. J. Milner Fothergill. 
The importance of diastasic digestion has been habitually underrated 
by most physiologists, from the fact that the notion has long prevailed 
that in animal life, at least, it affects only the amylaceous constituents of 
food, which until lately were also regarded as playing an inferior role as 
nutrients. And, another error, so long, and, even yet, so frequently ac- 
cepted, that diastasic digestion is necessarily and essentially an alkaline 
digestion, and the observation that food is generally taken along with 
more or less acid, and that the gastric juice normally is of acid reaction, 
all contributed to lower the estimate of the value of the carbohydrate 
constituents of food, and of the function by which their digestion is ac- 
complished. 
Whatever merit attaches to our successful effort to supply a normal 
nutrient of bland quality, and of largely predigested constituents, and at 
the same time the property of acting as a digestive agent, would be far 
less had we not also made a systematic study of the adaptation of this sub- 
stance to pathological conditions. In proceeding to show that the carbo- 
hydrates subserve other purposes than that of calorifacients, (as was be- 
lieved and taught by Liebig), we had only to join in the chorus with 
the considerable number of experimenters who had also perceived the 
erroneous character of the prevaling views, and who could no longer 
resist the logic of facts proving that whatever article of food is a main- 
tainer of heat must, in the transmutation of the forms of energv, 
be also generators of every other form of force,—and that the carbohy- 
drates and hydrocarbons were as essential to the nutrition of the body as 
the albuminoids or any other food constituent. 
If former views regarding the digestion of starchy food were correct, 
it is easily seen that practically no provision is made for its digestion, 
—all the more strange because, in wheat and barley, which are typical 
examples of a normal food, the amylaceous constituents exceed the al- 
buminoids four or even six times. Little experimental investigation was 
required to ascertain so far as the diastasic digestion of the germinating 
seed is concerned, that this goes on in every instance in the presence of 
lactic acid, and that, moreover, in the “mashing” process, which consists 
of making a hot infusion of the crushed malt, lactic acid is constantly 
formed in increased quantity, rendering the “mash” characteristically 
acid, while the amount of starch changed under these conditions into 
saccharine bodies is simply enormous. 
Charles Richet had already observed, in a fistulous stomach, that the 
presence of a certain amount of acid not only did not hinder, but actually 
Importance 
of diastasic 
digestion. 
•An error of 
Dr. J. Milner 
Fothergill. 
* Dr. J. Milner Fothergill, who has written much on disorders of digestion and nutrition, seems to 
have adopted without question these old and obviously incorrect views. He writes thus, respecting the 
action of diastase: “Now, diastase, whether of sahva or barley, it matters not, is inactive in the pres- 
ence of an acid, and, taken into the acid stomach, as directed, is inert, simply thrown away, so far as it 
is a ferment, and reduced to the level of the food—no longer a digester, but itself to be digested. It is 
in the brief time before starchy matter reaches the acid stomach that the diastase is active and func- 
tionally operative.” promoted the digestion of starchy food—confirming what had been 
previously stated by Frerichs. In 1882-3 a series of experiments were 
made in our laboratory, resulting in settling the fact beyond all dispute, 
that both salivary and malt diastase are most energetic in fluids contain- 
ing a certain proportion of lactic acid. Ewald, Boas and Langley shortly 
afterwards published the results of their experiments showing that the 
gastric juice in human stomachs, during the first 15 to 35 minutes after 
the ingestion of food, owes its acidity to the presence of lactic acid,—and> 
in confirmation of our observations, that the degree of acidity during 
this period corresponds with the proportion of this acid which had been 
shown by us to most highly favor diastasie action. 
Subsequently we published the results of a series of carefully conducted 
experimental observations clearly proving, that as in germinating grain 
and seeds, so in the human stomach, during the first stage of the digest- 
ive act, the diastasie digestion is by no means limited to starch conver 
sion, but includes the formation of peptones, especially out of albumin, 
oids derived from the cereals, and milk casein also, and other animal 
food. Later also these observations have been confirmed by Sticker and 
Wallace. 
The influence of these discoveries is of the utmost practical import- 
knee, and we feel no little gratification in having done something at least 
to promote them. In what manner they are affecting practical thera- 
peutics may be gathered in the following pages. The recognition of 
the important truth that the articles of food classed as “nourishing” 
should not depend wholly on the quantity of albuminoids they contain; 
and that “dyspepsia” can not in the light of the facts already given, al- 
ways call for the administration of pepsin, must add precision and effi- 
ciency to methods of treatment. We leave it to the recorded results ob- 
tained by writers like those whose experience is stated further on, to il- 
lustrate the utility of an agent possessing both nutrient and digestive 
powers. 
Diastasic Action in Acid Media. 
3 
Acidity and 
diastasie 
action. 
The 
formation 
of 
Peptones. 
Dyspepsia 
and pepcia. 4 
Analyses of Trommer's Extract of Malt. 
Prof. Fresenius. * 
Chemisches Laboratorium 
des 
Geh. Hofrath’s Professor 
Dr. R. Fresenius. 
The bottles marked “Improved Trommer Extract of Malt, consisting of the soluble constituents of 
the best Canada Barley Malt, manufactured by Trommer Extract of Malt Co., Fremont, Ohio,” con- 
tained a semi-fluid mass of the consistence of Honey of a brownish-yellow color, ngreeable odor, and 
sweet, aromatic, honey-like taste. The Specific Gravity of this Extract at 20° C. is 1 39 
The analysis yielded the following results: 100 parts by weight of this Extract contain: 
Maltose (malt sugar) 51.03 
Dextrine 10.94 
Albuminates 3.11 
Free acid, calculated as Lactic acid 0.43 
Inorganic substances, phosphates, etc 1.36 
Water 22.47 
I cannot omit calling attention to the extraordinary keeping quality of the Trommer Extract of Malt, 
which bore transportation from America to Wiesbaden, during the heat of summer, and was 
kept here for some months without the least injury to its properties. 
In consideration of its great Diastasic Power, its stability, together with its agreeable taste and 
odor, I can pronounce the Malt Extract of the Trommer Extract of Malt Co., a superior preparation, 
DR. R. FRESENIUS, Wiesbaden, 
Dr. Redwood. 
Db. Redwood’s Analytical Department, 17 Bloomsbury Square. 
I have examined the Extract of Malt manufactured by the “Trommer Extract of Malt Company,” 
andj judging from its physical characters and chemical reactions, I am of the opinion that it fairly 
represents what its name indicates, that is, that it is a preparation of Malt in which are contained the 
essential properties of that substance, with a slight addition of aromatic Bitter of the Hop. It has the 
character of a Soft Extract, in the sense in which that term is used pharmaceutically, and it has evi- 
dently been prepared with great care and judgment, as it retains the property of acting on amylaceous 
bodies, as Diastase does, while the Extract itself bears long keeping without change. 
It also possesses the property of forming with Cod Liver Oil a permanent Mixture or Emulsion, in 
which the taste of the Oil is very effectually covered and its administration thus greatly facilitated. 
T. REDWOOD, Ph. D., F. R. C. 8., &c., 
Prof. Chemistry and Pharmacy to Pharmaceutical Society of Great Britain. 
London. 
I have thoroughly examined this Extract of Malt, with the following results: 
Prof. A. Rivers Wilson. 
Malt Sugar (Maltose) 46.65 
Dextrine, Bitter Extractives and Fatty Substances 22.5 
Albuminoids 2.6 
Phosphates 1.713 
Sulphates and Chlorides of Potash and Soda, &c 61 
Water 23.1 
99.973 
This Extract of Malt .is one of the best samples which have come under my notice. The various com- 
binations of the Extract are all that they are represented to be, and in my opinion, cannot fail to prove 
valuable additions to the physician’s armamentarium. 
A. RIVERS WILSON, Ph. D.. 
Analyst to the Grosvenor Co-operative Stores, Author of “Text Book of Chemical Analysis,” “Chem- 
ical Notes for Pharmaceutical Students,” &c. 
London. 
Prof. Douglas. 
UNIVERSITY OF MICHIGAN, 
Chemical Laboratory, Ann Arbor. 
I enclose herewith my analysis of Trommer’s Extract of Malt: 
Malt Sugar 46.1 
Dextrine, Hop-bitter, Extractive Matter 23.6 
Albuminous Matter 2.469 
. . (Phosphates 1.712 
Asa’ l Alkalies 377 
Water 23.7 
Total 99 858 
SILAS H. DOUGLAS, 
Professor of Analytical and Applied Chemistry, 
* “The seventieth birthday of Prof. Fresenius was celebrated with great festivities by the students 
And citizens of Weisbaden. Over 300 telegrams and letters of congratulations were received from all 
parts of the world.”—The Western Druggist, for June, 1889. Comparative Tests. 
5 
PROF. MARVIN’S REPORT. 
The following, from a review of The Fifth Annual Report of the 
State Board of Health of Kentucky, is taken from the “Journal of the 
American Medical Association : 
“The preparations of malt, both plain and in combination with other 
medicinal agents, have, in consequence of their digestive and construc- 
tive properties, deservedly won a high place among therapeutic agents. 
It is well known that the digestive agent in these preparations is dias- 
tase, the principle which converts starch into maltose and dextrine, and 
hence the merits of any given malt extract depend upon the activity of 
these diastasic properties. Prof. Marvin obtained from a well known 
wholesale house bottles of each of the following brands: Trommer’s Ex- 
tract of Malt, Maltine, Keasby & Mattison’s John Hoff’s (imported), 
John Hoff’s (Tarrant’s), Liebig’s, and Shaker’s Aromatic Elixir. After 
applying the test most carefully tender identical conditions, he places 
the Trommer Extract at the head of the list, having found it 
to possess most active Dastasic Properties.” 
Compara- 
tive testa. 
—Prof. 
Marvin. 
PROF. IMMERMANN 
On the Use of Trommer’s Extract of Malt in the treatment of Anaemia, and Wasting 
Diseases. 
From Ziemssen’s Cyclopaedia of the Practice of Medicine, Vol. 16, page 474. 
“The Malt Extract prepared from Trommer’s receipt is designed to 
fulfill much the same purpose as Cod Liver Oil, carbohydrates (malt 
sugar, dextrine,) taking the place of fatty matter. The simple, (much 
or little hopped) and the chalybeate (Ferrated) form of Malt Extract are 
coming more and more into favor as substitutes for the oil; they are 
more palatable and more easily digested, and should, therefore, be pre- 
ferred in the dyspeptic forms of amemia. During the last few years, 
Malt Extract has almost entirely taken the place of Cod Liver Oil in the 
treatment of phthisis, and other wasting diseases, at the Basle Hospital, 
and we have as yet found no reason for returning to the use of the lat- 
ter remedy. The Extract may be given from one to three times a day 
in doses varying from a teaspoonful to a tablespoonful, in milk, broth, 
beer or wine. 
Has taken t&« 
place of Ood 
Liver Oil. 
—Prof. 
Immermann. 
From the article on PULMONARY DISEASES, in the work on the Practice of Med- 
icine, By Dr. Felix von Niemeyer, Professor of Medicine and Director of the 
Medical Clinic, in the University of Tubingen. 
“Of late years I have obtained very good effects from an Extract of 
Malt prepared by Trommer. This preparation of Trommer’s is not a 
strong beer containing a large amount of alcohol and carbonic acid, like 
the Hoff’s malt extract so greatly extolled, but is a genuine extract re- 
sembling other officinal extracts One hundred parts of it 
contain about seventy-six parts of maltose, or malt sugar, dextrine, bitter 
and resin of hops, seven parts of albuminous or protein substance, eighty- 
two hundredths of a part of phosphate of lime and magnesia, eighteen 
hundredths of alkaline salts, and sixteen of water. Patients almost al- 
ways enjoy two or three tablespoonfuls of it daily, and it usually agrees 
well with them. It may be diluted in spring water, mineral water, 
warm milk or other liquid.” 
Trommer’s 
Extract 
of Malt. 
—Prof. 
Niemeyer. 6 
Action of Diastase. 
In these pages are presented a brief sketch of the present state of 
knowledge relating to Digestion in both Plant and Animal life, and 
of the nature of the impairment of the digestive and nutritive func- 
tions in disease, as well as the most effective means of sustaining the 
body in sickness, and of restoring the constructive powers to the stand- 
ard of health. 
Origin of the Manufacture of Diastasic Extract of Malt. 
Origin of 
Manufacture 
of Diastasic 
Extract of 
Malt. 
Previous to the year 1874 Extract of Malt was but little employed 
medicinally in the United States, and was exclusively an imported article, 
and, for the most part prescribed by German practitioners, or by others 
who had pursued their medical studies on the continent of Europe. In- 
deed, up to the period mentioned, in consequence of the methods which 
had been hitherto employed in its manufacture, the value of malt extract 
depended wholly upon the fact that it was a highly concentrated nutrient 
whose constituents, being largely predigested, were excellently adapted 
to the rapid restoration of the body in cases of debility. For, while 
organic chemists had been acquainted with the fact that during the 
germination, or ?nalting, of barley, a peculiar body, called Diastase, is 
developed, and that it is due to its digestive influence that the constitu- 
ents of the grain (both albuminous and starchy) are changed into soluble 
forms, destined to nourish and build up the young plant, no method had 
been devised for preserving the diastase while the extract is undergoing 
the process of concentration. 
We had however been much impressed with the importance of so 
preparing the extract that it should not contain merely all the soluble 
substances existing in the germinated barley, but also the digestive dias- 
tase, in order that it might not only form a highly concentrated nutri- 
ent, hut possess also valuable digestive power. In 1873-4 we had com- 
pletely mastered the obstacles involved in the manufacture of such an 
extract in quantity, and then offered the profession the Improved 
Trommer’s Extract of Malt. 
That this improvement constituted an important therapeutic event, 
and the resulting product a valuable addition to the Materia Medica, 
may be inferred from the astonishing increase in the use of malt extract 
which rapidly ensued. From having been seldom prescribed in a few 
localities, and scarcely ever referred to in medical periodicals, it soon 
passed into general use, became a topic of discussion in the medical 
press, and found a place in current medical literature. 
Action of 
Diastase. 
Digestion in Plants and Animals. 
It should not be difficult to understand why malt extract, possessing 
the qualities already mentioned, came to he regarded as a valuable addi- 
tion to an important class of remedial agents; it may nevertheless be 
well worth while briefly to describe its constituents and properties, as, 
when these are known, its proper uses are easily appreciated. 
In order that one not familiar with the subject may he enabled to 
form clear ideas of diastasic malt extract, it is better to begin with a 
consideration of the grain from which it is derived, namely, Barley, the 
cereal which, from time immemorial, experience has proved to be best Triple Digestive Power of Diastase. 
7 
adapted to the purpose of malting. Barley, like other cereal grains, 
contains the elements which are necessary to the nourishment of the 
man or animal using it as food. It furnishes materials out of which are 
formed muscle, fat, nerves, bone,—in fact all the tissues of the body. 
Barley, in a word, contains albuminous and starchy matters, phosphates 
and other earthy substances, entering into the composition of the tissues. 
The animal eats the grain and grows. 
But in the form in which those substances exist in the grain, they are 
not soluble. They therefore require to be transformed by the action of 
the digestive juices before they are rendered capable of diffusion by 
various channels, throughout the system. The starchy matter is there- 
fore transformed into the saccharine bodies called maltose and dextrine 
by the action chiefly of the salivary secretion; the albuminous matter is 
transformed into the soluble substance called peptone, by the action of 
the gastric juice. The pancreatic secretion, whose principal function is 
the digestion of fats, and the juices of the small intestines, also share in 
effecting these digestive changes. 
Not animals alone, however, possess digestive powers. Let us for a 
moment consider how digestion takes place in seeds; for during the pro- 
cess of germination they undergo nearly, if not quite, the same changes 
that are produced by the digestive juices of the organs of digestion in 
animals. 
This occurs during the “malting” or sprouting of every kind of seed 
or grain; but barley, being so extensively used for malting, furnishes 
the most familiar example. When the seed is placed under suitable 
conditions as regards warmth and moisture, it soon begins to germinate. 
After this has occurred, if the seed be examined, it is seen to have un- 
dergone a series of important transformations. A peculiar body called 
diastase has been developed which is endowed with remarkable diges- 
tive power, viz: the power of transforming starchy matter into maltose 
and dextrine, and of albuminous matter into peptones,—it also acts upon 
the oily constituent of the seed in a manner rendering the latter suscep- 
tible of diffusion. It is thus seen that diastase possesses a triple diges- 
tive power, corresponding with the saliva, the gastric and the pancreatic 
juices; for by this action of the diastase developed in the sprouting 
grain, the starchy, albuminous, fatty, and earthy matters, are all render- 
ed soluble, and thus capable of being used up in forming from the seed, 
the leaves, stalk, and rootlets, of the young plant, which, when all the 
seed-substances are consumed, may thereafter draw its nourishment from 
the soil and the air. Nor is this asserting too much respecting plant 
digestion, as witness the phenomena occurring in many plants. For ex- 
ample, the sago palm, which attains many feet in height and many 
inches in diameter, its stem during the processes of growth being filled 
with starch and albuminoids, to the amount, may be, of hundreds of 
pounds. The natives of the region where it abounds, secure this, which 
is their substitute for bread, if the tree be cut down at the proper season. 
But if the palm be left to put forth its flowers and mature its fruit the 
substances which had filled its capacious trunk will be found to have 
disappeared, the latter forming now only a hollow shell. The store of 
starch and albuminoids has undergone a true digestion, a part has been 
expended in growth forces; a part, in new forms, now constitutes the 
fruit substances. 
Constituents 
of Barley. 
How digested 
and rendered 
soluble. 
Digestion 
in Plants. 
Diastase 
possesses a 
triple digest- 
ive power 
corresponding 
with that of 
the Saliva, 
the Gastric 
and Pancre- 
atic Juices, 8 
Nature of Constituents of Malt Extract. 
Nutritive and Digestive Properties. 
In the preparation of Malt Extract the barley is first allowed to germi- 
nate sufficiently to dev elop a large amount of diastase, and to insure 
the transformation of a part of the starch and albuminoids into maltose, 
dextrine, and peptones. The process of germination having then been 
arrested, by rapid drying, the malted grain is subjected to processes dur- 
ing which diastasic action is renewed until the principal constituents of 
the malt are obtained, which are then reduced to a concentrated and 
stable form; neither the diastase nor any other constituent having suffer- 
ed any injury by the methods used, the product possesses great diastasic 
activity. 
In another place will be found Reports of Analyses of Trommer’s 
Extract of Malt by Professors Fresenius, of Wiesbaden, Germany, 
Redwood and Rivers Wilson, of London, Eng., and by many 
American chemists. One hundred parts of the extract contain from 3 
to 8 parts of albuminous matter (mostly peptones) about 70 parts of 
maltose and dextrine, and about 2 parts of alkaline phosphates, by which 
it is apparent that the nutritive properties of the grain are fully rep- 
resented. 
While almost no other article contains so much nutritious matter as 
malt extract (which, in equal weight, exceeds the best beef steak at least 
three fold), the former possesses peculiar advantages which, although 
already suggested, deserves still further remark. 
1. The albuminous or nitrogenous substance contained in the extract 
is mostly predigested, and ready therefore for immediate absorption, 
without taxing the digestive powers of the stomach. 
2. The maltose and dextrine derived from the starchy constituents 
of the grain exist in the extract in precisely the form into which starch 
is changed by the digestive action of the salivary secretion, and are 
therefore fitted for immediate absorption by the digestive organs. 
3. The earthy phosphates are also in soluble form and adapted to 
pass immediately into the circulation. Each of these substances is the 
product of the act of germination, and they are therefore often describ- 
ed as vitalized, and in a nascent state, adapting them in a peculiar man- 
ner to assimilation by the organs of nutrition. 
4. The presence of diastase in large quantity endows the extract 
with positive digestive power, so that when it is taken with, or imme- 
diately after, other food, it supplies not only so much highly concen- 
trated nourishment, but an agent which greatly aids digestion. Accord- 
ing to Sticker and Hiibner, diastase also assists in the formation and 
secretion of pepsin. 
5. The dextrine contained in the extract is not merely a readily ab- 
sorbable nutrient. According to Beaumetz it is also of the utmost value 
as a peptogenous agent,—in that it directly augments the secretion of 
pepsin by the peptic glands of the stomach. This property of dextrine 
has been experimentally confirmed, and is strongly maintained, by Schiff 
and Hoppe-Seyler. 
6. In addition to the properties of malt extract already mentioned, it 
is important to refer to its wide adaptability to the treatment of disease. 
It is difficult to imagine a condition contra-indicating its employment. 
Owing to its blandness, it almost never disagrees with even the most 
delicate and enfeebled stomach. It is certain to be absorbed and thus 
How Extract 
of Mait is 
obtained. 
Constituents 
of Extract 
of Malt. 
Ready for 
absorption. 
Its digestive 
power.— 
Hubner. 
Increases the 
secretion 
of Pepsin.— 
Beaumetz. Value of Malt Extract in Febrile Dyspepsia. 
9 
pass into the circulation as long as the stomach is in the slightest degree 
capable of taking up anything by absorption. It is equally adapted to 
both acute and chronic diseases, and to infantile life, and to the aged. 
It may be given pure, alone, (and experience has shown that this is as 
good a way as any to administer it) or it may be added to any kind of 
gruel, or farinaceous soup, or to milk, the latter then, when fed to in- 
fants, requiring no additional sweetening. 
Adaptation to 
treatment of 
acute or 
chronic 
diseases. 
In Acute Diseases. 
Professor Uffelmann, the eminent author, in his treatise on '■'•Diet 
in Acute Febrile Diseases'’ has this to say concerning the use of malt 
extract: 
“All the materials of which a fever diet should be composed, water, 
carbohydrates, albuminoids and salines, are comprised in the gruels, 
soups, etc., prepared from flour, bread, crackers, and barley, oatmeal, 
rice, arrowroot, etc. The albuminous matter of these articles is that 
best adapted to the febrile condition; for if meat albumen answers the 
same purpose, it is more especially valuable as convalescence approaches, 
and subsequently. But an important advantage attending the use of the 
articles first mentioned, when administered in suitable form, consists in 
the mild and bland properties of these preparations and their easy diges- 
tion. They contain all the elementary substances necessary to the nutri- 
tion of the body. By reason of these qualities they are habitually and ap- 
propriately given in all acute diseases, and more especially in all those 
characterized by much irritability of the digestive organs; as gastro- 
enteritis, dysentery, peritonitis, typhlitis, and typhoid fever. In some, 
at least, of these affections, light farinaceous soups should constitute the 
exclusive diet, until there is a decided improvement in the condition; be- 
cause almost all other kinds of diet tend to increase peristalsis. Such 
nourishment is, moreover, rich in carbohydrates, which according to 
Voit and Hoppe-Seyler, tend to diminish the waste of the tissue and 
blood albumen, and, consequently to lessen the augmentation of temper- 
ature caused by the rapid retrograde changes going on in fevers in the 
nitrogenous matter of the body. 
“Nourishment in more concentrated form than the farinaceous soups 
should be resorted to as soon as it can be borne. Here malt extract is par- 
ticularly to be recommended. It contains about 8 per cent, of nitrogen- 
ous matter, 30 of maltose, 25 of dextrine, and more than 3 per cent, of 
earthy phosphates, offering, accordingly, a large quantity of readily 
digestible, and, for the most part, readily absorbable carbohydrates, a 
good proportion of albuminous matter, and, no injurious substance 
'whatever. When its use is indicated, malt extract should be given as a 
matter of course, and this all the more when there is pressing 
occasion to notirish the patient as rapidly as possible. It can be given 
in quantity up to one or two ounces daily. It may be added to any 
kind of farinaceous gruel or broth. Thus 12 ounces of the latter, with 
one and one-half ounces of malt extract, gives over drachms of 
albumen, 2 ounces of carbohydrates and sufficient salines. By the addi- 
tion of 33 per cent, of milk to such gruel a very nourishing fever diet is 
produced. Such a preparation is most readily taken, and the milk, 
when thus prepared, does not curdle in lumps, and is consequently more 
readily digested, and far less likely to irritate the gastro-intestinal mucous 
membrane.” 
Diet in Fever. 
—Uffelmann. 
Useful in 
gastro- 
enteritis, 
peritonitis 
and typhoid 
fever. 
Carbohy- 
drates 
diminish 
waste of 
tissue 
and blood 
albumen.— 
Yoit and 
Hoppe- 
Seyler. 
Particularly 
recommended 
for rapid 
nourishment. 10 
Mental and Physical Exhaustion. 
In Chronic Diseases. 
Dyspeptic 
forms of 
Anaemia.— 
Immermann. 
Writing of Trommer’s extract, both the plain, and that containing 
iron, in Ziemsseri's Cyclopcedia of Practice of Medicine, Prof. Immer- 
mann says: “They are more palatable and more easily digested than 
cod liver oil, and should therefore be preferred in the dyspeptic forms 
of anaemia.” Professor Palmer, of Louisville, thus records his own 
experience with Trommer’s Extract: “I have found it of marked benefit 
in duodenal dyspepsia, accompanied with constipation and emaciation, 
both of which it corrects; and also have frequently found it to be a pan- 
acea in cases of mental and physical exhaustion, accompanied by fret- 
fulness or irascibility and wakefulness. . . . The more I give it the 
better I am pleased with its therapeutic action in certain of the most 
common chronic maladies.” Professor Chapman, of Toledo, in a paper 
contributed to a leading medical periodical says: “I have found much 
benefit in cases where the system has become depraved either from the 
lack of assimilative power, or the drain occasioned by chronic suppura- 
tive action, as in phthisis, etc. Frequently, in cases of chronic dyspep- 
sia, where scarcely any food could be retained upon the stomach, I have 
been able to supply the demands of nutrition by the Extract of Malt 
alone, or combined, with a milk diet.” Dr. Morton gives this estimate 
of its value: “As regards the nutritive value of extract of malt, it may 
be inferior to cod liver oil, but my experience justifies me in thinking it 
makes up in being applicable in a far greater number of cases.” A pa- 
per read before the Kentucky State Medical Society, by Prof. Lar- 
rabee contains this statement: “I have given these preparations to over 
three hundred patients during the past year, including private and clin- 
ical practice, selecting such as I deemed suited to the wants of the sev- 
eral cases, and I have yet to see a single case in which benefit has not 
accrued from its use. . . . It is unnecessary that I should attempt to 
the diseases in which Extract of Malt has proved beneficial. 
It appears to strike at the root of malassimilation.” “In tabes, in the 
dyspeptic forms of anaemia, in fact, in wasting diseases generally, it has 
exceeded my most sanguine expectations.” And this from Prof. Mars- 
den, of Quebec: “From results obtained through its use I have been 
led to look on this remedy as the most valuable aid we possess, in all 
cases where debility, impaired digestion and malnutrition obtain.” 
In an address before the Medical Faculty of Maryland, not long since, 
Professor Pepper, of Philadelphia, declared “That in many conditions 
of impaired health and actual disease, successful treatment depends 
chiefly or exclusively on proper diet and regimen. . . . It is only 
as the patient is able to appropriate food that he gains from it; that 
which remains is a burden to his already heavily taxed system.” 
It is because diastasic malt extract, helps both directly and indirectly 
to improve the nutrition of the body that its effects are so salutary in 
chronic diseases. It supplies the patient with a considerable quantity of 
valuable nutritive matter, easily appropriated by the digestive organs; it 
helps to digest other nourishment; it is a true restorative. 
The chief value of Extract of Malt is in those forms of dyspepsia de- 
pendent on an impairment in the quantity and quality of the digestive 
juices, and in those diseases in which imperfect digestion and nutrition 
are the main conditions to be remedied. Hence its usefulness in affec- 
tions of the nervous system dependent upon debility and an impover- 
For mental 
and physical 
exhaustion 
accompanied 
by wakeful- 
ness.— 
Palmer. 
Chronic 
Dyspepsia. 
—Chapman. 
Given to over 
300 patients.— 
Prof. Larrabee. 
Strikes at 
root of mal- 
assimilation. 
Most valuable 
aid we possess. 
—Prof. 
Marsden. 
Successful 
treatment 
depends on 
proper diet. 
—Prof. 
Wm, Pepper. Diseases of Children. 
11 
ished state of the blood; in chronic diarrhoea produced by indigestion; 
in bronchitis and other catarrhal affections, attacking persons of weakly 
constitution; in those conditions which favor and precede chronic dis- 
eases of the lungs; and, in a word, nearly all forms of chronic wasting 
disease. The restorative properties of malt extract adapt it to most dis- 
ordered conditions characterized by an impoverished state of the blood 
and by a tendency to emaciation. 
An impairment in the power to digest starchy food and fats is a 
marked feature of the worst forms of wasting disease. The use of malt 
extract more certainly and more promptly corrects these faults of diges- 
tion than any other remedial agent. “It is an excellent nourishing agent 
for the weak, emaciated sick,” writes Dr. Lerscii, “and it is in this 
class of cases that its manifold therapeutical application has been estab- 
lished.” And Dr. Gusman, of Stuttgart, declares that “malt extract 
has rendered excellent service in diseases of the lungs, stomach, and 
bowels, in chronic catarrhs, and the catarrhs of asthmatics.” Dr. Wer- 
ber, of Freiburg, commends it as “very efficacious in the diseases of 
children of scrofulous tendency, who suffer from impaired digestion.” 
Prof. Niemeyer, author of a most valuable work on the Practice of 
Medicine makes this statement respecting his employment of Trommer’s 
Extract of Malt: “The class of diseases in which the chief, if indeed 
not the only, task of the physician, is to maintain and restore the strength 
and nutrition of the patient, is very large To meet these 
indications I have for several years employed malt extract almost ex- 
clusively, and with the very best effect.” 
Excellent 
nourishing 
agent.—Dr. 
Lersch. 
In diseases 
of lungs, 
stomach, 
bowels.—Dr, 
Gusman. 
Efficacious in 
diseases of 
children.— 
Dr. Werber, 
Have 
employed 
it almost 
exclusively. 
—Prof. 
Niemeyer. 
In no class of disorders of digestion and nutrition is malt extract more 
strikingly beneficial than in those occurring during infancy and child- 
hood. After the period of infancy, the salivary glands, the organs 
which are chiefly concerned in the digestion of starchy food, increase in 
development and functional activity. Infants at the breast, however, 
especially when very young, usually possess little or no power to digest 
starchy food. Nature having provided them, in the mother’s milk, with 
saccharine food necessary for their nourishment, in the form of milk 
sugar, has not provided them also with the power to digest starch. 
The lack of this ability becomes important, however, when unfortun- 
ately the child is partly, or, worse still, wholly deprived of nourishment 
from the breast; for it often happens that cow’s milk and other kinds of 
food offered to the child do not agree with the weak digestive organs, 
and it soon shows indications of being imperfectly nourished. Cow’s 
milk is deficient in milk sugar, and the addition of cane sugar is not a 
perfect substitute for milk sugar. The caseine of cow’s milk also curdles 
in larger and firmer lumps than human milk, and is consequently slower 
and more difficult of digestion. 
Maltose, an important constituent of malt extract, is a perfect substi- 
tute for milk sugar. It has precisely the same chemical composition. 
The addition of malt extract to cow’s milk not only supplies the re- 
quisite amount of saccharine matter, but it has the further effect of caus- 
ing the milk to curdle in light and porous, flocculent curds like the 
caseine of human milk. Thousands of children who are daily fed princi- 
pally on cow’s milk, diluted or not, according to the age and condition 
of the child, with Trommer’s Extract of Malt, either used as sweeten- 
For Infants and Children. 
Infants have 
little or no 
power to 
digest starch, 
Maltose and 
Milk Sugar. 12 
Hutrition in Functional Neuratrophia. 
ing or given pure after the milk, by their being healthy and well nour- 
ished, prove the value of the extract as a nutrient and digestive. 
When the teeth appear, and the time of weaning arrives, the child, 
whether adequately nursed by the mother, or reared on cow’s milk, be- 
gins now to be able to digest farinaceous and other kinds of food; but 
its digestive organs are even yet not fully developed, and the transition 
from the breast to ordinary food frequently proves a severe tax to its 
powers. It frequently fails to digest its food properly, and suffers from 
stomach and bowel disorders caused by indigestion. Here indeed malt 
extract proves a boon. It insures the digestion of all kinds of starchy 
food, it aids in the digestion of milk and animal food, and supplies also 
needed nourishment. The child relishes Trommer’s Extract of Malt 
and calls for it as a sweet confection. Those parents who have experi- 
enced its excellent effects upon one child would not forego its advantages 
whenever occasion demands its employment. 
For the indications for the use of Extract of Malt in the various dis- 
eases of children the reader is referred to the statements of physicians on 
this subject in another part of this pamphlet. 
Disorders of 
stomach and 
bowels. 
Extract of Malt for the Aged. 
Of great 
benefit In 
old age. 
“It is with especial pleasure,” writes Dr. Darling, of Brooklyn, New 
York, “that I acknowledge the greatest benefit derived from its use by 
my own mother, in the debility of old age.” And this is but one among 
thousands of similar instances. 
As the changes, incident to advancing years, come on, the digestive 
organs share, with every other part of the organism, in the decline of 
functional activity. All the digestive juices are secreted in smaller quan- 
tity, and possess less transforming power. The teeth become defective 
or are lost, mastication is difficult and inefficient, the muscular walls of 
the stomach and intestines are enfeebled. The individual is able to di- 
gest less food and requires less. It is necessary to use more care in the 
diet. Slight errors in this respect are visited by increasingly serious 
consequences. 
After what has already been stated concerning the properties of malt 
extract it is hardly worth while further to particularize its adaptation to 
this condition of age. It supplies a bland, concentrated nutrient, which 
at the same time aids digestion, and this is the essential need at this time 
of life. The individual using it has better digestion and is better nour- 
ished, and this explains why he derives substantial benefit from it. 
A concentrated 
nutrient. 
Nutrition in General Functional Neuratrophia. 
Neuratrophia. 
C. H. HUGHES, M. D., 
Lecturer on Nervous Diseases, St. Louis Medical College; Late Superintendent Mis- 
souri State Lunatic Asylum ; Honorary Member British Medico-Psychological As- 
sociation ; Editor of the Alienist and Neurologist. 
Neuratrophia is a condition of the nervous system, which we recog- 
nize, not only in the functional expression of neurasthenia, but it is an 
underlying or sequence factor in all diseases of a generally debilitating 
character. It is the neural substratum of functional exhaustion. 
A neuratrophia of that portion of the nervous system concerned in 
the reparative and reconstructive processes is, at least, one of the basic 
neural conditions in diseases of debility, whether we recognize a trophic Necessity of Nutrition in Disease. 
13 
nervous system proper, or whether we attribute all asthenic conditions 
to a defective state of the vasomotor system and the blood of the vessels. 
A neuratrophia, in either view, either preceeds or follows the cachae- 
mic or anasmic state. 
No therapy that ignores reconstruction of tissue as an essential thera- 
peutic measure, not leaving adequate nourishment to the chance of the 
patient being fed sufficiently of proper food, can be as certainly or as 
speedily successful as that which recognizes and prescribes a systematic 
and certainly assimilable nutrition. No state of neuratrophia can exist 
either as a disease, sui generis, or through organic implication of the 
vascular, lymphatic or osseous systems, or through involvement of the 
great viscera and secondary implication of the nervous system, in which 
to feed well of unirritating and assimilable food is contraindicated, but it 
is essential that alimentation must in many physical morbid conditions 
be of an unirritating and readily assimilable form. The necessity of 
nutrition in disease instead of an abstemious diet, should be universally 
recognized by practitioners; for a sick man has more need of nourish- 
ment while disease is wasting him and irritating his nervous system, so 
as to call for greater repair and consequent stamina to then withstand 
the assaults of disease, than a man that is well and has only to supply 
repair to compensate daily physiological disintegration. In former 
times when food was cruder and aliment had to be digested in the sys- 
tem of the sick patient before it could be used to supply the reparative 
demand of the wasting economy, abstemiousness could be more ration- 
ally prescribed in order to avoid the systemic irritation of imperfect 
efforts at digestion. But now when digested aliment is already made, 
when peptones, peptonoids, and the pancreatic and gastric juices are sup- 
plied to the physician’s hand, and when, best of all, the purest Extract 
of Malt can be administered, making the patient’s adequate nutrition an 
assured matter, there is no excuse for the starvation plan of treating dis- 
eases, and it will go the way of that other medical mistake of the past, 
viz.: the withholding of fluids from the heated blood in fevers. 
Neuratrophia is not only a disease of debility, but it is the accompani- 
ment of all wasting diseases, and for this condition the Extract of Malt 
is always indicated, being itself nutritious and reconstructive, while at 
the same time, it promotes digestion of the starchy element of such food 
as it may find in the alimentary canal. So that the prescribing of some 
good plain malt, preferably, in my opinion, the malt of Trommer, has 
become a routine practice with me, not a therapeutic hobby, but a ra- 
tional therapeutic precept, based upon physiological, pathological and 
chemical consideration, because it is desirable to maintain, so far as the 
powers of assimilation remaining to one’s patients will permit a satis- 
factory state of nutrition; for if we fail in nourishing our patient ade- 
quately other medication is vain. This indication the pure Extract of 
Malt fills better than any one article in our reconstructive armamenta- 
rium, and to it may be added such other reconstructives of tissue, neural 
and hajmic tonics, as may be indicated in the judgment of the physician, 
such as the hypophosphites, strychnia, arsenic, iron, etc., and in such 
proportions as symptoms at the time suggest to the prescriber. Cer- 
tain proprietary establishments have of late undertaken to manufacture 
prescriptions ready made for the physician, but inasmuch as the propor- 
tions of the other agencies besides the malt should vary in the judgment 
Nutrition in 
disease. 
A therapeutic 
precept, 
based on 
physiological, 
pathological 
and chemical 
consideration. 
—Hughes. 14 
Importance of Starch Digestion. 
of medical men for different cases, the medical adviser had better pre- 
scribe these additions. My rule has been and is to make my own com- 
pound, prescribing the plain Extract of Malt as a vehicle, in certain cases 
but more often using Trommer’s plain Extract uncombined. 
No person is made worse by Malt Extract, no matter what his ail- 
ment may be, not excepting diabetes mellitus, for it is not the surplus 
sugar in the system that is here at fault, and the satisfaction which a 
course of Malt Extract has so often given me in the management of all 
neuratrophic and neuropsychic states, has led me to adopt the plan, what- 
ever else I prescribe, of directing pure, plain Malt Extract on the pa- 
tient’s table, to be taken ad libitum within certain reasonable limits, at 
each meal If nutrition of this certain kind is prescribed, and not left 
to the patient’s discretion, we may be assured, at least, that he will be 
reasonably well nourished pending our effort to eradicate his disease and 
reconstruct him.—Medical Herald, Louisville. 
Diseases of the Bones, Joints, &c. 
Dr. Wyman, Professor of Principles of Surgery and Operative Surgery in the Mich- 
igan College of Medicine and Surgery, Detroit, Michigan, in a recent paper in the 
New York Medical Journal, on the Constitutional Treatment of Caries and Necrosis, refers 
in the following language to the adaptation of Extract of Malt to these affections: 
“Children are the most frequent sufferers by these diseases. The im- 
paired digestive functions in children yield more readily to properly se- 
lected treatment than is the case with adults. The conversion of starch 
into sugar by the digestive ferments is more frequently impaired in chil- 
dren suffering from caries and necrosis than is the conversion of album- 
inoids into assimilable substances. The use of malt diastase is, there- 
fore, indicated on the best of physiological grounds. Hip joint disease, 
caries of the spine, chronic inflamation of the knee, and caries of the 
long bones, are for some reason, constantly accompanied by mal-assim- 
ilation and indigestion of the starches. When such cases proceed to a 
good, sound recovery it is through a thorough restoration of this partic- 
ular digestive power, or a compensatory increase of the digestive power 
for hydro-carbons. In no case of hip-joint disease, were the operative 
methods ever so carefully or skillfully performed, has there been a re- 
pair of lesions until the digestive ferments have handled the starches 
perfectly. The same fact applies to the other varieties of bone disease 
above mentioned. 
“My experience in the treatment of hip-joint and spinal cases, necrosis 
and caries of the various bones, embraces large numbers of cases, prob- 
ably because my professional brethren have lacked the patience and per- 
severance and rigid attention to the digestive powers essential to the cure 
of these long time maladies. The Trommer Extract of Malt has been 
of great service in enabling me to bring numbers of these cases to a 
happy termination, and in a space of time of shorter duration than is ac- 
complished by the use of cod liver oil or hypophosphites. 
“I attribute the good results in the cases mentioned fully as much to 
the artificial digestion of starchy foods craved by these patients as to the 
operative methods employed, and believe that in many instances the 
cases would have progressed to the same happy ending had the rigid 
attention to the diet only been employed but more time would have 
been necessary.” 
Importance 
of starch 
digestion in 
diseases of 
bones and 
joints.—Prof. 
Wyman. Therapeutic Uses of the Extract of Malt.—Dr. Morton. 
15 
[From the Louisville Medical News.] 
Notes on the Therapeutic Uses of the Extract of Malt. 
DOUGLASS MORTON, M. D. 
I have been using the Extract of Malt for some months, and with re- 
sults so satisfactory that in making them known I feel that I do the pro- 
fession real service. It gives me pleasure to contribute an account of 
some of my experience to your columns. 
Cask I.—Miss F., a young lady of about twenty-three years of age, 
came under treatment last spring. She belonged to a family several 
members of which had died of tubercular disease—among others a sis- 
ter, of “consumption of the bowels.” At this time she was exceedingly 
frail and badly nourished—weighing only ninety pounds, although of 
medium height. For a few days she had been suffering from abdom- 
inal pain and tenderness, with rise of fever in the evening. Her appe- 
tite had been very poor all the preceding winter, and now she had none 
at all. For some time she had had troublesome dyspepsia, and found it 
necessary to limit herself to a very few articles of food. 
I believe these symptoms and others that appeared in her case to be 
due to tuberculosis already established in the tissues connected with the 
intestinal tract, or at least to the state of congestion which precedes the 
actual deposit of tubercular matter. The most important part of treat- 
ment in this case was, of course, that relating to diet and hygiene, espec- 
ially since neither alcohol nor cod liver oil could be borne. I recom- 
mended milk and a plenty of fresh air; but though the former was not 
distasteful to her she had no special relish for it, and her strength was 
not sufficiently built up by it (this being almost her sole article of food) 
to enable her to enjoy or even to endure out-door exercise of any kind. 
This being the state of affairs, I ordered Trommer’s Extract of Malt as 
an experiment, (for at this time I had decided lack of confidence in its 
vaunted merits), and indeed feared that my patient, with her delicate 
stomach, would not be able to bear either its appearance or taste. But, 
to my surprise, she could not only take it, but actually liked it. Of its 
effects upon her it is enough to say that her health was greatly improved, 
and that it has continued comparatively good up to the present time. 
Case II.—Miss S. came under treatment last summer. She is about 
twenty-eight years old and has been in poor health for several years, 
her malady being chronic bronchitis, with its not unfrequent concomi- 
tant, asthma. I found her greatly reduced in flesh and worn out from 
loss of sleep, occasioned by paroxysms of coughing and of asthma. She 
suffered, moreover, from a peculiar neurosis of the stomach and oesopha- 
gus, which gave rise at times to a most obstinate hic-cough, that would 
keep up for hours, and again to a disagreeable sensation of having a 
ball in the throat—a sort of “globus hystericus.” She had lately been 
having fever in the evening, and had completely lost her appetite. By 
physical examination I found the usual evidences of bronchitis with 
asthma, as well as indications that areas of lung tissue here and there 
had undergone solidification. I had little hope of this patient deriving 
material benefit from any treatment. Her cough was severe enough to 
Have been 
using it 
with very 
satisfactory 
results. 
Good effect* 
in Phthisis. 16 
Notes on Cases.—Dr. Douglass Morton. 
require opium, and I tried to relieve the gastric trouble with hydrocyanic 
acid and bismuth. As a combined food and stimulant, I prescribed the 
old-fashioned mixture of rum, fresh linseed oil and honey; but excepting 
the temporary relief given by opium, this treatment proved a failure, 
and I again tried the Extract of Malt, and with results more satisfactory 
than in case I. My patient commenced at once to improve in every 
particular, and was soon able to get out of bed and ride out every day, 
and has gotten through the winter thus far much more comfortably 
than she did last year. She has taken this remedy pretty constantly to 
the present time, and does not find it at all unpleasant. 
Case III.—Mrs. T., aged about twenty-eight, came under treatment 
last summer. She had borne two children, which had died, and has mis- 
carried twice. For some time she had been losing flesh and suffering 
from “nervousness” and melancholy, which succeeded the deep grief 
occasioned by the loss of her children. She had also been a victim to 
troublesome dyspepsia, attended with gastralgia, flatulence, and consti- 
pation. I advised her to try to employ herself actively and usefully, 
and at the same time to seek the diversions of society, and to take a 
plenty of out-door exercise. In the meantime I regulated her diet, and 
addressed medical treatment to her dyspepsia. She was a model patient 
and faithfully carried out my instructions, but with no marked improve- 
ment until I put her on Extract of Malt early in December. This she 
has continued to take quite regularly until lately; and with greater 
benefit, she assures me, than anything else has given her. 
Case IV.—Miss T., twenty-two years of age, came under treatment 
for dysmenorrhoea on the 13th day of last December. She had passed 
her catamenial period about the first of the month. Menstruation had 
for some months been attended with more pain than usual, but at this 
period and the one immediately preceeding her suffering had been ex- 
tremely severe. I found her nervous, irritable, and entirely without 
appetite. For some time past she had been suffering considerable pain in 
the left ovary during her catamenial intervals, and it was now so tender 
that either walking or riding gave much pain. Having lived on a sur- 
prisingly small amount of food for the past two months, she had lost 
considerable flesh and was very weak. 
Along with the local treatment addressed to the disease of the ovary1 
which I considered the chief cause of the dysmenorrhoea, I thought it 
important to try to improve my patient’s nutrition directly. All her 
tissues needed nourishment. Her sleeplessness and irritability showed 
this of the brain; peripheral hyperoesthesia proved the same for the 
nerves, and loss of weight for the tissues generally. Having poor diges- 
tive powers and no appetite, it was important that she should have food 
at once relatively small in bulk, highly nutritious,and readily digestible. 
My previous experience with the Extract of Malt led to its selection 
as filling these conditions. Miss T. took it without difficulty, and it is 
sufficient to say here that in the result my hopes were fully realized. 
The four cases reported have one important condition in common, 
viz.: failure of digestive powers with its necessary consequence—im- 
paired nutrition. This, in the two first was associated with organic dis- 
ease of the digestive organs, in the others it seemed to be due to the de- 
bilitating influence of prolonged pain, which in one case was mental, and 
in the other physical. 
Ticenea needed 
nourishment. Successful Use in Cholera Infantum. 
17 
The need of alimentation was paramount in all, and to secure this was 
the chief aim of treatment. No sort of diet was sufficient for this pur- 
pose, and in all four cases there were objections to cod liver oil. In 
neither of the three cases in which drugs were used to remedy the dys- 
pepsia, did they seem to do any good; and the Extract of Malt was pre- 
scribed, that by its high degree of digestibility this trouble would prove 
no bar to the attainment of the end in view. 
As regards the absolute nutritive value of Extract of Malt, it may be 
inferior to cod liver oil, but my experience justifies me in thinking it 
makes up in being applicable in a far greater number of cases. 
The administration of the Extract of Malt in case IV occurs to me 
to have been especially appropriate; for it must be borne in mind that 
food is not simply for maintaining structure and keeping up physical 
strength against the “wear and tear” incident to the normal exercise of 
functions, but for restoring vital force when lowered and wasted by pain; 
for pain is the means of such waste, as well as its expression. In his 
work on Stimulants and Narcotics, Anstie places food at the head of 
the remedies for pain, and says: “I do so because if food can be digested 
there is nothing which in so many cases relieves pain with satisfactory 
celerity, unless it be kept up by a mechanical cause.” In case IV, there 
were loss of appetite and impaired digestion, and the Extract of Malt 
was given because it is an easily digestible as well as a nutritious food. 
I regret that I have not had opportunity of trying Extract of Malt in 
typhoid fever; for we have conditions in this disease to which I think, 
on a priori grounds this food is eminently adapted. 
Louisville, Ky. 
At the head 
of remedies 
for pain. 
—Anstie.. 
Prof. Webber, on the successful use of Extract of Malt in the treatment of Cholera 
Infantum and as a restorative in surgical cases. 
Detroit, Aug. 9, 1888. 
In the extreme exhaustion resulting from cholera infantum, where dissolution 
seemed imminent, I have had most gratifying results in the use of Trommel-’ s Extract 
of Malt, used in conjunction with milk and some of the farinaceous preparations. 
Before using the Malt some of my cases went on from bad to worse, the debility in- 
creasing, notwithstanding my best endeavors to prevent it, until the Malt was added, 
when a new force seemed to be applied to the digestive process and they began to 
gain and eventually regained robust health. I have also found great benefit in its 
use after operations for ovarian tumors and other laparotomies. In quite a number 
of cases it was well borne by the stomach and imparted a strength that I failed to get 
where?beef tea and animal broths have been given. Trommer’s new preparation of 
Diastasic Food is to all intents and purpose the same kind of food as that of the Ex- 
tract of Malt added to the farinaceous preparations that I have used so successfully 
with children, and I believe from the ease with which it is prepared that it will meet 
with great success. N. W. Webber, M. D., 
Prof. Gynaecology Detroit College of Medicine; Consulting Physician St. Mary’s Hosp. 
Successful 
use in cholera 
infantum. 
Prof. Edward W. Schauffler on Trommer’s Extract of Malt. 
(From the Article on Pulmonary Diseases in the Reference Handbook of the Medical Sciences, Vol. 
V, page 666, Wm. Wood & Co., New York, 1887.) 
“There are many preparations of the drug (Cod Liver Oil) now in the mar- 
ket, in which its disagreeable odor is sought to be covered. In many of these the 
emulsion of oil is combined with the hypophosphites of lime, soda, manganese, etc. 
There is no objection to this combination, provided the requisite amount of cod liver 
oil he present. One of the best combinations is that of the oil with Trommer’s Extract of 
Malt. The Malt aids materially in its digestion, as well as in the digestion of foods, and pa-. 
tients taking this preparation will usually improve in appetite.” 18 
Absorption of Unnatural Products. 
Remarks on Extract of Malt and its Combinations. 
J. J. MULHERON, M. D., 
Dean and Prof. Pathology, Practical Medicine and Clinical Gynaecology, Michigan 
College of Medicine and Surgery. 
“My experience with Extract of Malt has been confined to its use in 
diseases of malnutrition and mal-assimilation. In such affections the 
stomach and the digestive portion of the intestines are primarily in* 
volved, and these failing in their functions, decomposition takes the 
place of digestion and we have absorption of unnatural products, with 
the long line of disorders which follows, and to which a variety of 
names is applied. 
“An analysis of Extract of Malt suggests this article as a valuable 
agent, and its employment quite justifies the hope inspired of such an 
analysis. Besides its tonic properties, it is rich in food (maltose) which 
has undergone an important step in the process of digestion. In the 
latter property it possesses a great advantage over cod liver oil, which 
so often not only offends the impaired stomach, but which is, under most 
circumstances, so difficult of digestion. 
“It is further valuable because of its property of emulsifying cod liver 
oil, and thus aiding in the digestion of the latter, and, indeed, it is in 
such combination that I have had most experience in its use. In several 
cases in which I regarded the oil as indicated it positively disagreed, but 
became ■perfectly tolerable when given in emulsion with the Malt Ex- 
tract. 
“In support of the proposition that Extract of Malt merits a thorough 
trial at the hands of the profession, I submit the following reports from 
cases which have been under my charge: 
“Mrs. R. consulted me three years ago last May for an annoying 
cough. I ascertained that her health had been failing for some time 
and that she had lost flesh appreciably. She complained of dyspnoea 
on the slightest exertion. Expectoration was very scanty and of tena- 
cious mucus, with occasional streaks of blood. Digestion very imperfect, 
with much acidity and eructation. Appetite very poor. Inspection re- 
vealed diminished expansion in the infra-clavicular portion of left lung. 
Percussion elicited but slight dullness. Auscultation showed respiration 
to be interrupted in its rhythm and somewhat bronchial. Here was a 
case of incipient fibrous phthisis, a diagnosis made more clear by its 
subsequent history. I placed her on cod liver oil and ordered a mixture 
for the relief of the annoying cough The latter had the effect of giv- 
ing slight relief but the oil was not tolerated. After three months it 
was painfully manifest that the disease was progressing. 
“Shortly after this she became pregnant, and this was followed by an 
improvement of all the symptoms referable to the lungs. With the 
exception of a slight roughness in the respiratory murmur, no trace of 
the lung difficulty remained at the sixth month of pregnancy. At the 
seventh month, however, she miscarried; the child lived thirteen hours. 
Immediately after, the unfavorable lung symptoms returned with in- 
creased severity, and continued in spite of treatment. I then placed her 
on Extract of Malt. After taking two pints of the Plain Extract, an im- 
When 
decomposition 
takes place 
of digestion 
we have 
absorption of 
unnatural 
products. 
Advantage 
over Cod 
Liver Oil. 
lUporlH of 
OMee, Phthisis. Successfully Used in Chlorosis. 
19 
provement in her digestion and in her general symptoms was noticeable. 
I then gave her the combination of the Extract with Cod Liver Oil. Af- 
ter a bottle of this (which agreed perfectly) had been taken she was able 
to leave her bed for the first time since her confinement, three months 
previous. She has since been taking regularly the Malt with the Oil in 
combination, and on a visit to her yesterday I found that the disease had 
made no progress since my last examination some three months ago. 
The respiration sounds have improved, if anything, and I am led to hope 
that ultimate permanent good may follow the treatment. I cannot but 
believe that had the Extract of Malt been resorted to when I was first 
consulted a train of very threatening symptoms might have been averted. 
Miss W., aged 19, consulted me October 5, 1877. Her’s was a typ- 
ical case of chlorosis. She had consulted and had been treated by sev- 
eral of our leading physicians, but without benefit. Supposing that the 
usual remedies in such cases had been employed, I placed her on Extract 
of Malt with Cod Liver Oil and Iodide of Iron. The improvement 
which followed was very marked and after the sixth pint had been 
taken, menstruation, which had been suspended for several months, was 
re-established, and after taking two more pints further medication was 
considered unnecessary. 
“I regard the combination of Extract of Malt with Pepsin as one of 
the most valuable additions to our list of physiological medicines, and 
without taking up your time with the details of cases in which I have? 
employed it, I know of no remedy of such service in functional dyspep- 
sia. In that deplorable condition of the stomach following the drunk- 
ard’s prolonged debauch, Extract of Malt with Pepsin is of great bene- 
fit. In the emaciation and condition of marasmus, following the sum- 
mer diarrhoea of children, it is also a sovereign remedy. The hints on 
epidermic medication in a recent number of the Michigan Medical 
JVexvs, by Dr. Wade, of Holly, led me to apply it in the manner recom- 
mended and with very favorable results. 
In Chlorosis, 
—Mulherona, 
Functional 
Dyspepsia, 
Diseases of Children. 
Extract from a paper read before the Kentucky State Medical Society, by John A 
Larrabee, M. D., Prof, of Materia Medica and Therapeutics, and Clinical Lec- 
turer on Diseases of Children, in the Hospital College of Medicine, Louisville, Ky. 
“I have given these preparations (Trommer’s Extract of 
Malt), to over three hundred patients during the past year, including 
private and clinical practice, selecting such as I deemed suited to the 
wants of the several cases, and I have yet to see a single case in which 
benefit has not accrued from its use. It may be said that the medicines 
contained in some of the preparations should have the credit, but I have 
been careful to use such preparations in cases where the medicinal 
agents therein contained have before been given with little or no ad- 
vantage. ' 
“In tuberculosis and scrofulosis I have found the Malt Extract to im- 
prove nutrition and arrest the progress of the disease, acting in this way 
similarly to cod liver oil, save that its effects are seen to be more decided, 
and it agrees better with the stomach, a matter of no small importance 
in advanced cases. 
Have give* 
it in over 
300 cases. 
Arrests the 
progress of 
disease. 20 
Diseases of Children. 
“In the continued cough of pertussis, where, after the acute stage has 
subsided, the patient has prolonged spells of coughing, I have found the 
plain Extract of Malt to exercise a most marked effect. Children not in- 
frequently continue to cough like whooping cough for a year or more 
after having had the disease. In all such cases the cough is kept up by 
the bronchial glands enlarged in the acute stage; and such cases, if left 
alone, are fit subjects for early consumption. Malt Extract is well 
adapted to this stage of convalescence. 
“In convalescence from the ordinary fevers, and especially remittent, 
the ‘plain,’ ‘ferrated,’ or that ‘with citrate of iron and quinia,’ is par ex- 
cellence, the treatment. 
“It is unnecessary that I should attempt to enumerate the diseases in 
which Malt Extract has proven beneficial. It appears to strike at the 
root of mal-assimilation. An explanation of the various conditions 
which are or may be expected to be relieved by Extract of Malt may 
possibly be found in the various stages in which digestion is arrested, 
and the power of this digestant to carry this process to its ultimatum in 
the tissues. A closer study of ultimate digestion is necessary, however, 
before we can give the rationale of the efficacy of this medicine for food. 
“I have not had sufficient experience with the use of Malt Extract 
upon the rheumatic diathesis of childhood to draw any positive conclu- 
sions concerning it, but I am quite confident that, by carrying starch 
through its changes to a rapid end of combustion, it is well calculated 
to accomplish good. The liability, therefore, to remain as lactic acid 
will be greatly lessened. In six cases it was of decided benefit in se- 
curing an immunity from the hitherto frequent attacks of rheumatism, 
one of which had suffered eight attacks of rheumatism in five years, and 
had extensive cardiac lesion.” 
A large number of the cases presented for treatment at the “Children’s 
Clinique,” as well as in private practice, are of this class. At first, I 
felt a hesitancy in prescribing the Malt Extract for such, on account of 
its syrupy character, fearing that it would increase the acidity of the 
prhna via. A test of a few cases, however, convinced me that it did 
not thus operate deleteriously, but was, as it proved in other cases in 
which I employed it, a decided help to the better assimilation of food 
in children. 
The preparation marked “with Iodides,” was used with unmistakable 
advantage and benefit in four cases of Bronchial Phthisis, and one of 
Chronic Hydrocephahis associated with Tubercle. It can not I think 
be doubted that sugar, and especially barley sugar, acts in the economy 
ot the child very much as cod-liver oil, hence the benefit which I have 
found to accrue from the Malt Extract in children suffering from incipi- 
ent or advanced mesenteric or pulmonary phthisis. The same prepara- 
tion, viz., “with Iodides,” was used in three cases of Enlargement 
(Scrofulous) of Cervical Glands with marked benefit and a cure. 
The preparation marked “with Hypophosphites” was used in four 
cases of Rachitis with evident improvement—when the supply gave out. 
As a Galactagogue, I have used the simple Malt Extract quite ex- 
tensively in private practice. Women who, on account of deficiency in 
quantity and quality of their milk, were unable to sustain their infants, 
are enabled by the use of this valuable nourishment, to rear plump and 
healthy children at the breast. J. A. Larrabee, M. D. 
In whooping- 
cough . 
Decided 
help to 
assimilation. 
Acts in the 
economy 
like Cod 
Liver Oil. 
Increases 
and improves 
secretion of 
milk. Food the First of Remedies. 
21 
Food and Food Medicines in Surgery. 
Extract from a paper by the late R. O. Cowling, A. M., M. D., Professor of Princi- 
ples and Practice of Surgery, University of Louisville, in Louisville Medical News. 
“I have long regarded food as the first of remedies, and have taken it 
its a chief maxim in practice that a return to health lies through a return 
of the assimilative powers and a desire for natural aliment; that when- 
ever a drug is administered it is but a means to this end; and that, in 
every instance, its nauseant powers, which are generally certain, are to 
be weighed against its antidotal virtues, which, are, except in a few in- 
stances doubtful. * * . 
“Concerning the virtues of Extract of Malt, which was introduced 
into this country by the Trommer Extract of Malt Company, I can 
speak in a decided manner. An extensive trial of this remedy in the 
acute and chronic disorders of Surgery, during the past three years, has 
convinced me that it is a food-medicine of undoubted power, and the 
general hold it has gained upon the professional mind in America shows 
that I share a very common opinion in regard to its merits. 
“The introduction I had to this remedy was such as to make a lasting 
impression upon me. In August of 1879 a patient, aged five, in whom 
I had far more than a professional interest, after a slight indisposition 
for several days began to show an elevation in temperature. As this 
was decidedly periodic, I thought it, of course, to be of malarial origin, 
and gave myself but little concern about it until I discovered it could 
not be permanently controlled by quinine. In decided doses the tem- 
perature would come down for a day, to rise again the next—reaching 
a maximum of ioi°. Languor, weakness and anorexia increased; with- 
in a fortnight cough and bronchitis were established, and the patient 
was at length forced to keep her bed. As the symptoms did not im- 
prove, the thought came to me that it was tubercle I had to combat. 
Oil was rejected, or taken after such a struggle that I substituted Trom- 
mer Malt Extract. Its beneficial effects were apparent in a very short 
time. The temperature speedily came down and remained down, the 
cough disappeared, and in a fortnight the child was at play. The dis- 
ease was one of malnutrition; and I have always thought that what was 
or might have been the development of tubercle was arrested by the 
Malt and milk upon which alone the child was kept after the first at- 
tempts to arrest the disease with antiperiodics. 
“With such an introduction as this, of course I was led to use it in 
practice, and there are few accidents or diseases of Surgery in which I 
have not tested its virtues—so much so, in fact, that I fear their enum- 
eration will sound pinch like an index.” 
Have long 
regarded 
Food as 
the first ot 
remedies. 
Food 
medicine 
of undoubted 
power. 
Beneficial 
effects 
apparent in a 
very short 
time. 
There are 
few diseases 
of surgery 
in which I 
have not tried 
its virtues. 22 
Employed almost Exclusively—Dr. Niemeyer. 
MALT EXTRACT IN EUROPE. 
Extract 
Halt in 
Europe. 
The recent medical literature of Europe gives strong evidence of the value of Malt 
Extract as a medicinal agent. Niemeyer, Oppolzer, Werber, Bock, Hoppe-Seyler, 
Heimerdinger, Juergensen, Schroeder and Ziemssen, in Germany; Trousseau, Gosse- 
lin, Hardy, Mauduit and Pillois, in France; Ramagalia, Testa and Tartaglia, in 
Italy; Aitken, Anstie, Richardson, Chambers, Fothergill, Roberts and Thompson in 
England, are among the foreign writers who speak in favorable terms of its use. 
Dr. F. Niemeyer, Prof, and Director Med. Clinic, Consulting Surgeon to the King of 
Wiirtemberg, Author of Text-Book of Practice of Medicine : 
“The class of diseases in which the chief, if indeed not the only task of the physi- 
cian, is to maintain or restore the strength and nutrition of the patient is very large. 
For several years past, to meet these indications, instead of prescribing cod liver oil, 
which I was formerly in the habit of doing, I have employed, almost exclusively, 
Trommer’s Malt Extract, and with the very best effect. This substance must not be 
•confounded with Hoff’s and other so-called malt extracts, which are only a kind of beer 
containing a large proportion of carbonic acid and alcohol, which are often injurious 
to the patient. It is similar to other medicinal extracts, and consists of the soluble 
constituents of Barley Malt.” 
Dr. Hoppe-Seyler, Professor of Physiological and Pathological Chemistry, Uni- 
versity of Strasburg, by analysis, found Malt Extract rich in Malt Sugar, Dextrine 
and Diastase. According to the researches of Dr. Schiff, Dextrine possesses the 
property of increasing the secretion of Pepsin. Considering this important fact, in 
connection with the action of Diastase in converting Starch into Maltose and Dex- 
trine, and the nutritious and restorative properties of the Maltose, Alkalies and Phos- 
phates, he expresses the opinion that, both as a nutrient and medicinal agent, Malt 
Extract is of great value. 
Dr. Lersch, Inspector of Mineral Springs at Aix and Bentscheid, in “Schmidt’s 
Jahrbiicher,” No. 159, page 227 : 
“Malt Extract is an excellent nourishing agent for the weak, emaciated sick ; and it is 
in this class of cases that its manifold therapeutical application has been established.” 
Prof. Werber, Director of the Polyclinic, University of Freiburg, commends Malt 
Extract as being very efficacious in the diseases of children of scrofulous tendency, 
who suffer from impaired digestion, poor nutrition and protracted coughs, following 
acute catarrhal affections. In these cases it may be employed instead of cod liver 
oil with great satisfaction. 
The late Prof. Oppolzer, of the University of Vienna, (Special Pathology and 
Therapeutics, page 481,) recommends Malt Extract as especially efficacious in whoop- 
ing-cough and anaemia. 
It is worthy 
■of special 
remark 
that the 
foregoing 
statements 
relate 
exclusively 
to experience 
in the use of 
Trommer’s 
Extract of 
Malt. 
Staff Surgeon Dr. Heimerdinger, of Ludwigsburg, in addition to the usual practice 
of prescribing Malt Extract in pulmonary and digestive diseases of adults, recom- 
mends it in infantile intestinal catarrh, characterized by debility and emaciation. 
Dr. Gusman, of Stuttgart, declares that Malt Extract has rendered excellent 
service in diseaces of the lungs, stomach and bowels, in cases of chronic catarrh, and 
in the catarrhs of asthmatics, and when the lungs were emphysematous a decided im- 
provement followed its use. His experience was equally satisfactory in protracted 
and exhausted cases of whooping-cough. Formula. 
23 
The following List comprises the various combinations of Trom- 
mer’s Extract of Malt, with a brief description of the indications for 
their use: * 
EXTRACT OF MALT, 
With Hops (Plain.) 
Commended, by the most eminent Physiologists, Chemists and Physicians 
of all Countries, as: 
Doctors Fresenius, Immermann, Niemeyer, Oppolzer, V\' erker, Bock, Hoppe- 
Seyler, Heimerdingeii, Juergknsen, Schiueder and Ziemssen, in Germany; 
Trousseau, Gosselin, Hardy, Mauduit and Pillois, in France; Ramagalia, 
Testa and Tartaglia, in Italy; Aitken, Anstie, Richardson, Fotiiergill, 
Roberts, Chambers and Thompson, in England; Larrabee, Palmer, Chapman, 
Pepper, Wyman, Cowling, Webber, Schaeffler, Marvin, Douglas, Dunster,' 
Caldwell, Griffith, Morton, Hughes, Lcewenstein, Darling, Byrd, Barret, 
Bridge, Adolphus, Austin and Buist, in the United States; Lachapelle, Mal- 
loch, Grant, McConnell, Kennedy, Marsden and Mitchell, in Canada. 
Impairment of the digestive functions and especially of the power to 
digest starchy food and fats is a marked feature of chronic wasting 
diseases and of severe or protracted fevers. Trommer’s Malt Extract 
more certainly and more promptly corrects these faults of digestion than 
any other remedial agent. “It is an excellent nourishing agent for the 
weak, emaciated sick,” writes Dr. Lersch, “and it is in this class of 
cases that its manifold therapeutical application has been established.” 
Trommer’s Extract of Malt acts not only as an aid to digestion but is 
also a highly concentrated and largely predigested nutrient, supplying 
nourishment to all the tissues and forces of the body, and is rich in flesh- 
iorming and nerve-invigorating substances. Taken along with food it is 
a powerful digestive or solvent of all kinds of food prepared from the 
various cereals and actively promotes the digestion of milk and animal 
food. “It is,” says Prof. Marsden, “the most valuable aid we possess 
in all cases where impaired digestion and malnutrition obtain.” 
Dr. Lersch 
states: “Its 
manifold 
therapeutic 
application 
has been 
established^ 
From Prof. Fresenius’ Report: “In consideration of its great 
Diastasic power, its stability, together with its agreeable taste and odor> 
I can pronounce the Malt Extract of the Trommer Extract of Malt 
Company a superior preparation.” 
Dr. R. Fresenius, Wiesbaden, Germany. 
From Prof. Marvin’s Report. The following, from a review 
of The Fifth Annual Report of the State Board of Health of Kentucky, 
is taken from the Journal of the American Alcdical Association : 
“Prof. Marvin obtained from a well known wholesale house bottles 
of each of the following brands: Trommer’s Extract of Malt, Maltine, 
Keasby & Mattison’s, John Hoff’s (imported), John Hoffs (Tarrant’s), 
Liebig’s and Shaker’s Aromatic Elixir. After applying the test most 
carefully under identical conditions, he places the Trommer Ex- 
tract at the head of the list, having found it to possess most 
active Diastasic Properties.” 
Prof. Larrabee’s statement: “I have given these preparations of 
Trommer’s Extract of Mart to over three hundred patients dur- 
* The originators and manufacturers of Trommer’s Extract of Malt and Diastasic Food are practic- 
ing physicians and chemists. They consequently have kept in view the adaptation of these prepara- 
tions to practical therapeutics. In the course of correspondence with physicians extending through a 
series of years they have received much useful information and many valuable suggestions which are 
thankfully acknowledged. They are ever ready to respond to all inquiries relating to these prepara- 
tions and their appropriate uses. 24 
Strikes at the Root of Mal-assimilation. 
ing the past year, including private and clinical practice, selecting such as 
I deemed suited to the wants of the several cases, and 1 have yet to see a 
single case in which benefit has not accrued from its use. * * * It 
is unnecessary that I should attempt to enumerate the diseases in which 
Malt Extract has proven beneficial. It appears to strike at the root of 
mal-assimilation. In tabes, in the dyspeptic forms of anaemia, in fact, 
in wasting diseases generally, it has exceeded my most sanguine expec- 
tations.” 
Given to over 
300 patients 
with benefit 
in every case 
Dr. F. Niemeyeu, Prof, and Director Med. Clinic, Consulting Surgeon 
to the King of Wiirtemberg, Author of Text-Bopk of Practice of 
Medicine: 
“The class of diseases in which the chief, if indeed not the only task 
of the physician, is to maintain or restore the strength and nutrition of 
the patient is very large. For several years past, to meet these indica- 
tions, instead of prescribing Cod Liver Oil, which I was formerly in 
the habit of doing, I have employed, almost exclusively, Trommer’s 
Malt Extract, and with the very best effect. This substance must not be 
confounded with Hoff’s and other so-called Malt Extracts, which are 
only a kind of beer containing a large proportion of carbonic acid and 
alcohol, which are often injurious to the patient.” 
EXTRACT OF MALT, 
With Alteratives. 
A tablespoonful contains 
Chloride of Calcium, 10 grains. 
Iodide of Calcium, I grain. 
Iodide of Iron, £ grain. 
Bromide of Sodium, 2 grains. 
This combination is nutritious, tonic, restorative and alterative. The 
Chlorides, Iodides and Bromides are particularly indicated in diseases of 
scrofulous origin, which are characterized by general perverted glandu- 
lar action, by degeneration of the bones, cartilages and joint tissues, by 
cutaneous eruptions, and catarrhal affections, particularly those of the 
eye, ear and nasopharyngeal passages. 
In the London Lancet, reprint of November, 1877* Robert Bell, M. 
D., F. F. P. S. G., physician to the Glasgow Institution for Diseases 
of Womett and Children, etc., strongly urges Chloride of Calcium 
upon the attention of the profession. In concluding a lengthy report 
of successfully treated cases of tuberculosis of the lungs, of the mesen- 
tery and the joints, of glandular enlargements and fistulous abscesses, 
and of the wasting diseases of children, he adds: “Chloride of Calcium 
possesses a most wonderful power in controlling, if not actually curing 
many forms of tuberculous disease. In my experience I have found no 
remedy on which so much reliance can be placed in tuberculous diseases 
as on this salt; more especially, however, this remark applies to the 
wasting diseases of children. * * * In the wasting diseases of 
childhood, be these tubercular or not, Chloride of Calcium has proved 
itself to be, in my experience, a therapeutic agent of inestimable value. 
Its powers are, in my opinion, superior to Cod Liver Oil or Iron, and, 
what is of no little advantage, very young children soon get to taking it 
quite readily. * * * In the Cambridge-street Orphanage, of which 
I have charge, the majority of the children, when admitted, are in a 
Robert Bell 
Strongly 
urges 
Chloride of 
Calcium as a 
therapeutic 
agent of 
inestimable 
Value. Feeble Digestion ntid Faulty Assimilation. 
25 
most pitiable condition; in more than half of them the signs of tuber- 
cular diseases are apparent. The Chloride of Calcium has here been 
put to a crucial test, but it has shown itself to be worthy of the trust re- 
posed in it, for in none of the cases has it proved to be of no benefit. 
All the children to whom it has been administered have improved un- 
der its use, and the majority of those affected appear to have shaken 
themselves clear of the disease altogether. * * * In the tubercular 
disease of bones and joints of children the beneficial effects of Chloride 
of Calcium are very marked.” 
The efficiency of Chloride of Calcium is greatly promoted by com- 
bination with other Alteratives of analogous properties, in small propor- 
tions as it is found to exist in the waters of certain mineral springs cele- 
brated for their curative virtues, especially in scrofulous affections. The 
formula above given, has been employed in practice by physicians of 
high standing with very satisfactory results. We confidently commend 
this preparation to the attention of the profession. 
EXTRACT OF MALT, 
With Pyrophosphate of Iron (Ferrated). 
A tablespoonful contains 
Pyrophosphate of Iron, 4 grains. 
The combination of Extract of Malt with Pyrophosphate of Iron has 
been received with marked favor by the profession, the demand being 
nearly equal to that for the Plain Extract. The Pyrophosphate agrees 
with the stomach, as well, perhaps, as any other preparation of Iron, 
and appears to be, practically, one of the best means of introducing both 
Iron and Phosphorus into the system. The characteristic improvement 
attending the administration of iron follows its use with striking promp- 
titude. The nourishing, tonic and sedative properties of Malt Extract 
render the Iron more acceptable, and add greatly to its restorative vir- 
tues. Extract of Malt combined with Iron is preferred by many prac- 
titioners to any of the various phosphonzed elixirs, pills, etc., so much 
in vogue, as giving more favorable results in the treatment of almost 
every form of disease, characterized by anasmia, especially when asso- 
ciated with feeble digestion and faulty assimilation. 
Feeble 
digestion 
and faulty 
assimilation. 
EXTRACT OF MALT, 
With Hypophosphites. 
7he best substitute for Cod Liver Oil. 
A tablespoonful contains: 
Hypophosphite of Lime, 2 grains. 
Hypophosphite of Soda, 1A grains. 
This combination is being employed with constantly increasing favor, 
as its wider adaptation to the treatment of varied diseased conditions is 
becoming better understood. 
As a medium for the administration of the Hypophosphites Malt Ex- 
tract possesses advantages greatly superior to the ordinary syrups so 
much in use, because it is rich in Phosphates in the condition in which 
they exist in germinating grain, quickened as it were by the process of 
germination, and hence by many called vitalized. The Hypophos- 
phites impart also increased vigor to the malt Diastase, augmenting its 
digestive action on starchv food, and thus correcting a form of indiges- 
tion which so constantly characterizes wasting diseases. 
Employed 
with 
constantly 
increasing 
favor. 26 
Nutrients to the Brain—Taylor. 
Dr. Taylor in his report on Hypophosphites says: “The introduction 
of these Hypophosphites into the blood produces a glowing influence— 
as a respiratory excitant, expanding the chest; as a pyrogenic, increas- 
ing animal heat and nervous force, and removing erratic pains; and as a 
haematogen forming a nucleus for the rallying of red globules; it in- 
creases appetite and cheerfulness, and controls expectoration, night- 
sweats, and diarrhoea. These points I have repeatedly proved.” 
In cases of prolonged nursing, the Hypophosphites are of inestimable 
value to both mother and child. 
Their use is self-evident in diseases of the brain and nerve centers, in 
impotency, in lapse of memory, and many forms of mental derangement. 
Thev are useful in the difficult and painful dentition of children. 
They are nutrients to the brain, giving tone to the nervous system, 
relieving that feeling of depression and exhaustion which accompanies 
and follows nervous disorders, they increase the appetite, because they 
induce a better digestion and assimilation. In over exertion of the 
brain, in mental disorders, in those multitudes of cases of nervous ex- 
citement where sleep has become an impossibility, these Hypophosphites 
act better than any of the preparations of Opium. 
EXTRACT OF MALT, 
With Iodides. 
A tablespoonful contains 
Iodide of Manganese, 1 grain. 
Iodide of Iron, 1 grain. 
Sir J. Y. 
Simpson 
obtained 
favorable 
results. 
The favorable results obtained by the combination of Iodine, Iron 
and Manganese, by the late Sir J. Y. Simpson and others, have been 
fully confirmed by more recent experience. Particularly recommended 
in anaemia, dependent upon scrofula, phthisis, cancer, the syphilitic 
cachexy, exhausting suppuration, enlargement of the spleen, and in 
chlorosis where iron alone has failed to improve the blood. 
* * * I have given Trommer’s Extract of Malt a fair trial in all cases of phthisis 
pulinonalis, and kindred affections, especially diseases depending upon constitutional 
causes, with impaired digestion, and can bear testimony to its tonic and alterative 
effects. This especially with the preparation combining the Iodides and Iron. 
It possesses superior advantages to the other preparations of “Malt” now offered for 
sale. I am very respectfully, J. S. Buist, M. D., 
Surgeon and Physician In charge of the City and Marine Hospital, Ex-Adjunct Prof. Materia Medica, 
S. C. Medical College, &c. 
EXTRACT OF MALT, 
With Citrate of Iron and Quinia. 
(Citrate of Iron and Quinia U. S. P. 1882.) 
A tablespoonful contains 
Citrate of Iron and Quinia, 4 grains. 
This preparation is an exceedingly valuable tonic, and is extensively 
and very successfully prescribed in the treatment of boils and car- 
buncles, in nursing sore mouth, neuralgia and in anaemic cases gen- 
erally. 
Citrate of Iron and Quinia is especially efficacious where impoverish- 
ment of the blood is associated with debility, loss of appetite and dyspep- 
sia, and has been found very beneficial in the anaemic state following 
autumnal fevers, and in enlargement of the spleen. 
In many chronic diseases, in which the cure is tedious or imj:>racticable, 
the sufferings of the patient are often greatly lessened by remedies which Better than the So-called Emulsions. 
27 
build up the system. We have received numerous reports of cases of 
uterine fibroids, and of diseases of the bones and joints, where great re- 
lief has been obtained and life prolonged by the use of this preparation. 
It has also proved most beneficial in chlorosis, and the anaemia of 
children. It is an unsurpassed tonic and restorative. 
An unsur- 
passed, 
pre-digested, 
nutritive 
tonic. 
EXTRACT OF MALT IN COMBINATION WITH COD LIVER OIL. 
The preceding description of the properties of Trommer’s Extract of 
Malt are sufficiently suggestive of the appropriateness of these combina- 
tions. The Extract forms a perfect and stable combination with the 
Oil, renders it palatable and promotes its digestion. Many patients are 
able to take the Oil in this form who find it impossible to do so in any 
other. 
As both the Extract and the Oil are peculiarly adapted to cases of 
anaemia, and of neurasthenia, and various forms of mental and nervous 
disorder, and their use is no longer restricted to chronic rheumatic affec- 
tions, and pulmonary and other wasting diseases, the presentation of the 
Oil in a preparation that is not distasteful to patients has had the effect 
of greatly facilitating and extending its employment. 
In many of the so-called emulsions prepared with syrup, gum, etc., 
the proportion of these articles required to form the combination is so 
large as to exclude the proper quantity of the Oil; and the high flavoring 
used to conceal the taste soon become repugnant to many patients. Sucb 
mixtures do not compare in efficiency with our preparations, consisting 
only of pure diastasic extract of malt and the best quality of 
Norwegian Cod Liver Oil. 
For convenience of prescribing we make these combinations, as fol- 
lows: 
EXTRACT OF MALT, 
With Cod Liver Oil. 
A ■palatable, stable, and efficient combination, consisting of do per cent 
of Trommer's Extract of Malt, and 4.0 per cent, of pure 
Norwegian Cod Liver Oil. 
This, the most desirable preparation of Cod Liver Oil yet offered, sup- 
plies a much felt want, by enabling physicians to extend the use of the 
Oil to all cases in which it is indicated, combined with a substance that 
increases its efficacy by making it easily digestible, and acceptable to the 
most delicate stomach. 
The properties possessed by Trommer’s Extract of Malt of transform- 
ing unassimilable food into that which may be easily assimilated, of 
furnishing Phosphates to the system, of being itself bland and nutritious, 
and of forming also an unequalled combination with Cod Liver Oil, suf- 
ficiently attest the appropriateness of the combination. 
Unlike any of the various bulky emulsions proposed with the object 
of masking the peculiar flavor of the Oil, in this combination are found 
but two substances and these of almost equal value in the treatment oj 
the same class of diseases. 
Not an 
“emulsion,** 
but a 
combination 
of two 
substances 
of almost 
equal value. 
PROF. EDWARD W. SCHAUFFLER ON TROMMER’s EXTRACT OF MALT. 
(From the Article on Pulmonary Diseases in the Reference Handbook of the Medical 
Sciences, Yol. V, page 666, Wm. Wood & Co., New York, 1887.) 
“There are many preparations of the drug [Cod Liver Oil] now 
in the market, in which its disagreeable odor is sought to be cov- 28 
Used with Marked Success. 
ered. In many of these the emulsion of Oil is combined with the nypo- 
phosphites of Lime, Soda, Manganese, etc. There is no objection to 
this combination, provided the requisite amoifnt of Cod Liver Oil be 
present. One of the best combinations is that of the Oil with Trommer's 
Extract of JMalt. The Malt aids materially in its digestion, as well as 
in the digestion of foods, and patients taking this preparation will 
usually improve in appetite.” 
“Used with 
marked 
Success in 
©very case,” 
says Dr. 
Godfrey. 
“I have used the Trommer Extract of Malt with Cod Liver Oil for a number of my 
patients suffering from phthisis, in every case with marked success. * * I have no 
hesitation in saying that when these preparations are fully made known to the pro- 
fession, they will be accepted as standard remedies. * * Extract of Malt entirely 
does away with the necessity for alcoholic stimulants.—R. T. Godfrey, M. £>., Prof, of 
Hygiene and Public Health, McGill University, Montreal. 
EXTRACT OF MALT, 
With Cod Liver Oil and Hypophosphites. 
Unequalled by any of the “Emulsions''"1 of Cod Liver Oil, because more 
Stable, more Palatable, more Nutritious, and possessing 
Diastasic and Peptogenic properties. 
This combination consists of 60 per cent, of Trommer’s Malt Extract, 
and 40 per cent, of the best Norwegian Cod Liver Oil. A tablespoon- 
ful contains: 
Hypophosphite of Lime, 2£ grains. 
Hypophosphite of Soda, l| grains. 
It forms a perfect and stable preparation. The Salts are kept in solu- 
tion by a slight excess of Hypophosphorus Acid. 
This preparation is recommended on account of its agreeableness to 
the palate and stomach. It is appropriate in all cases in which Malt Ex- 
tract, Cod Liver Oil and Hypophosphites are indicated. Many patients, 
unable to take the Oil in any other form, have found this acceptable, and 
have derived signal benefit from its highly nutritious and restorative 
properties. It does not become distasteful by prolonged use. 
Dr. Taylor in his report on hypophosphites says: “The introduc- 
tion of these hypophosphites into the blood produces a glowing influ- 
ence as a respiratory excitant, expanding the chest; as a pyrogenic, in- 
creasing animal heat and nervous force, and removing erratic pains; and 
as a hasmatogen forming a nucleus for the rallying of red globules; 
it increases appetite and cheerfulness, and controls expectoration, night- 
sweats, and diarrhoea. These points I have repeatedly proved.” 
I)t>es not 
become 
distasteful by 
prolonged 
use. 
EXTRACT OF MALT, 
With Cod Liver Oil and Iodide of Iron. 
Consists of 60 per cent, of Trommels Extract of Malt and 40 per cent. 
ptire Norwegian Cod Liver Oil/ Iodide of Iron beitig added 
in the proportion of One Grain to a Tablespoonf id. 
This combination is proposed to meet those cases where the physician 
desires to add a more energetic alterative and restorative to the treatment 
with Cod Liver Oil and Extnict of Malt. Iodide of Iron is tonic, altera- 
tive, diuretic, and emmenagogue, and is much employed in scrofulous 
diseases, enlarged glands, anrcmia, chlorosis, atonic amenorrhcea, leucor- 
rhcea and diabetes. Ricord found it also a most valuable remedy in 
syphilitic diseases occurring in debilitated and scrofulous subjects. 
Ricord found 
ti a most 
valuable 
remedy. Preparations of Pancreatin Worthless. 
29 
Both Iodide of Iron and Cod Liver Oil are exceedingly well adapted 
to the strumous ophthalmia of children, and amenorrhoea occurring in 
females of a phthisical tendency. 
“I have had under observation several cases of wasting disease in children, 
and anaemia in young women, and, more notably, a very intractable case of marasmus, 
which I have had under treatment for several years. The last-named has been more 
benefited by the Trommer Malt (with Oil and Iodide of Iron) than by any other 
preparation I have met with. In the class of cases cited: anaemia and tubercular 
disease of either lungs or mesenteric glands, I consider the Malt preparations most 
valuable adjuncts to our list of therapeutic agents.”—E. C. Malloch, M. D., Ottawa. 
EXTRACT OF MALT, 
With Pepsin. 
A tablespoonful contains 
Pepsin (equivalent of saccliarated,) 20 grains. 
Acid Hydrochloric, 2£ minims. 
Trommer’s Extract of Malt is not merely a highly concentrated, pre- 
digested nutrient, rich in all the elements necessary to the construc- 
tion and repair of the various tissues of the body, but it possesses strong 
digestive power. When used along with food it promotes not only the 
digestion of starchy substances, but Albuminoids and fats also. By the 
addition of Pepsin and Hydrochloric Acid, in this combination, its action 
on the albuminous constituents of food is still further augmented. It 
is especially adapted to dyspeptic conditions in which there is deficient 
power to digest animal food, owing to the scanty secretion of Pepsin and 
Hydrochloric Acid. 
“In functional derangement of the stomach and bowels, the combina- 
tion of Extract of Malt with Pepsin, is most valuable; and in the emaci- 
ation following the summer diarrhoea of children it supplies a physiolog- 
ical medicine of extraordinary restorative power.”—y. A. Grant, M. 
D., M. R. C. P., (Lond.,) Ottawa. 
Pancreatin is sometimes combined with Pepsin and Hydrochloric 
Acid, but there is no rational physiological basis for such formula. 
Ewald says: “So far as concerns administration by the mouth, Pan- 
creatic preparations are worthless. * * * The power of digesting 
albumen in the pancreatic ferment is destroyed by the action of the gas- 
tric digestion.”—Lectures on Digestion, 1881, Page 140. Kuiine 
states that “the pancreatic ferment, when brought in contact with gas- 
tric juice or pepsin in acid solution, is digested like any other albuminoid 
and its action destroyed.—Ibid. 
Dr. Jacobi says: “I hope it will not be forgotten that the practice 
which I know some of our colleagues have unfortunately fallen into,— 
that of giving pancreatin for the purpose of, in some indefinite way, im- 
proving the digestion and thus aiding the man or woman or child,—is 
unscientific and therefore a ridiculous one.”—The Dietetic Gazette, 
Afiril, 1889. 
Dr. Ewald, of 
the Royal 
University of 
Berlin, states 
in his work 
on Diges- 
tion, that 
“Pancreatin 
preparations 
are quite 
worthless.” 
EXTRACT OF MALT, 
For Infanta and Children. 
A pure Diastasic Extract of Malt, 'without hops. Put up in special 
style, in 8 oz. bottles, price yo cents. 
Although our Plain Malt Extract, containing the aromatic and bitter 
principles of Hops, is very generally employed in the treatment of weak- 
ly children, in response to numerous calls for Malt Extract free from the 30 
Gastric and Intestinal Disorders. 
flavor imparted by Hops, we supply the Extract as above indicated. The 
demand for this preparation is constantly growing, and we have received 
numerous reports of its utility in the treatment of children of weak di- 
gestive powers, and those suffering from debility, from whatever cause. 
Not only during the period of nursing, but at weaning and subse- 
quently many children still lack in the power to digest amylaceous food. 
This source of gastric and intestinal disorder, and of defective nutrition, 
is usually promptly relieved by the use of this Extract. When added to 
cow’s milk it greatly promotes the digestibility of the latter, and also in- 
creases its nutritive value, by furnishing easily assimilated albuminoids, 
carbohydrates, and alkaline phosphates, in good quantity. 
Children like it as they do the most toothsome confections, and can 
partake of it freely without harm. It may be added to, or, which is 
generally preferred, taken after any kind of food. Being actively Dias- 
tasic, and containing the most valuable Peptogenous constituents, it not 
only ensures the normal transformation of starchy substances, but also 
directly promotes the digestion of the albuminoid constituents of food. 
It is a valuable nutrient and restorative for children affected with acute 
or chronic disorders of the stomach or bowels, or of the air passages. It 
is equally well adapted to all cases in which the flavor of Hops, in the 
Plain Extract is objectionable. It is better than cane sugar for sweeten- 
ing cow’s milk fed to young children. It is the best remedy for indiges- 
tion occurring at the period of weaning. 
Numerous preparations styled “Malt Extract,” or “substitutes for Malt 
Extract,” are on the market, and vigorously pressed on the attention of 
physicians by various parties. We have to say only that those who de- 
sire to prescribe a pure and efficacious preparation, one which has given 
good results in the hands of those whom we have quoted, and of thous- 
ands of others in every part of the civilized world, should be sure to 
specify Trommer’s. We are the oldest manufacturers of Diastasic Nu- 
trients in America, and devote ourselves exclusively to their production 
in unequalled perfection. Satisfactory results can be expected 
ONLY FROM AN ARTICLE WHICH EXPERIENCE HAS DEMONSTRATED IS 
THE BEST. 
Useful for 
children 
suffering 
from debility 
from whatever 
cause. 
Contains most 
valuable 
Peptogenous 
constituents. Diastasic Food. 
31 
Trommer’s Diastasic Food 
A Nourishment for Infants and Invalids. 
Trommer’s Diastasic Food has now been on trial during four years, 
under the observation of a large number of physicians, in both private 
and hospital practice. 
From favorable reports coming from those who have had experience 
in its employment, under a variety of circumstances, and in the most 
trying cases, we feel justified in giving positive assurance to the profes- 
sion that this Food is an excellent nourishment for infants and sick per- 
sons, and far better adapted as a substitute for mother’s milk, than any 
other preparation of this class. 
The Diastasic Food is prepared from choice selected cereal products, 
and, when combined with fresh, sweet milk, forms a normal nutri- 
ment, containing all the elements required for the complete nourishment 
of the body. 
These constituents contain active diastase and while the Food is be- 
ing got ready for administration, they undergo digestive changes, 
like those which seeds undergo during germination, and like those which 
bread and similar foods undergo during salivary digestion. By this di- 
astasic digestion both the albuminoid and amylaceous constituents of the 
food are largely changed into soluble and diffusible forms, and become, 
consequently, susceptible of being appropriated without taxing the im- 
perfectly developed digestive organs of the infant or of those enfeebled 
by disease in older persons. Ample experience has proved that the 
youngest infant and the most reduced invalid, alike, may take this Food 
with safety and be well nourished by it. 
The carbohydrates of this Food do not consist of milk sugar, or of 
prepared dextrine, with desiccated milk, or similar compounds, lately so 
strenuously advocated by dietetic theorists. Such foods, by chemical 
manipulation, superheating, desiccation, or appertizing processes, are 
liable to impairment for food purposes, and are useful only as occasional  The Essential Quality of Ereshness. 
32 
expedients, like canned goods generally. They lose something essential 
during the processes by which they are manufactured—but that some- 
thing is necessary to good appetite and good nutrition. 
Trommer’s Diastasic Food is prepared by adding fresh, sweet milk, 
as often as nourishment is given. Fresh milk is better than desic- 
cated or condensed milk; it has the essential quality of freshness. 
Trommer’s Food is therefore always fresh; the diastasic or digestive 
changes take place principally while it is being prepared for the patient. 
The milk combined with it is by the same action partly digested, and 
becomes more like mother’s milk, very bland and digestible. 
When prepared by the addition of water only, the same digestive 
changes occur—and in nutritious properties it then closely resembles 
human milk. Prepared in this manner it is adapted to all cases and con- 
ditions in which milk for any cause is not indicated or tolerated, and is 
often well borne in infantile diseases, and in febrile affections, when 
every other kind of nourishment disagrees; and, by those who have had 
experience with it in febrile cases characterized by much gastric and in- 
testinal disorder, is deemed indispensable. It allays thirst, and nourishes 
adequately without producing the least irritation of the stomach or 
bowels. 
Theorists may assert that sugar of milk is the only suitable carbohy- 
drate for infants. The truth is that the soluble carbohydrates produced 
by diastasic digestion of amylaceous substances are those which the 
human being feeds on, ever after the earlier months of infantile life. 
The infant does not digest starch well owing to the undeveloped condi- 
tion of the salivary glands. Diastasic digestion is identical with salivary 
digestion when those glands are fully developed and functionally active, 
and Trommer’s Diastasic Food places the infant to this extent on a par 
with older children and adults, so far as the digestion of farinaceous food 
is concerned. 
Respectfully, 
The Trommer Extract of Malt Company. 
JOHN B. BICE, M. D., President. 
BOBEKT H. BICE, M. D., Vice President. 
GUSTAVU3 A. GESSNER, M. D., Secretary. 
LEONIDAS H. CEF.SS, Treasurer. “I can hardly say too much of the value of Trommer’s Extract of Malt. In many 
cases in which I have prescribed it? its therapeutic and nutritious properties were 
marked and unmistakable; and such I feel confident will be the experience of others 
who may be induced to use it in such affections as dyspepsia, in most of its forms, in 
anaemia, in strumous and tuberculous affections, in constipation, in irregularities of the 
catamenial discharges, etc. In fact, I am now in the habit of prescribing it in all 
cases of defective nutrition attended with loss of appetite, from whatever cause in- 
duced, and almost always with gratifying results. My experience has been confined 
to the Plain Extract (with hops), adding as occasion required, iron, uux vomica, etc. 
I have recently seen some very neat additions to the Plain Extract, compounded by 
the Trommer Extract of Malt Company, anil shall not hesitate to prescribe them as 
my patients need them in the future.—Jlarvy L. Byrd. M. D., Late Professor in Medi- 
cal Colleges of Savannah and Baltimore. 
“As Superintendent of the Public Lying-in-Hospital wards of the Woman’s Hos- 
pital, I have had excellent opportunity of testing the Trommer preparations. * * * 
A large number of our patients were in a very debilitated condition, and after con- 
finement required special treatment. These preparations, more especially that with 
Cod Liver Oil, were found of the greatest benefit. Their restorative power was very 
marked, patients regaining strength, and a healthy state of blood, much more rapidly 
than had previously been observed. Results here being so satisfactory led me to use 
the Malt preparations extensively in my private practice, and I have not been disap- 
pointed. With children requiring a nutritive and alterative remedy these prepara- 
tions completely fulfilled the indication.”—R. A. Kennedy, M. A., M. D., Prof. Mid- 
wifery and Diseases of Women, tfec., University Bishop's College, Montreal. 
* * * “From results obtained through its use I have been led to look upon this 
remedy as the most valuable aid we possess in all cases where debility, impaired di- 
gestion, and malnutrition obtain. That improvement has been due to the use of Malt. 
I have proved in several cases of chronic dyspepsia, in which Malt with Pepsin pro- 
duced speedy and permanent benefit, where previously Pepsin, Bismuth and the Min- 
eral Acids, with the various tonics, stimulants and stomachics usually given in such 
cases, had been prescribed with only temporary benefit. I have given Malt in com- 
bination with Hypophosphites in many cases of incipient phthisis, and in every case 
its use was followed by immediate and marked improvement. I believe that in Malt 
we possess an invaluable remedy as a nutrient tonic.”—J. B. McConnell, M.D., Prof. 
Materia Medica, &c., University Bishop's College, Montreal. 
* * * “In functional derangement of the stomach and bowels, the combination 
of Extract of Malt with Pepsin, is most valuable; and in the emaciation following the 
summer diarrhoea of children it supplies a physiological medicine of extraordinary 
restorative power. In cases of incipient tuberculosis, Extract of Malt with Cod Liver 
Oil is a most excellent remedy. Its nutritive and restorative powers, combined with 
its alterative and tonic virtues, will command for Extract of Malt and its combina- 
tions a place of more than ordinary importance.”—J. A. Grant, M. I). M. R. C. P., 
(Land.,) Ottawa. 
“I have made extensive use of the Trommer Malt during the past year, and have 
great pleasure in adding my testimony (based upon experience of its action) to the 
evident skill and care brought to bear in the manufacture of their preparations by this 
Company. I esteem Malt Extract one of the most valuable agents available to the 
profession, and have no hesitation in saying that the Trommer Company’s preparations 
should hold a first place amongst remedies of this character.”—E.P. LaehopeUe, M.D., 
Prof, of Physiology and Pathology, dr,., LamI University, Montreal. 
“I have for some time been usiflg the various preparations of Trornmer Extract of 
Malt, which have given me great satisfaction. * In marasmus, in tabes, in the dys- 
peptic forms of ansemia, in fact, in wasting diseases generally, * it has exceeded 
my most sanguine expectations. As a substitute for Cod Liver Oil (for which in most 
cases it may be used), the palatable character of Extract of Malt is a strong recom- 
mendation.”— W. Marsden, A.M., M.D., Pres. Coll. Physicians and Surgeons, of Quebec. CERES UBERE PLENO 
NUTRIT FOVETQUE INFANTES.