The diet which is gaining recognition today as suitable for the patient with Bright's disease is radically different from that of the past. Formerly, in treating this disease, physicians thought only of the kidney; today, in keeping with modern ideas of treatment, the chief consideration is for the patient himself. It was the custom to think only in terms of protein catabolism and of the harmful effects of its end-products, and consequently the patient was told that he must eat no meat. Now attention is directed to the anabolic influences of protein, its upbuilding effects and beneficial influence on repair processes, and the patient is told to take liberal amounts of this essential foodstuff. The whole protein problem is a much vexed one.
Undue emphasis has been laid on the supposedly harmful effects, even in health, of nitrogenous degradation products, while the essential rôle which protein plays in repair processes
McLESTER JS. THE DIET IN BRIGHT'S DISEASE. JAMA. 1932;99(3):192-194. doi:10.1001/jama.1932.02740550006002