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WILLIAM
J.
DARBY,
A N D NUTRITION
scientists have,
through scientific study, striven to develop full understanding of the composition
and biological functions of food an d its components since the advent of modern medicine
and s c i e n ~ e . T~ h*e~ early
~
clear demonstrations of curative an d preventive properties for
scurvy of fruits and vegetables during the
16th to 18th centuries, and the studies by
Lavoisier on energy in the 1770s to 1790s
mark the beginnings of the modern scientific
effort.2*8
Prior to and since these beginnings man has
perceived food in many lights, some bright,
others shadowy. James Harvey Young has
identified many of the extensive variety of
food images-and I might add mirages-in a
fascinating essay entitled The Agzle Role of Food:
Some Historical Rejections. l3 These roles include
patriotism, manifestation of ones personality,
medicinal, poison, panacea, status symbols,
expressions of revolt or of political affiliation, etc.
Food, nutrition an d cancer, whether considered from therapeutic or preventive viewpoint, is but another expression of the ageold interest in the medical use of food. Young
writes13:
OOD
MD, PHD*
tient. . . . During the medieval and
Renaissance periods, spices doubled as
food condiments a n d as drugs. One
scholar points o u t that the terms
spices, drugs, a n d aromatics were generic
and interchangeable through all these
years. . . . T h e late sixteenth century
English herbalist, John Gerard, summed
u p the double role: In the first ages of
the world . . . (plants) were the ordinary meate of men, and have continued
ever since of necessary use both for
meates to maintaine life, and for medicine to recover health.
In ancient Egypt a n d in all subsequent cultures, multiple medicinal uses have been assigned to every class of foodstuff^.^ Only a few
of these traditional myths have proved to have
a biological base a n d , where so, the bioactivity
has been demonstrable in curative medicine.
Mans imaginative ability and his wish for
fulfillment in relation to health combine to
provide a nearly unlimited series of food
myths throughout the ages. Magnus Pyke
has aptly stated:
Food myths a r e by their very nature nonsense because the hypotheses upon which
they are constructed are, unlike scientific
From the
times man has emhypotheses, not subject to verification on
ployed the same botanicals as both food
the hard touchstone of observation and
experiment,
and drugs. This was certainly true at both
myths and
ends of the Fertile Crescent, in ancient
scientific hypotheses, although they are
Egypt a nd in Mesopotamia. The borderderived from different kinds of intellectual processes, both embody popular
line between dietetic and pharniacological treatment, Henry Sigerist wrote,
ideas concerning natural phenomena.
sharp. * . . In the
was by no
And the conception of such ideas,
Western tradition, this fusion became
whether they are mythical or scientific,
strong because Of the key
a re acts of the imagination a n d intuition.
given by the Hippocratic corpus to diet in
the physicians effort to help his pa- H e further discusses myths as wish fulfillment:
Presented at the American Cancer Society and NaA doctor faced with a sick patient has at
tional Cancer Institute National Conference o n Nutrihis disposal some measure of scientific
tion in Cancer, June 29-July 1, 1978, Seattle, Washingunderstanding
by means of which he can
ion.
From the Nutrition Foundation, New York, New York
expect to bring about certain cures by the
and Washington, D. C.
rational application of established prin* President.
ciples. At the same time his knowledge
Address for reprints: William J . Darby, MD, PhD, T h e
and powers a re limited, yet he is faced
Nutrition Foundation, Inc., 489 Fifth Ave., New York,
NY 10017.
. . . with a sick patient. . . . H e is.
Accepted for publication September 18, 1978.
therefore, compelled to reinforce scien0008-543W79/0500/2 121 $0.70 0 American Cancer Society
2121
2122
CANCER
, V qSupp1omu)it 1979
Vol. 43
potentially everybody-regardless
of
education, intelligence a n d background
-when desperate a n d confronted with
the danger of death, may come to believe
in or hope for miracle drugs a n d secret
formulas, or special herbs and foods. I t
offers a moving portrayal of a g r o u p of
men of the greatest diversity of background, each a n individual in his own
distinct way, who face the terror of decay,
suffering, a n d death in utter loneliness,
though living and sleeping side by side in
the same ward.
No. 5
NUTRITIONAL
FADS
Darby
2123
2124
CANCER
May Supplement 1979
Vol. 43
9. Olson, R. E.: Clinical nutrition: An interface between human ecology and internal medicine (W. 0.Atwater Memorial Lecture). Nufr. Reu. 36:161 - 178, 1978.
10: Pyke. M.: T h e development of food myths.In Food
Cultism and Nutrition Quackery. G. Blix, Ed., Symposium of the Swedish Nutrition Foundation VIII.
Uppsala, Almqvist 8c Wicksell, 1970;pp. 22-29.
11. Stewart, C. P., and Guthrie, D.: Lind's Treatise on
Scurvy:
A Bicentennial Volume Containing a Reprint
1976.
of the First Edition of a Treatise of the Scurvy by James
5. deGarine. I.: T h e socio-cultural background of food Lind, M.D., With Additional Notes. University Press,
habits in developing countries (traditional societies). I n
Edinburgh, 1953;pp. 440.
Blix, loc. c i f . , pp. 34-46.
12. Todhunter, E. N.: Chronology of some events in
6. Gay, R.: Fear of fond. Amm'can Scholar 45:437, the development and application of the science of
1976.
nutrition. Nulr. Rm. 34:353-365. 1976.
7. Harper, A. E.: Dietary goals-A skeptical view.
13. Young, J. H.: T h e agile role of food: Some historical
A m . j . Clin. Nufr. 31:310-321. 1978.
reflections. In Nutrition and Drug Interrelations, J.
8. Lusk, G.: Nutrition. Cleio Medica Series, Paul h. Hathcock, and J. Coon, Eds. New York, Academic Press,
Hoeber, Inc.. New York, 1933.
1978;pp. 1-18.
1. Bruch, H.: T h e allure of food cults and nutrition
quackery. Nutr. Rev. 32(Suppl. 1):62-66,1974.
2. Darby, W. J.: Nutrition science: An overview of
American genius. Nu&. Rev. 34:l-14, 1976.
3. Darby, ~ . ' J . T
: h e unicorn and other lessons from
history. Nu&. Rev. 32(Suppl. 1):57-61, 1974.
4. Darby. W. J., Ghalioungui, P.. and Crivetti, L.:
Food: T h e Gift of Osiris. Academic Press Inc., London.