The record-union., 1893-09-09

essened and more substantial food per-
mitted. 1t is always well to recommend
the patient, even after recovery, to con-
tinue taking at least a quart of milk daily
and for an indefinite time. My patients,
however, generally keep on with the
milk even without being urged. 1t is
often remarkable how patients increase
in weight under milk in q comparatively
short period, and how promptly dyspep-
sla symptoms vanish.
MIX may be administered hot, warm,
or cold, but almost all patients on milk
diet prefer taking it cold. Each dose
should be swallowed very slowly by sip
ping 1t from the tumb bier. Indeed, at first,
direct the nurse to give it TO the patient
IN tea or desert spoonful amounts until
each dose is taken. This course is re-
qulred especially where milk is directed
when the stomach is irritable, as in the
more severe forms of gastric or intestinal
indigestion. a frequent objection to the
milk diet is the occurrence Of constipa-
ton. Inls is common trouble with pa
uents undergoing rest cure, or using milk
alone as diet; and without great care
and attention is observed, the return may
become packed, and obstruction, due to
lutcal lmpacton, be produced. This con-
ultlon should receive attention. Medi-
cine Is not indicated tor the relief of this
condition under ordinary circumstances,
Dut II is proper, every second day, unless
the bowels act normally, TO direct a warm
water enema to be administered so as to
unload the lower bowel. In other cases,
where mild laxative can be used, moth
ing IS easier to take than 4 portion Of
lamar Indlen, CONNECTION SIENNA, or
small amount of rhubarb. or liquorice
powder. l desire to repeat that | regard
Y OF very great importance to see that the
bowels are relieved at stated intervals, |
al raf "a I
being allowed to take water; to this there
is no objection provided it gives no un-
easine5s. Usually l have found that the
frequent doses OF mIlk relieve all thirst
ana rarely do patients desire any water
III addition.
1t may III some cases be deemed ad-
YlSaDle to give some form of malt, if so
some one OF the recognized, good prep
aratlons should be selected and two or
three ounces can be given two or three
tunes a uay. soon alter beginning a
course OF milk, the patients tongue be
comes very white, looking as il it were
heavily coated. This always occurs, but
in the course OF Few days it again cleans
OH and becomes natural. Occasionally
we lnd patient vino does not require to
undergo the confinement of rest treat
ment, or TO remain in bed, or even in the
house, while taking milk exclusively.
have, indeed, almost constantly
patents under my care who Keep milk at
their offices in a water cooler and with
the tumbler go through a milk course Of
weeks without any difficulty. W here
the PATIENTS condition requires rest in
bed at the same time as the milk diet, it
Is far better to insist upon competent
nurse being employed, as under the sys-
tematic treatment the case does much
better. Many patients, who find the bet
ter varieties Of milk too rich for them,
Tgl oil it,,Y.
trouble, and | usually direct that if the
milk be rich and delivered in the morn
ing, it should be partly skinned, or a
good sklmmel mix NAV be ordarad.