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their milk is simultaneously lessened in quantity, and altered in its other properties. If the suckling be still continued, their debility daily increases, distressing pains in the back and loins succeed; the patients become exceedingly nervous, as it is termed, and are unusually susceptible of ordinary impressions; pain in the head, often of great violence, follows, which, in some cases, is succeeded by delirium, in others, by absolute mania. Nor is this the whole catalogue of ills to which in such cases the unfortunate mother is subjected: the appetite fails, distressing languor is experienced by day, while copious perspirations deluge her by night, and dissipate the last remains of strength--producing a state which may easily be mistaken for, or terminate in, true pulmonary consumption;--finally, the sight becomes progressively weaker, until vision is almost destroyed; the eyelids exude a glutinous secretion, and ophthalmia itself is occasionally induced. These are the symptoms too often caused by lactation in delicate or debilitated habits, even a few months after delivery; the same also are observed when suckling has been injudiciously protracted beyond the period to which it should be confined. A few only of the foregoing symptoms may be noticed, or nearly the whole may present themselves, in the same patient; and when this happens, unless the cause which has given rise to them be at once detected, and appropriate treatment employed, the most serious consequences may be apprehended. In these cases, the first step necessary is to discontinue the suckling altogether: half measures will never answer. Sometimes it is proposed by the patient, or her friends (more usually the latter), to compromise the affair by feeding the child partly on spoon meat, and allowing him still to take the breast, though less frequently than before. This plan I uniformly object to, for the following reasons:-- 1st. Because the mother will not be likely to recover so long as she continues to suckle at all. 2nd. Because her milk being necessarily of a bad quality, it cannot be expected that the child will derive benefit from it; but, on the contrary, there is every probability that his health will suffer by using diet of such an improper description. The obvious dependence of the foregoing symptoms upon debility will, of course, at once suggest to practitioners the nature of the treatment to be adopted: which should be such
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