on.
Still, these should be expedients for use only when milk cannot be
secured fresh and in good order, as it is more than doubtful if the milk
is so well borne when it has been altered by these processes.

For ordinary daily use it might be better to let all the milk for the
day be peptonized in the morning with pancreatic extract, to the extent
which is found to be agreeable to the patient's taste, and then preserve
it by placing it upon ice. In this way milk may be kept for several
days. Then, too, it has been found that where even skimmed milk upsets
the stomach of patients, milk prepared in this manner can be taken
without trouble. In peptonizing, the directions which accompany the
powders to be used for that purpose should be followed carefully. It is
to be remembered that if the patient desires to take the milk warm, the
process of conversion into peptones, which has been stopped by the cold,
will be promptly started again when the fluid is warmed, and then a very
few minutes will suffice to make it disagreeably bitter. At first the
skimming should be thorough, and for the treatment of dyspepsia or
albuminuria the milk must be as creamless as possible. The milk of the
common cow is, for our purposes, preferable to that of the Alderney. It
may be used warm or cold, but, except in rare cases of diarrhoea, should
not be boiled.

It ought to be given at least every two hours at first, in quantities
not to exceed four ounces, and as the amount taken is enlarged, the
periods between may be lengthened, but not beyond three hours during the
waking day, the last dose to be used at bedtime or near it. If the
patient be wakeful, a glass should be left within reach at night, and
always its use should be resumed as early as possible in the morning. A
little lime-water may be added to the night milk, to preserve it sweet,
and it should be kept covered.

The milk given during the day should be taken at set times, and very
slowly sipped in mouthfuls; and this is an important rule in many cases.
Where it is so disagreeable as to cause great disgust or nausea, the
addition of enough of tea or coffee or caramel or salt to merely flavor
it may enable us to make its use bearable, and we may by degrees abandon
these aids. Another plan, rarely needed, is to use milk with the general
diet and lessen the latter until only milk is employed. If these rules
be followed, it is rare to find milk causing trouble; but if its use
give rise to