ogresses, to employ
in place of milk, or with it, some one of the various "children's
foods," such as Nestle's food, or malted milk.

Before dealing with the treatment of the anaemic and feeble and more or
less wasted invalids who require treatment by rest and its concomitant
aids, I desire to say a few words as to the use of rest, milk dietetics,
and massage in people who are merely cumbrously loaded with adipose
tissues, and also in the very small class of anaemic women who are
excessively fat and may or may not be hysterical, but are apt to be
feeble and otherwise wretched.

Karell has pointed out that on creamless milk diet fat people lose
flesh; and this is true; so that sometimes this mode of lessening weight
succeeds very well. But it does not always answer, because, as in
Banting, loss of weight is apt to be accompanied with loss of strength,
so that in some cases the results are disastrous, or at least alarming.
I do not know that this is ever the case if the directions of Mr.
Harvey[26] are followed with care and the weight very deliberately
lessened. But for this few people have the patience; and, even if they
can be induced to follow out a strict diet, it is often useful to be
able to cut off very rapidly a large amount of weight, and so shorten
the period of strict regimen, or at least put over-fat persons in a
condition to exercise with a freedom which had become difficult, and
thus to provide them with a healthful means of preventing an
accumulation of adipose matter. This can be done rapidly and with safety
by the following means. The person whose weight we decide to lessen is
placed on skimmed milk alone, with the usual precautions; or at once we
give skimmed milk with the usual food, and in a week put aside all other
diet save milk and all other fluids. When we find what quantity of milk
will sustain the weight, we diminish the amount by degrees until the
patient is losing a half-pound of weight each day, or less or more, as
seems to be well borne. Meanwhile, during the first week or two rest in
bed is enjoined, and later for a varying period rest in bed or on a
lounge is insisted upon, while at the same time massage is used once or
twice a day, and later in the case Swedish movements. At the same time,
the pulse and weight are observed with care, so that if there be too
rapid loss, or any sign of feebleness, the diet may be increased. In
many such cases I allow daily a moderate amount of beef- or chi