change of air, and the like, I did not care to repeat what had
already failed. She was therefore put at rest, and treated with milk,
slowly lessened in amount. Her stomach-troubles, which had been very
annoying, disappeared, and when the milk fell to three pints she began
to lose flesh. With a quart of milk a day she lost half a pound daily,
and in two weeks her weight fell to one hundred and forty pounds. She
was then placed on the full treatment which I shall hereafter describe.
The weight returned slowly, and with it she became quite ruddy, while
her flesh lost altogether its flabby character. I never saw a more
striking result.

I have been careful to speak at length of these fat anaemic cases,
because, while rare, they have been, to me at least, among the most
difficult to manage of all the curable anaemias, and because with the
plan described I have been almost as successful as I could desire.

Let us now suppose that we have to deal with a person of another and
different type,--one of the larger class of feeble, thin-blooded,
neurasthenic or hysterical women. Let us presume that every ordinary and
easily attainable means of relief has been utterly exhausted, for not
otherwise do I consider it reasonable to use so extreme a treatment as
the one we are now to consider. Inevitably, if it be a woman long ill
and long treated, we shall have to settle the question of uterine
therapeutics. A careful examination is made, and we learn that there is
decided displacement. In this case it is well to correct it at once and
to let the uterine treatment go on with the general treatment. If there
be bad lacerations of the womb or perineum, their surgical relief may
await a change in the general status of health,--say at the fourth or
fifth week. If there be only congestive or other morbid states of the
womb or ovaries, they are best left to be aided by the general gain in
health; but in this as in every other stage of this treatment it is
unwise, and undesirable therefore, to lay down too absolute laws. Having
satisfied ourselves as to these points, and that rest, etc., is needful,
we begin treatment, if possible, at the close of a menstrual period,
because usually the monthly flow is a time at which there is little or
no gain, and by starting our treatment when it is just over we save a
week of time in bed.

The next step is, usually, to get her by degrees on a milk diet, which
has two advantages. It enables us to know precis