have seemed to me on the
whole more satisfactory than the imported malts. It is very desirable
that a thorough chemical study should be made of the various malt
extracts, solid and liquid. I am sure that some of them are defective
in composition, or vary notably as to the amount of alcohol they
contain.

No troublesome symptoms usually result from this full feeding, and the
patient may be made to eat more largely by being fed by her attendant.
People who will eat very little if they feed themselves, often take a
large amount when fed by another; and, as I have said before, nothing is
more tiresome than for a patient flat on her back to cut up her food and
to use the fork or spoon. By the plan of feeding we thus gain doubly.

As to the meals, I leave them to the patient's caprice, unless this is
too unreasonable; but I like to give butter largely, and have little
trouble in getting this most wholesome of fats taken in large amounts. A
cup of cocoa or of coffee with milk on waking in the morning is a good
preparation for the fatigue of the toilet.

At the close of the first week I like to add one pound of beef, in the
form of raw soup. This is made by chopping up one pound of raw beef and
placing it in a bottle with one pint of water and five drops of strong
hydrochloric acid. This mixture stands on ice all night, and in the
morning the bottle is set in a pan of water at 110 deg. F. and kept two
hours at about this temperature. It is then thrown on to a stout cloth
and strained until the mass which remains is nearly dry. The filtrate is
given in three portions daily. If the raw taste prove very
objectionable, the beef to be used is quickly roasted on one side, and
then the process is completed in the manner above described. The soup
thus made is for the most part raw, but has also the flavor of cooked
meat.[28]

In difficult cases, especially those treated in cool weather, I
sometimes add, at the third week, one half-ounce of cod-liver oil, given
half an hour after each meal. If it lessen the appetite, or cause
nausea, I employ it thrice a day as a rectal injection; and in cases
where the large doses of iron used cause intense constipation, I find
the use of cod-oil enemata doubly valuable, by acting as a nutriment and
by disposing the bowels to act daily. This may be given as an emulsion
with pancreatic extract. This will suit some people well, and result in
a single passage daily, but in others may be annoying, and