ry. The instances in which iron gives headache and sense of
fulness are very rare when the patient is undergoing the full treatment
described, and, as a rule, I disregard all such complaints, and find
that after a time I cease to hear anything more of these symptoms.

Unless some especial need arises, iron, in some form, is the only drug I
care to use until the patient begins to sit up, when I order nearly
always sulphate of strychnia, in rather full doses, thrice a day, with
iron and arsenic.

Probably no physician will read the account I have here detailed of the
vast amount of food which I am enabled to give, not only with impunity
from dyspepsia, but with lasting advantage, without some sense of
wonder; and, for my own part, I can only say that I have watched again
and again with growing surprise some listless, feeble, white-blooded
creature learning by degrees to consume these large rations, and
gathering under their use flesh, color, and wholesomeness of mind and
body. It is needless to say that it is not in all cases easy to carry
out this treatment.

When the full treatment has been reached, and kept up for a few days, I
begin to watch the urine with care, because if the patient be overfed
the renal secretion speedily betrays this result in the precipitation of
urates. When this occurs at all steadily, I usually give directions to
lessen the amount of food until the urine is again free from sediment.

Nearly always at some time in the progress of the case there are attacks
of dyspepsia, when it suffices to cut down the diet one-half, or to give
milk alone for a day or two. Diarrhoea is more rare, and has to be met
in like manner; or, if obstinate, it may be requisite to give the milk
boiled. Occasionally the rapid increase of blood is shown by nasal
hemorrhage, which needs no especial treatment.

Perhaps I shall make myself more clear if I now relate in full the
diet-list of some of my cases, and the mode of arranging it.

I take the following case as an illustration from my note-book:

Mrs. C., a New England woman, aet. 33, undertook, at the age of sixteen,
a severe course of mental labor, and within two years completed the
whole range of studies which, at the school she went to, were usually
spread over four years. An early marriage, three pregnancies, the last
two of which broke in upon the years of nursing, began at last to show
in loss of flesh and color. Meanwhile, she met with energy the
multiplied