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with milk, one or two tumblers. The dinner
consisted of anything she liked, and with it she took about six ounces
of burgundy or dry champagne. At 4, soup. At 7, malt, iron,
bread-and-butter, and usually some fruit, and commonly two glasses of
milk. At 9, soup; and at 10 her aloe pill. At 12 M., massage occupied an
hour. At 4.30 P.M., electricity was used for an hour in the manner which
I have described.
This heavy diet-list, reached in a few days by a woman who had been
unable to digest with comfort the lightest meal, seemed certainly
surprising. I have not given in full the amount of food eaten at
meal-time. Small at first, it was increased rapidly owing to the
patient's growing appetite, and became in a few days three large meals.
It is necessary to see the result in one of these successful cases in
order to credit it. Mrs. C. began to show gain in flesh about the face
in the second week of treatment, and during her two months in bed rose
in weight from ninety-six pounds to one hundred and thirty-six; nor was
the gain in color less marked.
At the sixth week of treatment the soup was dropped, wine abandoned, the
iron lessened one-half, the massage and electricity used on alternate
days, and the limbs exercised as I have described. The usual precautions
as to rising and exercise were carefully attended to, and at the ninth
week of treatment my patient took a drive. At this time all mechanical
treatment ceased, the milk was reduced to a quart, the iron to five
grains thrice a day, and the malt continued. At the sixth week I began
to employ strychnia in doses of one-thirtieth of a grain thrice a day at
meals, and this was kept up for several months, together with the iron
and malt. The cure was complete and permanent; and its character may be
tested by the fact that at the thirtieth day of rest in bed, and after
five years of failure to menstruate, to her surprise she had a normal
monthly flow. This continued with regularity until eighteen months
later, when she became pregnant. The only drawback to her perfect use of
all her functions lay in asthenopia, which lasted nearly a year after
she left my care. Fatigue of vision for near work is a common condition
of the cases I am now describing, and is apt to persist long after all
other troubles have vanished. When there is no asthenopia I usually
think well of the general chance of recovery; but in no case of feeble
vision do I omit at some period of the treatment to h
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