certainly exposes the patient to the terrors of dyspepsia, when the
routine must needs be interrupted or modified; hence it is not always to
be depended upon. As between dyspepsia and obesity, there are few, I
fancy, who would not prefer the latter.

Another "system" that has acquired no little celebrity, and which has
for its aim the reduction as far as possible of alimentary hydrocarbons
while permitting a certain proportion of fat, is that, of Denneth, which
necessarily follows somewhat closely the lines laid down by Ebstein.

Oertels' treatment, somewhat widely known, and not without due measure
of fame, is based upon a series of measures having as object the
withdrawal from both circulation and the economy at large, as much of
the fluids as possible. It is especially adapted for the relief of those
obese who are suffering fatty degeneration of the heart. The _menu_ is
as follows:

_Breakfast_.--Pour to five ounces of tea or coffee with a little milk;
two to two and a half ounces bread.

_Dinner_.--Three or four ounces of roast or boiled meat, or moderately
fat food; fish, slightly fat; salad and vegetables at pleasure; one and
a half ounces of bread (in certain cases as much as three ounces of
farinaceous food may be permitted); three to six ounces of fruit; at
times a little pastry for dessert.--In summer, if fruit is not
obtainable, six to eight ounces of light wine may be allowed.

_Tea_,--A cupful (four to five ounces) of tea or coffee, with a trifle
of milk, as at breakfast; one and three-fourths ounces of bread; and
exceptionally (and at most) six ounces of water.

_Supper_.--One to two soft boiled eggs; four or five ounces of meat; one
and three fourths ounces of bread; a trifle of cheese, salad, or fruit;
six to eight ounces of light wine diluted with an eighth volume of
water. The quantity of beverage may be slightly augmented at each meal
if necessary, especially if there is no morbid heart trouble.

Schwenninger (Bismarck's physician), who opened a large sanitarium near
Berlin a few years since for the treatment of the obese, employs
Oertel's treatment, modified in that an abundance of beverage is
permitted, provided it is not indulged in at meals; it is forbidden
until two hours after eating.

Both Oertel's and Schwenninger's methods have procured grave dyspepsias,
and fatal albuminurias as well, according to Meyer and Rosenfield. It
has been charged the allowance of beverage upon which Schwen