latter in small
quantities, however, and fluids as may be desired. By this means, on one
occasion, he was able in the course of one month to diminish the weight
of a female patient by twelve and a half pounds, her measurement around
the waist at the same time decreasing 5.2 inches and across the stomach
4.8 inches.

M. De St. Germain achieved good results by combining judicious exercise
with moderate alimentation, excluding wine and bread.

M. Dujardin Beaumetz, who professes to have given most close and careful
study and attention to regimen for the obese, outlines the following,
provided there is no evidence of fatty degeneration of heart.

_Breakfast_ (at 8 a. m.)--Three-fourths of an ounce of bread "_en
flute_"--that is abounding with crust; one and a half ounces of cold
meat, ham or beef, six ounces weak black tea, _sans_ sugar.

_Lunch_ (at 1 p.m.)--An ounce and a half to two ounces of bread, or a
_ragout_, or two eggs; three ounces green vegetables; one-half ounce of
cheese; fruits at discretion.

_Dinner_ (at 7 p.m.)--An ounce and a half to two ounces of bread; three
to four ounces of meat, or _ragout_; ditto of green vegetables, salad,
half an ounce of cheese, fruit _ad libitum_.

At meal times the patient may take only a "glass and a half" of
liquid--approximately ten ounces--though a greater amount may be
permitted if he abstains during the intervals.

Special alimentary regimen, however, does not constitute the sole
treatment of obesity. Concurrently must be employed a number of
practical adjuvants which are oftentimes of the utmost assistance. For
one thing, exercise is indispensable; all authorities agree on this
point. The exercise taken in the gymnasium is one of the best, notably
the "wall exercise," which is more particularly suited to those
afflicted with pendulous and protuberant abdomens as the result of
feebleness of the hypogastric muscles, to accumulation of fat under the
skin and in the omentum, and to dilation of the stomach and intestines.
In the "wall exercise," the patient stands erect against an absolutely
straight and plumb wall, lifts his hands (carrying a weight) straight
over the head, and causes them to describe a semicircle forward. Zantz
particularly insists upon arm and leg exercise for the obese, especially
the former, since with the same amount of effort a larger amount of
oxygen is consumed than is possible by the latter.

However, of whatever character, the exercise sho