claims of a life full of sympathy for every form of trouble,
and, neglecting none of the duties of society or kinship, yet found time
for study and accomplishments. By and by she began to feel tired, and at
last gave way quite abruptly, ceased to menstruate five years before I
saw her, grew pale and feeble, and dropped in weight in six months from
one hundred and twenty-five pounds to ninety-five. Nature had at last
its revenge. Everything wearied her,--to eat, to drive, to read, to sew.
Walking became impossible, and, tied to her couch, she grew dyspeptic
and constipated. The asthenopia which is almost constantly seen in such
cases added to her trials, because reading had to be abandoned, and so
at last, despite unusual vigor of character, she gave way to utter
despair, and became at times emotional and morbid in her views of life.
After numberless forms of treatment had been used in vain, she came to
this city and passed into my care.
At this time she could not walk more than a few steps without flushing
and without a sense of painful tire. Her morning temperature was 97.5 deg.
F., and her white corpuscles were perhaps a third too numerous. After
most careful examination, I could find no disease of any one organ, and
I therefore advised a resort to the treatment by rest, with full
confidence in the result.
In this single case I give the schedule of diet in full as a fair
example:
Mrs. C. remained in bed in entire repose. She was fed, and rose only for
the purpose of relieving the bladder or the rectum.
October 10.--Took one quart of milk in divided doses every two hours.
11th.--A cup of coffee on rising, and two quarts of milk given in
divided portions every two hours. A pill of aloes every night, which
answered for a few days.
12th to 15th.--Same diet. The dyspepsia by this time was relieved, and
she slept without her habitual dose of chloral. The pint of raw soup was
added in three portions on the 16th.
17th and 18th.--Same diet.
19th.--She took, on awaking at 7, coffee; at 7.30, a half-pint of milk;
and the same at 10 A.M., 12 M., 2, 4, 6, 8, and 10 P.M. The soup at 11,
5, and 9.
23d.--She took for breakfast an egg and bread-and-butter; and two days
later (25th) dinner was added, and also iron.
On the 28th this was the schedule:
On waking, coffee at 7. At 8, iron and malt. Breakfast, a chop,
bread-and-butter; of milk, a tumbler and a half. At 11, soup. At 2, iron
and malt. Dinner, closing
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