a return
of the trouble she must be warned against eating too fast or when
over-tired, and she must be advised against very hot and highly
seasoned foods, for, in the observance of these simple common-sense
precautions only is she even in a measure saved further attacks.

~Special Diets Used for Gastric and Duodenal Ulcer.~--There are
several well-known diets used in these conditions. Among those that
have been found most satisfactory may be mentioned the Sippi diet, the
Lenhartz diet.

All of these diets require the most careful adjustment as to
regulation of intervals of feeding, type of food material used, and
method of preparation and administration of food.

The treatment is directed toward the reduction of the free
hydrochloric acid in the stomach in order that the ulcer may have an
opportunity for healing.

~Sippi Diet.~--Equal quantities of heavy cream and whole milk,
beginning with 1/2 ounce each every hour during the day. Alkaline
powders are given with the meal and one-half hour after the meal.
These consist of 15 grains each of sodium bicarbonate and bismuth
subcarbonate with the feeding, and 10 grains of light oxide of
magnesia and 15 grains of sodium bicarbonate between feeding. The
cream and milk are increased at the rate of one-half ounce each at
each feeding for two days, the powders are continued as on the first
day. On the fourth day an egg is added to the diet, the milk and cream
are given in quantities of one and one-half ounce each, every hour. On
the fifth day two eggs are added. On the sixth day one helping of
oatmeal or other soft cereal is added to the above diet. The diet is
in this way increased until the patient is taking three eggs and nine
ounces of cooked cereal each day in addition to the cream and milk
mixture. The amount given at one time must be small, never exceeding
six ounces (according to Carter, Howe and Mason).

An accurate control of the acidity of the stomach should be
maintained, this is accomplished by withdrawing a certain amount of
the gastric contents by means of the stomach tube.

~The Lenhartz Diet.~--This diet is likewise given in hourly feedings,
consisting of milk and raw eggs in the beginning, then a small portion
of sugar is added, next scraped beef is added to the milk, eggs and
sugar, already given, then boiled rice. Next a small quantity of
zwieback (or soft toast), and continuing in this way, chicken, and
butter are admitted. In the beginning the quant