with broths and fruit beverages as ordered. The milk is given in
definite amounts and at stated intervals.

~Milk Diet~ is one consisting solely of milk or in which the bulk of
the nourishment is furnished by milk. It may be reenforced or not as
desired. Lactose is the substance commonly used as a reenforcing
agent. It is impossible to cover the energy expenditures of typhoid
fever with a milk diet even if it is perfectly administered, but
certain complications make it, at times, the only rational method of
feeding.

~The Advantages of High Calorie Diet~ over other diets are distinctly
noticeable in typhoid fever patients. Those treated by this method are
more comfortable during the course of the disease and are saved a
long, tedious convalescence which has made the starvation treatment a
thing of horror in the past. The return to health is attended by a
much better physical condition when the patients are well nourished
than is possible when they are kept on practically a starvation
ration. The mortality from the disease has been materially lessened by
the administration of the high calorie diet.

~Acidosis~ may develop in typhoid fever patients and must be guarded
against. The behavior of the fat in the body should be carefully
watched and the amount reduced at the first evidence of acidosis. At
the same time an increase in the carbohydrates may assist in
overcoming the condition. This adjusting of the diet, however, is
entirely in the hands of the physician.

~The Kidneys~ in typhoid fever patients are under a great strain,
chiefly on account of the increased rate of metabolism. Great care
must be exercised in the dietetic treatment to prevent these organs
from being overworked with a consequent development of nephritic
conditions.

~Care of the Mouth~ in any febrile condition is important, but
especially so in typhoid fever, where the disease itself causes a most
unpleasant taste in the mouth. This prevents the taking of nourishment
with any degree of comfort, hence the mouth should be cleansed before
and after each feeding. Any of the aseptic mouth washes may be used.

~Thirst~ may be relieved by plain or carbonated waters, fruit
beverages, and crushed ice. When in certain complications the fluids
in the diet are in a measure restricted, ice is used and water is
given in spoonful doses. This, however, is the exceptional, rather
than the ordinary state of affairs.

~Increasing the Diet~ after a fluid diet