In most dyspeptic cases--and few
neurasthenic women fail to be obstinately dyspeptic--milk given at the
outset, and given alone by Karell's method for a fortnight or less,
enormously simplifies our treatment. Even after that, milk is the best
and most easily managed addition to a general diet. As to its use with
rest and massage as an exclusive diet in obesity alone or in extreme
fatness with anaemia, I spoke in a former edition with a confidence
which has been increased by the added experience of physicians on both
sides of the Atlantic. Finally, there are exceptional cases of
intestinal pain of obscure parentage or seemingly neuralgic, of
dyspepsia incorrigible by other treatments, which, having resulted in
grave general defects of nutrition, are best treated by several weeks of
milk diet, combined with rest, massage, and electricity. Milk,
therefore, must be so much used in these cases in connection with the
general treatment I am describing that it is perhaps as well to say more
clearly how it is to be employed when given alone or with other food.
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