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Mitchell, S. Weir (Silas Weir), 1829-1914

"Fat and Blood An Essay on the Treatment of Certain Forms of Neurasthenia and Hysteria"

In this way milk may be kept for several
days. Then, too, it has been found that where even skimmed milk upsets
the stomach of patients, milk prepared in this manner can be taken
without trouble. In peptonizing, the directions which accompany the
powders to be used for that purpose should be followed carefully. It is
to be remembered that if the patient desires to take the milk warm, the
process of conversion into peptones, which has been stopped by the cold,
will be promptly started again when the fluid is warmed, and then a very
few minutes will suffice to make it disagreeably bitter. At first the
skimming should be thorough, and for the treatment of dyspepsia or
albuminuria the milk must be as creamless as possible. The milk of the
common cow is, for our purposes, preferable to that of the Alderney. It
may be used warm or cold, but, except in rare cases of diarrhoea, should
not be boiled.
It ought to be given at least every two hours at first, in quantities
not to exceed four ounces, and as the amount taken is enlarged, the
periods between may be lengthened, but not beyond three hours during the
waking day, the last dose to be used at bedtime or near it.


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