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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"

If the case be an old one, I rarely
omit the milk; but, although I begin with three or four ounces every two
hours, I increase it in a few days up to two quarts, given in divided
doses every three hours. If a cup of coffee given without sugar on
awaking does not regulate the bowels, I add a small amount of watery
extract of aloes at bedtime; or if the constipation be obstinate, I give
thrice a day one-quarter of a grain of watery extract of aloes with two
grains of dried ox-gall. I find the simple milk diet a great aid
towards getting rid of chloral, bromides, and morphia, all of which I
usually am able to lay aside during the first week of treatment.[27] Nor
is it less easy with the same means to enable the patient to give up
stimulus; and I may add that in the treatment of the congested stomach
of the habitual hard drinker the milk treatment is of admirable
efficacy. As I have spoken over and over of the use of stimulus by
nervous women, I should be careful to explain that anything like great
excess on the part of women of the upper classes, in this country at
least, is, in my opinion, extremely rare, and that when I speak of the
habit of stimulation I mean only that nervous women are apt to be taught
to take wine or whiskey daily, to an extent that does not affect visibly
their appearance or demeanor.


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