In the morning in bed, at seven o'clock. - Three-tenths of a liter of milk and cream (two parts of milk and one part of thick sweet cream, ordinarily O. Rademann's sterilized Holstein cream); then, usually, a rub with moderately cold water.

At eight o'clock. - One-quarter of a liter of Kissingen, Racoczy or Homburg Elisabeth water.

At nine o'clock. - Three-tenths of a liter of the milk-cream mixture or of thin tea or coffee with much cream; sometimes, too, cocoa prepared with cream or butter and sweetened with sugar of milk. In addition 50 to 70 gr. of coarse bread containing much cellulose, and 30 to 50 gr. of butter.

At ten-thirty. - If necessary a massage of the intestine or hydrotherapeutic treatments of different kinds, sometimes electrisation of the colon.

At eleven o'clock. - Soup made from leguminous plants boiled with bacon or Westphalia sausage; in addition Graham bread with plenty of butter. Also a glass of breakfast wine or a small glass of brandy.

At one o'clock. - Some meat dish, as much as wanted. In addition vegetables of different kinds, boiled or baked potato with butter. Fruit with coarse skins and large seeds, as currants, gooseberries, cranberries, boiled, or a pound of grapes. One-half a bottle of light young Mosel wine. After eating rest in bed for an hour and a half with hot applications to the abdomen.

At four o'clock. - A light lunch similar to the breakfast at nine o'clock. Then a walk of one and one-half to two hours.

At seven o'clock. - Supper like the dinner; sometimes, too, junket or fruit-soup. In addition 50 to 70 gr. of Graham bread with plenty of butter.

At nine o'clock. - Three-tenths of a liter of the milk-cream mixture as in the morning.

On the first and the third day of the treatment an oil clyster is usually given in the evening in order to prevent all disturbances that might possibly arise. It is rarely necessary to repeat this, later on.

The average quantity of cream consumed amounted in our cases to one-half a liter a day; this amount contained 15ogr. of pure butter-fat (the manufacturers of the sterilized cream, mentioned above, guarantee a percentage of 30% of butter-fat). The daily average of butter equalled 23ogr. Of this quantity about two-thirds were eaten as pure butter with bread and potato or with vegetables and fish. The rest was taken cooked with the food.

The average quantity of Graham bread was 200 to 250 gr. We usually give the bread sold by O. Rademann (Frankurt-am-Main) under the trademark "D-K.v

According to our experience mild disturbances occur under this regime (see above). It is well to prepare the patients for this in advance. In order to counteract these disturbances it is a good plan to keep the patients in bed for the first few days; in addition hot compresses or possibly suppositories of three-fifths cgr. of extr. belladonna and the oil clysters mentioned above may be given (this on the first and third days of the treatment). After the first two to four days the stools that are evacuated assume a normal consistency and a normal appearance. As soon as this occurs all the dis turbances usually disappear, in particular all painful sensations. Mucus, however, is passed for sometime longer. This mucus, to judge from its appearance (see above) is freshly secreted. This demonstrates that the hyperirritability of the mucus-secreting apparatus is not allayed at once. At the same time the mucus no longer accumulates and the quantities passed are very insignificant. If the cure takes a normal course the secretion of mucus does not continue for longer than a week. In at least one-half of the cases the secretion of mucus ceases at once, as soon as soft motions are evacuated, and never returns thereafter.

After the first difficulties were overcome the subsequent treatment caused no further trouble; as soon as the character of the stools improved and the general nutrition became better, the general well being of the patients was also improved from day to day; we noticed particularly that the patients themselves gained more and more confidence in the ultimate outcome of the treatment, and this is a factor that cannot be underestimated in the treatment of neurasthenic subjects. The further treatment of these cases, as we have already said, consists in accustoming the patients to a different diet than they were in the habit of taking, and this must be done gradually and without injuring the functional powers of the bowel; the diet should be adapted as nearly as possible to the diet that is customary in the particular locality where the patients live and should be suited to their circumstances. It is impossible to say how long this "gradual" process of education will last. Sometimes the intestine began to react normally to the normal average diet within four to six weeks, in other cases several months elapsed before this goal was reached. We wish to particularly emphasize that in all the cases that suffered relapses this was due to a too early departure or a too sudden departure from the dietary regulations that were prescribed. It became too tedious a matter for these patients to carry out the dietary regulations for a long time, and it became too inconvenient to refrain from eating the ordinary diet that they craved; or, again, intercurrent diseases appeared that necessitated an interruption of the system of dieting that was ordered (in two cases, for instance, an attack of febrile angina, and in another case pregnancy and hyperemesis).

It will be seen from the above example of a special dietary that we, like all the other writers on this subject, advise combining certain general measures with the dietetic treatment that are intended to strengthen the nervous resisting powers of the patients. Very much is gained in this direction merely by causing improvement of the bowel function and the general nutrition. How much of hydrotherapeutic treatment, electric therapy, etc., should be employed in different cases will largely depend on individual factors, and also on the characters of the adjuvants to the treatment that are at our disposal in each case. Generally speaking, we are inclined to advise against treatment at home, at least during the first three to five weeks of the course; we say this because it is notoriously difficult to carry out dietetic regulations at home, and because the effect on the general nervous system is also more difficult to attain in home surroundings. Of the twelve cases of "incomplete success" reported in the small statistics that are given below no less than six were treated at home. There can be no doubt in regard to the great advantages accruing to these patients from treatment in closed institution or in watering places, for the treatment can be carried out with much greater facility under such conditions; this is chiefly due to the fact that the patients are completely free from all other obligations and can devote themselves exclusively to the cure of their disease. The question is often asked where to send these patients as soon as the actual systematic course of treatment is over, the latter occupying, as we have said, some three to five weeks. According to our experience we must expressly warn against two extremes - viz., too great altitude and the sea shore. It remains undetermined why these

two locations are not beneficial; the fact remains that the greater number of patients who are suffering from digestive disorders, including sufferers from nervous dyspepsia, do not thrive well in high altitudes nor at the sea shore, and show a greater tendency to relapses if they seek such localities. Life at a moderate altitude, in a wooded country, and in a place where they can enjoy walks of moderate length that do not overtax their strength, are the most suitable locations for these subjects.