Pancreatic Emulsion (Savory and Moore's) 1/2 oz.;

Pancreatine powder (Savory and Moore's) 20 grains;

Pepsine (Porci) 20 grains.

Mix the whole in a warm mortar quickly, and add brandy one table-spoonful and enough warm water to bring the mixture to the consistence of treacle. Inject from an elastic enema bottle as quickly after the mixture is made as possible, and let it be retained. (See Appendix.)

31. Nutritive Mixture. When a patient will take medicine but not food: -

Liebig's Extract of Meat or Valentine's Meat Juice a tea-spoonful; Extract of Malt a tea-spoonful (see Index for Malt Extracts); Tincture of Capsicum one drop; Compound Spirit of Horseradish a tea-spoonful; Water 2 table-spoonfuls. Mix well in a mortar.

To be given every 3 or 4 hours. This will often bring back the desire for food.

32. Cerealin Tea. Cerealin is contained in the white matter adhering to the inner side of the best fresh bran, its digestive power is suspended by a temperature above 170° Faht. The tea therefore should be made by infusing fresh bran (taking care to select that which has plenty of the cerealin upon it) in hot water of a temperature below 170°. It may be drunk freely at meals, with great advantage where the power of digesting gluten is defective, but should not be taken by those with over acid stomachs. (See p. 93, "Wheat Meal")

33. Panada. Take the crumb of a penny roll and soak it in milk for half-an-hour, then squeeze the milk from it; have ready an equal quantity of chicken or veal, scraped very fine with a knife; pound the bread-crumbs and meat together in a mortar. This may be cooked either mixed with veal or chicken broth, or poached like an egg, by taking it up in two spoons, in pieces the shape of an egg, after seasoning it, and serving on mashed potato.

34. Fish, Rissole. Sole, turbot, plaice or brill or whiting, finely mixed and beaten in a mortar with rice (previously boiled in water) and a little cream. Make into balls and brown in an oven.

35. Fresh Roe of Fish. (See p. 93.) The hard roe of fish is singularly nutritious. It may be beaten up in a mortar with bread-crumbs and browned.

The hard roe of a Yarmouth bloater, laid open and nicely toasted through, will often get down a slice of toast or of brown bread-and-butter, when the appetite is bad.

Toasted or fried cod's roe is also excellent.

36. Substitute for Lobster. Turbot is much more easily digested than lobster, and when eaten cold with pepper and vinegar, the flavour is remarkably like that of lobster. Lobster salad may be well imitated by cutting strips of turbot and colouring the outside with beet-root. In this way invalids, fond of lobster but unable to digest it, may have their taste pleased and appetite thus promoted.

37. Rabbit - which is hard of digestion in the usual forms - may be made suitable for invalids by cutting it up and putting it into a jar with just enough cold water to cover it, then covering it down with a very thin pudding crust, and placing it in a slow oven till thoroughly cooked, then turning it out to be eaten with its own gravy. This is also the proper way of making a rump steak pudding.

38. Poultices. (a.) Linseed poultices should be made by filling a muslin bag with crushed linseed (not linseed meal), then putting it into a basin or dish, and pouring boiling water upon it. When thoroughly soaked it should be squeezed between towels till no water drips from it. The same poultice may be made hot four or five times by pouring fresh boiling water upon it. (b.) Bread poultices should be made of finely crumbled bread, treated in the same way as the linseed. The salt of the bread must be well washed out. (c.) A delightful poultice may be extemporised by wringing out a soft sponge in hot water, to which a little Condy's fluid has been added, and enveloping it in a pocket-handkerchief.

Poulticing by Steam. A new means of applying either moist or dry heat to the surface of the body. At a meeting of the Abernethian Society of St. Bartholomew's Hospital, February 10th, 1853, I introduced the use of vulcanized rubber bags, filled with hot water, as a "new means of applying heat, and of maintaining the temperature of warm applications," and the suggestion has been followed to a considerable extent in the use of hot-water bags, as foot-warmers, stomach-warmers, and the like; but the difficulty of preventing the water from accumulating in one part of the bag by gravitation, and (when this is prevented by septa and by completely filling the bag) the great weight of the water, have presented hitherto insuperable objections to the general use of large hot-water poultices, which in all other respects offer so many advantages. When the part to be poulticed can be placed upon the hot water bag, it answers perfectly.

In the treatment of Bronchitis, Pneumonia, Peritonitis, Phlebitis, and all other inflammatory affections occupying large areas, when it is desired to employ equable warmth for protracted periods, the difficulty of doing so in a satisfactory manner is only too familiar to all practical physicians and surgeons.

This difficulty I removed in 1873 by an important modification of my original design, viz., the employment of Steam instead of Water, thereby getting rid of all the objections which prevented the complete success of my suggestion in 1853.

Messrs. Maw supply the apparatus for Poulticing by Steam, with either dry or moist heat - adapted to any part of the body - at a moderate cost.

39. Bronchitis Kettles, now sold at most ironmongers, are convenient appliances for impregnating the air of a room with warm moisture either pure or medicated. Full directions for use are supplied with the kettles.

Care must be taken that the room is not made faint by the amount of hot moisture with which the air is loaded, or much harm may be done.

The reduction in the supply of respired oxygen may be made by rarefying (as by altitude), or by diluting (as with aqueous vapour), the air supplied for respiration, and by reducing the amount of air respired by means of rest." (2nd Edition of the Author's work "On Loss of Weight," etc., pp. 257 - 265.)