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The midday meal should mainly consist of raw vegetables, with the addition of steamed vegetables and potatoes, brown rice or some other wholegrain dish. All highly spiced foods must be scrupulously avoided. A further period of occupational therapy should follow the meal, even if it is only washing and drying the dishes.

During the afternoon some form of physical therapy should be given, perhaps a Schlenz bath with sweat-inducing packs. Such a bath may be repeated two or three times in a week, depending on the degree of benefit derived from it. Instead of the hot bath, alternating hot and cold showers may be taken, starting with the hot, then cold, then hot again.

In cases of insufficient menstrual flow, a hip bath lasting about half an hour at 37 °C (98.6 °F), if possible with herbal extracts added, can be of great benefit.

After any one of these treatments some form of physical relaxation is called for, such as a walk in the fresh air, which will give an optimistic turn to the patient’s thoughts. If some time is left before the evening meal, it should be employed with further occupational therapy.

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