Lynn: I am sure that there are a lot of posts in the archives on thius subject BUT... as cold reduces swelling and most of engorgement is swelling my vote is for cold. heat increases blood flow to the area. Dr. Hale's book gives a good discription of using pit nasally for let down, it can also be used under the tongue. Patricia *********************************************** The LACTNET mailing list is powered by L-Soft's renowned LISTSERV(R) list management software together with L-Soft's LSMTP(TM) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html