[p. 300] dangerous; and
repletion, when in the extreme, is also dangerous.
In a restricted diet, patients who transgress are thereby more
hurt (than in any other?); for every such transgression, whatever
it may be, is followed by greater consequences than in a diet somewhat
more generous. On this account, a very slender, regulated, and restricted
diet is dangerous to persons in health, because they bear transgressions
of it more difficultly. For this reason, a slender and restricted
diet is generally more dangerous than one a little more liberal.
For extreme diseases, extreme methods of cure, as to restriction,
are most suitable.
When the disease is very acute, it is attended with extremely severe
symptoms in its first stage; and therefore an extremely attenuating
diet must be used. When this is not the case, but it is allowable
to give a more generous diet, we may depart as far from the severity
of regimen as the disease, by its mildness, is removed from the extreme.
When the disease is at its height, it will then be necessary to
use the most slender diet.
We must form a particular judgment of the patient, whether he will
support the diet until the acme of the disease, and whether he will
sink previously and not support the diet, or the disease will give
way previously, and become less acute.
In those cases, then, which attain their acme speedily, a restricted
diet should be enjoined at first; but in those cases which reach their
acme later, we must retrench at that period or a little before it;
but previously we must allow a more generous diet to support the patient.
We must retrench during paroxysms, for to exhibit food would be
injurious. And in all diseases having periodical paroxysms, we must
restrict during the paroxysms.
The exacerbations and remissions will be indicated by the diseases,
the seasons of the year, the reciprocation of the periods, whether
they occur every day, every alternate day, or after a longer period,
and by the supervening symptoms; as, for example, in pleuritic cases,
expectoration, if it occur at the commencement, shortens the attack,
but if it appear later, it prolongs the same;