When the full treatment has been reached, and kept up for a few days, I
begin to watch the urine with care, because if the patient be overfed
the renal secretion speedily betrays this result in the precipitation of
urates. When this occurs at all steadily, I usually give directions to
lessen the amount of food until the urine is again free from sediment.
Nearly always at some time in the progress of the case there are attacks
of dyspepsia, when it suffices to cut down the diet one-half, or to give
milk alone for a day or two. Diarrhoea is more rare, and has to be met
in like manner; or, if obstinate, it may be requisite to give the milk
boiled. Occasionally the rapid increase of blood is shown by nasal
hemorrhage, which needs no especial treatment.
Perhaps I shall make myself more clear if I now relate in full the
diet-list of some of my cases, and the mode of arranging it.
I take the following case as an illustration from my note-book:
Mrs. C., a New England woman, aet. 33, undertook, at the age of sixteen,
a severe course of mental labor, and within two years completed the
whole range of studies which, at the school she went to, were usually
spread over four years.
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