is neither acute nor very slow. Each of these stages requires
slightly different treatment which, however, for the main part is much
the same.

Individuals having an incipient form of tuberculosis have been known
to develop an acute form of the disease upon being subjected to a
strenuous treatment for some other and entirely different condition.
This has been especially noticeable in certain individuals to whom the
starvation treatment is given.

~Dietetic Treatment in Acute Stage.~--The dietetic treatment of the
acute tuberculosis under such circumstances must necessarily be
adapted to that of the original disease for which starvation was
believed to be necessary. The forbidden foods must still be omitted
from the dietary, but in these cases it is found advisable not to
prolong the starvation treatment but to substitute foods which will
do the least harm under the circumstances. This is necessary to cover
the energy requirements of the body and to make good the tissue wasted
through the development of the specific disease.

~Dietetic Treatment in Chronic Stage.~--The diet for tuberculosis has
been so widely discussed and so universally used that a few words only
seem necessary here. One of the chief points to be emphasized is the
danger arising from gastro-intestinal disturbances. The digestive
apparatus of the tuberculous individual is more apt to be impaired, so
that any undue exertion required to digest a meal is likely to bring
about disturbances more or less serious in character.

~Method of Administering Diet.~--For this reason it is no longer the
custom to stuff the patient in an effort to overcome the inevitable
tissue waste, since such treatment in many cases defeats the end for
which it was intended, bringing on acute indigestion, or at times
diarrhea, which might readily cause a greater loss of body weight than
could possibly be produced by the surplus food given.

~Adjusting the Diet.~--More and more is it coming to be understood
that the diet must be adjusted to suit the individual. Three wholesome
meals a day are insisted upon, with lunches given between the morning
and midday meal and during the course of the afternoon. Many patients
are found to sleep better after they have partaken of a light lunch,
consisting of hot milk, malted milk, or like beverages and crackers,
so that this third meal is added to the other five. In this way the
individual suffering with tuberculosis is assured of an efficien