… Not only on account of … but also the state of health; for it would in some way spread greatly from this point, until a change comes. At the times of aggravation there are many causes of increase. If during the paroxysms the patient is also attacked by severe and unbearable thirst, not because of the malignity or complication of the diseases but owing to some peculiarity of the affection, this must of necessity be taken as a mischance and relieved even if such a treatment is not required by the stage of the illness. Such will be judged to be the case if the increase of thirst is out of proportion to the height of the fever. The constitution of the patient must also be taken into consideration; for if he has general endurance but is nevertheless unable to bear the thirst … (Here the papyrus breaks off)