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of the epidemics-第12章

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and in all other diseases of a mortal nature。 Some were troubled



with thirst; and some not; and both in febrile complaints and in



others no one drank unseasonably or disobeyed injunctions。



  10。 The urine in many cases was not in proportion to the drink



administered; but greatly in excess; and the badness of the urine



voided was great; for it had not the proper thickness; nor concoction;



nor purged properly; for in many cases purgings by the bladder



indicate favorably; but in the greatest number they indicated a



melting of the body; disorder of the bowels; pains; and a want of



crisis。



  11。 Persons laboring under phrenitis and causus were particularly



disposed to coma; but also in all other great diseases which



occurred along with fever。 In the main; most cases were attended



either by heavy coma; or by short and light sleep。



  12。 And many other forms of fevers were then epidemic; of tertian;



of quartan; of nocturnal; of continual; of chronic; of erratic; of



fevers attended with nausea; and of irregular fevers。 All these were



attended with much disorder; for the bowels in most cases were



disordered; accompanied with rigors; sweats not of a critical



character; and with the state of the urine as described。 In most



instances the disease was protracted; for neither did the deposits



which took place prove critical as in other cases; for in all



complaints and in all cases there was difficulty of crisis; want of



crisis; and protraction of the disease; but most especially in



these。 A few had the crisis about the eightieth day; but in most



instances it (the disease?) left them irregularly。 A few of them



died of dropsy without being confined to bed。 And in many other



diseases people were troubled with swelling; but more especially in



phthisical cases。



  13。 The greatest and most dangerous disease; and the one that proved



fatal to the greatest number; was consumption。 With many persons it



commenced during the winter; and of these some were confined to bed;



and others bore up on foot; the most of those died early in spring who



were confined to bed; of the others; the cough left not a single



person; but it became milder through the summer; during the autumn;



all these were confined to bed; and many of them died; but in the



greater number of cases the disease was long protracted。 Most of these



were suddenly attacked with these diseases; having frequent rigors;



often continual and acute fevers; unseasonable; copious; and cold



sweats throughout; great coldness; from which they had great



difficulty in being restored to heat; the bowels variously



constipated; and again immediately in a loose state; but towards the



termination in all cases with violent looseness of the bowels; a



determination downwards of all matters collected about the lungs;



urine excessive; and not good; troublesome melting。 The coughs



throughout were frequent; and copious; digested; and liquid; but not



brought up with much pain; and even when they had some slight pain; in



all cases the purging of the matters about the lungs went on mildly。



The fauces were not very irritable; nor were they troubled with any



saltish humors; but there were viscid; white; liquid; frothy; and



copious defluxions from the head。 But by far the greatest mischief



attending these and the other complaints; was the aversion to food; as



has been described。 For neither been described。 For neither had they



any relish for drink along with their food; but continued without



thirst。 There was heaviness of the body; disposition to coma; in



most cases swelling; which ended in dropsy; they had rigors; and



were delirious towards death。



  14。 The form of body peculiarly subject to phthisical complaints was



the smooth; the whitish; that resembling the lentil; the reddish;



the blue…eyed; the leucophlegmatic; and that with the scapulae



having the appearance of wings: and women in like manner; with



regard to the melancholic and subsanguineous; phrenitic and dysenteric



affections principally attacked them。 Tenesmus troubled young



persons of a phlegmatic temperament。 Chronic diarrhoea; acrid and



viscid discharges from the bowels; attacked those who were troubled



with bitter bile。



  15。 To all those which have been described; the season of spring was



most inimical; and proved fatal to the greatest numbers: the summer



was the most favorable to them; and the fewest died then; in autumn;



and under the Pleiades; again there died great numbers。 It appears



to me; according to the reason of things; that the coming on of summer



should have done good in these cases; for winter coming on cures the



diseases of summer; and summer coming on removes the diseases of



winter。 And yet the summer in question was not of itself well



constituted; for it became suddenly hot; southerly; and calm; but; not



withstanding; it proved beneficial by producing a change on the



other constitution。



  16。 I look upon it as being a great part of the art to be able to



judge properly of that which has been written。 For he that knows and



makes a proper use of these things; would appear to me not likely to



commit any great mistake in the art。 He ought to learn accurately



the constitution of every one of the seasons; and of the diseases;



whatever that is common in each constitution and disease is good;



and whatever is bad; whatever disease will be protracted and end in



death; and whatever will be protracted and end in recovery; which



disease of an acute nature will end in death; and which in recovery。



From these it is easy to know the order of the critical days; and



prognosticate from them accordingly。 And to a person who is skilled in



these things; it is easy to know to whom; when; and how aliment



ought to be administered。











                  Sixteen Cases of Disease







  CASE I。 In Thasus; the Parian who lodged above the Temple of Diana



was seized with an acute fever; at first of a continual and ardent



type; thirsty; inclined to be comatose at first; and afterwards



troubled with insomnolency; bowels disordered at the beginning;



urine thin。 On the sixth day; passed oily urine; was delirious。 On the



seventh; all the symptoms were exacerbated; had no sleep; but the



urine of the same characters; and the understanding disordered; alvine



dejections bilious and fatty。 On the eighth; a slight epistaxis; small



vomiting of verdigris…green matters; slept a little。 On the ninth;



in the same state。 On the tenth; all the symptoms gave way。 On the



eleventh; he sweated; but not over the whole body; he became cold; but



immediately recovered his heat again。 On the fourteenth; acute



fever; discharges bilious; thin; and copious; substances floating in



the urine; he became incoherent。 On the seventeenth; in a painful



state; for he had no sleep; and the fev
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