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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