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of the epidemics-第3章

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regard to the strangury itself; the symptoms were protracted and



painful。 Their urine was copious; thick; of various characters; red;



mixed with pus; and was passed with pain。 These all recovered; and I



did not see a single instance of death among them。



  5。 With regard to the dangers of these cases; one must always attend



to the seasonable concoction of all the evacuations; and to the



favorable and critical abscesses。 The concoctions indicate a speedy



crisis and recovery of health; crude and undigested evacuations; and



those which are converted into bad abscesses; indicate either want



of crisis; or pains; or prolongation of the disease; or death; or



relapses; which of these it is to be must be determined from other



circumstances。 The physician must be able to tell the antecedents;



know the present; and foretell the future… must mediate these



things; and have two special objects in view with regard to disease;



namely; to do good or to do no harm。 The art consists in three things…



the disease; the patient; and the physician。 The physician is the



servant of the art; and the patient must combat the disease along with



the physician。



  6。 Pains about the head and neck; and heaviness of the same along



with pain; occur either without fevers or in fevers。 Convulsions



occurring in persons attacked with frenzy; and having vomitings of



verdigris…green bile; in some cases quickly prove fatal。 In ardent



fevers; and in those other fevers in which there is pain of the



neck; heaviness of the temples; mistiness about the eyes; and



distention about the hypochondriac region; not unattended with pain;



hemorrhage from the nose takes place; but those who have heaviness



of the whole head; cardialgia and nausea; vomit bilious and



pituitous matters; children; in such affections; are generally



attacked with convulsions; and women have these and also pains of



the uterus; whereas; in elder persons; and those in whom the heat is



already more subdued; these cases end in paralysis; mania; and loss of



sight。











                   Third Constitution







  7。 In Thasus; a little before and during the season of Arcturus;



there were frequent and great rains; with northerly winds。 About the



equinox; and till the setting of the Pleiades; there were a few



southerly rains: the winter northerly and parched; cold; with great



winds and snow。 Great storms about the equinox; the spring



northerly; dryness; rains few and cold。 About the summer solstice;



scanty rains; and great cold until near the season of the Dog…star。



After the Dog…days; until the season of Arcturus; the summer hot;



great droughts; not in intervals; but continued and severe: no rain;



the Etesian winds blew; about the season of Arcturus southerly rains



until the equinox。



  8。 In this state of things; during winter; paraplegia set in; and



attacked many; and some died speedily; and otherwise the disease



prevailed much in an epidemical form; but persons remained free from



all other diseases。 Early in the spring; ardent fevers commenced and



continued through the summer until the equinox。 Those then that were



attacked immediately after the commencement of the spring and



summer; for the most part recovered; and but few of them died。 But



when the autumn and the rains had set in; they were of a fatal



character; and the greater part then died。 When in these attacks of



ardent fevers there was a proper and copious hemorrhage from the nose;



they were generally saved by it; and I do not know a single person who



had a proper hemorrhage who died in this constitution。 Philiscus;



Epaminon; and Silenus; indeed; who had a trifling epistaxis on the



fourth and fifth day; died。 Most of those taken with had a rigor about



the time of the crisis; and notably those who had no hemorrhage; these



had also rigor associated。



  9。 Some were attacked with jaundice on the sixth day; but these were



benefited either by an urinary purgation; or a disorder of the bowels;



or a copious hemorrhage; as in the case of Heraclides; who was



lodged with Aristocydes: this person; though he had the hemorrhage



from the nose; the purgation by the bladder; and disorder of the



bowels; experienced a favorable crisis on the twentieth day; not



like the servant of Phanagoras; who had none of these symptoms; and



died。 The hemorrhages attacked most persons; but especially young



persons and those in the prime of life; and the greater part of



those who had not the hemorrhage died: elderly persons had jaundice or



disorder of the bowels; such as Bion; who was lodged with Silenus。



Dysenteries were epidemical during the summer; and some of those cases



in which the hemorrhage occurred; terminated in dysentery; as happened



to the slave of Eraton; and to Mullus; who had a copious hemorrhage;



which settled down into dysentery; and they recovered。 This humor



was redundant in many cases; since in those who had not the hemorrhage



about the crisis; but the risings about the ears disappeared; after



their disappearance there was a sense of weight in the left flank



extending to the extremity of the hip; and pain setting in after the



crisis; with a discharge of thin urine; they began to have small



hemorrhages about the twenty…fourth day; and the swelling was



converted into the hemorrhage。 In the case of Antiphon; the son of



Critobulus' son; the fever ceased and came to a crisis about the



fortieth day。



  10。 Many women were seized; but fewer than of the men; and there



were fewer deaths among them。 But most of them had difficult



parturition; and after labor they were taken ill; and these most



especially died; as; for example; the daughter of Telebolus died on



the sixth day after delivery。 Most females had the menstrual discharge



during the fever; and many girls had it then for the first time: in



certain individuals both the hemorrhage from the nose and the menses



appeared; thus; in the case of the virgin daughter of Daetharses;



the menses then took place for the first time; and she had also a



copinous hemorrhage from the nose; and I knew no instance of any one



dying when one or other of these took place properly。 But all those in



the pregnant state that were attacked had abortions; as far as I



observed。 The urine in most cases was of the proper color; but thin;



and having scanty sediments: in most the bowels were disordered with



thin and bilious dejections; and many; after passing through the other



crises; terminated in dysenteries; as happened to Xenophanes and



Critias。 The urine was watery; copious; clear; and thin; and even



after the crises; when the sediment was natural; and all the other



critical symptoms were favorable; as I recollect having happened to



Bion; who was lodged in the house of Silenus; and Critias; who lived



with Xenophanes; the slave of Areton
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