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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