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of the epidemics-第6章

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had heaviness of the head; and there was stiffness of the neck。 On the



first day the alvine discharges were bilious; unmixed; frothy; high



colored; and copious; urine black; having a black sediment; he was



thirsty; tongue dry; no sleep at night。 On the second; acute fever;



stools more copious; thinner; frothy; urine black; an uncomfortable



night; slight delirium。 On the third; all the symptoms exacerbated; an



oblong distention; of a softish nature; from both sides of the



hypochondrium to the navel; stools thin; and darkish; urine muddy; and



darkish; no sleep at night; much talking; laughter; singing; he



could not restrain himself。 On the fourth; in the same state。 On the



fifth; stools bilious; unmixed; smooth; greasy; urine thin; and



transparent; slight absence of delirium。 On the sixth; slight



perspiration about the head; extremities cold and livid; much



tossing about; no passage from the bowels; urine suppressed; acute



fever。 On the seventh; loss of speech; extremities could no longer



be kept warm; no discharge of urine。 On the eighth; a cold sweat all



over; red rashes with sweat; of a round figure; small; like vari;



persistent; not subsiding; by means of a slight stimulus; a copious



discharge from the bowels; of a thin and undigested character; with



pain; urine acrid; and passed with pain; extremities slightly



heated; sleep slight; and comatose; speechless; urine thin; and



transparent。 On the ninth; in the same state。 On the tenth; no drink



taken; comatose; sleep slight; alvine discharges the same; urine



abundant; and thickish; when allowed to stand; the sediment



farinaceous and white; extremities again cold。 On the eleventh; he



died。 At the commencement; and throughout; the respiration was slow



and large; there was a constant throbbing in the hypochondrium; his



age was about twenty。



  CASE III。 Herophon was seized with an acute fever; alvine discharges



at first were scanty; and attended with tenesmus; but afterwards



they were passed of a thin; bilious character; and frequent; there was



no sleep; urine black; and thin。 On the fifth; in the morning;



deafness; all the symptoms exacerbated; spleen swollen; distention



of the hypochondrium; alvine discharges scanty; and black; he became



delirious。 On the sixth; delirious; at night; sweating; coldness;



the delirium continued。 On the seventh; he became cold; thirsty; was



disordered in mind; at night recovered his senses; slept。 On the



eighth; was feverish; the spleen diminished in size; quite



collected; had pain at first about the groin; on the same side as



the spleen; had pains in both legs; night comfortable; urine better



colored; had a scanty sediment。 On the ninth; sweated; the crisis took



place; fever remitted。 On the fifth day afterwards; fever relapsed;



spleen immediately became swollen; acute fever; deafness again。 On the



third day after the relapse; the spleen diminished; deafness less;



legs painful; sweated during the night; crisis took place on the



seventeenth day; had no disorder of the senses during the relapse。



  CASE IV。 In Thasus; the wife of Philinus; having been delivered of a



daughter; the discharge being natural; and other matters going on



mildly; on the fourteenth day after delivery was seized with fever;



attended with rigor; was pained at first in the cardiac region of



the stomach and right hypochondrium; pain in the genital organs;



lochial discharge ceased。 Upon the application of a pessary all



these symptoms were alleviated; pains of the head; neck; and loins



remained; no sleep; extremities cold; thirst; bowels in a hot state;



stools scanty; urine thin; and colorless at first。 On the sixth;



towards night; senses much disordered; but again were restored。 On the



seventh; thirsty; the evacuations bilious; and high colored。 On the



eighth; had a rigor; acute fever; much spasm; with pain; talked



much; incoherently; upon the application of a suppository; rose to



stool; and passed copious dejections; with a bilious flux; no sleep。



On the ninth; spasms。 On the tenth; slightly recollected。 On the



eleventh; slept; had perfect recollection; but again immediately



wandered; passed a large quantity of urine with spasms; (the



attendants seldom putting her in mind); it was thick; white; like



urine which has been shaken after it has stood for a considerable time



until it has subsided; but it had no sediment; in color and



consistence; the urine resembled that of cattle; as far as I observed。



About the fourteenth day; startings over the whole body; talked



much; slightly collected; but presently became again delirious。



About the seventeenth day became speechless; on the twentieth died。



  CASE V。 The wife of Epicrates; who was lodged at the house of



Archigetes; being near the term of delivery; was seized with a violent



rigor; and; as was said; she did not become heated; next day the same。



On the third; she was delivered of a daughter; and everything went



on properly。 On the day following her delivery; she was seized with



acute fever; pain in the cardiac region of the stomach; and in the



genital parts。 Having had a suppository; was in so far relieved;



pain in the head; neck; and loins; no sleep; alvine discharges scanty;



bilious; thin; and unmixed; urine thin; and blackish。 Towards the



night of the sixth day from the time she was seized with the fever;



became delirious。 On the seventh; all the symptoms exacerbated;



insomnolency; delirium; thirst; stools bilious; and high colored。 On



the eighth; had a rigor; slept more。 On the ninth; the same。 On the



tenth; her limbs painfully affected; pain again of the cardiac



region of the stomach; heaviness of the head; no delirium; slept more;



bowels constipated。 On the eleventh; passed urine of a better color;



and having an abundant sediment; felt lighter。 On the fourteenth had a



rigor; acute fever。 On the fifteenth; had a copious vomiting of



bilious and yellow matters; sweated; fever gone; at night acute fever;



urine thick; sediment white。 On the seventeenth; an exacerbation;



night uncomfortable; no sleep; delirium。 On the eighteenth; thirsty;



tongue parched; no sleep; much delirium; legs painfully affected。



About the twentieth; in the morning; had as light rigor; was comatose;



slept tranquilly; had slight vomiting of bilious and black matters;



towards night deafness。 About the twenty…first; weight generally in



the left side; with pain; slight urine thick; muddy; and reddish; when



allowed to stand; had no sediment; in other respects felt lighter;



fever not gone; fauces painful from the commencement; and red; uvula



retracted; defluxion remained acrid; pungent; and saltish



throughout。 About the twenty…seventh; free of fever; sediment in the



urine; pain in the side。 About the thirty…first; was attacked with



fever; bilious diarrhea; slight bilious vo
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