of the epidemics-第5章

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on　the　third　day；　urine　darkish；　had　a　darkish　cloud　floating　in　it；



of　a　scattered　form；　which　did　not　subside。　On　the　fifth；　a　copious



hemorrhage　of　pure　blood　from　the　left　he　sweated；　and　had　a　crisis。



After　the　fever　restless；　and　had　some　delirium；　urine　thin；　and



darkish；　had　an　affusion　of　warm　water　on　the　head；　slept　and



recovered　his　senses。　In　this　case　there　was　no　relapse；　but　there



were　frequent　hemorrhages　after　the　crisis。



　　CASE　VIII。　Erasinus；　who　lived　near　the　Canal　of　Bootes；　was



seized　with　fever　after　supper；　passed　the　night　in　an　agitated　state。



During　the　first　day　quiet；　but　in　pain　at　night。　On　the　second；



symptoms　all　exacerbated；　at　night　delirious。　On　the　third；　was　in　a



painful　condition；　great　incoherence。　On　the　fourth；　in　a　most



uncomfortable　state；　had　no　sound　sleep　at　night；　but　dreaming　and



talking；　then　all　the　appearances　worse；　of　a　formidable　and



alarming　character；　fear；　impatience。　On　the　morning　of　the　fifth；　was



composed；　and　quite　coherent；　but　long　before　noon　was　furiously



mad；　so　that　he　could　not　constrain　himself；　extremities　cold；　and



somewhat　livid；　urine　without　sediment；　died　about　sunset。　The　fever



in　this　case　was　accompanied　by　sweats　throughout；　the　sweats



throughout；　the　hypochondria　were　in　a　state　of　meteorism；　with



distention　and　pain；　the　urine　was　black；　has　round　substances



floating　in　it；　which　did　not　subside；　the　alvine　evacuations　were　not



stopped；　thirst　throughout　not　great；　much　spasms　with　sweats　about



the　time　of　death。



　　CASE　IX。　Criton；　in　Thasus；　while　still　on　foot；　and　going　about；



was　seized　with　a　violent　pain　in　the　great　toe；　he　took　to　bed　the



same　day；　had　rigors　and　nausea；　recovered　his　heat　slightly；　at　night



was　delirious。　On　the　second；　swelling　of　the　whole　foot；　and　about



the　ankle　erythema；　with　distention；　and　small　bullae　（phlyctaenae）；



acute　fever；　he　became　furiously　deranged；　alvine　discharges



bilious；　unmixed；　and　rather　frequent。　He　died　on　the　second　day



from　the　commencement。



　　CASE　X。　The　Clazomenian　who　was　lodged　by　the　Well　of　Phrynichides



was　seized　with　fever。　He　had　pain　in　the　head；　neck；　and　loins　from



the　beginning；　and　immediately　afterwards　deafness；　no　sleep；　acute



fever；　hypochondria　elevated　with　a　swelling；　but　not　much　distention；



tongue　dry。　On　the　fourth；　towards　night；　he　became　delirious。　On



the　fifth；　in　an　uneasy　state。　On　the　sixth；　all　the　symptoms



exacerbated。　About　the　eleventh　a　slight　remission；　from　the



commencement　to　the　fourteenth　day　the　alvine　discharges　thin；



copious；　and　of　the　color　of　water；　but　were　well　supported；　the



bowels　then　became　constipated。　Urine　throughout　thin；　and　well



colored；　and　had　many　substances　scattered　through　it；　but　no



sediment。　About　the　sixteenth；　urine　somewhat　thicker；　which　had　a



slight　sediment；　somewhat　better；　and　more　collected。　On　the



seventeenth；　urine　again　thin；　swellings　about　both　his　ears；　with



pain；　no　sleep；　some　incoherence；　legs　painfully　affected。　On　the



twentieth；　free　of　fever；　had　a　crisis；　no　sweat；　perfectly　collected。



About　the　twenty…seventh；　violent　pain　of　the　right　hip；　it　speedily



went　off。　The　swellings　about　the　ears　subsided；　and　did　not



suppurate；　but　were　painful。　About　the　thirty…first；　a　diarrhea



attended　with　a　copious　discharge　of　watery　matter；　and　symptoms　of



dysentery；　passed　thick　urine；　swellings　about　the　ears　gone。　About



the　fortieth　day；　had　pain　in　the　right　eye；　sight　dull。　It　went　away。



　　CASE　XI。　The　wife　of　Dromeades　having　been　delivered　of　a　female



child；　and　all　other　matters　going　on　properly；　on　the　second　day



after　was　seized　with　rigor　and　acute　fever。　Began　to　have　pain



about　the　hypochondrium　on　the　first　day；　had　nausea　and



incoherence；　and　for　some　hours　afterwards　had　no　sleep；　respiration



rare；　large；　and　suddenly　interrupted。　On　the　day　following　that　on



which　she　had　the　rigor；　alvine　discharges　proper；　urine　thick；　white；



muddy；　like　urine　which　has　been　shaken　after　standing　for　some



time；　until　the　sediment　had　fallen　to　the　bottom；　it　had　no　sediment；



she　did　not　sleep　during　the　night。　On　the　third　day；　about　noon；



had　a　rigor；　acute　fever；　urine　the　same；　pain　of　the　hypochondria；



nausea；　an　uncomfortable　night；　no　sleep；　a　coldish　sweat　all　over；



but　heat　quickly　restored。　On　the　fourth；　slight　alleviation　of　the



symptoms　about　the　hypochondria；　heaviness　of　the　head；　with　pain；



somewhat　comatose；　slight　epistaxis；　tongue　dry；　thirst；　urine　thin



and　oily；　slept　a　little；　upon　awaking　was　somewhat　comatose；　slight



coldness；　slept　during　the　night；　was　delirious。　On　the　morning　of　the



sixth　had　a　rigor；　but　soon　recovered　her　heat；　sweated　all　over；



extremities　cold；　was　delirious；　respiration　rare　and　large。　Shortly



afterwards　spasms　from　the　head　began；　and　she　immediately　expired。



　　CASE　XII。　A　man；　in　a　heated　state；　took　supper；　and　drank　more　than



enough；　he　vomited　the　whole　during　the　night；　acute　fever；　pain　of



the　right　hypochondrium；　a　softish　inflammation　from　the　inner　part；



passed　an　uncomfortable　night；　urine　at　the　commencement　thick；　red；



but　when　allowed　to　stand；　had　no　sediment；　tongue　dry；　and　not　very



thirsty。　On　the　fourth；　acute　fever；　pains　all　over。　On　the　fifth；



urine　smooth；　oily；　and　copious；　acute　fever。　On　the　sixth；　in　the



evening；　very　incoherent；　no　sleep　during　the　night。　On　the　seventh；



all　the　symptoms　exacerbated；　urine　of　the　same　characters；　much



talking；　and　he　could　not　contain　himself；　the　bowels　being



stimulated；　passed　a　watery　discharge　with　lumbrici：　night　equally



painful。　In　the　morning　had　a　rigor；　acute　fever；　hot　sweat；



appeared　to　be　free　of　fever；　did　not　sleep　long；　after　the　sleep　a



chill；　ptyalism；　in　the　evening；　great　incoherence；　after　a　little；



vomited　a　small　quantity　of　dark　bilious　matters。　On　the　ninth；



coldness；　much　delirium；　did　not　sleep。　On　the　tenth；　pains　in　the



limbs；　all　the　symptoms　exacerbated；　he　was　delirious。　On　the



eleventh；　he　died。



　　CASE　XIII。　A　woman；　who　lodged　on　the　Quay；　being　three　months



gone　with　child；　was　seized　with　fever；　and　immediately　began　to



have　pains　in　the　loins。　On　the　third　day；　pain　of　the　head　and



neck；　extending　to　the　clavicle；　and　right　hand；　she　immediately



lost　the　power　of　speech；　was　paralyzed　in　the　right　hand；　with



spasms；　after　the　manner　of　paraplegia；　was　quite　incoherent；　passed



an　uncomfortable　night；　did　not　sleep；　disorder　of　the　bowels；



attended　with　bilious；　On　the　fourth；　recovered　the　use　of　her　tongue；



spasms　of　the　same　parts；　and　general　pains　remained；　swelling　in



the　hypochondrium；　accompanied　with　pain；　did　not　sleep；　was　quite



incoherent；　bowels　disordered；　urine　thin；　and　not　of　a　good　color。　On



the　fifth；　acute　fever；　pain　of　the　hypochondrium；　quite　incoherent；



alvine　evacuations　bilious；　towards　night　had　a　sweat；　and　was　freed



from　the　fever。　On　the　sixth；　recovered　her　reason；　was　every　way



relieved；　the　pain　remained　about　the　left　clavicle；　was　thirsty；



urine　thin；　had　no　sleep。　On　the　seventh　trembling；　slight　coma；



some　incoherence；　pains　about　the　clavicle　and　left　arm　remained；　in



all　other　respects　was　alleviated；　quite　coherent。　For　three　days



remained　free　from　fever。　On　the　eleventh；　had　a　relapse；　with　rigor



and　fever。　About　the　fourteenth　day；　vomited　pretty　abundantly　bilious



and　yellow　matters；　had　a　sweat；　the　fever　went　off；　by　coming　to　a



crisis。



　　CASE　XIV。　Melidia；　who　lodged　near　the　Temple　of　Juno；　began　to　feel



a　violent　pain　of　the　head；　neck；　and　chest。　She　was　straightway



seized　with　acute　fever；　a　slight　appearance　of　the　menses；



continued　pains　of　all　these　parts。　On　the　sixth；　was　affected　with



coma；　nausea；　and　rigor；　redness　about　the　cheeks；　slight　delirium。　On



the　seventh；　had　a　sweat；　the　fever　intermitted；　the　pains　remained。　A



relapse；　little　sleep；　urine　throughout　of　a　good　color；　but　thin；　the



alvine　evacuations　were　thin；　bilious；　acrid；　very　scanty；　black；



and　fetid；　a　white；　smooth　sediment　in　the　urine；　had　a　sweat；　and



experienced　a　perfect　crisis　on　the　eleventh　day。



　　　　　　　　　　　　　　　　　　　　　BOOK　II。　Sect。　I







　　CASE　I。　Pythion；　who　lived　by　the　Temple　of　the　Earth；　on　the



first　day；　trembling　commencing　from　his　hands；　acute　fever；　delirium。



On　the　second；　all　the　symptoms　were　exacerbated。　On　the　third；　the



same。　On　the　fourth　alvine　discharges　scanty；　unmixed；　and　bilious。　On



the　fifth；　all　the　symptoms　were　exacerbated；　the　tremors　remained；



little　sleep；　the　bowels　constipated。　On　the　sixth　sputa　mixed；



reddish。　On　the　seventh；　mouth　drawn　aside。　On　the　eighth；　all　the



symptoms　were　exacerbated；　the　tremblings　were　again　constant；



urine；　from　the　beginning　to　the　eighth　day；　thin；　and　devoid　of



color；　substances　floating　in　it；　cloudy。　On　the　tenth　he　sweated；



sputa　somewhat　digested；　had　a　crisis；　urine　thinnish　about　the



crisis；　but　after　the　crisis；　on　the　fortieth　day；　an　abscess　about



the　anus；　which　passed　off　by　a　strangury。



　　Explanation　of　the　characters。　It　is　probably　that　the　great



discharge　of　urine　brought　about　the　resolution　of　the　disease；　and



the　cure　of　the　patient　on　the　fortieth　day。



　　CASE　II。　Hermocrates；　who　lived　by　the　New　Wall；　was　seized　with



fever。　He　began　to　have　pain　in　the　head　and　loins；　an　empty



distention　of　the　hypochondrium；　the　tongue　at　first　was　parched；



deafness　at　the　commencement；　there　was　no　sleep；　not　very　thirsty；



urine　thick　and　red；　when　allowed　to　stand　it　did　not　subside；



alvine　discharge　very　dry；　and　not　scanty。　On　the　fifth；　urine　thin；



had　substances　floating　in　it　which　did　not　fall　to　the　bottom；　at



night　he　was　delirious。　On　the　sixth；　had　jaundice；　all　the　symptoms



were　exacerbated；　had　no　recollection。　On　the　seventh；　in　an



uncomfortable　state；　urine　thin；　as　formerly；　on　the　following　days



the　same。　About　the　eleventh　day；　all　the　symptoms　appeared　to　be



lightened。　Coma　set　in；　urine　thicker；　reddish；　thin　substances　below；



had　no　sediment；　by　degrees　he　became　collected。　On　the　fourteenth；



fever　gone；　had　no　sweat；　slept；　quite　collected；　urine　of　the　same



characters。　About　the　seventeenth；　had　a　relapse；　became　hot。　On　the



following　days；　acute　fever；　urine　thin；　was　delirious。　Again；　on



the　twentieth；　had　a　crisis；　free　of　fever；　had　no　sweat；　no



appetite　through　the　whole　time；　was　perfectly　collected；　could　not



speak；　tongue　dry；　without　thirst；　deep　sleep。　About　the　twenty…fourth



day　he　became　heated；　bowels　loose；　with　a　thin；　watery　discharge；



on　the　following　days　acute　fever；　tongue　parched。　On　the



twenty…seventh　he　died。　In　this　patient　deafness　continue