of the epidemics-第6章

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twenty…seventh　he　died。　In　this　patient　deafness　continued　throughout；



the　urine　either　thick　and　red；　without　sediment；　or　thin；　devoid　of



color；　and；　having　substances　floating　in　it：　he　could　taste　nothing。



　　Explanation　of　the　characters。　It　is　probably　that　it　was　the



suppression　of　the　discharges　from　the　bowels　which　occasioned　death



on　the　twenty…seventh　day。



　　CASE　III。　The　man　who　was　lodged　in　the　Garden　of　Dealces：　had



heaviness　of　the　head　and　pain　in　the　right　temple　for　a



considerable　time；　from　some　accidental　cause；　was　seized　with



fever；　and　took　to　bed。　On　the　second；　there　was　a　trickling　of　pure



blood　from　the　left　nostril；　but　the　alvine　discharges　were　proper；



urine　thin；　mixed；　having　small　substances　floating　in　it；　like　coarse



barley　meal；　or　semen。　On　the　third；　acute　fever；　stools　black；



thin；　frothy；　a　livid　sediment　in　the　dejections；　slight　coma；



uneasiness　at　the　times　he　had　to　get　up；　sediment　in　the　urine　livid；



and　somewhat　viscid。　On　the　fourth；　slight　vomiting　of　bilious；　yellow



matters；　and；　after　a　short　interval；　of　the　color　of　verdigris；　a　few



drops　of　pure　blood　ran　from　the　left　nostril；　stools　the　same；



urine　the　same；　sweated　about　the　head　and　clavicles；　spleen　enlarged；



pain　of　the　thigh　on　the　same　side；　loose　swelling　of　the　right



hypochondrium；　at　night　had　no　sleep；　slight　delirium。　On　the　sixth；



stools　black；　fatty；　viscid；　fetid；　slept；　more　collected。　On　the



seventh；　tongue　dry；　thirsty；　did　not　sleep；　was　somewhat　delirious；



urine　thin；　not　of　a　good　color。　On　the　eighth；　stools　black；



scanty；　and　compact；　slept；　became　collected；　not　very　thirsty。　On　the



ninth　had　a　rigor；　acute　fever；　sweated；　a　chill；　was　delirious；



strabismus　of　the　right　eye；　tongue　dry；　thirsty；　without　sleep。　On



the　tenth；　much　the　same。　On　the　eleventh；　became　quite　collected；



free　from　fever；　slept；　urine　thin　about　the　crisis。　The　two　following



days　without　fever；　it　returned　on　the　fourteenth；　then　immediately



insomnolency　and　complete　delirium。　On　the　fifteenth；　urine　muddy；



like　that　which　has　been　shaken　after　the　sediment　has　fallen　to　the



bottom；　acute　fever；　quite　delirious；　did　not　sleep；　knees　and　legs



painful；　after　a　suppository；　had　alvine　dejections　of　a　black



color。　On　the　sixteenth；　urine　thin；　had　a　cloudy　eneorema；　was



delirious。　On　the　seventeenth；　in　the　morning；　extremities　cold；　was



covered　up　with　the　bedclothes；　acute　fever；　general　sweat；　felt



relieved；　more　collected；　not　free　of　fever；　thirsty；　vomited　yellow



bile；　in　small　quantities；　formed　faeces　passed　from　the　bowels；　but



soon　afterwards　black；　scanty；　and　thin；　urine　thin；　not　well　colored。



On　the　eighteenth；　not　collected；　comatose。　On　the　nineteenth；　in



the　same　state。　On　the　twentieth；　slept；　quite　collected；　sweated；



free　from　fever；　not　thirsty；　but　the　urine　thin。　On　the　twenty…first；



slight　delirium；　somewhat　thirsty；　pain　of　the　hypochondrium；　and



throbbing　about　the　navel　throughout。　On　sediment　in　the　urine；



quite　collected。　Twenty…seventh；　pain　of　the　right　hip　joint；　urine



thin　and　bad；　a　sediment；　all　the　other　symptoms　milder。　About　the



twenty…ninth；　pain　of　the　right　eye；　urine　thin。　Fortieth；



dejections　pituitous；　white；　rather　frequent；　sweated　abundantly　all



over；　had　a　complete　crisis。



　　Explanation　of　the　characters。　It　is　probable　that；　by　means　of



the　stools；　the　urine；　and　the　sweat；　this　patient　was　cured　in



forty　days。



　　　　　　　　　　　　　　　　　　　　　　　　　Sect。　II







　　CASE　I。　In　Thasus；　Philistes　had　headache　of　long　continuance；　and



sometimes　was　confined　to　bed；　with　a　tendency　to　deep　sleep；　having



been　seized　with　continual　fevers　from　drinking；　the　pain　was



exacerbated；　during　the　night　he；　at　first；　became　hot。　On　the　first



day；　he　vomited　some　bilious　matters；　at　first　yellow；　but



afterwards　of　a　verdigris…green　color；　and　in　greater　quantity；　formed



faeces　passed　from　the　bowels；　passed　the　night　uncomfortably。　On



the　second；　deafness；　acute　fever；　retraction　of　the　right



hypochondrium；　urine　thin；　transparent；　had　some　small　substances　like



semen　floating　in　it；　delirium　ferox　about　mid…day。　On　the　third；　in



an　uncomfortable　state。　On　the　fourth；　convulsions；　all　the　symptoms



exacerbated。　On　the　fifth；　early　in　the　morning；　died。



　　Explanation　of　the　characters。　It　is　probable　that　the　death　of



the　patient　on　the　fifth　day　is　to　be　attributed　to　a　phrenitis；



with　unfavorable　evacuations。



　　CASE　II。　Charion；　who　was　lodged　at　the　house　of　Demaenetus；



contracted　a　fever　from　drinking。　Immediately　he　had　a　painful



heaviness　of　the　head；　did　not　sleep；　bowels　disordered；　with　thin　and



somewhat　bilious　discharges。　On　the　third　day；　acute　fever；



trembling　of　the　head；　but　especially　of　the　lower　lip；　after　a　little



time　a　rigor；　convulsions；　he　was　quite　delirious；　passed　the　night



uncomfortably。　On　the　fourth；　quiet；　slept　little；　talked



incoherently。　On　the　fifth；　in　pain；　all　the　symptoms　exacerbated；



delirium；　passed　the　night　uncomfortably；　did　not　sleep。　On　the　sixth；



in　the　same　state。　On　the　seventh　had　a　rigor；　acute　fever；　sweated



all　over　his　body；　had　a　crisis。　Throughout　the　alvine　discharges　were



bilious；　scanty；　and　unmixed；　urine　thin；　well　colored；　having



cloudy　substances　floating　in　it。　About　the　eighth　day；　passed　urine



of　a　better　color；　having　a　white　scanty　sediment；　was　collected；　free



from　fever　for　a　season。　On　the　ninth　it　relapsed。　About　the



fourteenth；　acute　fever。　On　the　sixteenth；　vomited　pretty　frequently



yellow；　bilious　matters。　On　the　seventeenth　had　a　rigor；　acute



fever；　sweated；　free　of　fever；　had　a　crisis；　urine；　after　the



relapse　and　the　crisis；　well　colored；　having　a　sediment；　neither　was



he　delirious　in　the　relapse。　On　the　eighteenth；　became　a　little



heated；　some　thirst；　urine　thin；　with　cloudy　substances　floating　in



it；　slight　wandering　in　his　mind。　About　the　nineteenth；　free　of　fever；



had　a　pain　in　his　neck；　a　sediment　in　the　urine。　Had　a　complete　crisis



on　the　twentieth。



　　Explanation　of　the　characters。　It　is　probable　that　the　patient　was



cured　in　twenty　days；　by　the　abundance　of　bilious　stools　and　urine。



　　CASE　III。　The　daughter　of　Euryanax；　a　maid；　was　taken　ill　of



fever。　She　was　free　of　thirst　throughout；　but　had　no　relish　for



food。　Alvine　discharges　small；　urine　thin；　scanty；　not　well　colored。



In　the　beginning　of　the　fever；　had　a　pain　about　the　nates。　On　the



sixth　day；　was　free　of　fever；　did　not　sweat；　had　a　crisis；　the



complaint　about　the　nates　came　to　a　small　suppuration；　and　burst　at



the　crisis。　After　the　crisis；　on　the　seventh　day；　had　a　rigor；



became　slightly　heated；　sweated。　On　the　eighth　day　after　the　rigor；



had　an　inconsiderable　rigor；　the　extremities　cold　ever　after。　About



the　tenth　day；　after　a　sweat　which　came　on；　she　became　delirious；



and　again　immediately　afterwards　was　collected；　these　symptoms　were



said　to　have　been　brought　on　by　eating　grapes。　After　an　intermission



of　the　twelfth　day；　she　again　talked　much　incoherently；　her　bowels



disordered　with　bilious；　scanty；　unmixed；　thin；　acrid　discharges；



she　required　to　get　frequently　up。　She　died　on　the　seventh　day　after



the　return　of　the　delirium。　At　the　commencement　of　the　disease　she　had



pain　in　the　throat；　and　it　red　throughout；　uvula　retracted；　defluxions



abundant；　thin；　acrid；　coughed；　but　had　no　concocted　sputa；　during　the



whole　time　loathed　all　kinds　of　food；　nor　had　the　least　desire　of



anything；　had　no　thirst；　nor　drank　anything　worth　mentioning；　was



silent；　and　never　spoke　a　word；　despondency；　had　no　hopes　of



herself。　She　had　a　congenital　tendency　to　phthisis。



　　CASE　IV。　The　woman　affected　with　quinsy；　who　lodged　in　the　house



of　Aristion：　her　complaint　began　in　the　tongue；　speech　inarticulate；



tongue　red　and　parched。　On　the　first　day；　felt　chilly；　and



afterwards　became　heated。　On　the　third　day；　a　rigor；　acute　fever；　a



reddish　and　hard　swelling　on　both　sides　of　the　neck　and　chest；



extremities　cold　and　livid；　and　livid；　respiration　elevated；　the　drink



returned　by　the　nose；　she　could　not　swallow；　alvine　and　urinary



discharges　suppressed。　On　the　fourth；　all　of　the　symptoms　were



exacerbated。　On　the　fifth　she　died　of　the　quinsy。



　　Explanation　of　the　characters。　It　is　probable　that　the　cause　of



death　on　the　sixth　day　was　the　suppression　of　the　discharges。



　　CASE　V。　The　young　man　who　was　lodged　by　the　Liars'　Market　was　seized



with　fever　from　fatigue；　labor；　and　running　out　of　season。　On　the



first　day；　the　bowels　disordered；　with　bilious；　thin；　and　copious



dejections；　urine　thin　and　blackish；　had　no　sleep；　was　thirsty。　On　the



second　all　the　symptoms　were　exacerbated；　dejections　more　copious



and　unseasonable；　he　had　no　sleep；　disorder　of　the　intellect；　slight



sweat。　On　the　third　day；　restless；　thirst；　nausea；　much　tossing　about；



bewilderment；　delirium；　extremities　livid　and　cold；　softish　distention



of　the　hypochondrium　on　both　sides。　On　the　fourth；　did　not　sleep；



still　worse。　On　the　seventh　he　died。　He　was　about　twenty　years　of　age。



　　Explanation　of　the　characters。　It　is　probable　that　the　cause　of



his　death　on　the　seventh　day　was　the　unseasonable　practices



mentioned　above。　An　acute　affection。



　　CASE　VI。　The　woman　who　lodged　at　the　house　of　Tisamenas　had　a



troublesome　attack　of　iliac　passion；　much　vomiting；　could　not　keep　her



drink；　pains　about　the　hypochondria；　and　pains　also　in　the　lower



part　of　the　belly；　constant　tormina；　not　thirsty；　became　hot；



extremities　cold　throughout；　with　nausea　and　insomnolency；　urine



scanty　and　thin；　dejections　undigested；　thin；　scanty。　Nothing　could　do



her　any　good。　She　died。



　　CASE　VII。　A　woman　of　Pantimides；　from　a　miscarriage；　was　taken　ill



of　fever。　On　the　first　day；　tongue　dry；　thirst；　nausea；



insomnolency；　belly　disordered；　with　thin；　copious；　undigested



dejections。　On　the　second　day；　had　a　rigor；　acute　fever；　alvine



discharges　copious；　had　no　sleep。　On　the　third；　pains　greater。　On



the　fourth；　delirious。　On　the　seventh　she　died。　Belly　throughout



loose；　with　copious；　thin；　undigested　evacuations；　urine　scanty；　thin。



An　ardent　fever。



　　CASE　VIII。　Another　woman；　after　a　miscarriage　about　the　fifth　month；



the　wife　of　Ocetes；　was　seized　with　fever。　At　first　had　sometimes　coma



and　sometimes　insomnolency；　pain　of　the　loins；　heaviness　of　the



head。　On　the　second；　the　bowels　were　disordered；　with　scanty；　thin；



and　at　first　unmixed　dejections。　On　the　third；　more　copious；　and



worse；　at　night　did　not　sleep。　On　the　fourth　was　delirious；　frights；



despondency；　strabismus　of　the　right　eye；　a　faint　cold　sweat　about　the



head；　extremities　cold。　On　the　fifth　day；　all　the　symptoms　were



e