of the epidemics-第9章

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extremities；　especially　about　the　hands　and　head；　loss　of　speech　and



of　articulation；　breathing　short　for　a　considerable　time；　recovered



his　heat；　thirst；　passed　the　night　quietly；　slight　sweats　about　the



head。　On　the　third；　passed　the　day　in　a　composed　state；　in　the



evening；　about　sunset；　slight　chills；　nausea；　agitation；　passed　the



night　in　a　painful　state；　had　no　sleep；　small　stools　of　compact　faeces



passed　from　the　bowels。　On　the　fourth；　in　the　morning；　composed；　about



noon　all　the　symptoms　became　exacerbated；　coldness；　loss　of　speech；



and　of　articulation；　became　worse；　recovered　his　heat　after　a　time；



passed　black　urine；　having　substances　floating　in　it；　the　night　quiet；



slept。　On　the　fifth；　seemed　to　be　lightened；　but　a　painful　weight



about　the　belly；　thirsty；　passed　the　night　in　a　painful　state。　On



the　sixth；　in　the　morning；　in　a　quiet　state；　in　the　evening　the



pains　greater；　had　a　paroxysm；　in　the　evening　the　bowels　properly



opened　by　a　small　clyster；　slept　at　night。　On　the　seventh；　during



the　day；　in　a　state　of　nausea；　somewhat　disturbed；　passed　urine　of　the



appearance　of　oil；　at　night；　much　agitation；　was　incoherent；　did　not



sleep。　On　the　eighth；　in　the　morning；　slept　a　little；　but



immediately　coldness；　loss　of　speech；　respiration　small　and　weak；



but　in　the　evening　recovered　his　heat　again；　was　delirious；　but



towards　day　was　somewhat　lightened；　stools　small；　bilious；　and



unmixed。　On　the　ninth；　affected　with　coma；　and　with　nausea　when



roused；　not　very　thirsty；　about　sunset　he　became　restless　and



incoherent；　passed　a　bad　night。　On　the　tenth；　in　the　morning；　had



become　speechless；　great　coldness；　acute　fever；　much　perspiration；



he　died。　His　sufferings　were　on　the　even　days。



　　Explanation　of　the　characters。　It　is　probable　that　the　excessive



sweats　caused　death　on　the　tenth　day。



　　CASE　IV。　The　patient　affected　with　phrenitis；　having　taken　to　bed　on



the　first　day；　vomited　largely　of　verdigris…green　and　thin　matters；



fever；　accompanied　with　rigors；　copious　and　continued　sweats　all　over；



heaviness　of　the　head　and　neck；　with　pain；　urine　thin；　substances



floating　in　the　urine　small；　scattered；　did　not　subside；　had　copious



dejections　from　the　bowels；　very　delirious；　no　sleep。　On　the　second；



in　the　morning；　loss　of　speech；　acute　fever；　he　sweated；　fever　did　not



leave　him；　palpitations　over　the　whole　body；　at　night；　convulsions。　On



the　third；　all　the　symptoms　exacerbated；　he　died。



　　Explanation　of　the　characters。　It　is　probable　that　the　sweats　and



convulsions　caused　death。



　　CASE　V。　In　Larissa；　a　man；　who　was　bald；　suddenly　was　seized　with



pain　in　the　right　thigh；　none　of　the　things　which　were　administered



did　him　any　good。　On　the　first　day；　fever　acute；　of　the　ardent　type；



not　agitated；　but　the　pains　persisted。　On　the　second；　the　pains　in　the



thigh　abated；　but　the　fever　increased；　somewhat　tossed　about；　did



not　sleep；　extremities　cold；　passed　a　large　quantity　of　urine；　not



of　a　good　character。　On　the　third；　the　pain　of　the　thigh　ceased；



derangement　of　the　intellect；　confusion；　and　much　tossing　about。　On



the　fourth；　about　noon；　he　died。　An　acute　disease。



　　CASE　VI。　In　Abdera；　Pericles　was　seized　with　a　fever　of　the　acute；



continual　type；　with　pain；　much　thirst；　nausea；　could　not　retain　his



drink；　somewhat　swelled　about　the　spleen；　with　heaviness　of　the



head。　On　the　first　day；　had　hemorrhage　from　the　left　nostril；　but



still　the　fever　became　more　violent；　passed　much　muddy；　white　urine；



which　when　allowed　to　stand　did　not　subside。　On　the　second　day；　all



the　symptoms　were　exacerbated；　yet　the　urine　was　thick；　and　more



inclined　to　have　a　sediment；　the　nausea　less；　he　slept。　On　the



third；　fever　was　milder；　abundance　of　urine；　which　was　concocted；



and　had　a　copious　sediment；　passed　a　quiet　night。　On　the　fourth；　had　a



copious　and　warm　sweat　all　over　about　noon；　was　free　of　fever；　had　a



crisis；　no　relapse。　An　acute　affection。



　　CASE　VII。　In　Abdera；　the　young　woman　who　was　lodged　in　the　Sacred



Walk　was　seized　with　an　ardent　fever。　She　was　thirsty；　and　could　not



sleep；　had　menstruation　for　the　first　time。　On　the　sixth；　much　nausea；



flushing；　was　chilly；　and　tossed　about。　On　the　seventh；　in　the　same



state；　urine　thin；but　of　a　good　color；　no　disturbance　about　the



bowels。　On　the　eighth；　deafness；　acute　fever；　insomnolency；　nausea；



rigors；　became　collected；　urine　the　same。　On　the　ninth；　in　the　same



state；　and　also　on　the　following　days；　thus　the　deafness　persisted。　On



the　fourteenth；　disorder　of　the　intellect；　the　fever　abated。　On　the



seventeenth；　a　copious　hemorrhage　from　the　nose；　the　deafness　slightly



better；　and　on　the　following　days；　nausea；　deafness；　and



incoherence。　On　the　twentieth；　pain　of　the　feet；　deafness　and　delirium



left　her；　a　small　hemorrhage　from　the　nose；　sweat；　apyrexia。　On　the



twenty…fourth；　the　fever　returned；　deafness　again；　pain　of　the　feet



remained；　incoherence。　On　the　twenty…seventh；　had　a　copious　sweat；



apyrexia；　the　deafness　left　her；　the　pain　of　her　feet　partly　remained；



in　other　respects　had　a　complete　crisis。



　　Explanation　of　the　characters。　It　is　probable　that　the　restoration



of　health　on　the　twentieth　day　was　the　result　of　the　evacuation　of



urine。



　　CASE　VIII。　In　Abdera；　Anaxion；　who　was　lodged　near　the　with　Thracian



Gates；　was　seized　with　an　acute　fever；　pain　of　the　right　dry　cough；



without　expectoration　during　the　first　days；　thirst；　insomnolency；



urine　well　colored；　copious；　and　thin。　On　the　sixth；　delirious；　no



relief　from　the　warm　applications。　On　the　seventh；　in　a　painful　state；



for　the　fever　while　the　pains　did　not　abate；　and　the　cough　was



troublesome；　and　attended　with　dyspnoea。　On　the　eighth；　I　opened　a



vein　at　the　elbow；　and　much　blood；　of　a　proper　character；　flowed；



the　pains　were　abated；　but　the　dry　coughs　continued。　On　the



eleventh；　the　fever　diminished；　slight　sweats　about　the　head；



coughs；　with　more　liquid　sputa；　he　was　relieved。　On　the　twentieth；



sweat；　apyrexia；　but　after　the　crisis　he　was　thirsty；　and　the



expectorations　were　not　good。　On　the　twenty…seventh　the　fever



relapsed；　he　coughed；　and　brought　up　much　concocted　sputa：　sediment　in



the　urine　copious　and　white；　he　became　free　of　thirst；　and　the



respiration　was　good。　On　the　thirty…fourth；　sweated　all　over；　apyrexia



general　crisis。



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



the　sputa　brought　about　the　recovery　on　the　thirty…fourth　day。



　　CASE　IX。　In　Abdera；　Heropythus；　while　still　on　foot；　had　pain　in　the



head；　and　not　long　afterwards　he　took　to　bed；　he　lived　near　the　High



Street。　Was　seized　with　acute　fever　of　the　ardent　type；　vomitings　at



first　of　much　bilious　matter；　thirst；　great　restlessness；　urine



thin；　black；　substances　sometimes　floating　high　in　it；　and　sometimes



not；　passed　the　night　in　a　painful　state；　paroxysms　of　the　fever



diversified；　and　for　the　most　part　irregular。　About　the　fourteenth



day；　deafness；　the　fever　increased；　urine　the　same。　On　the　twentieth



and　following　days；　much　delirium。　On　the　thirtieth；　copious



hemorrhage　from　the　nose；　and　became　more　collected；　deafness



continued；　but　less；　the　fever　diminished；　on　the　following　days；



frequent　hemorrhages；　at　short　intervals。　About　the　sixtieth；　the



hemorrhages　ceased；　but　violent　pain　of　the　hip…joint；　and　increase　of



fever。　Not　long　afterwards；　pains　of　all　the　inferior　rule；　that



either　the　fever　and　deafness　increased；　or；　pains　of　the　inferior



parts　were　increased。　About　the　eightieth　day；　all　the　complaints　gave



way；　without　leaving　any　behind；　for　the　urine　was　of　a　good　color；



and　had　a　copious　sediment；　while　the　delirium　became　less。　About



the　hundredth　day；　disorder　of　the　bowels；　with　copious　and　bilious



evacuations；　and　these　continued　for　a　considerable　time；　and　again



assumed　the　dysenteric　form　with　pain；　but　relief　of　all　the　other



complaints。　On　the　whole；　the　fevers　went　off；　and　the　deafness



ceased。　On　the　hundred　and　twentieth　day；　had　a　complete　crisis。



Ardent　fever。



　　Explanation　of　the　characters。　It　is　probable　that　the　bilious



discharge　brought　about　the　recovery　on　the　hundred　and　twentieth　day。



　　CASE　X。　In　Abdera；　Nicodemus　was　seized　with　fever　from　venery　and



drinking。　At　the　commencement　he　was　troubled　with　nausea　and



cardialgia；　thirsty；　tongue　was　parched；　urine　thin　and　dark。　On　the



second　day；　the　fever　exacerbated；　he　was　troubled　with　rigors　and



nausea；　had　no　sleep；　vomited　yellow　bile；　urine　the　same；　passed　a



quiet　night；　and　slept。　On　the　third；　a　general　remission；



amelioration；　but　about　sunset　felt　again　somewhat　uncomfortable；



passed　an　uneasy　night。　On　the　fourth；　rigor；　much　fever；　general



pains；　urine　thin；　with　substances　floating　in　it；　again　a　quiet



night。　On　the　fifth；　all　the　symptoms　remained；　but　there　was　an



amelioration。　On　the　sixth；　some　general　pains；　substances　floating　in



the　urine；　very　incoherent。　On　the　seventh；　better。　On　the　eighth；　all



the　other　symptoms　abated。　On　the　tenth；　and　following　days；　there



were　pains；　but　all　less；　in　this　case　throughout；　the　paroxysms　and



pains　were　greater　on　the　even　days。　On　the　twentieth；　the　urine　white



and　thick；　but　when　allowed　to　stand　had　no　sediment；　much　sweat；



seemed　to　be　free　from　fever；　but　again　in　the　evening　he　became



hot；　with　the　same　pains；　rigor；　thirst；　slightly　incoherent。　On　the



twenty…fourth；　urine　copious；　white；　with　an　abundant　sediment；　a



copious　and　warm　sweat　all　over；　apyrexia；　the　fever　came　to　its



crisis。



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



owing　to　the　bilious　evacuations　and　the　sweats。



　　CASE　XI。　In　Thasus；　a　woman；　of　a　melancholic　turn　of　mind；　from



some　accidental　cause　of　sorrow；　while　still　going　about；　became



affected　with　loss　of　sleep；　aversion　to　food；　and　had　thirst　and



nausea。　She　lived　near　the　Pylates；　upon　the　Plain。　On　the　first；　at



the　commencement　of　night；　frights；　much　talking；　despondency；



slight　fever；　in　the　morning；　frequent　spasms；　and　when　they　ceased；



she　was　incoherent　and　talked　obscurely；　pains　frequent；　great　and



continued。　On　the　second；　in　the　same　state；　had　no　sleep；　fever



more　acute。　On　the　third；　the　spasms　left　her；　but　coma；　and



disposition　to　sleep；　and　again　awaked；　started　up；　and　could　not



contain　herself；　much　incoherence；　acute　fever；　on　that　night　a



copious　sweat　all　over；　apyrexia；　slept；　quite　collected；　had　a



crisis。　About　the　third　day；　the　urine　black；　thin；　substances



floating　in　it　generally　round；　did　not　fall　to　the　bottom；　about



the　crisis　a　copious　menstruation。



　　CASE　XII。　In　Larissa；　a　young　unmarried　woman　was　seized　with　a



fever　of　th