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第3章

on the sacred disease-第3章

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does not master the blood; which is copious and hot。



  But when it has gained strength from one's childhood; and become

habitual; such a person usually suffers attacks; and is seized with

them in changes of the winds; especially in south winds; and it is

difficult of removal。 For the brain becomes more humid than natural;

and is inundated with phlegm; so that the defluxions become more

frequent; and the phlegm can no longer be the nor the brain be dried

up; but it becomes wet and humid。 This you may ascertain in

particular; from beasts of the flock which are seized with this

disease; and more especially goats; for they are most frequently

attacked with it。 If you will cut open the head; you will find the

brain humid; full of sweat; and having a bad smell。 And in this way

truly you may see that it is not a god that injures the body; but

disease。 And so it is with man。 For when the disease has prevailed for

a length of time; it is no longer curable; as the brain is corroded by

the phlegm; and melted; and what is melted down becomes water; and

surrounds the brain externally; and overflows it; wherefore they are

more frequently and readily seized with the disease。 And therefore the

disease is protracted; because the influx is thin; owing to its

quantity; and is immediately overpowered by the blood and heated all

through。



  But such persons as are habituated to the disease know beforehand

when they are about to be seized and flee from men; if their own house

be at hand; they run home; but if not; to a deserted place; where as

few persons as possible will see them falling; and they immediately

cover themselves up。 This they do from shame of the affection; and not

from fear of the divinity; as many suppose。 And little children at

first fall down wherever they may happen to be; from inexperience。 But

when they have been often seized; and feel its approach beforehand;

they flee to their mothers; or to any other person they are acquainted

with; from terror and dread of the affection; for being still

infants they do not know yet what it is to be ashamed。



  Therefore; they are attacked during changes of the winds; and

especially south winds; then also with north winds; and afterwards

also with the others。 These are the strongest winds; and the most

opposed to one another; both as to direction and power。 For; the north

wind condenses the air; and separates from it whatever is muddy and

nebulous; and renders it clearer and brighter; and so in like manner

also; all the winds which arise from the sea and other waters; for

they extract the humidity and nebulosity from all objects; and from

men themselves; and therefore it (the north wind) is the most

wholesome of the winds。 But the effects of the south are the very

reverse。 For in the first place it begins by melting and diffusing the

condensed air; and therefore it does not blow strong at first; but

is gentle at the commencement; because it is not able at once to

overcome the and compacted air; which yet in a while it dissolves。

It produces the same effects upon the land; the sea; the fountains;

the wells; and on every production which contains humidity; and

this; there is in all things; some more; some less。 For all these feel

the effects of this wind; and from clear they become cloudy; from

cold; hot; from dry; moist; and whatever ear then vessels are placed

upon the ground; filled with wine or any other fluid; are affected

with the south wind; and undergo a change。 And the a change。 And the

sun; and the moon; it renders blunter appearance than they naturally

are。 When; then; it possesses such powers over things so great and

strong; and the body is made to feel and undergo changes in the

changes of the winds; it necessarily follows that the brain should

be disolved and overpowered with moisture; and that the veins should

become more relaxed by the south winds; and that by the north the

healthiest portion of the brain should become contracted; while the

most morbid and humid is secreted; and overflows externally; and

that catarrhs should thus take place in the changes of these winds。

Thus is this disease formed and prevails from those things which enter

into and go out of the body; and it is not more difficult to

understand or to cure than the others; neither is it more divine

than other diseases。



  Men ought to know that from nothing else but the brain come joys;

delights; laughter and sports; and sorrows; griefs; despondency; and

lamentations。 And by this; in an especial manner; we acquire wisdom

and knowledge; and see and hear; and know what are foul and what are

fair; what are bad and what are good; what are sweet; and what

unsavory; some we discriminate by habit; and some we perceive by their

utility。 By this we distinguish objects of relish and disrelish;

according to the seasons; and the same things do not always please us。

And by the same organ we become mad and delirious; and fears and

terrors assail us; some by night; and some by day; and dreams and

untimely wanderings; and cares that are not suitable; and ignorance of

present circumstances; desuetude; and unskilfulness。 All these

things we endure from the brain; when it is not healthy; but is more

hot; more cold; more moist; or more dry than natural; or when it

suffers any other preternatural and unusual affection。 And we become

mad from its humidity。 For when it is more moist than natural; it is

necessarily put into motion; and the affection being moved; neither

the sight nor hearing can be at rest; and the tongue speaks in

accordance with the sight and hearing。



  As long as the brain is at rest; the man enjoys his reason; but

the depravement of the brain arises from phlegm and bile; either of

which you may recognize in this manner: Those who are mad from

phlegm are quiet; and do not cry out nor make a noise; but those

from bile are vociferous; malignant; and will not be quiet; but are

always doing something improper。 If the madness be constant; these are

the causes thereof。 But if terrors and fears assail; they are

connected with derangement of the brain; and derangement is owing to

its being heated。 And it is heated by bile when it is determined to

the brain along the bloodvessels running from the trunk; and fear is

present until it returns again to the veins and trunk; when it ceases。

He is grieved and troubled when the brain is unseasonably cooled and

contracted beyond its wont。 This it suffers from phlegm; and from

the same affection the patient becomes oblivious。 He calls out and

screams at night when the brain is suddenly heated。 The bilious endure

this。 But the phlegmatic are not heated; except when much blood goes

to the brain; and creates an ebullition。 Much blood passes along the

aforesaid veins。 But when the man happens to see a frightful dream and

is in fear as if awake; then his face is in a greater glow; and the

eyes are red when the patient is in fear。 And the understanding

meditates doing some mischief; and thus it is affected in sleep。 But

if; when awakened; he returns to himself; and the blood is again

distributed along the veins; it ceases。



  In these ways I am of the opinion that the brain exercises the

greatest power in the man。 This is the interpreter to us of those

things which emanate from the air; when the brain happens to be in a

sound state。 But the air supplies sense to it。 And the eyes; the ears;

the tongue and the feet; administer such things as the brain

cogitates。 For in as much as it is supplied with air; does it impart

sense to the body。 It is the brain which is the messenger to the

understanding。 For when the man draws the breath into himself; it

passes first to the brain; and thus the air is distributed to the rest

of the body; leaving in the brain its acme; and whatever has sense and

understanding。 For if it passed first to the body and last to the

brain; then having left in the flesh and veins the judgment; when it

reached the brain it would be hot; and not at all pure; but mixed with

the humidity from flesh and blood; so as to be no longer pure。



  Wherefore; I say; that it is the brain which interprets the

understanding。 But the diaphragm has obtained its name (frenes) from

accident and usage; and not from reality or nature; for I know no

power which it possesses; either as to sense or understanding;

except that when the man is affected with unexpected joy or sorrow; it

throbs and produces palpitations; owing to its thinness; and as having

no belly to receive anything good or bad that may present themselves

to it; but it is thrown into commotion by both these; from its natural

weakness。 It then perceives beforehand none of those things which

occur in the body; but has received its name vaguely and without any

proper reason; like the parts about the heart; which are called

auricles; but which contribute nothing towards hearing。 Some say

that we think with the heart; and that this is the part which is

grieved; and experiences care。 But it is not so; only it contracts

like the diaphragm; and still more so for the same causes。 For veins

from all parts of the body run to it; and it has valves; so as to as

to perceive if any pain or pleasurable emotion befall the man。 For

when grieved the body necessarily shudders; and is contracted; and

from excessive joy it is affected in like manner。 Wherefore the

heart and the diaphragm are particularly sensitive; they have

nothing to do; however; with the operations of the understanding;

but of all but of all these the brain is the cause。 Since; then; the

brain; as being the primary seat of sense and of the spirits;

perceives whatever occurs in the body; if any change more powerful

than usual take place in the air; owing to the seasons; the brain

becomes changed by the state of the air。 For; on this account; the

brain first perceives; because; I say; all the most acute; most

powerful; and most deadly diseases; and those which are most difficult

to be understood by the inexperienced; fall upon the brain。



  And the disease called the Sacred arises from causes as the

others; namely; those things which enter and quit the body; such as

cold; the sun; and the winds; which are ever changing and are never at

rest。 And these things are divine; so that there is no necessity for

making a distinction; and holding this disease to be more divine

than the others; but all are divine; and all human。 And each has its

own peculiar nature and power; and none is of an ambiguous nature;

or irremediable。 And the most of them are curable by the same means as

those by which any other thing is food to one; and injurious to

another。 Thus; then; the physician should understand and distinguish

the season of each; so that at one time he may attend to the

nourishment and increase; and at another to abstraction and

diminution。 And in this disease as in all others; he must strive not

to feed the disease; but endeavor to wear it out by administering

whatever is most opposed to each disease; and not that which favors

and is allied to it。 For by that which is alli

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