on regimen in acute diseases-第7部分

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catch　cold　when　the　application　is　made；　let　it　be　in　a　tepid　state；
and　boiled　in　water　and　oil。　One　may　judge　from　the　urine　what　is　to
take　place；　for　if　the　urine　be　thicker；　and　more　yellowish；　so　much
the　better；　but　if　it　be　thinner；　and　blacker；　so　much　the　worse；
but　if　it　undergo　changes；　it　indicates　a　prolongation　of　the　disease；
and　the　patient；　in　like　manner；　must　experience　a　change　to　the　worse
and　the　better。　Irregular　fevers　should　be　let　alone　until　they　become
settled；　and；　when　they　do　settle；　they　are　to　be　treated　by　a
suitable　diet　and　medicine；　attending　to　the　constitution　of　the
patient。
　　9。　The　aspects　of　the　sick　are　various；　wherefore　the　physician
should　pay　attention；　that　he　may　not　miss　observing　the　exciting
causes；　as　far　as　they　can　be　ascertained　by　reasoning；　nor　such
symptoms　as　should　appear　on　an　even　or　odd　day；　but　he　ought　to；　be
particularly　guarded　in　observing　the　odd　days；　as　it　is　in　them；　more
especially；　that　changes　take　place　in　patients。　He　should　mark；
particularly；　the　first　day　on　which　the　patient　became　ill；
considering　when　and　whence　the　disease　commenced；　for　this　is　of
primary　importance　to　know。　When　you　examine　the　patient；　inquire　into
all　particulars；　first　how　the　head　is；　and　if　there　be　no　headache；
nor　heaviness　in　it；　then　examine　if　the　and　sides　be　free　of　pain；
for　if　the　hypochondrium　be　painful；　swelled；　and　unequal；　with　a
sense　of　satiety；　or　if　there　be　pain　in　the　side；　and；　along　with　the
pain；　either　cough；　tormina；　or　belly…ache；　if　any　of　these　symptoms
be　present　in　the　hypochondrium；　the　bowels　should　be　opened　with
clysters；　and　the　patient　should　drink　boiled　hydromel　in　a　hot　state。
The　physician　should　ascertain　whether　the　patient　be　apt　to　faint
when　he　is　raised　up；　and　whether　his　breathing　be　free；　and　examine
the　discharges　from　the　bowels；　whether　they　be　very　black；　or　of　a
proper　color；　like　those　of　persons　in　good　health；　and　ascertain
whether　the　fever　has　a　paroxysm　every　third　day；　and　look　well　to
such　persons　on　those　days。　And　should　the　fourth　day　prove　like　the
third；　the　patient　is　in　a　dangerous　state。　With　regard　to　the
symptoms；　black　stools　prognosticate　death；　but　if　they　resemble　the
discharges　of　a　healthy　person；　and　if　such　is　their　appearance
every　day；　it　is　a　favorable　symptom；　but　when　the　bowels　do　not　yield
to　a　suppository；　and　when；　though　the　respiration　be　natural；　the
patient　when　raised　to　the　night　table；　or　even　in　bed；　be　seized　with
deliquium；　you　may　expect　that　the　patient；　man　or　woman；　who
experiences　these　symptoms；　is　about　to　fall　to　fall　into　a　state　of
delirium。　Attention　also　should　be　paid　to　the　hands；　for　if　they
tremble；　you　may　expect　epistaxis；　and　observe　the　nostrils；　whether
the　breath　be　drawn　in　equally　by　both；　and　if　expiration　by　the
nostrils　be　large；　a　convulsion　is　apt　to　take　place；　and　should　a
convulsion　occur　to　such　a　person；　death　may　be　anticipated；　and　it　is
well　to　announce　it　beforehand。
　　10。　If；　in　a　winter　fever；　the　tongue　be　rough；　and　if　there　be
swoonings；　it　is　likely　to　be　the　remission　of　the　fever。　Nevertheless
such　a　person　is　to　be　kept　upon　a　restricted　diet；　with　water　for
drink；　and　hydromel；　and　the　strained　juices；　not　trusting　to　the
remission　of　the　fevers；　as　persons　having　these　symptoms　are　in
danger　of　dying；　when；　therefore；　you　perceive　these　symptoms；
announce　this　prognostic；　if　you　shall　judge　proper；　after　making
the　suitable　observations。　When；　in　fevers；　any　dangerous　symptom
appears　on　the　fifth　day；　when　watery　discharges　suddenly　take　place
from　the　bowels；　when　deliquium　animi　occurs；　or　the　patient　is
attacked　with　loss　of　speech；　convulsions；　or　hiccup；　under　such
circumstances　he　is　likely　to　be　affected　with　nausea；　and　sweats
break　out　under　the　nose　and　forehead；　or　on　the　back　part　of　the　neck
and　head；　and　patients　with　such　symptoms　shortly　die；　from　stoppage
of　the　respiration。　When；　in　fevers；　abscesses　form　about　the　legs；
and；　getting　into　a　chronic　state；　are　not　concocted　while　the　fever
persists；　and　if　one　is　seized　with　a　sense　of　suffocation　in　the
throat；　while　the　fauces　are　not　swelled；　and　if　it　do　not　come　to
maturation；　but　is　repressed；　in　such　a　case　there　is　apt　to　be　a　flow
of　blood　from　the　nose；　if　this；　then；　be　copious；　it　indicates　a
resolution　of　the　disease；　but　if　not；　a　prolongation　of　the
complaint；　and　the　less　the　discharge；　so　much　worse　the　symptoms；　and
the　more　protracted　the　disease；　but　if　the　other　symptoms　are　very
favorable；　expect　in　such　a　case　that　pains　will　fall　upon　the　feet；
if　then　they　attack　the　feet；　and　if　these　continue　long　in　a　very
painful；　and　inflamed　state；　and　if　there　be　no　resolution；　the
pains　will　extend　by　degrees　to　the　neck；　to　the　clavicle；　shoulder；
breast；　or　to　some　articulation；　in　which　an　inflammatory　tumor　will
necessarily　form。　When　these　are　reduced；　if　the　hands　are　contracted；
and　become　trembling；　convulsion　and　delirium　seize　such　a　person；　but
blisters　break　out　on　the　eyebrow；　erythema　takes　place；　the　one
eyelid　being　tumefied　overtops　the　other；　a　hard　inflammation　sets　in；
the　eye　become　strongly　swelled；　and　the　delirium　increases　much；
but　makes　its　attacks　rather　at　night　than　by　day。　These　symptoms　more
frequently　occur　on　odd　than　on　even　days；　but；　whether　on　the　one
or　the　other；　they　are　of　a　fatal　character。　Should　you　determine　to
give　purgative　medicines　in　such　cases；　at　the　commencement；　you
should　do　so　before　the　fifth　day；　if　there　be　borborygmi　in　the
bowels；　or；　if　not；　you　should　omit　the　medicines　altogether。　If　there
be　borborygmi；　with　bilious　stools；　purge　moderately　with　scammony；
but　with　regard　to　the　treatment　otherwise；　administer　as　few　drinks
and　draughts　as　until　there　be　some　amendment；　and　the　disease　is　past
the　fourteenth　day。　When　loss　of　speech　seizes　a　person；　on　the
fourteenth　day　of　a　fever；　there　is　not　usually　a　speedy　resolution；
nor　any　removal　of　the　disease；　for　this　symptom　indicates　a
protracted　disease；　and　when　it　appears　on　that　day；　it　will　be
still　more　prolonged。　When；　on　the　fourth　day　of　a　fever；　the　tongue
articulates　confusedly；　and　when　there　are　watery　and　bilious
discharges　from　the　bowels；　such　a　patient　is　apt　to　fall　into　a　state
of　delirium；　the　physician　ought；　therefore；　to　watch　him；　and
attend　to　whatever　symptoms　may　turn　up。　In　the　season　of　summer　and
autumn　an　epistaxis；　suddenly　occurring　in　acute　diseases；　indicates
vehemence　of　the　attack；　and　inflammation　in　the　course　of　the
veins；　and　on　the　day　following；　the　discharge　of　thin　urine；　and　if
the　patient　be　in　the　prime　of　life；　and　if　his　body　be　strong　from
exercise；　and　brawny；　or　of　a　melancholic　temperament；　or　if　from
drinking　has　trembling　hands；　it　may　be　well　to　announce　beforehand
either　delirium　or　convulsion；　and　if　these　symptoms　occur　on　even
days；　so　much　the　better；　but　on　critical　days；　they　are　of　a　deadly
character。　If；　then；　a　copious　discharge　of　blood　procure　an　issue
to　the　fullness　thereof　about　the　nose；　or　what　is　collected　about　the
anus；　there　will　be　an　abscess；　or　pains　in　the　hypochondrium；　or
testicles；　or　in　the　limbs；　and　when　these　are　resolved；　there　will　be
a　discharge　of　thick　sputa；　and　of　smooth；　thin　urine。　In　fever
attended　with　singultus；　give　asafoetida；　oxymel；　and　carrot；
triturated　together；　in　a　draught；　or　galbanum　in　honey；　and　cumin
in　a　linctus；　or　the　juice　of　ptisan。　Such　a　person　cannot　escape；
unless　critical　sweats　and　gentle　sleep　supervene；　and　thick　and　acrid
urine　be　passed；　or　the　disease　terminate　in　an　abscess：　give
pine…fruit　and　myrrh　in　a　linctus；　and　further　give　a　very　little
oxymel　to　drink；　but　if　they　are　very　thirsty；　some　barley…water。
　　11。　Peripneumonia；　and　pleuritic　affections；　are　to　be　thus
observed：　If　the　fever　be　acute；　and　if　there　be　pains　on　either　side；
or　in　both；　and　if　expiration　be　if　cough　be　present；　and　the　sputa
expectorated　be　of　a　blond　or　livid　color；　or　likewise　thin；　frothy；
and　florid；　or　having　any　other　character　different　from　the　common；
in　such　a　case；　the　physician　should　proceed　thus：　if　the　pain　pass
upward　to　the　clavicle；　or　the　breast；　or　the　arm；　the　inner　vein　in
the　arm　should　be　opened　on　the　side　affected；　and　blood　abstracted
according　to　the　habit；　age；　and　color　of　the　patient；　and　the
season　of　the　year；　and　that　largely　and　boldly；　if　the　pain　be　acute；
so　as　to　bring　on　deliquium　animi；　and　afterwards　a　clyster　is　to　be
given。　But　if　the　pain　be　below　the　chest；　and　if　very　intense；
purge　the　bowels　gently　in　such　an　attack　of　pleurisy；　and　during
the　act　of　purging　give　nothing；　but　after　the　purging　give　oxymel。
The　medicine　is　to　be　administered　on　the　fourth　day；　on　the　first
three　days　after　the　commencement；　a　clyster　should　be　given；　and　if
it　does　not　relieve　the　patient；　he　should　then　be　gently　purged；
but　he　is　to　be　watched　until　the　fever　goes　off；　and　till　the　seventh
day；　then　if　he　appear　to　be　free　from　danger；　give　him　some
unstrained　ptisan；　in　small　quantity；　and　thin　at　first；　mixing　it
with　honey。　If　the　expectoration　be　easy；　and　the　breathing　free；　if
his　sides　be　free　of　pain；　and　if　the　fever　be　gone；　he　may　take　the
ptisan　thicker；　and　in　larger　quantity；　twice　a　day。　But　if　he　do
not　progress　favorably；　he　must　get　less　of　the　drink；　and　of　the
draught；　which　should　be　thin；　and　only　given　once　a　day；　at
whatever　is　judged　to　be　the　most　favorable　hour；　this　you　will
ascertain　from　the　urine。　The　draught　is　not　to　be　given　to　persons
after　fever；　until　you　see　that　the　urine　and　sputa　are　concocted　（if；
indeed；　after　the　administration　of　the　medicine　he　be　purged
frequently；　it　may　be　necessary　to　give　it；　but　it　should　be　given
in　smaller　quantities　and　thinner　than　usual；　for　from　inanition　he
will　be　unable　to　sleep；　or　digest　properly；　or　wait　the　crisis）；
but　when　the　melting　down　of　crude　matters　has　taken　place；　and　his
system　has　cast　off　what　is　offensive；　there　will　then　be　no
objection。　The　sputa　are　concocted　when　they　resemble　pus；　and　the
urine　when　it　has　reddish　sediments　like　tares。　But　there　is　not