of the epidemics-第6部分

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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　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　l