首页 >出版文学> OF THE EPIDEMICS>第11章

第11章

  seemedtobefreefromfever;butagainintheeveninghebecamehot,withthesamepains,rigor,thirst,slightlyincoherent。Onthetwenty—fourth,urinecopious,white,withanabundantsediment;acopiousandwarmsweatallover;apyrexia;thefevercametoitscrisis。
  Explanationofthecharacters。Itisprobablethatthecurewasowingtothebiliousevacuationsandthesweats。
  CASEXI。InThasus,awoman,ofamelancholicturnofmind,fromsomeaccidentalcauseofsorrow,whilestillgoingabout,becameaffectedwithlossofsleep,aversiontofood,andhadthirstandnausea。ShelivednearthePylates,uponthePlain。Onthefirst,atthecommencementofnight,frights,muchtalking,despondency,slightfever;inthemorning,frequentspasms,andwhentheyceased,shewasincoherentandtalkedobscurely;painsfrequent,greatandcontinued。Onthesecond,inthesamestate;hadnosleep;fevermoreacute。Onthethird,thespasmslefther;butcoma,anddispositiontosleep,andagainawaked,startedup,andcouldnotcontainherself;muchincoherence;acutefever;onthatnightacopioussweatallover;apyrexia,slept,quitecollected;hadacrisis。Aboutthethirdday,theurineblack,thin,substancesfloatinginitgenerallyround,didnotfalltothebottom;aboutthecrisisacopiousmenstruation。
  CASEXII。InLarissa,ayoungunmarriedwomanwasseizedwithafeveroftheacuteandardenttype;insomnolency,thirst;tonguesootyanddry;urineofagoodcolor,butthin。Onthesecond,inanuneasystate,didnotsleep。Onthethird,alvinedischargescopious,watery,andgreenish,andonthefollowingdayspassedsuchwithrelief。Onthefourth,passedasmallquantityofthinurine,havingsubstancesfloatingtowardsitssurface,whichdidnotsubside;
  wasdelirioustowardsnight。Onthesixth,agreathemorrhagefromthenose;achill,withacopiousandhotsweatallover;apyrexia,hadacrisis。Inthefever,andwhenithadpassedthecrisis,themensestookplaceforthefirsttime,forshewasayoungwoman。
  Throughoutshewasoppressedwithnausea,andrigors;rednessoftheface;painoftheeyes;heavinessofthehead;shehadnorelapse,butthefevercametoacrisis。Thepainswereontheevendays。
  CASEXIII。Apollonius,inAbdera,boreup(underthefever?)forsometime,withoutbetakinghimselftobed。Hisviscerawereenlarged,andforaconsiderabletimetherewasaconstantpainabouttheliver,andthenhebecameaffectedwithjaundice;hewasflatulent,andofawhitishcomplexion。Havingeatenbeef,anddrunkunseasonably,hebecamealittleheatedatfirst,andbetookhimselftobed,andhavingusedlargequantitiesofmilk,thatofgoatsandsheep,andbothboiledandraw,withabaddietotherwise,greatmischiefwasoccasionedbyallthesethings;forthefeverwasexacerbated,andofthefoodtakenscarcelyanyportionworthmentioningwaspassedfromthebowels;theurinewasthinandscanty;nosleep;
  troublesomemeteorism;muchthirst;dispositiontocoma;painfulswellingoftherighthypochondrium;extremitiesaltogethercoldish;
  slightincoherence,forgetfulnessofeverythinghesaid;hewasbesidehimself。Aboutthefourteenthdayafterhebetookhimselftobed,hadarigor,becameheated,andwasseizedwithfuriousdelirium;loudcries,muchtalking,againcomposed,andthencomacameon;afterwardsthebowelsdisordered,withcopious,bilious,unmixed,andundigestedstools;urineblack,scanty,andthin;muchrestlessness;
  alvineevacuationsofvariedcharacters,eitherblack,scanty,andverdigrisgreen,orfatty,undigested,andacrid;andattimesthedejectionsresembledmilk。Aboutthetwenty—fourth,enjoyedacalm;
  othermattersinthesamestate;becamesomewhatcollected;rememberednothingthathadhappenedsincehewasconfinedtobed;immediatelyafterwardsbecamedelirious;everysymptomrapidlygettingworn。Aboutthethirtieth,acutefever;stoolscopiousandthin;wasdelirious;
  extremitiescold;lossofspeech。Onthethirty—fourthhedied。Inthiscase,asfarasIsaw,thebowelsweredisordered;urinethinandblack;dispositiontocoma;insomnolency;extremitiescold;
  deliriousthroughout。Phrenitis。
  CASEXIV。InCyzicus,awomanwhohadbroughtforthtwindaughters,afteradifficultlabor,andinwhomthelochialdischargewasinsufficient,atfirstwasseizedwithanacutefever,attendedwithchills;heavinessoftheheadandneck,withpain;
  insomnolencyfromthecommencement;shewassilent,sullen,anddisobedient;urinethin,anddevoidofcolor;thirst,nauseaforthemostpart;bowelsirregularlydisordered,andagainconstipated。Onthesixth,towardsnight,talkedmuchincoherently;hadnosleep。
  Abouttheeleventhdaywasseizedwithwilddelirium,andagainbecamecollected;urineblack,thin,andagaindeficient,andofanoilyappearance;copious,thin,anddisorderedevacuationsfromthebowels。
  Onthefourteenth,frequentconvulsions;extremitiescold;notinanywisecollected;suppressionofurine。Onthesixteenthlossofspeech。Ontheseventeenth,shedied。Phrenitis。
  Explanationofthecharacters。Itisprobablethatdeathwascaused,ontheseventeenthday,bytheaffectionofthebrainconsequentuponheraccouchement。
  CASEXV。InThasus,thewifeofDealces,whowaslodgeduponthePlain,fromsorrowwasseizedwithanacutefever,attendedwithchills。Fromfirsttolastshewrappedherselfupinherbedclothes;
  stillsilent,shefumbled,picked,bored,andgatheredhairs(fromthem);tears,andagainlaughter;nosleep;bowelsirritable,butpassednothing;whendirected,drankalittle;urinethinandscanty;tothetouchofthehandthefeverwasslight;coldnessoftheextremities。Ontheninth,talkedmuchincoherently,andagainbecamecomposedandsilent。Onthefourteenth,breathingrare,large,atintervals;andagainhurriedrespiration。Onthesixteenth,loosenessofthebowelsfromastimulantclyster;
  afterwardsshepassedherdrink,norcouldretainanything,forshewascompletelyinsensible;skinparchedandtense。Onthetwentieth,muchtalk,andagainbecamecomposed;lossofspeech;respirationhurried。Onthetwenty—firstshedied。Herrespirationthroughoutwasrareandlarge;shewastotallyinsensible;alwayswrappedupinherbedclothes;eithermuchtalk,orcompletelysilentthroughout。
  Phrenitis。
  CASEXVI。InMeliboea,ayoungmanhavingbecomeheatedbydrinkingandmuchvenery,wasconfinedtobed;hewasaffectedwithrigorsandnausea;insomnolencyandabsenceofthirst。Onthefirstdaymuchfaecespassedfromthebowelsalongwithacopiousflux;
  andonthefollowingdayshepassedmanywaterystoolsofagreencolor;urinethin,scanty,anddeficientincolor;respirationrare,large,atlongintervals;softishdistentionofthehypochondrium,ofanoblongform,onbothsides;continuedpalpitationintheepigastricregionthroughout;passedurineofanoilyappearance。Onthetenth,hehadcalmdelirium,forhewasnaturallyofanorderlyandquietdisposition;skinparchedandtense;dejectionseithercopiousandthin,orbiliousandfatty。Onthefourteenth,allthesymptomswereexacerbated;hebecamedelirious,andtalkedmuchincoherently。Onthetwentieth,wilddelirium,Onthetwentieth,wilddelirium,jactitation,passednourine;smalldrinkswereretained。Onthetwenty—fourthhedied。Phrenitis。