首页 >出版文学> OF THE EPIDEMICS>第10章

第10章

  passedblackurine,havingsubstancesfloatinginit;thenightquiet;
  slept。Onthefifth,seemedtobelightened,butapainfulweightaboutthebelly;thirsty,passedthenightinapainfulstate。Onthesixth,inthemorning,inaquietstate;intheeveningthepainsgreater;hadaparoxysm;intheeveningthebowelsproperlyopenedbyasmallclyster;sleptatnight。Ontheseventh,duringtheday,inastateofnausea,somewhatdisturbed;passedurineoftheappearanceofoil;atnight,muchagitation,wasincoherent,didnotsleep。Ontheeighth,inthemorning,sleptalittle;butimmediatelycoldness,lossofspeech,respirationsmallandweak;
  butintheeveningrecoveredhisheatagain;wasdelirious,buttowardsdaywassomewhatlightened;stoolssmall,bilious,andunmixed。Ontheninth,affectedwithcoma,andwithnauseawhenroused;notverythirsty;aboutsunsethebecamerestlessandincoherent;passedabadnight。Onthetenth,inthemorning,hadbecomespeechless;greatcoldness;acutefever;muchperspiration;
  hedied。Hissufferingswereontheevendays。
  Explanationofthecharacters。Itisprobablethattheexcessivesweatscauseddeathonthetenthday。
  CASEIV。Thepatientaffectedwithphrenitis,havingtakentobedonthefirstday,vomitedlargelyofverdigris—greenandthinmatters;
  fever,accompaniedwithrigors,copiousandcontinuedsweatsallover;
  heavinessoftheheadandneck,withpain;urinethin,substancesfloatingintheurinesmall,scattered,didnotsubside;hadcopiousdejectionsfromthebowels;verydelirious;nosleep。Onthesecond,inthemorning,lossofspeech;acutefever;hesweated,feverdidnotleavehim;palpitationsoverthewholebody,atnight,convulsions。Onthethird,allthesymptomsexacerbated;hedied。
  Explanationofthecharacters。Itisprobablethatthesweatsandconvulsionscauseddeath。
  CASEV。InLarissa,aman,whowasbald,suddenlywasseizedwithpainintherightthigh;noneofthethingswhichwereadministereddidhimanygood。Onthefirstday,feveracute,oftheardenttype,notagitated,butthepainspersisted。Onthesecond,thepainsinthethighabated,butthefeverincreased;somewhattossedabout;didnotsleep;extremitiescold;passedalargequantityofurine,notofagoodcharacter。Onthethird,thepainofthethighceased;
  derangementoftheintellect,confusion,andmuchtossingabout。Onthefourth,aboutnoon,hedied。Anacutedisease。
  CASEVI。InAbdera,Pericleswasseizedwithafeveroftheacute,continualtype,withpain;muchthirst,nausea,couldnotretainhisdrink;somewhatswelledaboutthespleen,withheavinessofthehead。Onthefirstday,hadhemorrhagefromtheleftnostril,butstillthefeverbecamemoreviolent;passedmuchmuddy,whiteurine,whichwhenallowedtostanddidnotsubside。Onthesecondday,allthesymptomswereexacerbated,yettheurinewasthick,andmoreinclinedtohaveasediment;thenausealess;heslept。Onthethird,feverwasmilder;abundanceofurine,whichwasconcocted,andhadacopioussediment;passedaquietnight。Onthefourth,hadacopiousandwarmsweatalloveraboutnoon;wasfreeoffever,hadacrisis,norelapse。Anacuteaffection。
  CASEVII。InAbdera,theyoungwomanwhowaslodgedintheSacredWalkwasseizedwithanardentfever。Shewasthirsty,andcouldnotsleep;hadmenstruationforthefirsttime。Onthesixth,muchnausea,flushing,waschilly,andtossedabout。Ontheseventh,inthesamestate;urinethin,butofagoodcolor;nodisturbanceaboutthebowels。Ontheeighth,deafness,acutefever,insomnolency,nausea,rigors,becamecollected;urinethesame。Ontheninth,inthesamestate,andalsoonthefollowingdays;thusthedeafnesspersisted。Onthefourteenth,disorderoftheintellect;thefeverabated。Ontheseventeenth,acopioushemorrhagefromthenose;thedeafnessslightlybetter;andonthefollowingdays,nausea,deafness,andincoherence。Onthetwentieth,painofthefeet;deafnessanddeliriumlefther;asmallhemorrhagefromthenose;sweat,apyrexia。Onthetwenty—fourth,thefeverreturned,deafnessagain;painofthefeetremained;incoherence。Onthetwenty—seventh,hadacopioussweat,apyrexia;thedeafnesslefther;thepainofherfeetpartlyremained;
  inotherrespectshadacompletecrisis。
  Explanationofthecharacters。Itisprobablethattherestorationofhealthonthetwentiethdaywastheresultoftheevacuationofurine。
  CASEVIII。InAbdera,Anaxion,whowaslodgednearthewithThracianGates,wasseizedwithanacutefever;painoftherightdrycough,withoutexpectorationduringthefirstdays,thirst,insomnolency;
  urinewellcolored,copious,andthin。Onthesixth,delirious;norelieffromthewarmapplications。Ontheseventh,inapainfulstate,forthefeverwhilethepainsdidnotabate,andthecoughwastroublesome,andattendedwithdyspnoea。Ontheeighth,Iopenedaveinattheelbow,andmuchblood,ofapropercharacter,flowed;
  thepainswereabated,butthedrycoughscontinued。Ontheeleventh,thefeverdiminished;slightsweatsaboutthehead;
  coughs,withmoreliquidsputa;hewasrelieved。Onthetwentieth,sweat,apyrexia;butafterthecrisishewasthirsty,andtheexpectorationswerenotgood。Onthetwenty—sevenththefeverrelapsed;hecoughed,andbroughtupmuchconcoctedsputa:sedimentintheurinecopiousandwhite;hebecamefreeofthirst,andtherespirationwasgood。Onthethirty—fourth,sweatedallover,apyrexiageneralcrisis。
  Explanationofthecharacters。Itisprobablethattheevacuationofthesputabroughtabouttherecoveryonthethirty—fourthday。
  CASEIX。InAbdera,Heropythus,whilestillonfoot,hadpaininthehead,andnotlongafterwardshetooktobed;helivedneartheHighStreet。Wasseizedwithacutefeveroftheardenttype;vomitingsatfirstofmuchbiliousmatter;thirst;greatrestlessness;urinethin,black,substancessometimesfloatinghighinit,andsometimesnot;passedthenightinapainfulstate;paroxysmsofthefeverdiversified,andforthemostpartirregular。Aboutthefourteenthday,deafness;thefeverincreased;urinethesame。Onthetwentiethandfollowingdays,muchdelirium。Onthethirtieth,copioushemorrhagefromthenose,andbecamemorecollected;deafnesscontinued,butless;thefeverdiminished;onthefollowingdays,frequenthemorrhages,atshortintervals。Aboutthesixtieth,thehemorrhagesceased,butviolentpainofthehip—joint,andincreaseoffever。Notlongafterwards,painsofalltheinferiorrule,thateitherthefeveranddeafnessincreased,or,painsoftheinferiorpartswereincreased。Abouttheeightiethday,allthecomplaintsgaveway,withoutleavinganybehind;fortheurinewasofagoodcolor,andhadacopioussediment,whilethedeliriumbecameless。Aboutthehundredthday,disorderofthebowels,withcopiousandbiliousevacuations,andthesecontinuedforaconsiderabletime,andagainassumedthedysentericformwithpain;butreliefofalltheothercomplaints。Onthewhole,thefeverswentoff,andthedeafnessceased。Onthehundredandtwentiethday,hadacompletecrisis。
  Ardentfever。
  Explanationofthecharacters。Itisprobablethatthebiliousdischargebroughtabouttherecoveryonthehundredandtwentiethday。
  CASEX。InAbdera,Nicodemuswasseizedwithfeverfromveneryanddrinking。Atthecommencementhewastroubledwithnauseaandcardialgia;thirsty,tonguewasparched;urinethinanddark。Onthesecondday,thefeverexacerbated;hewastroubledwithrigorsandnausea;hadnosleep;vomitedyellowbile;urinethesame;passedaquietnight,andslept。Onthethird,ageneralremission;
  amelioration;butaboutsunsetfeltagainsomewhatuncomfortable;
  passedanuneasynight。Onthefourth,rigor,muchfever,generalpains;urinethin,withsubstancesfloatinginit;againaquietnight。Onthefifth,allthesymptomsremained,buttherewasanamelioration。Onthesixth,somegeneralpains;substancesfloatingintheurine;veryincoherent。Ontheseventh,better。Ontheeighth,alltheothersymptomsabated。Onthetenth,andfollowingdays,therewerepains,butallless;inthiscasethroughout,theparoxysmsandpainsweregreaterontheevendays。Onthetwentieth,theurinewhiteandthick,butwhenallowedtostandhadnosediment;muchsweat;