byHippocratestranslatedbyFrancisAdamsAPHORISMS
SECTIONI
Lifeisshort,andArtlong;thecrisisfleeting;experienceperilous,anddecisiondifficult。Thephysicianmustnotonlybepreparedtodowhatisrighthimself,butalsotomakethepatient,theattendants,andexternalscooperate。
2。Indisordersofthebowelsandvomitings,occurringspontaneously,ifthematterspurgedbesuchasoughttobepurged,theydogood,andarewellborne;butifnot,thecontrary。Andsoartificialevacuations,iftheyconsistofsuchmattersasshouldbeevacuated,dogood,andarewellborne;butifnot,thecontrary。One,then,oughttolooktothecountry,theseason,theage,andthediseasesinwhichtheyareproperornot。
3。Intheathletae,embonpoint,ifcarriedtoitsutmostlimit,isdangerous,fortheycannotremaininthesamestatenorbestationary;
andsince,then,theycanneitherremainstationarynorimprove,itonlyremainsforthemtogetworse;forthesereasonstheembonpointshouldbereducedwithoutdelay,thatthebodymayagainhaveacommencementofreparation。Neithershouldtheevacuations,intheircase,becarriedtoanextreme,forthisalsoisdangerous,butonlytosuchapointastheperson’sconstitutioncanendure。Inlikemanner,medicinalevacuations,ifcarriedtoanextreme,aredangerous;andagain,arestorativecourse,ifintheextreme,isdangerous。
4。Aslenderrestricteddietisalwaysdangerousinchronicdiseases,andalsoinacutediseases,whereitisnotrequisite。Andagain,adietbroughttotheextremepointofattenuationisdangerous;andrepletion,whenintheextreme,isalsodangerous。
5。Inarestricteddiet,patientswhotransgressaretherebymorehurt(thaninanyother?);foreverysuchtransgression,whateveritmaybe,isfollowedbygreaterconsequencesthaninadietsomewhatmoregenerous。Onthisaccount,averyslender,regulated,andrestricteddietisdangeroustopersonsinhealth,becausetheybeartransgressionsofitmoredifficultly。Forthisreason,aslenderandrestricteddietisgenerallymoredangerousthanonealittlemoreliberal。
6。Forextremediseases,extrememethodsofcure,astorestriction,aremostsuitable。
7。Whenthediseaseisveryacute,itisattendedwithextremelyseveresymptomsinitsfirststage;andthereforeanextremelyattenuatingdietmustbeused。Whenthisisnotthecase,butitisallowabletogiveamoregenerousdiet,wemaydepartasfarfromtheseverityofregimenasthedisease,byitsmildness,isremovedfromtheextreme。
8。Whenthediseaseisatitsheight,itwillthenbenecessarytousethemostslenderdiet。
9。Wemustformaparticularjudgmentofthepatient,whetherhewillsupportthedietuntiltheacmeofthedisease,andwhetherhewillsinkpreviouslyandnotsupportthediet,orthediseasewillgivewaypreviously,andbecomelessacute。
10。Inthosecases,then,whichattaintheiracmespeedily,arestricteddietshouldbeenjoinedatfirst;butinthosecaseswhichreachtheiracmelater,wemustretrenchatthatperiodoralittlebeforeit;butpreviouslywemustallowamoregenerousdiettosupportthepatient。
11。Wemustretrenchduringparoxysms,fortoexhibitfoodwouldbeinjurious。Andinalldiseaseshavingperiodicalparoxysms,wemustrestrictduringtheparoxysms。
12。Theexacerbationsandremissionswillbeindicatedbythediseases,theseasonsoftheyear,thereciprocationoftheperiods,whethertheyoccureveryday,everyalternateday,orafteralongerperiod,andbythesuperveningsymptoms;as,forexample,inpleuriticcases,expectoration,ifitoccuratthecommencement,shortenstheattack,butifitappearlater,itprolongsthesame;andinthesamemannertheurine,andalvinedischarges,andsweats,accordingastheyappearalongwithfavorableorunfavorablesymptoms,indicatediseasesofashortorlongduration。
13。Oldpersonsendurefastingmosteasily;next,adults;youngpersonsnotnearlysowell;andmostespeciallyinfants,andofthemsuchasareofaparticularlylivelyspirit。
14。Growingbodieshavethemostinnateheat;theythereforerequirethemostfood,forotherwisetheirbodiesarewasted。Inoldpersonstheheatisfeeble,andthereforetheyrequirelittlefuel,asitwere,totheflame,foritwouldbeextinguishedbymuch。Onthisaccount,also,feversinoldpersonsarenotequallyacute,becausetheirbodiesarecold。
15。Inwinterandspringthebowelsarenaturallythehottest,andthesleepmostprolonged;attheseseasons,then,themostsustenanceistobeadministered;forasthebellyhasthenmostinnateheat,itstandsinneedofmostfood。Thewell—knownfactswithregardtoyoungpersonsandtheathletaeprovethis。
16。Ahumidregimenisbefittinginallfebrilediseases,andparticularlyinchildren,andothersaccustomedtoliveonsuchadiet。
17。Wemustconsider,also,inwhichcasesfoodistobegivenonceortwiceaday,andingreaterorsmallerquantities,andatintervals。Somethingmustbeconcededtohabit,toseason,tocountry,andtoage。
18。Invalidsbearfoodworstduringsummerandautumn,mosteasilyinwinter,andnextinspring。
19。Neithergivenorenjoinanythingtopersonsduringperiodicalparoxysms,butabstractfromtheaccustomedallowancebeforethecrisis。
20。Whenthingsareatthecrisis,orwhentheyhavejustpassedit,neithermovethebowels,normakeanyinnovationinthetreatment,eitherasregardspurgativesoranyothersuchstimulants,butletthingsalone。
21。Thosethingswhichrequiretobeevacuatedshouldbeevacuated,wherevertheymosttend,bytheproperoutlets。
22。Wemustpurgeandmovesuchhumorsasareconcocted,notsuchasareunconcocted,unlesstheyarestrugglingtogetout,whichismostlynotthecase。
23。Theevacuationsaretobejudgedofnotbytheirquantity,butwhethertheybesuchastheyshouldbe,andhowtheyareborne。Andwhenpropertocarrytheevacuationtodeliquiumanimi,thisalsoshouldbedone,providedthepatientcansupportit。
24。Usepurgativemedicinessparinglyinacutediseases,andatthecommencement,andnotwithoutpropercircumspection。
25。Ifthematterswhicharepurgedbesuchasshouldbepurged,theevacuationisbeneficial,andeasilyborne;but,notwithstanding,ifotherwise,withdifficulty。
SECTIONII。
1。Inwhateverdiseasesleepislaborious,itisadeadlysymptom;
butifsleepdoesgood,itisnotdeadly。
2。Whensleepputsanendtodelirium,itisagoodsymptom。
3。Bothsleepandinsomnolency,whenimmoderate,arebad。
4。Neitherrepletion,norfasting,noranythingelse,isgoodwhenmorethannatural。
5。Spontaneouslassitudeindicatesdisease。
6。Personswhohaveapainfulaffectioninanypartofthebody,andareinagreatmeasuresensibleofthepain,aredisorderedinintellect。
7。Thosebodieswhichhavebeenslowlyemaciatedshouldbeslowlyrecruited;andthosewhichhavebeenquicklyemaciatedshouldbequicklyrecruited。
8。Whenapersonafteradiseasetakesfood,butdoesnotimproveinstrength,itindicatesthatthebodyusesmorefoodthanisproper;
butifthishappenwhenhedoesnottakefood,itistobeunderstoodevacuationisrequired。
9。Whenonewishestopurge,heshouldputthebodyintoafluentstate。
10。Bodiesnotproperlycleansed,themoreyounourishthemoreyouinjure。
11。Itiseasiertofillupwithdrinkthanwithfood。
12。Whatremainsindiseasesafterthecrisisisapttoproducerelapses。
13。Personsinwhomacrisistakesplacepassthenightprecedingtheparoxysmuncomfortably,butthesucceedingnightgenerallymorecomfortably。
14。Influxesofthebowels,achangeofthedejectionsdoesgood,unlessthechangebeofabadcharacter。
15。Whenthethroatisdiseased,ortubercles(phymata)formonthebody,attentionmustpaidtothesecretions;foriftheybebilious,thediseaseaffectsthegeneralsystem;butiftheyresemblethoseofahealthyperson,itissafetogivenourishingfood。
16。Wheninastateofhunger,oneoughtnottoundertakelabor。
17。Whenmorefoodthanisproperhasbeentaken,itoccasionsdisease;thisisshownbythetreatment。
18。Fromfoodwhichprovesnourishingtothebodyeitherimmediatelyorshortly,thedejectionsalsoareimmediate。
19。Inacutediseasesitisnotquitesafetoprognosticateeitherdeathorrecovery。
20。Thosewhohavewaterydischargesfromtheirbowelswhenyounghavedrywhentheyareold;andthosewhohavedrydischargeswhentheyareyoungwillhavewaterywhentheyareold。
21。Drinkingstrongwinecureshunger。
22。Diseaseswhicharisefromrepletionarecuredbydepletion;
andthosethatarisefromdepletionarecuredbyrepletion;andingeneral,diseasesarecuredbytheircontraries。
23。Acutediseasecometoacrisisinfourteendays。
24。Thefourthdayisindicativeoftheseventh;theeighthisthecommencementofthesecondweek;andhence,theeleventhbeingthefourthofthesecondweek,isalsoindicative;andagain,theseventeenthisindicative,asbeingthefourthfromthefourteenth,andtheseventhfromtheeleventh。
25。Thesummerquartansare,forthemostpart,ofshortduration;
buttheautumnalareprotracted,especiallythoseoccurringneartheapproachofwinter。
26。Itisbetterthatafeversucceedtoaconvulsion,thanaconvulsiontoafever。
27。Weshouldnottrustameliorationsindiseaseswhentheyarenotregular,norbemuchafraidofbadsymptomswhichoccurinanirregularform;forsucharecommonlyinconstant,anddonotusuallycontinue,norhaveanyduration。
28。Infeverswhicharenotaltogetherslight,itisabadsymptomforthebodytoremainwithoutanydiminutionofbulk,ortobewastedbeyondmeasure;fortheonestateindicatesaprotracteddisease,andtheotherweaknessofbody。
29。Ifitappearthatevacuationsarerequired,theyshouldbemadeatthecommencementofdiseases;attheacmeitisbettertobequiet。
30。Towardthecommencementandendofdiseasesallthesymptomsareweaker,andtowardtheacmetheyarestronger。
31。Whenapersonwhoisrecoveringfromadiseasehasagoodappetite,buthisbodydoesnotimproveincondition,itisabadsymptom。
32。Forthemostpart,allpersonsinillhealth,whohaveagoodappetiteatthecommencement,butdonotimprove,haveabadappetiteagaintowardtheend;whereas,thosewhohaveaverybadappetiteatthecommencement,andafterwardacquireagoodappetite,getbetteroff。
33。Ineverydiseaseitisagoodsignwhenthepatient’sintellectissound,andheisdisposedtotakewhateverfoodisofferedtohim;butthecontraryisbad。
34。Indiseases,thereislessdangerwhenthediseaseisonetowhichthepatient’sconstitution,habit,age,andtheseasonareallied,thanwhenitisonetowhichtheyarenotallied。
35。Inalldiseasesitisbetterthattheumbilicalandhypogastricregionspreservetheirfullness;anditisabadsignwhentheyareveryslenderandemaciated;inthelattercaseitisdangeroustoadministerpurgatives。
36。Personsingoodhealthquicklylosetheirstrengthbytakingpurgativemedicines,orusingbadfood。
37。Purgativemedicinesagreeillwithpersonsingoodhealth。
38。Anarticleoffoodordrinkwhichisslightlyworse,butmorepalatable,istobepreferredtosuchasarebetterbutlesspalatable。
39。Oldhavefewercomplaintsthanyoung;butthosechronicdiseaseswhichdobefallthemgenerallyneverleavethem。
40。Catarrhsandcoryzainveryoldpeoplearenotconcocted。
41。Personswhohavehadfrequentandsevereattacksofswooning,withoutanymanifestcause,diesuddenly。
42。Itisimpossibletoremoveastrongattackofapoplexy,andnoteasytoremoveaweakattack。
43。Ofpersonswhohavebeensuspendedbytheneck,andareinastateofinsensibility,butnotquitedead,thosedonotrecoverwhohavefoamatthemouth。
44。Personswhoarenaturallyveryfatareapttodieearlierthanthosewhoareslender。
45。Epilepsyinyoungpersonsismostfrequentlyremovedbychangesofair,ofcountry,andofmodesoflife。
46。Oftwopainsoccurringtogether,notinthesamepartofthebody,thestrongerweakenstheother。
47。Painsandfeversoccurratherattheformationofpusthanwhenitisalreadyformed。
48。Ineverymovementofthebody,wheneveronebeginstoendurepain,itwillberelievedbyrest。
49。Thosewhoareaccustomedtoendurehabituallabors,althoughtheybeweakorold,bearthembetterthanstrongandyoungpersonswhohavenotbeensoaccustomed。
50。Thosethingswhichonehasbeenaccustomedtoforalongtime,althoughworsethanthingswhichoneisnotaccustomedto,usuallygivelessdisturbance;butachangemustsometimesbemadetothingsoneisnotaccustomedto。
51。Toevacuate,fillup,heat,cool,orotherwise,movethebodyinanywaymuchandsuddenly,isdangerous;andwhateverisexcessiveisinimicaltonature;butwhateverisdonebylittleandlittleissafe,moreespeciallywhenatransitionismadefromonethingtoanother。
52。Whendoingeverythingaccordingtoindications,althoughthingsmaynotturnoutagreeablytoindication,weshouldnotchangetoanotherwhiletheoriginalappearancesremain。
53。Thosepersonswhohavewaterydischargesfromthebowelswhentheyareyoung,comeoffbetterthanthosewhohavedry;butinoldagetheycomeoffworse,forthebowelsinagedpersonsareusuallydriedup。
54。Largenessofpersoninyouthisnobleandnotunbecoming;butinoldageitisinconvenient,andworsethanasmallerstructure。
SECTIONIII。
1。Thechangesoftheseasonmostlyengenderdiseases,andintheseasonsgreatchangeseitherofheatorofcold,andtherestagreeablytothesamerule。
2。Ofnatures(temperaments?),somearewell—orill—adaptedforsummer,andsomeforwinter。
3。Ofdiseasesandages,certainofthemarewell—orill—adaptedtodifferentseasons,places,andkindsofdiet。
4。Intheseasons,whenduringthesamedaythereisatonetimeheatandatanothertimecold,thediseasesofautumnmaybeexpected。
5。Southwindsinducedullnessofhearing,dimnessofvisions,heavinessofthehead,torpor,andlanguor;whentheseprevail,suchsymptomsoccurindiseases。Butifthenorthwindprevail,coughs,affectionsofthethroat,hardnessofthebowels,dysuriaattendedwithrigors,andpainsofthesidesandbreastoccur。Whenthiswindprevails,allsuchsymptomsmaybeexpectedindiseases。
6。Whensummerislikespring,muchsweatingmaybeexpectedinfevers。
7。Acutediseasesoccurindroughts;andifthesummerbeparticularlysuch,accordingtotheconstitutionwhichithasgiventotheyear,forthemostpartsuchdiseasesmaybeexpected。
8。Inseasonswhichareregular,andfurnishtheproductionsoftheseasonattheseasonabletime,thediseasesareregular,andcomereadilytoacrisis;butininconstantseasons,thediseasesareirregular,andcometoacrisiswithdifficulty。
9。Inautumn,diseasesaremostacute,andmostmortal,onthewhole。Thespringismosthealthy,andleastmortal。
10。Autumnisabadseasonforpersonsinconsumption。
11。Withregardtotheseasons,ifthewinterbeofadryandnortherlycharacter,andthespringrainyandsoutherly,insummertherewillnecessarilybeacutefevers,ophthalmies,anddysenteries,especiallyinwomen,andinmenofahumidtemperament。
12。Ifthebutthespringdryandnortherly,womenwhosetermofdeliveryshouldbeinspring,haveabortionsfromanyslightcause;
andthosewhoreachtheirfulltime,bringforthchildrenwhoarefeeble,anddiseased,sothattheyeitherdiepresently,or,iftheylive,arepunyandunhealthy。Otherpeoplearesubjecttodysenteriesandophthalmies,andoldmentocatarrhs,whichquicklycutthemoff。
13。Ifthesummerbedryandnortherlyandtheautumnrainyandsoutherly,headachesoccurinwinter,withcoughs,hoarsenesses,coryzae,andinsomecasesconsumptions。
14。Butiftheautumnbenortherlyanddry,itagreeswellwithpersonsofahumidtemperament,andwithwomen;butotherswillbesubjecttodryophthalmies,acutefevers,coryzae,andinsomecasesmelancholy。
15。Oftheconstitutionsoftheyear,thedry,uponthewhole,aremorehealthythantherainy,andattendedwithlessmortality。
16。Thediseaseswhichoccurmostfrequentlyinrainyseasonsare,protractedfevers,fluxesofthebowels,mortifications,epilepsies,apoplexies,andquinsies;andindry,consumptivediseases,ophthalmies,arthriticdiseases,stranguries,anddysenteries。
17。Withregardtothestatesoftheweatherwhichcontinuebutforaday,thatwhichisnortherly,bracesthebody,givingittone,agility,andcolor,improvesthesenseofhearing,driesupthebowels,pinchestheeyes,andaggravatesanypreviouspainwhichmayhavebeenseatedinthechest。Butthesoutherlyrelaxesthebody,andrendersithumid,bringsondullnessofhearing,heavinessofthehead,andvertigo,impairsthemovementsoftheeyesandthewholebody,andrendersthealvinedischargeswatery。
18。Withregardtotheseasons,inspringandinthecommencementofsummer,childrenandthosenexttotheminagearemostcomfortable,andenjoybesthealth;insummerandduringacertainportionofautumn,oldpeople;duringtheremainderoftheautumnandinwinter,thoseoftheintermediateages。
19。Alldiseasesoccuratallseasonsoftheyear,butcertainofthemaremoreapttooccurandbeexacerbatedatcertainseasons。
20。Thediseasesofspringare,maniacal,melancholic,andepilepticdisorders,bloodyflux,quinsy,coryza,hoarseness,cough,leprosy,lichenalphos,exanthematamostlyendinginulcerations,tubercles,andarthriticdiseases。
21。Ofsummer,certainofthese,andcontinued,ardent,andtertianfevers,mostespeciallyvomiting,diarrhoea,ophthalmy,painsoftheears,ulcerationsofthemouth,mortificationsoftheprivyparts,andthesudamina。
22。Ofautumn,mostofthesummer,quartan,andirregularfevers,enlargedspleen,dropsy,phthisis,strangury,lientery,dysentery,sciatica,quinsy,asthma,ileus,epilepsy,maniacalandmelancholicdisorders。
23。Ofwinter,pleurisy,pneumonia,coryza,hoarseness,cough,painsofthechest,painsoftheribsandloins,headache,vertigo,andapoplexy。
24。Inthedifferentagesthefollowingcomplaintsoccur:tolittleandnew—bornchildren,aphthae,vomiting,coughs,sleeplessness,frightsinflammationofthenavel,waterydischargesfromtheears。
25。Attheapproachofdentition,pruritusofthegums,fevers,convulsions,diarrhoea,especiallywhencuttingthecanineteeth,andinthosewhoareparticularlyfat,andhaveconstipatedbowels。
26。Topersonssomewhatolder,affectionsofthetonsils,incurvationofthespineatthevertebranexttheocciput,asthma,calculus,roundworms,ascarides,acrochordon,satyriasmus,struma,andothertubercles(phymata),butespeciallytheaforesaid。
27。Topersonsofamoreadvancedage,andnowonthevergeofmanhood,themostofthesediseases,and,moreover,morechronicfevers,andepistaxis。
28。Youngpeopleforthemostparthaveacrisisintheircomplaints,someinfortydays,someinsevenmonths,someinsevenyears,someattheapproachtopuberty;andsuchcomplaintsofchildrenasremain,anddonotpassawayaboutpuberty,orinfemalesaboutthecommencementofmenstruation,usuallybecomechronic。
29。Topersonspastboyhood,haemoptysis,phthisis,acutefevers,epilepsy,andotherdiseases,butespeciallytheaforementioned。
30。Topersonsbeyondthatage,asthma,pleurisy,pneumonia,lethargy,phrenitis,ardentfevers,chronicdiarrhoea,cholera,dysentery,lientery,hemorrhoids。
31。Tooldpeopledyspnoea,catarrhsaccompaniedwithcoughs,dysuria,painsofthejoints,nephritis,vertigo,apoplexy,cachexia,pruritusofthewholebody,insomnolency,defluxionsofthebowels,oftheeyes,andofthenose,dimnessofsight,cataract(glaucoma),anddullnessofhearing。
SECTIONIV。
1。Wemustpurgepregnantwomen,ifmattersbeturgid(inastateoforgasm?),fromthefourthtotheseventhmonth,butlessfreelyinthelatter;inthefirstandlaststagesofpregnancyitshouldbeavoided。
2。Inpurgingweshouldbringawaysuchmattersfromthebodyasitwouldbeadvantageoushadtheycomeawayspontaneously;butthoseofanoppositecharactershouldbestopped。
3。Ifthematterswhicharepurgedbesuchasshouldbepurged,itisbeneficialandwellborne;butifthecontrary,withdifficulty。
4。Weshouldratherpurgeupwardinsummer,anddownwardinwinter。
5。Aboutthetimeofthedog—days,andbeforeit,theadministrationofpurgativesisunsuitable。
6。Leanpersonswhoareeasilymadetovomitshouldbepurgedupward,avoidingthewinterseason。
7。Personswhoaredifficulttovomit,andaremoderatelyfat,shouldbepurgeddownward,avoidingthesummerseason。
8。Wemustbeguardedinpurgingphthisicalpersonsupward。
9。Andfromthesamemodeofreasoning,applyingtheoppositeruletomelancholicpersons,wemustpurgethemfreelydownward。
10。Inveryacutediseases,ifmattersbeinastateoforgasm,wemaypurgeonthefirstday,foritisabadthingtoprocrastinateinsuchcases。
11。Thosecasesinwhichtherearetormina,painsabouttheumbilicus,andpainsabouttheloins,notremovedeitherbypurgativemedicinesorotherwise,usuallyterminateindrydropsy。
12。Itisabadthingtopurgeupwardinwinterpersonswhosebowelsareinastateoflientery。
13。Personswhoarenoteasilypurgedupwardbythehellebores,shouldhavetheirbodiesmoistenedbyplentyoffoodandrestbeforetakingthedraught。
14。Whenonetakesadraughtofhellebore,oneshouldbemadetomovemoreabout,andindulgelessinsleepandrepose。Sailingontheseashowsthatmotiondisordersthebody。
15。Whenyouwishthehelleboretoactmore,movethebody,andwhentostop,letthepatientgetsleepandrest。
16。Helleboreisdangeroustopersonswhosefleshissound,foritinducesconvulsion。
17。Anorexia,heartburn,vertigo,andabittertasteofthemouth,inapersonfreefromfever,indicatethewantofpurgingupward。
18。Painsseatedabovethediaphragmindicatepurgingupward,andthosebelowit,downward。
19。Personswhohavenothirstwhileundertheactionofapurgativemedicine,donotceasefrombeingpurgeduntiltheybecomethirsty。
20。Ifpersonsfreefromfeverbeseizedwithtormina,heavinessoftheknees,andpainsoftheloins,thisindicatesthatpurgingdownwardisrequired。
21。Alvinedejectionswhichareblack,likeblood,takingplacespontaneously,eitherwithorwithoutfever,areverybad;andthemorenumerousandunfavorablethecolors,somuchtheworse;whenwithmedicineitisbetter,andavarietyofcolorsinthiscaseisnotbad。
22。Whenblackbileisevacuatedinthebeginningofanydiseasewhatever,eitherupwardordownward,itisamortalsymptom。
23。Inpersonsattenuatedfromanydisease,whetheracuteorchronic,orfromwounds,oranyothercause,iftherebeadischargeeitherofblackbile,orresemblingblackblood,theydieonthefollowingday。
24。Dysentery,ifitcommencewithblackbile,ismortal。
25。Blooddischargedupward,whateverbeitscharacter,isabadsymptom,butdownwarditis(more?)favorable,andsoalsoblackdejections。
26。Ifinapersonillofdysentery,substancesresemblingfleshbedischargedfromthebowels,itisamortalsymptom。
27。Inwhatevercasesoffeverthereisacopioushemorrhagefromwhateverchannel,thebowelsareinaloosestateduringconvalescence。
28。Inallcaseswhatever,biliousdischargesceaseifdeafnesssupervenes,andinallcasesdeafnessceaseswhenbiliousdischargessupervene。
29。Rigorswhichoccuronthesixthdayhaveadifficultcrisis。
30。Diseasesattendedwithparoxysms,ifatthesamehourthatthefeverleavesitreturnagainnextday,areofdifficultcrisis。
31。Infebrilediseasesattendedwithasenseoflassitude,depositsformaboutthejoints,andespeciallythoseofthejaws。
32。Inconvalescentsfromdiseases,ifanypartbepained,theredepositsareformed。
33。Butifanypartbeinapainfulstateprevioustotheillness,therethediseasefixes。
34。Ifapersonlaboringunderafever,withoutanyswellinginthefauces,beseizedwithasenseofsuffocationsuddenly,itisamortalsymptom。
35。Ifinapersonwithfever,thebecomesuddenlydistorted,andhecannotswallowunlesswithdifficulty,althoughnoswellingbepresent,itisamortalsymptom。
36。Sweats,infebrilediseases,arefavorable,iftheysetinonthethird,fifth,seventh,ninth,eleventh,fourteenth,seventeenth,twenty—first,twenty—seventh,andthirty—fourthday,forthesesweatsproveacrisistothedisease;butsweatsnotoccurringthus,indicatepain,aprotracteddisease,andrelapses。
37。Coldsweatsoccurringwithanacutefever,indicatedeath;andalongwithamilderone,aprotracteddisease。
38。Andinwhateverpartofthebodythereisasweat,itshowsthatthediseaseisseatedthere。
39。Andinwhateverpartofthebodyheatorcoldisseated,thereisdisease。
40。Andwherevertherearechangesinthewholebody,andifthebodybealternatelycoldandhot,orifonecolorsucceedanother,thisindicatesaprotracteddisease。
41。Acopioussweataftersleepoccuringwithoutanymanifestcause,indicatesthatthebodyisusingtoomuchfood。Butifitoccurwhenoneisnottakingfood,itindicatesthatevacuationisrequired。
42。Acopioussweat,whetherhotorcold,flowingcontinuously,indicates,thecoldagreater,andthehotalesserdisease。
43。Fevers,notoftheintermittenttype,whichareexacerbatedonthethirdday,aredangerous;butiftheyintermitinanyform,thisindicatesthattheyarenotdangerous。
44。Incasesattendedwithprotractedfevers,tubercles(phymata)orpainsoccuraboutthejoints。
45。Whentubercles(phymata)orpainsattackthejointsafterfevers,suchpersonsareusingtoomuchfood。
46。Ifinafevernotoftheintermittenttypearigorseizeapersonalreadymuchdebilitated,itismortal。
47。Infeversnotoftheintermittenttype,expectorationswhicharelividbloody,fetidandbilious,areallbad;butifevacuatedproperly,theyarefavorable。Soitiswiththealvineevacuationsandtheurine。Butifnoneoftheproperexcretionstakeplacebythesechannels,itisbad。
48。Infeversnotoftheintermittenttype,iftheexternalpartsbecold,buttheinternalbeburntup,andiftherebethirst,itisamortalsymptom。
49。Inafevernotoftheintermittenttype,ifalip,aneye—brow,aneye,orthenose,bedistorted;oriftherebelossofsightorofhearing,andthepatientbeinaweakstate—whateverofthesesymptomsoccur,deathisathand。
50。Apostemesinfeverswhicharenotresolvedatthefirstcrisis,indicateaprotracteddisease。
51。Wheninafevernotoftheintermittenttypedyspnoeaanddeliriumcomeon,thecaseismortal。
52。Whenpersonsinfevers,orinotherillnesses,shedtearsvoluntarily,itisnothingoutofplace;butwhentheyshedtearsinvoluntarily,itismoreso。
53。Inwhatevercasesoffeververyviscidconcretionsformabouttheteeth,thefeversturnouttobeparticularlystrong。
54。Inwhatevercaseofardentfeverdrycoughsofaticklingnaturewithslightexpectorationarelongprotracted,thereisusuallynotmuchthirst。
55。Allfeverscomplicatedwithbuboesarebad,exceptephemerals。
56。Sweatsuperveninginacaseofthefeverceasing,isbad,forthediseaseisprotracted,anditindicatesmorecopioushumors。
57。Feversuperveninginacaseofconfirmedspasm,oroftetanus,removesthedisease。
58。Arigorsuperveninginacaseofardentfever,producesresolutionofit。
59。Atruetertiancomestoacrisisinsevenperiodsatfurthest。
60。Wheninfeversthereisdeafness,ifbloodrunfromthenostrils,orthebowelsbecomedisordered,itcarriesoffthedisease。
61。Inafebrilecomplaint,ifthefeverdonotleaveontheodddays,itrelapses。
62。Whenjaundicesupervenesinfeversbeforetheseventhday,itabadsymptom,unlesstherebewaterydischargesfromthebowels。
63。Inwhatevercasesoffeverrigorsoccurduringtheday,thefeverscometoaresolutionduringtheday。
64。Whenincasesoffeverjaundiceoccursontheseventh,theninth,theeleventh,orthefourteenthday,itisagoodsymptom,providedthehypochondriacregionbenothard。Otherwiseitisnotagoodsymptom。
65。Astrongheataboutthestomachandcardialgiaarebadsymptomsinfevers。
66。Inacutefevers,spasms,andstrongpainsaboutthebowelsarebadsymptoms。
67。Infevers,frightsaftersleep,orconvulsions,areabadsymptom。
68。Infevers,astoppageoftherespirationisabadsymptom,foritindicatesconvulsions。
69。Whentheurineisthick,grumoss,andscantyincasesnotfreefromfeveracopiousdischargeofthinnerurineprovesbeneficial。
Suchadischargemorecommonlytakesplacewhentheurinehashadasedimentfromthefirst,orsoonafterthecommencement。
70。Wheninfeverstheurineisturbid,likethatofabeastofburden,insuchacasethereeitherisorwillbeheadache。
71。Incaseswhichcometoacrisisontheseventhday,theurinehasarednubeculaonthefourthday,andtheothersymptomsaccordingly。
72。Whentheurineistransparentandwhite,itisbad;itappearsprincipallyincasesofphrenitis。
73。Whenthehypochondriacregionisaffectedwithmeteorismandborborygmi,shouldpainoftheloinssupervene,thebowelsgetintoalooseandwaterystate,unlesstherebeaneruptionofflatusoracopiousevacuationofurine。Thesethingsoccurinfevers。
74。Whenthereisreasontoexpectthatanabscesswillforminjoints,theabscessiscarriedoffbyacopiousdischargeofurine,whichisthick,andbecomeswhite,likewhatbeginstoformincertaincasesofquartanfever,attendedwithasenseoflassitude。Itisalsospeedilycarriedoffbyahemorrhagefromthenose。
75。Bloodorpusintheurineindicatesulcerationeitherofthekidneysorofthebladder。
76。Whensmallfleshysubstanceslikehairsaredischargedalongwiththickurine,thesesubstancescomefromthekidneys。
77。Inthosecaseswheretherearefurfuraceousparticlesdischargedalongwiththickurine,thereisscabiesofthebladder。
78。Inthosecaseswherethereisaspontaneousdischargeofbloodyurine,itindicatesruptureofasmallveininthekidneys。
79。Inthosecaseswherethereisasandysedimentintheurine,thereiscalculusinthebladder(orkidneys)。
80。Ifapatientpassbloodandclotsinhisurine,andhavestrangury,andifapainseizethehypogastricregionandperineum,thepartsaboutthebladderareaffected。
81。Ifapatientpassblood,pus,andscales,intheurine,andifithaveaheavysmell,ulcerationofthebladderisindicated。
82。Whentuberclesformintheurethra,ifthesesuppurateandburst,thereisrelief。
83。Whenmuchurineispassedduringthenight,itindicatesthatthealvineevacuationsarescanty。
SECTIONV。
1。Aspasmfromtakinghelleboreisofafatalnature。
2。Spasmsuperveningonawoundisfatal。
3。Aconvulsion,orhiccup,superveningonacopiousdischargeofbloodisbad。
4。Aconvulsion,orhiccup,superveninguponhypercatharsisisbad。
5。Ifadrunkenpersonsuddenlylosehisspeech,hewilldieconvulsed,unlessfevercomeon,orherecoverhisspeechatthetimewhentheconsequencesofadebauchpassoff。
6。Suchpersonsasareseizedwithtetanusdiewithinfourdays,oriftheypassthesetheyrecover。
7。Thosecasesofepilepsywhichcomeonbeforepubertymayundergoachange;butthosewhichcomeonaftertwenty—fiveyearsofage,forthemostpartterminateindeath。
8。Inpleuriticaffections,whenthediseaseisnotpurgedoffinfourteendays,itusuallyterminatesinempyema。
9。Phthisismostcommonlyoccursbetweentheagesofeighteenandthirty—fiveyears。
10。Personswhoescapeanattackofquinsy,andwhenthediseaseisturneduponthelungs,dieinsevendays;oriftheypassthesetheybecomeaffectedwithempyema。
11。Inpersonsaffectedwithphthisis,ifthesputawhichtheycoughuphaveaheavysmellwhenpoureduponcoals,andifthehairsoftheheadfalloff,thecasewillprovefatal。
12。Phthisicalpersons,thehairsofwhoseheadfalloff,dieifdiarrhoeasetin。
第1章