首页 >出版文学> APHORISMS>第1章

第1章

  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。