第1章
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  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。

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