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第5章

the book of prognostics-第5章

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occurring; and not on the critical days; in such cases a relapse may

be anticipated。 When any of the fevers is protracted; although the man

exhibits symptoms of recovery; and there is no longer pain from any

inflammation; nor from any other visible cause; in such a case a

deposit; with swelling and pain; may be expected in some one of the

joints; and not improbably in those below。 Such deposits occur more

readily and in less time to persons under thirty years of age; and one

should immediately suspect the formation of such a deposit; if the

fever be protracted beyond twenty days; but to aged persons these less

seldom happen; and not until the fever be much longer protracted。 Such

a deposit may be expected; when the fever is of a continual type;

and that it will pass into a quartan; if it become intermittent; and

its paroxysms come on in an irregular manner; and if in this form it

approach autumn。 As deposits form most readily in persons below thirty

years of age; so quartans most commonly occur to persons beyond that

age。 It is proper to know that deposits occur most readily in

winter; that then they are most protracted; but are less given to

return。 Whoever; in a fever that is not of a fatal character; says

that he has pain in his head; and that something dark appears to be

before his eyes; and that he has pain at the stomach; will be seized

with vomiting of bile; but if rigor also attack him; and the

inferior parts of the hypochondrium are cold; vomiting is still nearer

at hand; and if he eat or drink anything at such a season; it will

be quickly vomited。 In these cases; when the pain commences on the

first day; they are particularly oppressed on the fourth and the

fifth; and they are relieved on the seventh; but the greater part of

them begin to have pain on the third day; and are most especially

tossed on the fifth; but are relieved on the ninth or eleventh; but in

those who begin to have pains on the fifth day; and other matters

proceed properly with them; the disease comes to a crisis on the

fourteenth day。 But when in such a fever persons affected with

headache; instead of having a dark appearance before their eyes;

have dimness of vision; or flashes of light appear before their

eyes; and instead of pain at the pit of the stomach; they have in

their hypochondrium a fullness stretching either to the right or

left side; without either pain or inflammation; a hemorrhage from

the nose is to be expected in such a case; rather than a vomiting。 But

it is in young persons particularly that the hemorrhage is to be

expected; for in persons beyond the age of thirty…five; vomitings

are rather to be anticipated。 Convulsions occur to children if acute

fever be present; and the belly be they cannot sleep; are agitated;

and moan; and change color; and become green; livid; or ruddy。 These

complaints occur most readily to children which are very young up to

their seventh year; older children and adults are not equally liable

to be seized with convulsions in fevers; unless some of the

strongest and worst symptoms precede; such as those which occur in

frenzy。 One must judge of children as of others; which will die and

which recover; from the whole of the symptoms; as they have been

specially described。 These things I say respecting acute diseases; and

the affections which spring from them。

  25。 He who would correctly beforehand those that will recover; and

those that will die; and in what cases the disease will be

protracted for many days; and in what cases for a shorter time; must

be able to form a judgment from having made himself acquainted with

all the symptoms; and estimating their powers in comparison with one

another; as has been described; with regard to the others; and the

urine and sputa; as when the patient coughs up pus and pus and bile

together。 One ought also to consider promptly the influx of epidemical

diseases and the constitution of the season。 One should likewise be

well acquainted with the particular signs and the other symptoms;

and not be ignorant how that; in every year; and at every season;

bad symptoms prognosticate ill; and favorable symptoms good; since the

aforesaid symptoms appear to have held true in Libya; in Delos; and in

Scythia; from which it may be known that; in the same regions; there

is no difficulty in attaining a knowledge of many more things than

these; if having learned them; one knows also how to judge and

reason correctly of them。 But you should not complain because the name

of any disease may happen not to be described here; for you may know

all such as come to a crisis in the aforementioned times; by the

same symptoms。



                           …THE END…




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