on the sacred disease-第3章
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contracted; the blood stopping and not being diffused; as it was wont;
and the eyes are distorted owing to the veins being excluded from
the air; and they palpitate; and froth from the lungs issues by the
mouth。 For when the breath does not find entrance to him; he foams and
sputters like a dying person。 And the bowels are evacuated in
consequence of the violent suffocation; and the suffocation is
produced when the liver and stomach ascend to the diaphragm; and the
mouth of the stomach is shut up; this takes place when the breath does
not enter by the mouth; as it is wont。 The patient kicks with his feet
when the air is shut up in the lungs and cannot find an outlet;
owing to the phlegm; and rushing by the blood upward and downward;
it occasions convulsions and pain; and therefore he kicks with his
feet。 All these symptoms he endures when the cold phlegm passes into
the warm blood; for it congeals and stops the blood。 And if the
deflexion be copious and thick; it immediately proves fatal to him;
for by its cold it prevails over the blood and congeals it; or; if
it be less; it in the first place obtains the mastery; and stops the
respiration; and then in the course of time; when it is diffused along
the veins and mixed with much warm blood; it is thus overpowered;
the veins receive the air; and the patient recovers his senses。
Of little children who are seized with this disease; the greater
part die; provided the defluxion be copious and humid; for the veins
being slender cannot admit the phlegm; owing to its thickness and
abundance; but the blood is cooled and congealed; and the child
immediately dies。 But if the phlegm be in small quantity; and make a
defluxion into both the veins; or to those on either side; the
children survive; but exhibit notable marks of the disorder; for
either the mouth is drawn aside; or an eye; the neck; or a hand;
wherever a vein being filled with phlegm loses its tone; and is
attenuated; and the part of the body connected with this vein is
necessarily rendered weaker and defective。 But for the most it affords
relief for a longer interval; for the child is no longer seized with
these attacks; if once it has contracted this impress of the
disease; in consequence of which the other veins are necessarily
affected; and to a certain degree attenuated; so as just to admit
the air; but no longer to permit the influx of phlegm。 However; the
parts are proportionally enfeebled whenever the veins are in an
unhealthy state。 When in striplings the defluxion is small and to
the right side; they recover without leaving any marks of the disease;
but there is danger of its becoming habitual; and even increasing if
not treated by suitable remedies。 Thus; or very nearly so; is the case
when it attacks children。
To persons of a more advanced age; it neither proves fatal; nor
produces distortions。 For their veins are capacious and are filled
with hot blood; and therefore the phlegm can neither prevail nor
cool the blood; so as to coagulate it; but it is quickly overpowered
and mixed with the blood; and thus the veins receive the air; and
sensibility remains; and; owing to their strength; the aforesaid
symptoms are less likely to seize them。 But when this disease
attacks very old people; it therefore proves fatal; or induces
paraplegia; because the veins are empty; and the blood scanty; thin;
and watery。 When; therefore; the defluxion is copious; and the
season winter; it proves fatal; for it chokes up the exhalents; and
coagulates the blood if the defluxion be to both sides; but if to
either; it merely induces paraplegia。 For the blood being thin;
cold; and scanty; cannot prevail over the but being itself
overpowered; it is coagulated; so that those parts in which the
blood is corrupted; lose their strength。
The flux is to the right rather than to the left because the veins
there are more capacious and numerous than on the left side; for on
the one side they spring from the liver; and on the other from the
spleen。 The defluxion and melting down take place most especially in
the case of children in whom the head is heated either by the sun or
by fire; or if the brain suddenly contract a rigor; and then the
phlegm is excreted。 For it is melted down by the heat and diffusion of
the but it is excreted by the congealing and contracting of it; and
thus a defluxion takes place。 And in some this is the cause of the
disease; and in others; when the south wind quickly succeeds to
northern breezes; it suddenly unbinds and relaxes the brain; which
is contracted and weak; so that there is an inundation of phlegm;
and thus the defluxion takes place。 The defluxion also takes place
in consequence of fear; from any hidden cause; if we are the at any
person's calling aloud; or while crying; when one cannot quickly
recover one's breath; such as often happens to children。 When any of
these things occur; the body immediately shivers; the person
becoming speechless cannot draw his breath; but the breath (pneuma)
stops; the brain is contracted; the blood stands still; and thus the
excretion and defluxion of the phlegm take place。 In children; these
are the causes of the attack at first。 But to old persons winter is
most inimical。 For when the head and brain have been heated at a great
fire; and then the person is brought into cold and has a rigor; or
when from cold he comes into warmth; and sits at the fire; he is apt
to suffer in the same way; and thus he is seized in the manner
described above。 And there is much danger of the same thing occurring;
if his head be exposed to the sun; but less so in summer; as the
changes are not sudden。 When a person has passed the twentieth year of
his life; this disease is not apt to seize him; unless it has become
habitual from childhood; or at least this is rarely or never the case。
For the veins are filled with blood; and the brain consistent and
firm; so that it does not run down into the veins; or if it do; it
does not master the blood; which is copious and hot。
But when it has gained strength from one's childhood; and become
habitual; such a person usually suffers attacks; and is seized with
them in changes of the winds; especially in south winds; and it is
difficult of removal。 For the brain becomes more humid than natural;
and is inundated with phlegm; so that the defluxions become more
frequent; and the phlegm can no longer be the nor the brain be dried
up; but it becomes wet and humid。 This you may ascertain in
particular; from beasts of the flock which are seized with this
disease; and more especially goats; for they are most frequently
attacked with it。 If you will cut open the head; you will find the
brain humid; full of sweat; and having a bad smell。 And in this way
truly you may see that it is not a god that injures the body; but
disease。 And so it is with man。 For when the disease has prevailed for
a length of time; it is no longer curable; as the brain is corroded by
the phlegm; and melted; and what is melted down becomes water; and
surrounds the brain externally; and overflows it; wherefore they are
more frequently and readily seized with the disease。 And therefore the
disease is protracted; because the influx is thin; owing to its
quantity; and is immediately overpowered by the blood and heated all
through。
But such persons as are habituated to the disease know beforehand
when they are about to be seized and flee from men; if their own house
be at hand; they run home; but if not; to a deserted place; where as
few persons as possible will see them falling; and they immediately
cover themselves up。 This they do from shame of the affection; and not
from fear of the divinity; as many suppose。 And little children at
first fall down wherever they may happen to be; from inexperience。 But
when they have been often seized; and feel its approach beforehand;
they flee to their mothers; or to any other person they are acquainted
with; from terror and dread of the affection; for being still
infants they do not know yet what it is to be ashamed。