on regimen in acute diseases-第10章

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veins　are　obstructed　by　melancholic　humors；　venesection　will　afford
relief。　But　when；　on　the　other　hand；　the　anterior　tendons　are　strongly
contracted；　and　if　there　be　sweats　about　the　neck　and　face；　extorted
by　the　violent　pain　of　the　parched　and　dried　tendons　of　the　sacral
extremity　（these　are　very　thick；　sustaining　the　spine；　and　giving　rise
to　very　great　ligaments；　which　terminate　in　the　feet；）　in　such　a　case；
unless　fever　and　sleep　come　on；　followed　by　concocted　urine　and
critical　sweats；　give　to　drink　a　strong　Cretan　wine；　and　boiled
barley…meal　for　food；　anoint　and　rub　with　ointments　containing　wax；
bathe　the　legs　and　feet　in　hot　water；　and　then　cover　them　up；　and　so
in　like　manner　the　arms；　as　far　as　the　hands；　and　the　spine；　from
the　neck　to　the　sacrum；　are　to　be　wrapped　in　a　skin　smeared　with
wax；　this　must　extend　to　the　parts　beyond；　and　intervals　are　to　be
left　for　applying　fomentations；　by　means　of　leather　bottles　filled
with　hot　water；　then；　wrapping　him　up　in　a　linen　cloth；　lay　him　down
in　bed。　Do　not　open　the　bowels；　unless　by　means　of　a　suppository；　when
they　have　been　long　of　being　moved。　If　there　be　any　remission　of　the
disease；　so　far　well；　but　otherwise；　pound　of　the　root　of　bryonia　in
fragrant　wine；　and　that　of　the　carrot；　and　give　to　the　patient　fasting
early　in　the　morning；　before　using　the　affusion；　and　immediately
afterwards　let　him　eat　boiled　barley…meal　in　a　tepid　state；　and　as
much　as　he　can　take；　and　in　addition　let　him　drink；　if　he　will；　wine
well　diluted。　If　the　disease　yield　to　these　means；　so　much　the　better；
but；　if　otherwise；　you　must　prognosticate　accordingly。
　　15。　All　diseases　are　resolved　either　by　the　mouth；　the　bowels；　the
bladder；　or　some　other　such　organ。　Sweat　is　a　common　form　of
resolution　in　all　these　cases。
　　16。　You　should　put　persons　on　a　course　of　hellebore　who　are　troubled
with　a　defluxion　from　the　head。　But　do　not　administer　hellebore　to
such　persons　as　are　laboring　under　empyema　connected　with　abscesses；
haemoptysis；　and　intemperament；　or　any　other　strong　cause；　for　it　will
do　no　good；　and　if　any　thing　unpleasant　occur　the　hellebore　will　get
the　blame　of　it。　But　if　the　body　have　suddenly　lost　its　powers；　or
if　there　be　pain　in　the　head；　or　obstruction　of　the　ears　and　nose；
or　ptyalism；　or　heaviness　of　the　limbs；　or　an　extraordinary　swelling
of　the　body；　you　may　administer　the　hellebore；　provided　these　symptoms
be　not　connected　with　drinking；　nor　with　immoderate　venery；　nor　with
sorrow；　vexation；　nor　insomnolency；　for；　if　any　of　these　causes　exist；
the　treatment　must　have　respect　to　it。
　　17。　From　walking　arise　pains　of　the　sides；　of　the　back；　of　the
loins；　and　of　the　hip…joint；　and　disorder　of　the　respiration　has　often
been　from　the　same　cause；　for；　after　excesses　of　wine　and　flatulent
food；　pains　shoot　to　the　loins　and　hips；　accompanied　with　dysuria。
Walking　is　the　cause　of　such　complaints；　and　also　of　coryza　and
hoarseness。
　　18。　Disorders　connected　with　regimen；　for　the　most　part；　make
their　attack　accordingly　as　any　one　has　changed　his　habitual　mode　of
diet。　For　persons　who　dine　contrary　to　custom　experience　much　swelling
of　the　stomach；　drowsiness；　and　fullness；　and　if　they　take　supper　over
and　above；　their　belly　is　disordered；　such　persons　will　be　benefited
by　sleeping　after　taking　the　bath；　and　by　walking　slowly　for　a
considerable　time　after　sleep；　if；　then；　the　bowels　be　moved；　he　may
dine　and　drink　a　small　quantity　of　wine　not　much　diluted；　but　if　the
bowels　are　not　opened；　he　should　get　his　body　rubbed　with　hot　oil；
and；　if　thirsty；　drink　of　some　weak　and　white　wine；　or　a　sweet　wine；
and　take　repose；　if　he　does　not　sleep　he　should　repose　the　longer。
In　other　respects　he　should　observe　the　regimen　laid　down　for　those
who　have　taken　a　debauch。　With　regard　to　the　bad　effects　of　drinks；
such　as　are　of　a　watery　nature　pass　more　slowly　through　the　body；　they
regurgitate；　as　it　were；　and　float　about　the　hypochondria；　and　do
not　flow　readily　by　urine；　when　filled　up　with　such　a　drink；　he　should
not　attempt　any　violent　exertion；　requiring　either　strength　or
swiftness；　but　should　rest　as　much　as　possible　until　the　drink　has
been　digested　along　with　the　food；　but　such　drinks　as　are　stronger
or　more　austere；　occasion　palpitation　in　the　body　and　throbbing　in　the
head；　and　in　this　case　the　person　affected　will　do　well　to　sleep；
and　take　some　hot　draught　for　which　he　feels　disposed；　for
abstinence　is　bad　in　headache　and　the　effects　of　a　surfeit。　Those　who；
contrary　to　usage；　restrict　themselves　to　one　meal；　feel　empty　and
feeble；　and　pass　hot　urine　in　consequence　of　the　emptiness　of　their
vessels；　they　have　a　salt　and　bitter　taste　in　the　mouth；　they
tremble　at　any　work　they　attempt；　their　temples　throb；　and　they　cannot
digest　their　supper　so　well　as　if　they　had　previously　taken　their
dinner。　Such　persons　should　take　less　supper　than　they　are　wont；　and　a
pudding　of　barley…meal　more　moist　than　usual　instead　of　bread；　and
of　potherbs　the　dock；　or　mallow；　and　ptisan；　or　beets；　and　along
with　the　food　they　should　take　wine　in　moderation；　and　diluted　with
water；　after　supper　they　should　take　a　short　walk；　until　the　urine
descend　and　be　passed；　and　they　may　use　boiled　fish。
　　Articles　of　food　have　generally　such　effects　as　the　following：
Garlic　occasions　flatulence　and　heat　about　the　chest；　heaviness　of　the
head；　and　nausea；　and　any　other　habitual　pain　is　apt　to　be　exasperated
by　it；　it　is　diuretic；　which；　in　so　far；　is　a　good　property　which　it
possesses；　but　to　eat　it　when　one　means　to　drink　to　excess；　or　when
intoxicated。　Cheese　produces　flatulence　and　constipation；　and　heats
the　other　articles　of　food；　and　it　gives　rise　to　crudities　and
indigestion；　but　it　is　worst　of　all　to　eat　it　along　with　drink　after　a
full　meal。　Pulse　of　all　kinds　are　flatulent；　whether　raw；　boiled；　or
fried；　least　so　when　macerated　in　water；　or　in　a　green　state；　they
should　not　be　used　except　along　with　food　prepared　from　the
cerealia。　Each　of　these　articles；　articles；　however；　has　bad　effects
peculiar　to　itself。　The　vetch；　whether　raw　or　boiled；　creates
flatulence　and　pain。　The　lentil　is　astringent；　and　disorders　the
stomach　if　taken　with　its　hull。　The　lupine　has　the　fewest　bad
effects　of　all　these　things。　The　stalk　and　the　juice　of　silphium
（asafoetida）；　pass　through　some　people's　bowels　very　readily；　but　in
others；　not　accustomed　to　them；　they　engender　what　is　called　dry
cholera；　this　complaint　is　more　especially　produced　by　it　if　mixed
with　much　cheese；　or　eaten　along　with　beef。　Melancholic　diseases　are
most　particularly　exacerbated　by　beef；　for　it　is　of　an　unmanageable
nature；　and　requires　no　ordinary　powers　of　stomach　to　digest　it；　it
will　agree　best　with　those　who　use　it　well　boiled　and　pretty　long
kept。　Goat's　flesh　has　all　the　bad　properties　of　beef；　it　is　an
indigestible；　more　flatulent　and　engenders　acid　eructations　and
cholera；　such　as　has　a　fragrant　smell；　is　firm；　and　sweet　to　the
taste；　is　the　best；　when　well　baked　and　cooled；　but　those　kinds
which　are　disagreeable　to　the　taste；　have　a　bad　smell；　and　are　hard；
such　are　particularly　bad；　and　especially　if　very　fresh；　it　is　best　in
summer　and　worst　in　autumn。　The　flesh　of　young　pigs　is　bad；　either
when　it　is　too　raw　or　when　it　is　over…roasted；　for　it　engenders　bile
and　disorders　the　bowels。　Of　all　kinds　of　flesh；　pork　is　the　best；
it　is　best　when　neither　very　fat；　nor；　on　the　other　hand；　very　lean；
and　the　animal　had　not　attained　the　age　of　what　is　reckoned　an　old
victim；　it　should　be　eaten　without　the　skin；　and　in　a　coldish　state。
　　19。　In　dry　cholera　the　belly　is　distended　with　wind；　there　is
rumbling　in　the　bowels；　pain　in　the　sides　and　loins；　no　dejections；
but；　on　the　contrary；　the　bowels　are　constipated。　In　such　a　case　you
should　guard　against　vomiting；　but　endeavor　to　get　the　bowels
opened。　As　quickly　as　possible　give　a　clyster　of　hot　water　with　plenty
of　oil　in　it；　and　having　rubbed　the　patient　freely　with　unguents；
put　him　into　hot　water；　laying　him　down　in　the　basin；　and　pouring
the　hot　water　upon　him　by　degrees；　and　if；　when　heated　in　the　bath；
the　bowels　be　moved；　he　will　be　freed　from　the　complaint。　To　a
person　in　such　a　c