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第11章

on regimen in acute diseases-第11章

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the bowels be moved; he will be freed from the complaint。 To a
person in such a complaint it will do good if he sleep; and drink a
thin; old; and strong wine; and you should give him oil; so that he
may settle; and have his bowels moved; when he will be relieved。 He
must abstain from all other kinds of food; but when the pain remits;
give him asses milk to drink until he is purged。 But if the bowels are
loose; with bilious discharges; tormina; vomitings; a feeling of
suffocation; and gnawing pains; it is best to enjoin repose; and to
drink hydromel; and avoid vomiting。
  20。 There are two kinds of dropsy; the one anasarca; which; when
formed; is incurable; the other is accompanied with emphysema
(tympanites?) and requires much good fortune to enable one to
triumph over it。 Laborious exertion; fomentation; and abstinence
(are to be enjoined)。 The patient should eat dry and acrid things; for
thus will he pass the more water; and his strength be kept up。 If he
labors under difficulty of breathing; if it is the summer season;
and if he is in the prime of life; and is strong; blood should be
abstracted from the arm; and then he should eat hot pieces of bread;
dipped in dark wine and oil; drink very little; and labor much; and
live on well…fed pork; boiled with vinegar; so that he may be able
to endure hard exercises。
  21。 Those who have the inferior intestines hot; and who pass acrid
and irregular stools of a colliquative nature; if they can bear it;
should procure revulsion by vomiting with hellebore; but if not;
should get a thick decoction of summer wheat in a cold state; lentil
soup; bread cooked with cinders; and fish; which should be taken
boiled if they have fever; but roasted if not feverish; and also
dark…colored wine if free of fever; but otherwise they should take the
water from medlars; myrtles; apples; services; dates; or wild vine。 If
there be no fever; and if there be tormina; the patient should drink
hot asses' milk in small quantity at first; and gradually increase it;
and linseed; and wheaten flour; and having removed the bitter part
of Egyptian beans; and ground them; sprinkle on the milk and drink;
and let him eat eggs half…roasted; and fine flour; and millet; and
perl…spelt (chondrus) boiled in milk;… all these things should be
eaten cold; and similar articles of food and drink should be
administered。
  22。 The most important point of regimen to observe and be guarded
about in protracted diseases; is to pay attention to the exacerbations
and remissions of fevers; so as to avoid the times when food should
not be given; and to know when it may be administered without
danger; this last season is at the greatest possible distance from the
exacerbation。
  23。 One should be able to recognize those who have headache from
gymnastic exercises; or running; or walking or hunting; or any other
unseasonable labor; or from immoderate venery; also those who are of a
pale color; or troubled with hoarseness; those who have enlarged
spleen; those who are in a state of anaemia; those who are suffering
from tympanites; those having dry cough and thirst; those who are
flatulent; and have the course of the blood in their veins
intercepted; those persons whose hypochondria; sides; and back are
distended: those having torpor; those laboring under amaurosis; or
having noises in their ears; those suffering from incontinence of
urine or jaundice; or whose food is passed undigested; those who
have discharges of blood from the nose or anus; or who have flatulence
and intense pain; and who cannot retain the wind。 In these cases you
may do mischief; but cannot possibly do any good by purging; but may
interrupt the spontaneous remissions and crises of the complaints。
  24。 If you think it expedient to let blood; see that the bowels be
previously settled; and then bleed; enjoin abstinence; and forbid
the use of wine; and complete the cure by means of a suitable regimen;
and wet fomentations。 But if the bowels appear to be constipated;
administer a soothing clyster。
  25。 If you think it necessary to give medicines; you may safely
purge upwards by hellebore; but none of those should be purged
downwards。 The most effectual mode of treatment is by the urine;
sweats; and exercise; and use gentle friction so as not to harden
the constitution; and if he be confined to bed let others rub him。
When the pain is seated above the diaphragm; place him erect for the
most part; and let him be as little reclined as possible; and when
he is raised up let him be rubbed for a considerable time with
plenty of hot oil。 But if the pains be in the lower belly below the
diaphragm; it will be useful to lie reclined and make no motion; and
to such a person nothing should be administered except the friction。
Those pains which are dissolved by discharges from the bowels; by
urine; or moderate sweats; cease spontaneously; if they are slight;
but if strong they prove troublesome; for persons so affected either
die; or at least do not recover without further mischief; for they
terminate in abscesses。
  26。 A draught for a dropsical person。 Take three cantharides; and
removing their head; feet; and wings; triturate their bodies in
three cupfuls (cyathi) of water; and when the person who has drunk the
draught complains of pain; let him have hot fomentations applied。
The patient should be first anointed with oil; should take the draught
fasting; and eat hot bread with oil。
  27。 A styptic。 Apply the juice of the fig inwardly to the vein; or
having moulded biestings into a tent; introduce up the nostril; or
push up some chalcitis with the finger; and press the cartilages of
the nostrils together; and open the bowels with the boiled milk of
asses: or having shaved the head apply cold things to it if in the
summer season。
  28。 The sesamoides purges upwards when pounded in oxymel to the
amount of a drachm and a half; and drunk; it is combined with the
hellebores; to the amount of the third part; and thus it is less apt
to produce suffocation。
  29。 Trichiasis。 Having introduced a thread into the eye of a
needle push it through the upper part of the distended eyelid; and
do the same at the base of it; having stretched the threads tie a knot
on them; and bind up until they drop out: and; if this be
sufficient; so far well; but if otherwise; you must do the same
thing again。 And hemorrhoids; in like manner; you may treat by
transfixing them with a needle and tying them with a very thick and
large woolen thread; for thus the cure will be more certain。 When
you have secured them; use a septic application; and do not foment
until they drop off; and always leave one behind; and when the patient
recovers; let him be put upon a course of hellebore。 Then let him be
exercised and sweated; the friction of the gymnasium and wrestling
in the morning will be proper; but he must abstain from running;
drinking; and all acrid substances; except marjoram; let him take an
emetic every seven days; or three times in a month; for thus will he
enjoy the best bodily health。 Let him take straw…colored; austere; and
watery wine; and use little drink。
  30。 For persons affected with empyema。 Having cut some bulbs or
squill; boil in water; and when well boiled; throw this away; and
having poured in more water; boil until it appear to the touch soft
and well…boiled; then triturate finely and mix roasted cumin; and
white sesames; and young almonds pounded in honey; form into an
electuary and give; and afterwards sweet wine。 In draughts; having
pounded about a small acetabulum of the white poppy; moisten it with
water in which summer wheat has been washed; add honey; and boil。
Let him take this frequently during the day。 And then taking into
account what is to happen; give him supper。
  31。 For dysentery。 A fourth part of a pound of cleaned beans; and
twelve shoots of madder having been triturated; are to be mixed
together and boiled; and given as a linctus with some fatty substance。
  32。 For diseases of the eyes。 Washed spodium (tutty?) mixed with
grease; and not of a thinner consistence than dough; is to be
carefully triturated; and moistened with the juice of unripe
raisins; and having d

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