on regimen in acute diseases-第9章

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and；　getting　into　a　chronic　state；　are　not　concocted　while　the　fever
persists；　and　if　one　is　seized　with　a　sense　of　suffocation　in　the
throat；　while　the　fauces　are　not　swelled；　and　if　it　do　not　come　to
maturation；　but　is　repressed；　in　such　a　case　there　is　apt　to　be　a　flow
of　blood　from　the　nose；　if　this；　then；　be　copious；　it　indicates　a
resolution　of　the　disease；　but　if　not；　a　prolongation　of　the
complaint；　and　the　less　the　discharge；　so　much　worse　the　symptoms；　and
the　more　protracted　the　disease；　but　if　the　other　symptoms　are　very
favorable；　expect　in　such　a　case　that　pains　will　fall　upon　the　feet；
if　then　they　attack　the　feet；　and　if　these　continue　long　in　a　very
painful；　and　inflamed　state；　and　if　there　be　no　resolution；　the
pains　will　extend　by　degrees　to　the　neck；　to　the　clavicle；　shoulder；
breast；　or　to　some　articulation；　in　which　an　inflammatory　tumor　will
necessarily　form。　When　these　are　reduced；　if　the　hands　are　contracted；
and　become　trembling；　convulsion　and　delirium　seize　such　a　person；　but
blisters　break　out　on　the　eyebrow；　erythema　takes　place；　the　one
eyelid　being　tumefied　overtops　the　other；　a　hard　inflammation　sets　in；
the　eye　become　strongly　swelled；　and　the　delirium　increases　much；
but　makes　its　attacks　rather　at　night　than　by　day。　These　symptoms　more
frequently　occur　on　odd　than　on　even　days；　but；　whether　on　the　one
or　the　other；　they　are　of　a　fatal　character。　Should　you　determine　to
give　purgative　medicines　in　such　cases；　at　the　commencement；　you
should　do　so　before　the　fifth　day；　if　there　be　borborygmi　in　the
bowels；　or；　if　not；　you　should　omit　the　medicines　altogether。　If　there
be　borborygmi；　with　bilious　stools；　purge　moderately　with　scammony；
but　with　regard　to　the　treatment　otherwise；　administer　as　few　drinks
and　draughts　as　until　there　be　some　amendment；　and　the　disease　is　past
the　fourteenth　day。　When　loss　of　speech　seizes　a　person；　on　the
fourteenth　day　of　a　fever；　there　is　not　usually　a　speedy　resolution；
nor　any　removal　of　the　disease；　for　this　symptom　indicates　a
protracted　disease；　and　when　it　appears　on　that　day；　it　will　be
still　more　prolonged。　When；　on　the　fourth　day　of　a　fever；　the　tongue
articulates　confusedly；　and　when　there　are　watery　and　bilious
discharges　from　the　bowels；　such　a　patient　is　apt　to　fall　into　a　state
of　delirium；　the　physician　ought；　therefore；　to　watch　him；　and
attend　to　whatever　symptoms　may　turn　up。　In　the　season　of　summer　and
autumn　an　epistaxis；　suddenly　occurring　in　acute　diseases；　indicates
vehemence　of　the　attack；　and　inflammation　in　the　course　of　the
veins；　and　on　the　day　following；　the　discharge　of　thin　urine；　and　if
the　patient　be　in　the　prime　of　life；　and　if　his　body　be　strong　from
exercise；　and　brawny；　or　of　a　melancholic　temperament；　or　if　from
drinking　has　trembling　hands；　it　may　be　well　to　announce　beforehand
either　delirium　or　convulsion；　and　if　these　symptoms　occur　on　even
days；　so　much　the　better；　but　on　critical　days；　they　are　of　a　deadly
character。　If；　then；　a　copious　discharge　of　blood　procure　an　issue
to　the　fullness　thereof　about　the　nose；　or　what　is　collected　about　the
anus；　there　will　be　an　abscess；　or　pains　in　the　hypochondrium；　or
testicles；　or　in　the　limbs；　and　when　these　are　resolved；　there　will　be
a　discharge　of　thick　sputa；　and　of　smooth；　thin　urine。　In　fever
attended　with　singultus；　give　asafoetida；　oxymel；　and　carrot；
triturated　together；　in　a　draught；　or　galbanum　in　honey；　and　cumin
in　a　linctus；　or　the　juice　of　ptisan。　Such　a　person　cannot　escape；
unless　critical　sweats　and　gentle　sleep　supervene；　and　thick　and　acrid
urine　be　passed；　or　the　disease　terminate　in　an　abscess：　give
pine…fruit　and　myrrh　in　a　linctus；　and　further　give　a　very　little
oxymel　to　drink；　but　if　they　are　very　thirsty；　some　barley…water。
　　11。　Peripneumonia；　and　pleuritic　affections；　are　to　be　thus
observed：　If　the　fever　be　acute；　and　if　there　be　pains　on　either　side；
or　in　both；　and　if　expiration　be　if　cough　be　present；　and　the　sputa
expectorated　be　of　a　blond　or　livid　color；　or　likewise　thin；　frothy；
and　florid；　or　having　any　other　character　different　from　the　common；
in　such　a　case；　the　physician　should　proceed　thus：　if　the　pain　pass
upward　to　the　clavicle；　or　the　breast；　or　the　arm；　the　inner　vein　in
the　arm　should　be　opened　on　the　side　affected；　and　blood　abstracted
according　to　the　habit；　age；　and　color　of　the　patient；　and　the
season　of　the　year；　and　that　largely　and　boldly；　if　the　pain　be　acute；
so　as　to　bring　on　deliquium　animi；　and　afterwards　a　clyster　is　to　be
given。　But　if　the　pain　be　below　the　chest；　and　if　very　intense；
purge　the　bowels　gently　in　such　an　attack　of　pleurisy；　and　during
the　act　of　purging　give　nothing；　but　after　the　purging　give　oxymel。
The　medicine　is　to　be　administered　on　the　fourth　day；　on　the　first
three　days　after　the　commencement；　a　clyster　should　be　given；　and　if
it　does　not　relieve　the　patient；　he　should　then　be　gently　purged；
but　he　is　to　be　watched　until　the　fever　goes　off；　and　till　the　seventh
day；　then　if　he　appear　to　be　free　from　danger；　give　him　some
unstrained　ptisan；　in　small　quantity；　and　thin　at　first；　mixing　it
with　honey。　If　the　expectoration　be　easy；　and　the　breathing　free；　if
his　sides　be　free　of　pain；　and　if　the　fever　be　gone；　he　may　take　the
ptisan　thicker；　and　in　larger　quantity；　twice　a　day。　But　if　he　do
not　progress　favorably；　he　must　get　less　of　the　drink；　and　of　the
draught；　which　should　be　thin；　and　only　given　once　a　day；　at
whatever　is　judged　to　be　the　most　favorable　hour；　this　you　will
ascertain　from　the　urine。　The　draught　is　not　to　be　given　to　persons
after　fever；　until　you　see　that　the　urine　and　sputa　are　concocted　（if；
indeed；　after　the　administration　of　the　medicine　he　be　purged
frequently；　it　may　be　necessary　to　give　it；　but　it　should　be　given
in　smaller　quantities　and　thinner　than　usual；　for　from　inanition　he
will　be　unable　to　sleep；　or　digest　properly；　or　wait　the　crisis）；
but　when　the　melting　down　of　crude　matters　has　taken　place；　and　his
system　has　cast　off　what　is　offensive；　there　will　then　be　no
objection。　The　sputa　are　concocted　when　they　resemble　pus；　and　the
urine　when　it　has　reddish　sediments　like　tares。　But　there　is　nothing
to　prevent　fomentations　and　cerates　being　applied　for　the　other
pains　of　the　sides；　and　the　legs　and　loins　may　be　rubbed　with　hot　oil；
or　anointed　with　fat；　linseed；　too；　in　the　form　of　a　cataplasm；　may　be
applied　to　the　hypochondrium　and　as　far　up　as　the　breasts。　When
pneumonia　is　at　its　height；　the　case　is　beyond　remedy　if　he　is　not
purged；　and　it　is　bad　if　he　has　dyspnoea；　and　urine　that　is　thin　and
acrid；　and　if　sweats　come　out　about　the　neck　and　head；　for　such　sweats
are　bad；　as　proceeding　from　the　suffocation；　rales；　and　the　violence
of　the　disease　which　is　obtaining　the　upper　hand；　unless　there　be　a
copious　evacuation　of　thick　urine；　and　the　sputa　be　concocted；　when
either　of　these　come　on　spontaneously；　that　will　carry　off　the
disease。　A　linctus　for　pneumonia：　Galbanum　and　pine…fruit　in　Attic
honey；　and　southernwood　in　oxymel；　make　a　decoction　of　pepper　and
black　hellebore；　and　give　it　in　cases　of　pleurisy　attended　with
violent　pain　at　the　commencement。　It　is　also　a　good　thing　to　boil
opoponax　in　oxymel；　and；　having　strained　it；　to　give　it　to　drink；　it
answers　well；　also；　in　diseases　of　the　liver；　and　in　severe　pains
proceeding　from　the　diaphragm；　and　in　all　cases　in　which　it　is
beneficial　to　determine　to　the　bowels　or　urinary　organs；　when　given　in
wine　and　honey；　when　given　to　act　upon　the　bowels；　it　should　be
drunk　in　larger　quantity；　along　with　a　watery　hydromel。
　　12。　A　dysentery；　when　stopped；　will　give　rise　to　an　aposteme；　or
tumor；　if　it　do　not　terminate　in　fevers　with　sweats；　or　with　thick　and
white　urine；　or　in　a　tertian　fever；　or　the　pain　fix　upon　a　varix；　or
the　testicles；　or　on　the　hip…joints。
　　13。　In　a　bilious　fever；　jaundice　coming　on　with　rigor　before　the
seventh　day　carries　off　the　fever；　but　if　it　occur　without　the
fever；　and　not　at　the　proper　time；　it　is　a　fatal　symptom。
　　14。　When　the　loins　are　in　a　tetanic　state；　and　the　spirits　in　the
veins　are　obstructed　by　melancholic　humors；　venesection　will　afford
relief。　But　when；　on　the　othe