aphorisms-第4章
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spontaneously； either with or without fever； are very bad； and the
more numerous and unfavorable the colors； so much the worse； when with
medicine it is better； and a variety of colors in this case is not
bad。
22。 When black bile is evacuated in the beginning of any disease
whatever； either upward or downward； it is a mortal symptom。
23。 In persons attenuated from any disease； whether acute or
chronic； or from wounds； or any other cause； if there be a discharge
either of black bile； or resembling black blood； they die on the
following day。
24。 Dysentery； if it commence with black bile； is mortal。
25。 Blood discharged upward； whatever be its character； is a bad
symptom； but downward it is （more？） favorable； and so also black
dejections。
26。 If in a person ill of dysentery； substances resembling flesh
be discharged from the bowels； it is a mortal symptom。
27。 In whatever cases of fever there is a copious hemorrhage from
whatever channel； the bowels are in a loose state during
convalescence。
28。 In all cases whatever； bilious discharges cease if deafness
supervenes； and in all cases deafness ceases when bilious discharges
supervene。
29。 Rigors which occur on the sixth day have a difficult crisis。
30。 Diseases attended with paroxysms； if at the same hour that the
fever leaves it return again next day； are of difficult crisis。
31。 In febrile diseases attended with a sense of lassitude； deposits
form about the joints； and especially those of the jaws。
32。 In convalescents from diseases； if any part be pained； there
deposits are formed。
33。 But if any part be in a painful state previous to the illness；
there the disease fixes。
34。 If a person laboring under a fever； without any swelling in
the fauces； be seized with a sense of suffocation suddenly； it is a
mortal symptom。
35。 If in a person with fever； the become suddenly distorted； and he
cannot swallow unless with difficulty； although no swelling be
present； it is a mortal symptom。
36。 Sweats； in febrile diseases； are favorable； if they set in on
the third； fifth； seventh； ninth； eleventh； fourteenth； seventeenth；
twenty…first； twenty…seventh； and thirty…fourth day； for these
sweats prove a crisis to the disease； but sweats not occurring thus；
indicate pain； a protracted disease； and relapses。
37。 Cold sweats occurring with an acute fever； indicate death； and
along with a milder one； a protracted disease。
38。 And in whatever part of the body there is a sweat； it shows that
the disease is seated there。
39。 And in whatever part of the body heat or cold is seated； there
is disease。
40。 And wherever there are changes in the whole body； and if the
body be alternately cold and hot； or if one color succeed another；
this indicates a protracted disease。
41。 A copious sweat after sleep occuring without any manifest cause；
indicates that the body is using too much food。 But if it occur when
one is not taking food； it indicates that evacuation is required。
42。 A copious sweat； whether hot or cold； flowing continuously；
indicates； the cold a greater； and the hot a lesser disease。
43。 Fevers； not of the intermittent type； which are exacerbated on
the third day； are dangerous； but if they intermit in any form； this
indicates that they are not dangerous。
44。 In cases attended with protracted fevers； tubercles （phymata） or
pains occur about the joints。
45。 When tubercles （phymata） or pains attack the joints after
fevers； such persons are using too much food。
46。 If in a fever not of the intermittent type a rigor seize a
person already much debilitated； it is mortal。
47。 In fevers not of the intermittent type； expectorations which are
livid bloody； fetid and bilious； are all bad； but if evacuated
properly； they are favorable。 So it is with the alvine evacuations and
the urine。 But if none of the proper excretions take place by these
channels； it is bad。
48。 In fevers not of the intermittent type； if the external parts be
cold； but the internal be burnt up； and if there be thirst； it is a
mortal symptom。
49。 In a fever not of the intermittent type； if a lip； an
eye…brow； an eye； or the nose； be distorted； or if there be loss of
sight or of hearing； and the patient be in a weak state…whatever of
these symptoms occur； death is at hand。
50。 Apostemes in fevers which are not resolved at the first
crisis； indicate a protracted disease。
51。 When in a fever not of the intermittent type dyspnoea and
delirium come on； the case is mortal。
52。 When persons in fevers； or in other illnesses； shed tears
voluntarily； it is nothing out of place； but when they shed tears
involuntarily； it is more so。
53。 In whatever cases of fever very viscid concretions form about
the teeth； the fevers turn out to be particularly strong。
54。 In whatever case of ardent fever dry coughs of a tickling nature
with slight expectoration are long protracted； there is usually not
much thirst。
55。 All fevers complicated with buboes are bad； except ephemerals。
56。 Sweat supervening in a case of the fever ceasing； is bad； for
the disease is protracted； and it indicates more copious humors。
57。 Fever supervening in a case of confirmed spasm； or of tetanus；
removes the disease。
58。 A rigor supervening in a case of ardent fever； produces
resolution of it。
59。 A true tertian comes to a crisis in seven periods at furthest。
60。 When in fevers there is deafness； if blood run from the
nostrils； or the bowels become disordered； it carries off the disease。
61。 In a febrile complaint； if the fever do not leave on the odd
days； it relapses。
62。 When jaundice supervenes in fevers before the seventh day； it
a bad symptom； unless there be watery discharges from the bowels。
63。 In whatever cases of fever rigors occur during the day； the
fevers come to a resolution during the day。
64。 When in cases of fever jaundice occurs on the seventh； the
ninth； the eleventh； or the fourteenth day； it is a good symptom；
provided the hypochondriac region be not hard。 Otherwise it is not a
good symptom。
65。 A strong heat about the stomach and cardialgia are bad
symptoms in fevers。
66。 In acute fevers； spasms； and strong pains about the bowels are
bad symptoms。
67。 In fevers； frights after sleep； or convulsions； are a bad
symptom。
68。 In fevers； a stoppage of the respiration is a bad symptom； for
it indicates convulsions。
69。 When the urine is thick； grumoss； and scanty in cases not free
from fever a copious discharge of thinner urine proves beneficial。
Such a discharge more commonly takes place when the urine has had a
sediment from the first； or soon after the commencement。
70。 When in fevers the urine is turbid； like that of a beast of
burden； in such a case there either is or will be headache。
71。 In cases which come to a crisis on the seventh day； the urine
has a red nubecula on the fourth day； and the other symptoms
accordingly。
72。 When the urine is transparent and white； it is bad； it appears
principally in cases of phrenitis。
73。 When the hypochondriac region is affected with meteorism and
borborygmi； should pain of the loins supervene； the bowels get into
a loose and watery state； unless there be an eruption of flatus or a
copious evacuation of urine。 These things occur in fevers。
74。 When there is reason to expect that an abscess will form in
joints； the abscess is carried off by a copious discharge of urine；
which is thick； and becomes white； like what begins to form in certain
cases of quartan fever； attended with a sense of lassitude。 It is also
speedily carried off by a hemorrhage from the nose。
75。 Blood or pus in the urine indicates ulceration either of the
kidneys or of the bladder。
76。 When small fleshy substances like hairs are discharged along
with thick urine； these substances come from the kidneys。
77。 In thos
