of the epidemics-第13章

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evacuations；　and　these　continued　for　a　considerable　time；　and　again



assumed　the　dysenteric　form　with　pain；　but　relief　of　all　the　other



complaints。　On　the　whole；　the　fevers　went　off；　and　the　deafness



ceased。　On　the　hundred　and　twentieth　day；　had　a　complete　crisis。



Ardent　fever。



　　Explanation　of　the　characters。　It　is　probable　that　the　bilious



discharge　brought　about　the　recovery　on　the　hundred　and　twentieth　day。



　　CASE　X。　In　Abdera；　Nicodemus　was　seized　with　fever　from　venery　and



drinking。　At　the　commencement　he　was　troubled　with　nausea　and



cardialgia；　thirsty；　tongue　was　parched；　urine　thin　and　dark。　On　the



second　day；　the　fever　exacerbated；　he　was　troubled　with　rigors　and



nausea；　had　no　sleep；　vomited　yellow　bile；　urine　the　same；　passed　a



quiet　night；　and　slept。　On　the　third；　a　general　remission；



amelioration；　but　about　sunset　felt　again　somewhat　uncomfortable；



passed　an　uneasy　night。　On　the　fourth；　rigor；　much　fever；　general



pains；　urine　thin；　with　substances　floating　in　it；　again　a　quiet



night。　On　the　fifth；　all　the　symptoms　remained；　but　there　was　an



amelioration。　On　the　sixth；　some　general　pains；　substances　floating　in



the　urine；　very　incoherent。　On　the　seventh；　better。　On　the　eighth；　all



the　other　symptoms　abated。　On　the　tenth；　and　following　days；　there



were　pains；　but　all　less；　in　this　case　throughout；　the　paroxysms　and



pains　were　greater　on　the　even　days。　On　the　twentieth；　the　urine　white



and　thick；　but　when　allowed　to　stand　had　no　sediment；　much　sweat；



seemed　to　be　free　from　fever；　but　again　in　the　evening　he　became



hot；　with　the　same　pains；　rigor；　thirst；　slightly　incoherent。　On　the



twenty…fourth；　urine　copious；　white；　with　an　abundant　sediment；　a



copious　and　warm　sweat　all　over；　apyrexia；　the　fever　came　to　its



crisis。



　　Explanation　of　the　characters。　It　is　probable　that　the　cure　was



owing　to　the　bilious　evacuations　and　the　sweats。



　　CASE　XI。　In　Thasus；　a　woman；　of　a　melancholic　turn　of　mind；　from



some　accidental　cause　of　sorrow；　while　still　going　about；　became



affected　with　loss　of　sleep；　aversion　to　food；　and　had　thirst　and



nausea。　She　lived　near　the　Pylates；　upon　the　Plain。　On　the　first；　at



the　commencement　of　night；　frights；　much　talking；　despondency；



slight　fever；　in　the　morning；　frequent　spasms；　and　when　they　ceased；



she　was　incoherent　and　talked　obscurely；　pains　frequent；　great　and



continued。　On　the　second；　in　the　same　state；　had　no　sleep；　fever



more　acute。　On　the　third；　the　spasms　left　her；　but　coma；　and



disposition　to　sleep；　and　again　awaked；　started　up；　and　could　not



contain　herself；　much　incoherence；　acute　fever；　on　that　night　a



copious　sweat　all　over；　apyrexia；　slept；　quite　collected；　had　a



crisis。　About　the　third　day；　the　urine　black；　thin；　substances



floating　in　it　generally　round；　did　not　fall　to　the　bottom；　about



the　crisis　a　copious　menstruation。



　　CASE　XII。　In　Larissa；　a　young　unmarried　woman　was　seized　with　a



fever　of　the　acute　and　ardent　type；　insomnolency；　thirst；　tongue　sooty



and　dry；　urine　of　a　good　color；　but　thin。　On　the　second；　in　an



uneasy　state；　did　not　sleep。　On　the　third；　alvine　discharges



copious；　watery；　and　greenish；　and　on　the　following　days　passed　such



with　relief。　On　the　fourth；　passed　a　small　quantity　of　thin　urine；



having　substances　floating　towards　its　surface；　which　did　not　subside；



was　delirious　towards　night。　On　the　sixth；　a　great　hemorrhage　from　the



nose；　a　chill；　with　a　copious　and　hot　sweat　all　over；　apyrexia；　had



a　crisis。　In　the　fever；　and　when　it　had　passed　the　crisis；　the



menses　took　place　for　the　first　time；　for　she　was　a　young　woman。



Throughout　she　was　oppressed　with　nausea；　and　rigors；　redness　of　the



face；　pain　of　the　eyes；　heaviness　of　the　head；　she　had　no　relapse；　but



the　fever　came　to　a　crisis。　The　pains　were　on　the　even　days。



　　CASE　XIII。　Apollonius；　in　Abdera；　bore　up　（under　the　fever？）　for



some　time；　without　betaking　himself　to　bed。　His　viscera　were　enlarged；



and　for　a　considerable　time　there　was　a　constant　pain　about　the　liver；



and　then　he　became　affected　with　jaundice；　he　was　flatulent；　and　of



a　whitish　complexion。　Having　eaten　beef；　and　drunk　unseasonably；　he



became　a　little　heated　at　first；　and　betook　himself　to　bed；　and　having



used　large　quantities　of　milk；　that　of　goats　and　sheep；　and　both



boiled　and　raw；　with　a　bad　diet　otherwise；　great　mischief　was



occasioned　by　all　these　things；　for　the　fever　was　exacerbated；　and



of　the　food　taken　scarcely　any　portion　worth　mentioning　was　passed



from　the　bowels；　the　urine　was　thin　and　scanty；　no　sleep；



troublesome　meteorism；　much　thirst；　disposition　to　coma；　painful



swelling　of　the　right　hypochondrium；　extremities　altogether　coldish；



slight　incoherence；　forgetfulness　of　everything　he　said；　he　was　beside



himself。　About　the　fourteenth　day　after　he　betook　himself　to　bed；



had　a　rigor；　became　heated；　and　was　seized　with　furious　delirium；　loud



cries；　much　talking；　again　composed；　and　then　coma　came　on；　afterwards



the　bowels　disordered；　with　copious；　bilious；　unmixed；　and



undigested　stools；　urine　black；　scanty；　and　thin；　much　restlessness；



alvine　evacuations　of　varied　characters；　either　black；　scanty；　and



verdigrisgreen；　or　fatty；　undigested；　and　acrid；　and　at　times　the



dejections　resembled　milk。　About　the　twenty…fourth；　enjoyed　a　calm；



other　matters　in　the　same　state；　became　somewhat　collected；　remembered



nothing　that　had　happened　since　he　was　confined　to　bed；　immediately



afterwards　became　delirious；　every　symptom　rapidly　getting　worn。　About



the　thirtieth；　acute　fever；　stools　copious　and　thin；　was　delirious；



extremities　cold；　loss　of　speech。　On　the　thirty…fourth　he　died。　In



this　case；　as　far　as　I　saw；　the　bowels　were　disordered；　urine　thin　and



black；　disposition　to　coma；　insomnolency；　extremities　cold；



delirious　throughout。　Phrenitis。



　　CASE　XIV。　In　Cyzicus；　a　woman　who　had　brought　forth　twin



daughters；　after　a　difficult　labor；　and　in　whom　the　lochial



discharge　was　insufficient；　at　first　was　seized　with　an　acute　fever；



attended　with　chills；　heaviness　of　the　head　and　neck；　with　pain；



insomnolency　from　the　commencement；　she　was　silent；　sullen；　and



disobedient；　urine　thin；　and　devoid　of　color；　thirst；　nausea　for　the



most　part；　bowels　irregularly　disordered；　and　again　constipated。　On



the　sixth；　towards　night；　talked　much　incoherently；　had　no　sleep。



About　the　eleventh　day　was　seized　with　wild　delirium；　and　again　became



collected；　urine　black；　thin；　and　again　deficient；　and　of　an　oily



appearance；　copious；　thin；　and　disordered　evacuations　from　the　bowels。



On　the　fourteenth；　frequent　convulsions；extremities　cold；　not　in



anywise　collected；　suppression　of　urine。　On　the　sixteenth　loss　of



speech。　On　the　seventeenth；　she　died。　Phrenitis。



　　Explanation　of　the　characters。　It　is　probable　that　death　was　caused；



on　the　seventeenth　day；　by　the　affection　of　the　brain　consequent



upon　her　accouchement。



　　CASE　XV。　In　Thasus；　the　wife　of　Dealces；　who　was　lodged　upon　the



Plain；　from　sorrow　was　seized　with　an　acute　fever；　attended　with



chills。　From　first　to　last　she　wrapped　herself　up　in　her　bedclothes；



still　silent；　she　fumbled；　picked；　bored；　and　gathered　hairs　（from



them）；　tears；　and　again　laughter；　no　sleep；　bowels　irritable；　but



passed　nothing；　when　directed；　drank　a　little；　urine　thin　and



scanty；　to　the　touch　of　the　hand　the　fever　was　slight；　coldness　of　the



extremities。　On　the　ninth；　talked　much　incoherently；　and　again



became　composed　and　silent。　On　the　fourteenth；　breathing　rare；



large；　at　intervals；　and　again　hurried　respiration。　On　the



sixteenth；　looseness　of　the　bowels　from　a　stimulant　clyster；



afterwards　she　passed　her　drink；　nor　could　retain　anything；　for　she



was　completely　insensible；　skin　parched　and　tense。　On　the　twentieth；



much　talk；　and　again　became　comp