of the epidemics-第6章

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rigor；　and；　as　was　said；　she　did　not　become　heated；　next　day　the　same。



On　the　third；　she　was　delivered　of　a　daughter；　and　everything　went



on　properly。　On　the　day　following　her　delivery；　she　was　seized　with



acute　fever；　pain　in　the　cardiac　region　of　the　stomach；　and　in　the



genital　parts。　Having　had　a　suppository；　was　in　so　far　relieved；



pain　in　the　head；　neck；　and　loins；　no　sleep；　alvine　discharges　scanty；



bilious；　thin；　and　unmixed；　urine　thin；　and　blackish。　Towards　the



night　of　the　sixth　day　from　the　time　she　was　seized　with　the　fever；



became　delirious。　On　the　seventh；　all　the　symptoms　exacerbated；



insomnolency；　delirium；　thirst；　stools　bilious；　and　high　colored。　On



the　eighth；　had　a　rigor；　slept　more。　On　the　ninth；　the　same。　On　the



tenth；　her　limbs　painfully　affected；　pain　again　of　the　cardiac



region　of　the　stomach；　heaviness　of　the　head；　no　delirium；　slept　more；



bowels　constipated。　On　the　eleventh；　passed　urine　of　a　better　color；



and　having　an　abundant　sediment；　felt　lighter。　On　the　fourteenth　had　a



rigor；　acute　fever。　On　the　fifteenth；　had　a　copious　vomiting　of



bilious　and　yellow　matters；　sweated；　fever　gone；　at　night　acute　fever；



urine　thick；　sediment　white。　On　the　seventeenth；　an　exacerbation；



night　uncomfortable；　no　sleep；　delirium。　On　the　eighteenth；　thirsty；



tongue　parched；　no　sleep；　much　delirium；　legs　painfully　affected。



About　the　twentieth；　in　the　morning；　had　as　light　rigor；　was　comatose；



slept　tranquilly；　had　slight　vomiting　of　bilious　and　black　matters；



towards　night　deafness。　About　the　twenty…first；　weight　generally　in



the　left　side；　with　pain；　slight　urine　thick；　muddy；　and　reddish；　when



allowed　to　stand；　had　no　sediment；　in　other　respects　felt　lighter；



fever　not　gone；　fauces　painful　from　the　commencement；　and　red；　uvula



retracted；　defluxion　remained　acrid；　pungent；　and　saltish



throughout。　About　the　twenty…seventh；　free　of　fever；　sediment　in　the



urine；　pain　in　the　side。　About　the　thirty…first；　was　attacked　with



fever；　bilious　diarrhea；　slight　bilious　vomiting　on　the　fortieth。



Had　a　complete　crisis；　and　was　freed　from　the　fever　on　the　eightieth



day。



　　CASE　VI。　Cleonactides；　who　was　lodged　above　the　Temple　of



Hercules；　was　seized　with　a　fever　in　an　irregular　form；　was　pained



in　the　head　and　left　side　from　the　commencement；　and　had　other　pains



resembling　those　produced　by　fatigue；　paroxysms　of　the　fevers



inconstant　and　irregular；　occasional　sweats；　the　paroxysms　generally



attacked　on　the　critical　days。　About　the　twenty…fourth　was　cold　in　the



extremities　of　the　hands；　vomitings　bilious；　yellow；　and　frequent；



soon　turning　to　a　verdigris…green　color；　general　relief。　About　the



thirtieth；　began　to　have　hemorrhage　from　both　nostrils；　and　this



continued　in　an　irregular　manner　until　near　the　crisis；　did　not　loathe



food；　and　had　no　thirst　throughout；　nor　was　troubled　with



insomnolency；　urine　thin；　and　not　devoid　of　color。　When　about　the



thirtieth　day；　passed　reddish　urine；　having　a　copious　red　sediment；



was　relieved；　but　afterwards　the　characters　of　the　urine　varied；



sometimes　having　sediment；　and　sometimes　not。　On　the　sixtieth；　the



sediment　in　the　urine　copious；　white；　and　smooth；　all　the　symptoms



ameliorated；　intermission　of　the　fever；　urine　thin；　and　well



colored。　On　the　seventieth；　fever　gone　for　ten　days。　On　the



eightieth　had　a　rigor；　was　seized　with　acute　fever；　sweated　much；　a



red；　smooth　sediment　in　the　urine；　and　a　perfect　crisis。



　　CASE　VII。　Meton　was　seized　with　fever；　there　was　a　painful　weight　in



the　loins。　Next　day；　after　drinking　water　pretty　copiously；　had　proper



evacuations　from　the　bowels。　On　the　third；　heaviness　of　the　head；



stools　thin；　bilious；　and　reddish。　On　the　fourth；　all　the　symptoms



exacerbated；　had　twice　a　scanty　trickling　of　blood　from　the　right



nostril；　passed　an　uncomfortable　night；　alvine　discharges　like　those



on　the　third　day；　urine　darkish；　had　a　darkish　cloud　floating　in　it；



of　a　scattered　form；　which　did　not　subside。　On　the　fifth；　a　copious



hemorrhage　of　pure　blood　from　the　left　he　sweated；　and　had　a　crisis。



After　the　fever　restless；　and　had　some　delirium；　urine　thin；　and



darkish；　had　an　affusion　of　warm　water　on　the　head；　slept　and



recovered　his　senses。　In　this　case　there　was　no　relapse；　but　there



were　frequent　hemorrhages　after　the　crisis。



　　CASE　VIII。　Erasinus；　who　lived　near　the　Canal　of　Bootes；　was



seized　with　fever　after　supper；　passed　the　night　in　an　agitated　state。



During　the　first　day　quiet；　but　in　pain　at　night。　On　the　second；



symptoms　all　exacerbated；　at　night　delirious。　On　the　third；　was　in　a



painful　condition；　great　incoherence。　On　the　fourth；　in　a　most



uncomfortable　state；　had　no　sound　sleep　at　night；　but　dreaming　and



talking；　then　all　the　appearances　worse；　of　a　formidable　and



alarming　character；　fear；　impatience。　On　the　morning　of　the　fifth；　was



composed；　and　quite　coherent；　but　long　before　noon　was　furiously



mad；　so　that　he　could　not　constrain　himself；　extremities　cold；　and



somewhat　livid；　urine　without　sediment；　died　about　sunset。　The　fever



in　this　case　was　accompanied　by　sweats　throughout；　the　sweats



throughout；　the　hypochondria　were　in　a　state　of　meteorism；　with



distention　and　pain；　the　urine　was　black；　has　round　substances



floating　in　it；　which　did　not　subside；　the　alvine　evacuations　were　not



stopped；　thirst　throughout　not　great；　much　spasms　with　sweats　about



the　time　of　death。



　　CASE　IX。　Criton；　in　Thasus；　while　still　on　foot；　and　going　about；



was　seized　with　a　violent　pain　in　the　great　toe；　he　took　to　bed　the



same　day；　had　rigors　and　nausea；　recovered　his　heat　slightly；　at　night



was　delirious。　On　the　second；　swelling　of　the　whole　foot；　and　about



the　ankle　erythema；　with　distention；　and　small　bullae　（phlyctaenae）；



acute　fever；　he　became　furiously　deranged；　alvine　discharges



bilious；　unmixed；　and　rather　frequent。　He　died　on　the　second　day



from　the　commencement。



　　CASE　X。　The　Clazomenian　who　was　lodged　by　the　Well　of　Phrynichides



was　seized　with　fever。　He　had　pain　in　the　head；　neck；　and　loins　from



the　beginning；　and　immediately　afterwards　deafness；　no　sleep；　acute



fever；　hypochondria　elevated　with　a　swelling；　but　not　much　distention；



tongue　dry。　On　the　fourth；　towards　night；　he　became　delirious。　On



the　fifth；　in　an　uneasy　state。　On　the　sixth；　all　the　symptoms



exacerbated。　About　the　eleventh　a　slight　remission；　from　the



commencement　to　the　fourteenth　day　the　alvine　discharges　thin；



copious；　and　of　the　color　of　water；　but　were　well　supported；　the



bowels　then　became　constipated。　Urine　throughout　thin；　and　well



colored；　and　had　many　substances　scattered　through　it；　but　no



sediment。　About　the　sixteenth；　urine　somewhat　thicker；　which　had　a



slight　sediment；　somewhat　better；　and　more　collected。　On　the



seventeenth；　urine　again　thin；　swellings　about　both　his　ears；　with



pain；　no　sleep；　some　incoherence；　legs　painfully　affected。　On　the



twentieth；　free　of　fever；　had　a　crisis；　no　sweat；　perfectly　collected。



About　the　twenty…seventh；　violent　pain　of　the　right　hip；　it　speedily



went　off。　The　swellings　about　the　ears　subsided；　and　did　not



suppurate；　but　were　painful。　About　the　thirty…first；　a　diarrhea



attended　with　a　copious　discharge　of　watery　matter；　and　symptoms　of



dysentery；　passed　thick　urine；　swellings　about　the　ears　gone。　About



the　fortieth　day；　had　pain　in　the　right　eye；　sight　dull。　It　went　away。



　　CASE　XI。　The　wife　of　Dromeades　having　been　delivered　of　a　female



child；　and　all　other　matters　going　on　properly；　on　the　second　day



after　was　seized　with　rigor　and　acute　fever。　Began　to　have　pain



about　the　hypochondrium　on　the　first　day；　had　nausea　and



incoherence；　and　for　some　hours　afterwards　had　no　sleep；　respiration



rare；　large；　and　suddenly　interrupted。　On　the　day　following　that　on



which　she　had　the　rigor