of the epidemics-第7章

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



which　she　had　the　rigor；　alvine　discharges　proper；　urine　thick；　white；



muddy；　like　urine　which　has　been　shaken　after　standing　for　some



time；　until　the　sediment　had　fallen　to　the　bottom；　it　had　no　sediment；



she　did　not　sleep　during　the　night。　On　the　third　day；　about　noon；



had　a　rigor；　acute　fever；　urine　the　same；　pain　of　the　hypochondria；



nausea；　an　uncomfortable　night；　no　sleep；　a　coldish　sweat　all　over；



but　heat　quickly　restored。　On　the　fourth；　slight　alleviation　of　the



symptoms　about　the　hypochondria；　heaviness　of　the　head；　with　pain；



somewhat　comatose；　slight　epistaxis；　tongue　dry；　thirst；　urine　thin



and　oily；　slept　a　little；　upon　awaking　was　somewhat　comatose；　slight



coldness；　slept　during　the　night；　was　delirious。　On　the　morning　of　the



sixth　had　a　rigor；　but　soon　recovered　her　heat；　sweated　all　over；



extremities　cold；　was　delirious；　respiration　rare　and　large。　Shortly



afterwards　spasms　from　the　head　began；　and　she　immediately　expired。



　　CASE　XII。　A　man；　in　a　heated　state；　took　supper；　and　drank　more　than



enough；　he　vomited　the　whole　during　the　night；　acute　fever；　pain　of



the　right　hypochondrium；　a　softish　inflammation　from　the　inner　part；



passed　an　uncomfortable　night；　urine　at　the　commencement　thick；　red；



but　when　allowed　to　stand；　had　no　sediment；　tongue　dry；　and　not　very



thirsty。　On　the　fourth；　acute　fever；　pains　all　over。　On　the　fifth；



urine　smooth；　oily；　and　copious；　acute　fever。　On　the　sixth；　in　the



evening；　very　incoherent；　no　sleep　during　the　night。　On　the　seventh；



all　the　symptoms　exacerbated；　urine　of　the　same　characters；　much



talking；　and　he　could　not　contain　himself；　the　bowels　being



stimulated；　passed　a　watery　discharge　with　lumbrici：　night　equally



painful。　In　the　morning　had　a　rigor；　acute　fever；　hot　sweat；



appeared　to　be　free　of　fever；　did　not　sleep　long；　after　the　sleep　a



chill；　ptyalism；　in　the　evening；　great　incoherence；　after　a　little；



vomited　a　small　quantity　of　dark　bilious　matters。　On　the　ninth；



coldness；　much　delirium；　did　not　sleep。　On　the　tenth；　pains　in　the



limbs；　all　the　symptoms　exacerbated；　he　was　delirious。　On　the



eleventh；　he　died。



　　CASE　XIII。　A　woman；　who　lodged　on　the　Quay；　being　three　months



gone　with　child；　was　seized　with　fever；　and　immediately　began　to



have　pains　in　the　loins。　On　the　third　day；　pain　of　the　head　and



neck；　extending　to　the　clavicle；　and　right　hand；　she　immediately



lost　the　power　of　speech；　was　paralyzed　in　the　right　hand；　with



spasms；　after　the　manner　of　paraplegia；　was　quite　incoherent；　passed



an　uncomfortable　night；　did　not　sleep；　disorder　of　the　bowels；



attended　with　bilious；　On　the　fourth；　recovered　the　use　of　her　tongue；



spasms　of　the　same　parts；　and　general　pains　remained；　swelling　in



the　hypochondrium；　accompanied　with　pain；　did　not　sleep；　was　quite



incoherent；　bowels　disordered；　urine　thin；　and　not　of　a　good　color。　On



the　fifth；　acute　fever；　pain　of　the　hypochondrium；　quite　incoherent；



alvine　evacuations　bilious；　towards　night　had　a　sweat；　and　was　freed



from　the　fever。　On　the　sixth；　recovered　her　reason；　was　every　way



relieved；　the　pain　remained　about　the　left　clavicle；　was　thirsty；



urine　thin；　had　no　sleep。　On　the　seventh　trembling；　slight　coma；



some　incoherence；　pains　about　the　clavicle　and　left　arm　remained；　in



all　other　respects　was　alleviated；　quite　coherent。　For　three　days



remained　free　from　fever。　On　the　eleventh；　had　a　relapse；　with　rigor



and　fever。　About　the　fourteenth　day；　vomited　pretty　abundantly　bilious



and　yellow　matters；　had　a　sweat；　the　fever　went　off；　by　coming　to　a



crisis。



　　CASE　XIV。　Melidia；　who　lodged　near　the　Temple　of　Juno；　began　to　feel



a　violent　pain　of　the　head；　neck；　and　chest。　She　was　straightway



seized　with　acute　fever；　a　slight　appearance　of　the　menses；



continued　pains　of　all　these　parts。　On　the　sixth；　was　affected　with



coma；　nausea；　and　rigor；　redness　about　the　cheeks；　slight　delirium。　On



the　seventh；　had　a　sweat；　the　fever　intermitted；　the　pains　remained。　A



relapse；　little　sleep；　urine　throughout　of　a　good　color；　but　thin；　the



alvine　evacuations　were　thin；　bilious；　acrid；　very　scanty；　black；



and　fetid；　a　white；　smooth　sediment　in　the　urine；　had　a　sweat；　and



experienced　a　perfect　crisis　on　the　eleventh　day。



　　　　　　　　　　　　　　　　　　　　　BOOK　II。　Sect。　I







　　CASE　I。　Pythion；　who　lived　by　the　Temple　of　the　Earth；　on　the



first　day；　trembling　commencing　from　his　hands；　acute　fever；　delirium。



On　the　second；　all　the　symptoms　were　exacerbated。　On　the　third；　the



same。　On　the　fourth　alvine　discharges　scanty；　unmixed；　and　bilious。　On



the　fifth；　all　the　symptoms　were　exacerbated；　the　tremors　remained；



little　sleep；　the　bowels　constipated。　On　the　sixth　sputa　mixed；



reddish。　On　the　seventh；　mouth　drawn　aside。　On　the　eighth；　all　the



symptoms　were　exacerbated；　the　tremblings　were　again　constant；



urine；　from　the　beginning　to　the　eighth　day；　thin；　and　devoid　of



color；　substances　floating　in　it；　cloudy。　On　the　tenth　he　sweated；



sputa　somewhat　digested；　had　a　crisis；　urine　thinnish　about　the



crisis；　but　after　the　crisis；　on　the　fortieth　day；　an　abscess　about



the　anus；　which　passed　off　by　a　strangury。



　　Explanation　of　the　characters。　It　is　probably　that　the　great



discharge　of　urine　brought　about　the　resolution　of　the　disease；　and



the　cure　of　the　patient　on　the　fortieth　day。



　　CASE　II。　Hermocrates；　who　lived　by　the　New　Wall；　was　seized　with



fever。　He　began　to　have　pain　in　the　head　and　loins；　an　empty



distention　of　the　hypochondrium；　the　tongue　at　first　was　parched；



deafness　at　the　commencement；　there　was　no　sleep；　not　very　thirsty；



urine　thick　and　red；　when　allowed　to　stand　it　did　not　subside；



alvine　discharge　very　dry；　and　not　scanty。　On　the　fifth；　urine　thin；



had　substances　floating　in　it　which　did　not　fall　to　the　bottom；　at



night　he　was　delirious。　On　the　sixth；　had　jaundice；　all　the　symptoms



were　exacerbated；　had　no　recollection。　On　the　seventh；　in　an



uncomfortable　state；　urine　thin；　as　formerly；　on　the　following　days



the　same。　About　the　eleventh　day；　all　the　symptoms　appeared　to　be



lightened。　Coma　set　in；　urine　thicker；　reddish；　thin　substances　below；



had　no　sediment；　by　degrees　he　became　collected。　On　the　fourteenth；



fever　gone；　had　no　sweat；　slept；　quite　collected；　urine　of　the　same



characters。　About　the　seventeenth；　had　a　relapse；　became　hot。　On　the



following　days；　acute　fever；　urine　thin；　was　delirious。　Again；　on



the　twentieth；　had　a　crisis；　free　of　fever；　had　no　sweat；　no



appetite　through　the　whole　time；　was　perfectly　collected；　could　not



speak；　tongue　dry；　without　thirst；　deep　sleep。　About　the　twenty…fourth



day　he　became　heated；　bowels　loose；　with　a　thin；　watery　discharge；



on　the　following　days　acute　fever；　tongue　parched。　On　the



twenty…seventh　he　died。　In　this　patient　deafness　continued　throughout；



the　urine　either　thick　and　red；　without　sediment；　or　thin；　devoid　of



color；　and；　having　substances　floating　in　it：　he　could　taste　nothing。



　　Explanation　of　the　characters。　It　is　probably　that　it　was　the



suppression　of　the　discharges　from　the　bowels　which　occasioned　death



on　the　twenty…seventh　day。



　　CASE　III。　The　man　who　was　lodged　in　the　Garden　of　Dealces：　had



heaviness　of　the　head　and　pain　in　the　right　temple　for　a



considerable　time；　from　some　accidental　cause；　was　seized　with



fever；　and　took　to　bed。　On　the　second；　there　was　a　trickling　of　pure



blood　from　the　left　nostril；　but　the　alvine　discharges　were　proper；



urine　thin；　mixed；　having　small　substances　floating　in　it；　like　coarse



barley　meal；　or　semen。　On　the　third；　acute　fever；　stools　black；



thin；　frothy；　a　livid　sediment　in　the　dejections；　slight　coma；



uneasiness　at　the　times　he　had　to　get　up；　sediment　in　the　urine　livid；



and　somewhat　viscid。　On　the　fourth；