of the epidemics-第9章

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second　all　the　symptoms　were　exacerbated；　dejections　more　copious



and　unseasonable；　he　had　no　sleep；　disorder　of　the　intellect；　slight



sweat。　On　the　third　day；　restless；　thirst；　nausea；　much　tossing　about；



bewilderment；　delirium；　extremities　livid　and　cold；　softish　distention



of　the　hypochondrium　on　both　sides。　On　the　fourth；　did　not　sleep；



still　worse。　On　the　seventh　he　died。　He　was　about　twenty　years　of　age。



　　Explanation　of　the　characters。　It　is　probable　that　the　cause　of



his　death　on　the　seventh　day　was　the　unseasonable　practices



mentioned　above。　An　acute　affection。



　　CASE　VI。　The　woman　who　lodged　at　the　house　of　Tisamenas　had　a



troublesome　attack　of　iliac　passion；　much　vomiting；　could　not　keep　her



drink；　pains　about　the　hypochondria；　and　pains　also　in　the　lower



part　of　the　belly；　constant　tormina；　not　thirsty；　became　hot；



extremities　cold　throughout；　with　nausea　and　insomnolency；　urine



scanty　and　thin；　dejections　undigested；　thin；　scanty。　Nothing　could　do



her　any　good。　She　died。



　　CASE　VII。　A　woman　of　Pantimides；　from　a　miscarriage；　was　taken　ill



of　fever。　On　the　first　day；　tongue　dry；　thirst；　nausea；



insomnolency；　belly　disordered；　with　thin；　copious；　undigested



dejections。　On　the　second　day；　had　a　rigor；　acute　fever；　alvine



discharges　copious；　had　no　sleep。　On　the　third；　pains　greater。　On



the　fourth；　delirious。　On　the　seventh　she　died。　Belly　throughout



loose；　with　copious；　thin；　undigested　evacuations；　urine　scanty；　thin。



An　ardent　fever。



　　CASE　VIII。　Another　woman；　after　a　miscarriage　about　the　fifth　month；



the　wife　of　Ocetes；　was　seized　with　fever。　At　first　had　sometimes　coma



and　sometimes　insomnolency；　pain　of　the　loins；　heaviness　of　the



head。　On　the　second；　the　bowels　were　disordered；　with　scanty；　thin；



and　at　first　unmixed　dejections。　On　the　third；　more　copious；　and



worse；　at　night　did　not　sleep。　On　the　fourth　was　delirious；　frights；



despondency；　strabismus　of　the　right　eye；　a　faint　cold　sweat　about　the



head；　extremities　cold。　On　the　fifth　day；　all　the　symptoms　were



exacerbated；　talked　much　incoherently；　and　again　immediately　became



collected；　had　no　thirst；　labored　under　insomnolency；　alvine



dejections　copious；　and　unseasonable　throughout；　urine　scanty；　thin；



darkish；　extremities　cold；　somewhat　livid。　On　the　sixth　day；　in　the



same　state。　On　the　seventh　she　died。　Phrenitis。



　　CASE　IX。　A　woman　who　lodged　near　the　Liars'　Market；　having　then



brought　forth　a　son　in　a　first　and　difficult　labor；　was　seized　with



fever。　Immediately　on　the　commencement　had　thirst；　nausea；　and



cardialgia；　tongue　dry；　bowels　disordered；　with　thin　and　scanty



dejections；　had　no　sleep。　On　the　second；　had　slight　rigor；　acute



fever；　a　faint　cold　sweat　about　the　head。　On　the　third；　painfully



affected；　evacuations　from　the　bowels　undigested；　thin；　and　copious。



On　the　fourth；　had　a　rigor；　all　the　symptoms　exacerbated；



insomnolency。　On　the　fifth；　in　a　painful　state。　On　the　sixth；　in　the



same　state；　discharges　from　the　bowels　liquid　and　copious。　On　the



seventh；　had　a　rigor；　fever　acute；　much　thirst；　much　tossing　about；



towards　evening　a　cold　sweat　over　all；　extremities　cold；　could　no



longer　be　kept　warm；　and　again　at　night　had　a　rigor；　extremities　could



not　be　warmed；　she　did　not　sleep；　was　slightly　delirious；　and　again



speedily　collected。　On　the　eighth；　about　mid…day；　she　became　warm；　was



thirsty；　comatose；　had　nausea；　vomited　small　quantities　of　yellowish



bile；　restless　at　night；　did　not　sleep；　passed　frequently　large



quantities　of　urine　without　consciousness。　On　the　ninth；　all　the



symptoms　gave　way；　comatose；　towards　evening　slight　rigors；　small



vomitings　of　bile。　On　the　tenth；　rigor；　exacerbation　of　the　fever；　did



not　sleep　at　all；　in　the　morning　passed　much　urine　having　a



sediment；　extremities　recovered　their　heat。　On　the　eleventh；　vomited



bile　of　a　verdigris…green　color；　not　long　after　had　a　rigor；　and　again



the　extremities　cold；　towards　evening　a　rigor；　a　cold　sweat；　much



vomiting；　passed　a　painful　night。　On　the　twelfth；　had　copious　black



and　fetid　vomitings；　much　hiccup；　painful　thirst。　On　the　thirteenth；



vomitings　black；　fetid；　and　copious；　rigor　about　mid…day；　loss　of



speech。　On　the　fourteenth；　some　blood　ran　from　her　nose；　she　died。



In　this　case　the　bowels　were　loose　throughout；　with　rigors：　her　age



about　seventeen。　An　ardent　fever。



　　　　　　　　　　　　　　　　　　　　　　　　Sect。　III







　　1。　The　year　was　southerly；　rainy；　no　winds　throughout。　Droughts



having　prevailed　during　the　previous　seasons　of　the　year；　the　south



winds　towards　the　rising　of　Arcturus　were　attended　with　much　rain。



Autumn　gloomy　and　cloudy；　with　copious　rains。　Winter　southerly；



damp；　and　soft。　But　long　after　the　solstice；　and　near　the　equinox；



much　wintery　weather　out　of　season；　and　when　now　close　to　the　equinox；



northerly；　and　winterly　weather　for　no　long　time。　The　spring　again



southerly；　calm；　much　rain　until　the　dog…days。　Summer　fine　and　hot；



great　suffocating　heats。　The　Etesian　winds　blew　small　and　irregular；



again；　about　the　season　of　Arcturus；　much　rains　with　north　winds。



　　2。　The　year　being　southerly；　damp；　and　soft　towards　winter；　all　were



healthy；　except　those　affected　with　phthisis；　of　whom　we　shall　write



afterwards。



　　3。　Early　in　spring；　along　with　the　prevailing　cold；　there　were



many　cases　of　erysipelas；　some　from　a　manifest　cause；　and　some　not。



They　were　of　a　malignant　nature；　and　proved　fatal　to　many；　many　had



sore…throat　and　loss　of　speech。　There　were　many　cases　of　ardent　fever；



phrensy；　aphthous　affections　of　the　mouth；　tumors　on　the　genital



organs；　of　ophthalmia；　anthrax；　disorder　of　the　bowels；　anorexia；　with



thirst　and　without　it；　of　disordered　urine；　large　in　quantity；　and　bad



in　quality；　of　persons　affected　with　coma　for　a　long　time；　and　then



falling　into　a　state　of　insomnolency。　There　were　many　cases　of　failure



of　crisis；　and　many　of　unfavorable　crisis；　many　of　dropsy　and　of



phthisis。　Such　were　the　diseases　then　epidemic。　There　were　patients



affected　with　every　one　of　the　species　which　have　been　mentioned；



and　many　died。　The　symptoms　in　each　of　these　cases　were　as　follows：



　　4。　In　many　cases　erysipelas；　from　some　obvious　cause；　such　as　an



accident；　and　sometimes　from　even　a　very　small　wound；　broke　out　all



over　the　body；　especially；　in　persons　about　sixty　years　of　age；



about　the　head；　if　such　an　accident　was　neglected　in　the　slightest



degree；　and　this　happened　in　some　who　were　under　treatment；　great



inflammation　took　place；　and　the　erysipelas　quickly　spread　all　over。



in　the　most　of　them　abscessed　ended　in　suppurations；　and　there　were



great　fallings　off　（sloughing）　of　the　flesh；　tendons；　and　bones；　and



the　defluxion　which　seated　in　the　part　was　not　like　pus；　but　a　sort　of



putrefaction；　and　the　running　was　large　and　of　various　characters。



Those　cases　in　which　any　of　these　things　happened　about　the　head



were　accompanied　with　falling　off　of　the　hairs　of　the　head　and　chin；



the　bones　were　laid　bare　and　separated；　and　there　were　excessive



runnings；　and　these　symptoms　happened　in　fevers　and　without　fevers。



But　these　things　were　more　formidable　in　appearance　than　dangerous；



for　when　the　concoction　in　these　cases　turned　to　a　these　cases



turned　to　a　suppuration；　most　of　them　recovered；　but　when　the



inflammation　and　erysipelas　disappeared；　and　when　no　abscess　was



formed；　a　great　number　of　these　died。　In　like　manner；　the　same



things　happened　to　whatever　part　of　the　body　the　disease　wandered；　for



in　many　cases　both　forearm　and　arm　dropped　off；　and　in　those　cases



in　which　it　fell　upon　the　sides；　the　parts　there；　either　before　or



behind；　got　into　a　bad　state；　and　in　some　cases　the　whole　femur　and



bones　of　the　leg　and　whole　foot　were　laid　bare。　But　of　all　such　cases；



the　most　formidable　were　those　which　took　p