第5章

bowelsconstipated。Ontheeleventh，passedurineofabettercolor，andhavinganabundantsediment;feltlighter。Onthefourteenthhadarigor;acutefever。Onthefifteenth，hadacopiousvomitingofbiliousandyellowmatters;sweated;fevergone;atnightacutefever;

urinethick，sedimentwhite。Ontheseventeenth，anexacerbation;

nightuncomfortable;nosleep;delirium。Ontheeighteenth，thirsty;

tongueparched;nosleep;muchdelirium;legspainfullyaffected。

Aboutthetwentieth，inthemorning，hadaslightrigor;wascomatose;

slepttranquilly;hadslightvomitingofbiliousandblackmatters;

towardsnightdeafness。Aboutthetwenty—first，weightgenerallyintheleftside，withpain;slighturinethick，muddy，andreddish;whenallowedtostand，hadnosediment;inotherrespectsfeltlighter;

fevernotgone;faucespainfulfromthecommencement，andred;uvularetracted;defluxionremainedacrid，pungent，andsaltishthroughout。Aboutthetwenty—seventh，freeoffever;sedimentintheurine;painintheside。Aboutthethirty—first，wasattackedwithfever，biliousdiarrhea;slightbiliousvomitingonthefortieth。

Hadacompletecrisis，andwasfreedfromthefeverontheeightiethday。

CASEVI。Cleonactides，whowaslodgedabovetheTempleofHercules，wasseizedwithafeverinanirregularform;waspainedintheheadandleftsidefromthecommencement，andhadotherpainsresemblingthoseproducedbyfatigue;paroxysmsofthefeversinconstantandirregular;occasionalsweats;theparoxysmsgenerallyattackedonthecriticaldays。Aboutthetwenty—fourthwascoldintheextremitiesofthehands，vomitingsbilious，yellow，andfrequent，soonturningtoaverdigris—greencolor;generalrelief。Aboutthethirtieth，begantohavehemorrhagefrombothnostrils，andthiscontinuedinanirregularmanneruntilnearthecrisis;didnotloathefood，andhadnothirstthroughout，norwastroubledwithinsomnolency;urinethin，andnotdevoidofcolor。Whenaboutthethirtiethday，passedreddishurine，havingacopiousredsediment;

wasrelieved，butafterwardsthecharactersoftheurinevaried，sometimeshavingsediment，andsometimesnot。Onthesixtieth，thesedimentintheurinecopious，white，andsmooth;allthesymptomsameliorated;intermissionofthefever;urinethin，andwellcolored。Ontheseventieth，fevergonefortendays。Ontheeightiethhadarigor，wasseizedwithacutefever，sweatedmuch;ared，smoothsedimentintheurine;andaperfectcrisis。

CASEVII。Metonwasseizedwithfever;therewasapainfulweightintheloins。Nextday，afterdrinkingwaterprettycopiously，hadproperevacuationsfromthebowels。Onthethird，heavinessofthehead，stoolsthin，bilious，andreddish。Onthefourth，allthesymptomsexacerbated;hadtwiceascantytricklingofbloodfromtherightnostril;passedanuncomfortablenight;alvinedischargeslikethoseonthethirdday;urinedarkish，hadadarkishcloudfloatinginit，ofascatteredform，whichdidnotsubside。Onthefifth，acopioushemorrhageofpurebloodfromthelefthesweated，andhadacrisis。

Afterthefeverrestless，andhadsomedelirium;urinethin，anddarkish;hadanaffusionofwarmwateronthehead;sleptandrecoveredhissenses。Inthiscasetherewasnorelapse，buttherewerefrequenthemorrhagesafterthecrisis。

CASEVIII。Erasinus，wholivedneartheCanalofBootes，wasseizedwithfeveraftersupper;passedthenightinanagitatedstate。

Duringthefirstdayquiet，butinpainatnight。Onthesecond，symptomsallexacerbated;atnightdelirious。Onthethird，wasinapainfulcondition;greatincoherence。Onthefourth，inamostuncomfortablestate;hadnosoundsleepatnight，butdreamingandtalking;thenalltheappearancesworse，ofaformidableandalarmingcharacter;fear，impatience。Onthemorningofthefifth，wascomposed，andquitecoherent，butlongbeforenoonwasfuriouslymad，sothathecouldnotconstrainhimself;extremitiescold，andsomewhatlivid;urinewithoutsediment;diedaboutsunset。Thefeverinthiscasewasaccompaniedbysweatsthroughout;thesweatsthroughout;thehypochondriawereinastateofmeteorism，withdistentionandpain;theurinewasblack，hasroundsubstancesfloatinginit，whichdidnotsubside;thealvineevacuationswerenotstopped;thirstthroughoutnotgreat;muchspasmswithsweatsaboutthetimeofdeath。

CASEIX。Criton，inThasus，whilestillonfoot，andgoingabout，wasseizedwithaviolentpaininthegreattoe;hetooktobedthesameday，hadrigorsandnausea，recoveredhisheatslightly，atnightwasdelirious。Onthesecond，swellingofthewholefoot，andabouttheankleerythema，withdistention，andsmallbullae（phlyctaenae）;

acutefever;hebecamefuriouslyderanged;alvinedischargesbilious，unmixed，andratherfrequent。Hediedontheseconddayfromthecommencement。

CASEX。TheClazomenianwhowaslodgedbytheWellofPhrynichideswasseizedwithfever。Hehadpaininthehead，neck，andloinsfromthebeginning，andimmediatelyafterwardsdeafness;nosleep，acutefever，hypochondriaelevatedwithaswelling，butnotmuchdistention;

tonguedry。Onthefourth，towardsnight，hebecamedelirious。Onthefifth，inanuneasystate。Onthesixth，allthesymptomsexacerbated。Abouttheeleventhaslightremission;fromthecommencementtothefourteenthdaythealvinedischargesthin，copious，andofthecolorofwater，butwerewellsupported;thebowelsthenbecameconstipated。Urinethroughoutthin，andwellcolored，andhadmanysubstancesscatteredthroughit，butnosediment。Aboutthesixteenth，urinesomewhatthicker，whichhadaslightsediment;somewhatbetter，andmorecollected。Ontheseventeenth，urineagainthin;swellingsaboutbothhisears，withpain;nosleep，someincoherence;legspainfullyaffected。Onthetwentieth，freeoffever，hadacrisis，nosweat，perfectlycollected。

Aboutthetwenty—seventh，violentpainoftherighthip;itspeedilywentoff。Theswellingsabouttheearssubsided，anddidnotsuppurate，butwerepainful。Aboutthethirty—first，adiarrheaattendedwithacopiousdischargeofwaterymatter，andsymptomsofdysentery;passedthickurine;swellingsabouttheearsgone。Aboutthefortiethday，hadpainintherighteye，sightdull。Itwentaway。

CASEXI。ThewifeofDromeadeshavingbeendeliveredofafemalechild，andallothermattersgoingonproperly，ontheseconddayafterwasseizedwithrigorandacutefever。Begantohavepainaboutthehypochondriumonthefirstday;hadnauseaandincoherence，andforsomehoursafterwardshadnosleep;respirationrare，large，andsuddenlyinterrupted。Onthedayfollowingthatonwhichshehadtherigor，alvinedischargesproper;urinethick，white，muddy，likeurinewhichhasbeenshakenafterstandingforsometime，untilthesedimenthadfallentothebottom;ithadnosediment;

shedidnotsleepduringthenight。Onthethirdday，aboutnoon，hadarigor，acutefever;urinethesame;painofthehypochondria，nausea，anuncomfortablenight，nosleep;acoldishsweatallover，butheatquicklyrestored。Onthefourth，slightalleviationofthesymptomsaboutthehypochondria;heavinessofthehead，withpain;

somewhatcomatose;slightepistaxis，tonguedry，thirst，urinethinandoily;sleptalittle，uponawakingwassomewhatcomatose;slightcoldness，sleptduringthenight，wasdelirious。Onthemorningofthesixthhadarigor，butsoonrecoveredherheat，sweatedallover;

extremitiescold，wasdelirious，respirationrareandlarge。Shortlyafterwardsspasmsfromtheheadbegan，andsheimmediatelyexpired。

CASEXII。Aman，inaheatedstate，tooksupper，anddrankmorethanenough;hevomitedthewholeduringthenight;acutefever，painoftherighthypochondrium，asoftishinflammationfromtheinnerpart;

passedanuncomfortablenight;urineatthecommencementthick，red，butwhenallowedtostand，hadnosediment，tonguedry，andnotverythirsty。Onthefourth，acutefever，painsallover。Onthefifth，urinesmooth，oily，andcopious;acutefever。Onthesixth，intheevening，veryincoherent，nosleepduringthenight。Ontheseventh，allthesymptomsexacerbated;urineofthesamecharacters;muchtalking，andhecouldnotcontainhimself;thebowelsbeingstimulated，passedawaterydischargewithlumbrici:nightequallypainful。Inthemorninghadarigor;acutefever，hotsweat，appearedtobefreeoffever;didnotsleeplong;afterthesleepachill，ptyalism;intheevening，greatincoherence;afteralittle，vomitedasmallquantityofdarkbiliousmatters。Ontheninth，coldness，muchdelirium，didnotsleep。Onthetenth，painsinthelimbs，allthesymptomsexacerbated;hewasdelirious。Ontheeleventh，hedied。