第6章

CASEXIII。Awoman，wholodgedontheQuay，beingthreemonthsgonewithchild，wasseizedwithfever，andimmediatelybegantohavepainsintheloins。Onthethirdday，painoftheheadandneck，extendingtotheclavicle，andrighthand;sheimmediatelylostthepowerofspeech;wasparalyzedintherighthand，withspasms，afterthemannerofparaplegia;wasquiteincoherent;passedanuncomfortablenight;didnotsleep;disorderofthebowels，attendedwithbilious，Onthefourth，recoveredtheuseofhertongue;

spasmsofthesameparts，andgeneralpainsremained;swellinginthehypochondrium，accompaniedwithpain;didnotsleep，wasquiteincoherent;bowelsdisordered，urinethin，andnotofagoodcolor。Onthefifth，acutefever;painofthehypochondrium，quiteincoherent;

alvineevacuationsbilious;towardsnighthadasweat，andwasfreedfromthefever。Onthesixth，recoveredherreason;waseverywayrelieved;thepainremainedabouttheleftclavicle;wasthirsty，urinethin，hadnosleep。Ontheseventhtrembling，slightcoma，someincoherence，painsabouttheclavicleandleftarmremained;inallotherrespectswasalleviated;quitecoherent。Forthreedaysremainedfreefromfever。Ontheeleventh，hadarelapse，withrigorandfever。Aboutthefourteenthday，vomitedprettyabundantlybiliousandyellowmatters，hadasweat，thefeverwentoff，bycomingtoacrisis。

CASEXIV。Melidia，wholodgedneartheTempleofJuno，begantofeelaviolentpainofthehead，neck，andchest。Shewasstraightwayseizedwithacutefever;aslightappearanceofthemenses;

continuedpainsofalltheseparts。Onthesixth，wasaffectedwithcoma，nausea，andrigor;rednessaboutthecheeks;slightdelirium。Ontheseventh，hadasweat;thefeverintermitted，thepainsremained。A

relapse;littlesleep;urinethroughoutofagoodcolor，butthin;thealvineevacuationswerethin，bilious，acrid，veryscanty，black，andfetid;awhite，smoothsedimentintheurine;hadasweat，andexperiencedaperfectcrisisontheeleventhday。

BOOKII。Sect。I

CASEI。Pythion，wholivedbytheTempleoftheEarth，onthefirstday，tremblingcommencingfromhishands;acutefever，delirium。

Onthesecond，allthesymptomswereexacerbated。Onthethird，thesame。Onthefourthalvinedischargesscanty，unmixed，andbilious。Onthefifth，allthesymptomswereexacerbated，thetremorsremained;

littlesleep，thebowelsconstipated。Onthesixthsputamixed，reddish。Ontheseventh，mouthdrawnaside。Ontheeighth，allthesymptomswereexacerbated;thetremblingswereagainconstant;

urine，fromthebeginningtotheeighthday，thin，anddevoidofcolor;substancesfloatinginit，cloudy。Onthetenthhesweated;

sputasomewhatdigested，hadacrisis;urinethinnishaboutthecrisis;butafterthecrisis，onthefortiethday，anabscessabouttheanus，whichpassedoffbyastrangury。

Explanationofthecharacters。Itisprobablythatthegreatdischargeofurinebroughtabouttheresolutionofthedisease，andthecureofthepatientonthefortiethday。

CASEII。Hermocrates，wholivedbytheNewWall，wasseizedwithfever。Hebegantohavepainintheheadandloins;anemptydistentionofthehypochondrium;thetongueatfirstwasparched;

deafnessatthecommencement;therewasnosleep;notverythirsty;

urinethickandred，whenallowedtostanditdidnotsubside;

alvinedischargeverydry，andnotscanty。Onthefifth，urinethin，hadsubstancesfloatinginitwhichdidnotfalltothebottom;atnighthewasdelirious。Onthesixth，hadjaundice;allthesymptomswereexacerbated;hadnorecollection。Ontheseventh，inanuncomfortablestate;urinethin，asformerly;onthefollowingdaysthesame。Abouttheeleventhday，allthesymptomsappearedtobelightened。Comasetin;urinethicker，reddish，thinsubstancesbelow，hadnosediment;bydegreeshebecamecollected。Onthefourteenth，fevergone;hadnosweat;slept，quitecollected;urineofthesamecharacters。Abouttheseventeenth，hadarelapse，becamehot。Onthefollowingdays，acutefever，urinethin，wasdelirious。Again，onthetwentieth，hadacrisis;freeoffever;hadnosweat;noappetitethroughthewholetime;wasperfectlycollected;couldnotspeak，tonguedry，withoutthirst;deepsleep。Aboutthetwenty—fourthdayhebecameheated;bowelsloose，withathin，waterydischarge;

onthefollowingdaysacutefever，tongueparched。Onthetwenty—seventhhedied。Inthispatientdeafnesscontinuedthroughout;

theurineeitherthickandred，withoutsediment，orthin，devoidofcolor，and，havingsubstancesfloatinginit:hecouldtastenothing。

Explanationofthecharacters。Itisprobablythatitwasthesuppressionofthedischargesfromthebowelswhichoccasioneddeathonthetwenty—seventhday。

CASEIII。ThemanwhowaslodgedintheGardenofDealces:hadheavinessoftheheadandpainintherighttempleforaconsiderabletime，fromsomeaccidentalcause，wasseizedwithfever，andtooktobed。Onthesecond，therewasatricklingofpurebloodfromtheleftnostril，butthealvinedischargeswereproper，urinethin，mixed，havingsmallsubstancesfloatinginit，likecoarsebarleymeal，orsemen。Onthethird，acutefever;stoolsblack，thin，frothy，alividsedimentinthedejections;slightcoma;

uneasinessatthetimeshehadtogetup;sedimentintheurinelivid，andsomewhatviscid。Onthefourth，slightvomitingofbilious，yellowmatters，and，afterashortinterval，ofthecolorofverdigris;afewdropsofpurebloodranfromtheleftnostril;stoolsthesame;

urinethesame;sweatedabouttheheadandclavicles;spleenenlarged，painofthethighonthesameside;looseswellingoftherighthypochondrium;atnighthadnosleep，slightdelirium。Onthesixth，stoolsblack，fatty，viscid，fetid;slept，morecollected。Ontheseventh，tonguedry，thirsty，didnotsleep;wassomewhatdelirious;

urinethin，notofagoodcolor。Ontheeighth，stoolsblack，scanty，andcompact;slept，becamecollected;notverythirsty。Ontheninthhadarigor，acutefever，sweated，achill，wasdelirious，strabismusoftherighteye，tonguedry，thirsty，withoutsleep。Onthetenth，muchthesame。Ontheeleventh，becamequitecollected;

freefromfever，slept，urinethinaboutthecrisis。Thetwofollowingdayswithoutfever;itreturnedonthefourteenth，thenimmediatelyinsomnolencyandcompletedelirium。Onthefifteenth，urinemuddy，likethatwhichhasbeenshakenafterthesedimenthasfallentothebottom;acutefever，quitedelirious，didnotsleep;kneesandlegspainful;afterasuppository，hadalvinedejectionsofablackcolor。Onthesixteenth，urinethin，hadacloudyeneorema，wasdelirious。Ontheseventeenth，inthemorning，extremitiescold，wascoveredupwiththebedclothes，acutefever，generalsweat，feltrelieved，morecollected;notfreeoffever，thirsty，vomitedyellowbile，insmallquantities;formedfaecespassedfromthebowels，butsoonafterwardsblack，scanty，andthin;urinethin，notwellcolored。

Ontheeighteenth，notcollected，comatose。Onthenineteenth，inthesamestate。Onthetwentieth，slept;quitecollected，sweated，freefromfever，notthirsty，buttheurinethin。Onthetwenty—first，slightdelirium;somewhatthirsty，painofthehypochondrium，andthrobbingaboutthenavelthroughout。Onsedimentintheurine，quitecollected。Twenty—seventh，painoftherighthipjoint;urinethinandbad，asediment;alltheothersymptomsmilder。Aboutthetwenty—ninth，painoftherighteye;urinethin。Fortieth，dejectionspituitous，white，ratherfrequent;sweatedabundantlyallover;hadacompletecrisis。

Explanationofthecharacters。Itisprobablethat，bymeansofthestools，theurine，andthesweat，thispatientwascuredinfortydays。

Sect。II

CASEI。InThasus，Philisteshadheadacheoflongcontinuance，andsometimeswasconfinedtobed，withatendencytodeepsleep;havingbeenseizedwithcontinualfeversfromdrinking，thepainwasexacerbated;duringthenighthe，atfirst，becamehot。Onthefirstday，hevomitedsomebiliousmatters，atfirstyellow，butafterwardsofaverdigris—greencolor，andingreaterquantity;formedfaecespassedfromthebowels;passedthenightuncomfortably。Onthesecond，deafness，acutefever;retractionoftherighthypochondrium;urinethin，transparent，hadsomesmallsubstanceslikesemenfloatinginit;deliriumferoxaboutmid—day。Onthethird，inanuncomfortablestate。Onthefourth，convulsions;allthesymptomsexacerbated。Onthefifth，earlyinthemorning，died。