第7章

Explanationofthecharacters。Itisprobablethatthedeathofthepatientonthefifthdayistobeattributedtoaphrenitis,withunfavorableevacuations。

CASEII。Charion,whowaslodgedatthehouseofDemaenetus,contractedafeverfromdrinking。Immediatelyhehadapainfulheavinessofthehead;didnotsleep;bowelsdisordered,withthinandsomewhatbiliousdischarges。Onthethirdday,acutefever;

tremblingofthehead,butespeciallyofthelowerlip;afteralittletimearigor,convulsions;hewasquitedelirious;passedthenightuncomfortably。Onthefourth,quiet,sleptlittle,talkedincoherently。Onthefifth,inpain;allthesymptomsexacerbated;

delirium;passedthenightuncomfortably;didnotsleep。Onthesixth,inthesamestate。Ontheseventhhadarigor,acutefever,sweatedalloverhisbody;hadacrisis。Throughoutthealvinedischargeswerebilious,scanty,andunmixed;urinethin,wellcolored,havingcloudysubstancesfloatinginit。Abouttheeighthday,passedurineofabettercolor,havingawhitescantysediment;wascollected,freefromfeverforaseason。Ontheninthitrelapsed。Aboutthefourteenth,acutefever。Onthesixteenth,vomitedprettyfrequentlyyellow,biliousmatters。Ontheseventeenthhadarigor,acutefever,sweated,freeoffever;hadacrisis;urine,aftertherelapseandthecrisis,wellcolored,havingasediment;neitherwashedeliriousintherelapse。Ontheeighteenth,becamealittleheated;somethirst,urinethin,withcloudysubstancesfloatinginit;slightwanderinginhismind。Aboutthenineteenth,freeoffever,hadapaininhisneck;asedimentintheurine。Hadacompletecrisisonthetwentieth。

Explanationofthecharacters。Itisprobablethatthepatientwascuredintwentydays,bytheabundanceofbiliousstoolsandurine。

CASEIII。ThedaughterofEuryanax,amaid,wastakenilloffever。Shewasfreeofthirstthroughout,buthadnorelishforfood。Alvinedischargessmall,urinethin,scanty,notwellcolored。

Inthebeginningofthefever,hadapainaboutthenates。Onthesixthday,wasfreeoffever,didnotsweat,hadacrisis;thecomplaintaboutthenatescametoasmallsuppuration,andburstatthecrisis。Afterthecrisis,ontheseventhday,hadarigor,becameslightlyheated,sweated。Ontheeighthdayaftertherigor,hadaninconsiderablerigor;theextremitiescoldeverafter。Aboutthetenthday,afterasweatwhichcameon,shebecamedelirious,andagainimmediatelyafterwardswascollected;thesesymptomsweresaidtohavebeenbroughtonbyeatinggrapes。Afteranintermissionofthetwelfthday,sheagaintalkedmuchincoherently;herbowelsdisorderedwithbilious,scanty,unmixed,thin,acriddischarges;

sherequiredtogetfrequentlyup。Shediedontheseventhdayafterthereturnofthedelirium。Atthecommencementofthediseaseshehadpaininthethroat,anditredthroughout,uvularetracted,defluxionsabundant,thin,acrid;coughed,buthadnoconcoctedsputa;duringthewholetimeloathedallkindsoffood,norhadtheleastdesireofanything;hadnothirst,nordrankanythingworthmentioning;wassilent,andneverspokeaword;despondency;hadnohopesofherself。Shehadacongenitaltendencytophthisis。

CASEIV。Thewomanaffectedwithquinsy,wholodgedinthehouseofAristion:hercomplaintbeganinthetongue;speechinarticulate;

tongueredandparched。Onthefirstday,feltchilly,andafterwardsbecameheated。Onthethirdday,arigor,acutefever;areddishandhardswellingonbothsidesoftheneckandchest,extremitiescoldandlivid;andlivid;respirationelevated;thedrinkreturnedbythenose;shecouldnotswallow;alvineandurinarydischargessuppressed。Onthefourth,allofthesymptomswereexacerbated。Onthefifthshediedofthequinsy。

Explanationofthecharacters。Itisprobablethatthecauseofdeathonthesixthdaywasthesuppressionofthedischarges。

CASEV。TheyoungmanwhowaslodgedbytheLiars\'Marketwasseizedwithfeverfromfatigue,labor,andrunningoutofseason。Onthefirstday,thebowelsdisordered,withbilious,thin,andcopiousdejections;urinethinandblackish;hadnosleep;wasthirsty。Onthesecondallthesymptomswereexacerbated;dejectionsmorecopiousandunseasonable;hehadnosleep;disorderoftheintellect;slightsweat。Onthethirdday,restless,thirst,nausea,muchtossingabout,bewilderment,delirium;extremitieslividandcold;softishdistentionofthehypochondriumonbothsides。Onthefourth,didnotsleep;

stillworse。Ontheseventhhedied。Hewasabouttwentyyearsofage。

Explanationofthecharacters。Itisprobablethatthecauseofhisdeathontheseventhdaywastheunseasonablepracticesmentionedabove。Anacuteaffection。

CASEVI。ThewomanwholodgedatthehouseofTisamenashadatroublesomeattackofiliacpassion,muchvomiting;couldnotkeepherdrink;painsaboutthehypochondria,andpainsalsointhelowerpartofthebelly;constanttormina;notthirsty;becamehot;

extremitiescoldthroughout,withnauseaandinsomnolency;urinescantyandthin;dejectionsundigested,thin,scanty。Nothingcoulddoheranygood。Shedied。

CASEVII。AwomanofPantimides,fromamiscarriage,wastakenilloffever。Onthefirstday,tonguedry,thirst,nausea,insomnolency,bellydisordered,withthin,copious,undigesteddejections。Onthesecondday,hadarigor,acutefever;alvinedischargescopious;hadnosleep。Onthethird,painsgreater。Onthefourth,delirious。Ontheseventhshedied。Bellythroughoutloose,withcopious,thin,undigestedevacuations;urinescanty,thin。

Anardentfever。

CASEVIII。Anotherwoman,afteramiscarriageaboutthefifthmonth,thewifeofOcetes,wasseizedwithfever。Atfirsthadsometimescomaandsometimesinsomnolency;painoftheloins;heavinessofthehead。Onthesecond,thebowelsweredisordered,withscanty,thin,andatfirstunmixeddejections。Onthethird,morecopious,andworse;atnightdidnotsleep。Onthefourthwasdelirious;frights,despondency;strabismusoftherighteye;afaintcoldsweataboutthehead;extremitiescold。Onthefifthday,allthesymptomswereexacerbated;talkedmuchincoherently,andagainimmediatelybecamecollected;hadnothirst;laboredunderinsomnolency;alvinedejectionscopious,andunseasonablethroughout;urinescanty,thin,darkish;extremitiescold,somewhatlivid。Onthesixthday,inthesamestate。Ontheseventhshedied。Phrenitis。

CASEIX。AwomanwholodgedneartheLiars\'Market,havingthenbroughtforthasoninafirstanddifficultlabor,wasseizedwithfever。Immediatelyonthecommencementhadthirst,nausea,andcardialgia;tonguedry;bowelsdisordered,withthinandscantydejections;hadnosleep。Onthesecond,hadslightrigor,acutefever;afaintcoldsweataboutthehead。Onthethird,painfullyaffected;evacuationsfromthebowelsundigested,thin,andcopious。

Onthefourth,hadarigor;allthesymptomsexacerbated;

insomnolency。Onthefifth,inapainfulstate。Onthesixth,inthesamestate;dischargesfromthebowelsliquidandcopious。Ontheseventh,hadarigor,feveracute;muchthirst;muchtossingabout;

towardseveningacoldsweatoverall;extremitiescold,couldnolongerbekeptwarm;andagainatnighthadarigor;extremitiescouldnotbewarmed;shedidnotsleep;wasslightlydelirious,andagainspeedilycollected。Ontheeighth,aboutmid—day,shebecamewarm,wasthirsty,comatose,hadnausea;vomitedsmallquantitiesofyellowishbile;restlessatnight,didnotsleep;passedfrequentlylargequantitiesofurinewithoutconsciousness。Ontheninth,allthesymptomsgaveway;comatose,towardseveningslightrigors;smallvomitingsofbile。Onthetenth,rigor;exacerbationofthefever,didnotsleepatall;inthemorningpassedmuchurinehavingasediment;extremitiesrecoveredtheirheat。Ontheeleventh,vomitedbileofaverdigris—greencolor;notlongafterhadarigor,andagaintheextremitiescold;towardseveningarigor,acoldsweat,muchvomiting;passedapainfulnight。Onthetwelfth,hadcopiousblackandfetidvomitings;muchhiccup,painfulthirst。Onthethirteenth,vomitingsblack,fetid,andcopious;rigoraboutmid—day,lossofspeech。Onthefourteenth,somebloodranfromhernose,shedied。

Inthiscasethebowelswereloosethroughout;withrigors:herageaboutseventeen。Anardentfever。