13。Thegreatestandmostdangerousdisease，andtheonethatprovedfataltothegreatestnumber，wasconsumption。Withmanypersonsitcommencedduringthewinter，andofthesesomewereconfinedtobed，andothersboreuponfoot;themostofthosediedearlyinspringwhowereconfinedtobed;oftheothers，thecoughleftnotasingleperson，butitbecamemilderthroughthesummer;duringtheautumn，allthesewereconfinedtobed，andmanyofthemdied，butinthegreaternumberofcasesthediseasewaslongprotracted。Mostoftheseweresuddenlyattackedwiththesediseases，havingfrequentrigors，oftencontinualandacutefevers;unseasonable，copious，andcoldsweatsthroughout;greatcoldness，fromwhichtheyhadgreatdifficultyinbeingrestoredtoheat;thebowelsvariouslyconstipated，andagainimmediatelyinaloosestate，buttowardstheterminationinallcaseswithviolentloosenessofthebowels;adeterminationdownwardsofallmatterscollectedaboutthelungs;
urineexcessive，andnotgood;troublesomemelting。Thecoughsthroughoutwerefrequent，andcopious，digested，andliquid，butnotbroughtupwithmuchpain;andevenwhentheyhadsomeslightpain，inallcasesthepurgingofthemattersaboutthelungswentonmildly。
Thefauceswerenotveryirritable，norweretheytroubledwithanysaltishhumors;buttherewereviscid，white，liquid，frothy，andcopiousdefluxionsfromthehead。Butbyfarthegreatestmischiefattendingtheseandtheothercomplaints，wastheaversiontofood，ashasbeendescribed。Forneitherbeendescribed。Forneitherhadtheyanyrelishfordrinkalongwiththeirfood，butcontinuedwithoutthirst。Therewasheavinessofthebody，dispositiontocoma，inmostcasesswelling，whichendedindropsy;theyhadrigors，andweredelirioustowardsdeath。
14。Theformofbodypeculiarlysubjecttophthisicalcomplaintswasthesmooth，thewhitish，thatresemblingthelentil;thereddish，theblue—eyed，theleucophlegmatic，andthatwiththescapulaehavingtheappearanceofwings:andwomeninlikemanner，withregardtothemelancholicandsubsanguineous，phreniticanddysentericaffectionsprincipallyattackedthem。Tenesmustroubledyoungpersonsofaphlegmatictemperament。Chronicdiarrhoea，acridandvisciddischargesfromthebowels，attackedthosewhoweretroubledwithbitterbile。
15。Toallthosewhichhavebeendescribed，theseasonofspringwasmostinimical，andprovedfataltothegreatestnumbers:thesummerwasthemostfavorabletothem，andthefewestdiedthen;inautumn，andunderthePleiades，againtherediedgreatnumbers。Itappearstome，accordingtothereasonofthings，thatthecomingonofsummershouldhavedonegoodinthesecases;forwintercomingoncuresthediseasesofsummer，andsummercomingonremovesthediseasesofwinter。Andyetthesummerinquestionwasnotofitselfwellconstituted，foritbecamesuddenlyhot，southerly，andcalm;but，notwithstanding，itprovedbeneficialbyproducingachangeontheotherconstitution。
16。Ilookuponitasbeingagreatpartofthearttobeabletojudgeproperlyofthatwhichhasbeenwritten。Forhethatknowsandmakesaproperuseofthesethings，wouldappeartomenotlikelytocommitanygreatmistakeintheart。Heoughttolearnaccuratelytheconstitutionofeveryoneoftheseasons，andofthediseases;
whateverthatiscommonineachconstitutionanddiseaseisgood，andwhateverisbad;whateverdiseasewillbeprotractedandendindeath，andwhateverwillbeprotractedandendinrecovery;whichdiseaseofanacutenaturewillendindeath，andwhichinrecovery。
Fromtheseitiseasytoknowtheorderofthecriticaldays，andprognosticatefromthemaccordingly。Andtoapersonwhoisskilledinthesethings，itiseasytoknowtowhom，when，andhowalimentoughttobeadministered。
SixteenCasesofDiseaseCASEI。InThasus，theParianwholodgedabovetheTempleofDianawasseizedwithanacutefever，atfirstofacontinualandardenttype;thirsty，inclinedtobecomatoseatfirst，andafterwardstroubledwithinsomnolency;bowelsdisorderedatthebeginning，urinethin。Onthesixthday，passedoilyurine，wasdelirious。Ontheseventh，allthesymptomswereexacerbated;hadnosleep，buttheurineofthesamecharacters，andtheunderstandingdisordered;alvinedejectionsbiliousandfatty。Ontheeighth，aslightepistaxis;smallvomitingofverdigris—greenmatters;sleptalittle。Ontheninth，inthesamestate。Onthetenth，allthesymptomsgaveway。Ontheeleventh，hesweated，butnotoverthewholebody;hebecamecold，butimmediatelyrecoveredhisheatagain。Onthefourteenth，acutefever;dischargesbilious，thin，andcopious;substancesfloatingintheurine;hebecameincoherent。Ontheseventeenth，inapainfulstate，forhehadnosleep，andthefeverwasmoreintense。Onthetwentieth，sweatedallover;apyrexia，dejectionsbilious;aversiontofood，comatose。Onthetwenty—fourth，hadarelapse。Onthethirty—fourth，apyrexia;bowelsnotconfined;andheagainrecoveredhisheat。Fortieth，apyrexia，bowelsconfinedfornolongtime，aversiontofood;hadagainslightsymptomsoffever，andthroughoutinanirregularform;apyrexiaattimes，andatothersnot;forifthefeverintermitted，andwasalleviatedforalittle，itimmediatelyrelapsedagain;heusedmuchandimproperfood;sleepbad;aboutthetimeoftherelapsehewasdelirious;passedthickurineatthattime，buttroubled，andofbadcharacters;bowelsatfirstconfined，andagainloose;slightfeversofacontinualtype;dischargescopiousandthin。Onthehundredandtwentiethdayhedied。Inthispatientthebowelswereconstantlyfromthefirsteitherloose，withbilious，liquid，andcopiousdejections，orconstipatedwithhotandundigestedfaeces;theurinethroughoutbad;forthemostpartcoma，orinsomnolencywithpain;continuedaversiontofood。Ardentfever。
Explanationofthecharacters。Itisprobablethattheweaknessproducedbythefever，thephrenitis，andaffectionofthehypochondriumcauseddeathonthehundredandtwentiethday。
CASEII。InThasus，thewomanwholodgedneartheColdWater，onthethirddayafterdeliveryofadaughter，thelochialdischargenottakingplace，wasseizedwithacutefever，accompaniedwithrigors。
Butaconsiderabletimebeforedeliveryshewasfeverish，confinedtobed，andloathedherfood。Aftertherigorwhichtookplace，continualandacutefevers，withrigors。Ontheeighthandfollowingdays，wasveryincoherent，andimmediatelyafterwardsbecamecollected;bowelsdisordered，withcopious，thin，watery，andbiliousstools;nothirst。Ontheeleventhwascollected，butdisposedtocoma;urinecopious，thin，andblack;nosleep。Onthetwentieth，slightchills，andimmediatelyafterwardswaswarm;slightincoherence;nosleep;withregardtothebowels，inthesamecondition;urinewatery，andcopious。Onthetwenty—seventh，freefromfever;bowelsconstipated;notlongafterwardsviolentpainoftherighthip—jointforaconsiderabletime;feversafterwardssupervened;
urinewatery。Onthefortieth，complaintsaboutthehip—jointbetter;continuedcoughs，withcopious，waterysputa;bowelsconstipated;aversiontofood;urinethesame;fevernotleavingherentirely，buthavingparoxysmsinanirregularform，sometimespresent，sometimesnot。Onthesixtieth，thecoughsleftherwithoutacrisis，fornoconcoctionofthesputatookplace，noranyoftheusualabscesses;jawontherightsideconvulsivelyretracted;
comatose，wasagainincoherent，andimmediatelybecamecollected;
utteraversiontofood;thejawbecamerelaxed;alvinedischargessmall，andbilious;fevermoreacute，affectedwithrigors;onthefollowingdayslostherspeech，andagainbecamecollected，andtalked。Ontheeightiethshedied。Inthiscasetheurinethroughoutwasblack，thin，andwatery;comasupervened;therewasaversiontofood，aversiontofood，despondency，andinsomnolency;irritability，restlessness;shewasofamelancholicturnofmind。
Explanationofthecharacters。Itisprobablethatthesuppressionofthelochialdischargecauseddeathontheday。
CASEIII。InThasus，Pythion，whowaslodgedabovetheTempleofHercules，fromlabor，fatigue，andneglecteddiet，wasseizedwithstrongrigorandacutefever;tonguedry，thirsty，andbilious;hadnosleep;urinedarkish，eneoremafloatingonthetopoftheurine，didnotsubside。Onthesecondday，aboutnoon，coldnessoftheextremities，especiallyaboutthehandsandhead;lossofspeechandofarticulation;breathingshortforaconsiderabletime;recoveredhisheat;thirst;passedthenightquietly;slightsweatsaboutthehead。Onthethird，passedthedayinacomposedstate;intheevening，aboutsunset，slightchills;nausea，agitation;passedthenightinapainfulstate;hadnosleep;smallstoolsofcompactfaecespassedfromthebowels。Onthefourth，inthemorning，composed;aboutnoonallthesymptomsbecameexacerbated;coldness，lossofspeech，andofarticulation;becameworse;recoveredhisheatafteratime;