第10章

passedblackurine，havingsubstancesfloatinginit;thenightquiet;

slept。Onthefifth，seemedtobelightened，butapainfulweightaboutthebelly;thirsty，passedthenightinapainfulstate。Onthesixth，inthemorning，inaquietstate;intheeveningthepainsgreater;hadaparoxysm;intheeveningthebowelsproperlyopenedbyasmallclyster;sleptatnight。Ontheseventh，duringtheday，inastateofnausea，somewhatdisturbed;passedurineoftheappearanceofoil;atnight，muchagitation，wasincoherent，didnotsleep。Ontheeighth，inthemorning，sleptalittle;butimmediatelycoldness，lossofspeech，respirationsmallandweak;

butintheeveningrecoveredhisheatagain;wasdelirious，buttowardsdaywassomewhatlightened;stoolssmall，bilious，andunmixed。Ontheninth，affectedwithcoma，andwithnauseawhenroused;notverythirsty;aboutsunsethebecamerestlessandincoherent;passedabadnight。Onthetenth，inthemorning，hadbecomespeechless;greatcoldness;acutefever;muchperspiration;

hedied。Hissufferingswereontheevendays。

Explanationofthecharacters。Itisprobablethattheexcessivesweatscauseddeathonthetenthday。

CASEIV。Thepatientaffectedwithphrenitis，havingtakentobedonthefirstday，vomitedlargelyofverdigris—greenandthinmatters;

fever，accompaniedwithrigors，copiousandcontinuedsweatsallover;

heavinessoftheheadandneck，withpain;urinethin，substancesfloatingintheurinesmall，scattered，didnotsubside;hadcopiousdejectionsfromthebowels;verydelirious;nosleep。Onthesecond，inthemorning，lossofspeech;acutefever;hesweated，feverdidnotleavehim;palpitationsoverthewholebody，atnight，convulsions。Onthethird，allthesymptomsexacerbated;hedied。

Explanationofthecharacters。Itisprobablethatthesweatsandconvulsionscauseddeath。

CASEV。InLarissa，aman，whowasbald，suddenlywasseizedwithpainintherightthigh;noneofthethingswhichwereadministereddidhimanygood。Onthefirstday，feveracute，oftheardenttype，notagitated，butthepainspersisted。Onthesecond，thepainsinthethighabated，butthefeverincreased;somewhattossedabout;didnotsleep;extremitiescold;passedalargequantityofurine，notofagoodcharacter。Onthethird，thepainofthethighceased;

derangementoftheintellect，confusion，andmuchtossingabout。Onthefourth，aboutnoon，hedied。Anacutedisease。

CASEVI。InAbdera，Pericleswasseizedwithafeveroftheacute，continualtype，withpain;muchthirst，nausea，couldnotretainhisdrink;somewhatswelledaboutthespleen，withheavinessofthehead。Onthefirstday，hadhemorrhagefromtheleftnostril，butstillthefeverbecamemoreviolent;passedmuchmuddy，whiteurine，whichwhenallowedtostanddidnotsubside。Onthesecondday，allthesymptomswereexacerbated，yettheurinewasthick，andmoreinclinedtohaveasediment;thenausealess;heslept。Onthethird，feverwasmilder;abundanceofurine，whichwasconcocted，andhadacopioussediment;passedaquietnight。Onthefourth，hadacopiousandwarmsweatalloveraboutnoon;wasfreeoffever，hadacrisis，norelapse。Anacuteaffection。

CASEVII。InAbdera，theyoungwomanwhowaslodgedintheSacredWalkwasseizedwithanardentfever。Shewasthirsty，andcouldnotsleep;hadmenstruationforthefirsttime。Onthesixth，muchnausea，flushing，waschilly，andtossedabout。Ontheseventh，inthesamestate;urinethin，butofagoodcolor;nodisturbanceaboutthebowels。Ontheeighth，deafness，acutefever，insomnolency，nausea，rigors，becamecollected;urinethesame。Ontheninth，inthesamestate，andalsoonthefollowingdays;thusthedeafnesspersisted。Onthefourteenth，disorderoftheintellect;thefeverabated。Ontheseventeenth，acopioushemorrhagefromthenose;thedeafnessslightlybetter;andonthefollowingdays，nausea，deafness，andincoherence。Onthetwentieth，painofthefeet;deafnessanddeliriumlefther;asmallhemorrhagefromthenose;sweat，apyrexia。Onthetwenty—fourth，thefeverreturned，deafnessagain;painofthefeetremained;incoherence。Onthetwenty—seventh，hadacopioussweat，apyrexia;thedeafnesslefther;thepainofherfeetpartlyremained;

inotherrespectshadacompletecrisis。

Explanationofthecharacters。Itisprobablethattherestorationofhealthonthetwentiethdaywastheresultoftheevacuationofurine。

CASEVIII。InAbdera，Anaxion，whowaslodgednearthewithThracianGates，wasseizedwithanacutefever;painoftherightdrycough，withoutexpectorationduringthefirstdays，thirst，insomnolency;

urinewellcolored，copious，andthin。Onthesixth，delirious;norelieffromthewarmapplications。Ontheseventh，inapainfulstate，forthefeverwhilethepainsdidnotabate，andthecoughwastroublesome，andattendedwithdyspnoea。Ontheeighth，Iopenedaveinattheelbow，andmuchblood，ofapropercharacter，flowed;

thepainswereabated，butthedrycoughscontinued。Ontheeleventh，thefeverdiminished;slightsweatsaboutthehead;

coughs，withmoreliquidsputa;hewasrelieved。Onthetwentieth，sweat，apyrexia;butafterthecrisishewasthirsty，andtheexpectorationswerenotgood。Onthetwenty—sevenththefeverrelapsed;hecoughed，andbroughtupmuchconcoctedsputa:sedimentintheurinecopiousandwhite;hebecamefreeofthirst，andtherespirationwasgood。Onthethirty—fourth，sweatedallover，apyrexiageneralcrisis。

Explanationofthecharacters。Itisprobablethattheevacuationofthesputabroughtabouttherecoveryonthethirty—fourthday。

CASEIX。InAbdera，Heropythus，whilestillonfoot，hadpaininthehead，andnotlongafterwardshetooktobed;helivedneartheHighStreet。Wasseizedwithacutefeveroftheardenttype;vomitingsatfirstofmuchbiliousmatter;thirst;greatrestlessness;urinethin，black，substancessometimesfloatinghighinit，andsometimesnot;passedthenightinapainfulstate;paroxysmsofthefeverdiversified，andforthemostpartirregular。Aboutthefourteenthday，deafness;thefeverincreased;urinethesame。Onthetwentiethandfollowingdays，muchdelirium。Onthethirtieth，copioushemorrhagefromthenose，andbecamemorecollected;deafnesscontinued，butless;thefeverdiminished;onthefollowingdays，frequenthemorrhages，atshortintervals。Aboutthesixtieth，thehemorrhagesceased，butviolentpainofthehip—joint，andincreaseoffever。Notlongafterwards，painsofalltheinferiorrule，thateitherthefeveranddeafnessincreased，or，painsoftheinferiorpartswereincreased。Abouttheeightiethday，allthecomplaintsgaveway，withoutleavinganybehind;fortheurinewasofagoodcolor，andhadacopioussediment，whilethedeliriumbecameless。Aboutthehundredthday，disorderofthebowels，withcopiousandbiliousevacuations，andthesecontinuedforaconsiderabletime，andagainassumedthedysentericformwithpain;butreliefofalltheothercomplaints。Onthewhole，thefeverswentoff，andthedeafnessceased。Onthehundredandtwentiethday，hadacompletecrisis。

Ardentfever。

Explanationofthecharacters。Itisprobablethatthebiliousdischargebroughtabouttherecoveryonthehundredandtwentiethday。

CASEX。InAbdera，Nicodemuswasseizedwithfeverfromveneryanddrinking。Atthecommencementhewastroubledwithnauseaandcardialgia;thirsty，tonguewasparched;urinethinanddark。Onthesecondday，thefeverexacerbated;hewastroubledwithrigorsandnausea;hadnosleep;vomitedyellowbile;urinethesame;passedaquietnight，andslept。Onthethird，ageneralremission;

amelioration;butaboutsunsetfeltagainsomewhatuncomfortable;

passedanuneasynight。Onthefourth，rigor，muchfever，generalpains;urinethin，withsubstancesfloatinginit;againaquietnight。Onthefifth，allthesymptomsremained，buttherewasanamelioration。Onthesixth，somegeneralpains;substancesfloatingintheurine;veryincoherent。Ontheseventh，better。Ontheeighth，alltheothersymptomsabated。Onthetenth，andfollowingdays，therewerepains，butallless;inthiscasethroughout，theparoxysmsandpainsweregreaterontheevendays。Onthetwentieth，theurinewhiteandthick，butwhenallowedtostandhadnosediment;muchsweat;