第1章

类别:其他 作者:Hippocrates字数:14151更新时间:18/12/25 10:29:32
byHippocratestranslatedbyFrancisAdamsAPHORISMS SECTIONI Lifeisshort,andArtlong;thecrisisfleeting;experienceperilous,anddecisiondifficult。Thephysicianmustnotonlybepreparedtodowhatisrighthimself,butalsotomakethepatient,theattendants,andexternalscooperate。 2。Indisordersofthebowelsandvomitings,occurringspontaneously,ifthematterspurgedbesuchasoughttobepurged,theydogood,andarewellborne;butifnot,thecontrary。Andsoartificialevacuations,iftheyconsistofsuchmattersasshouldbeevacuated,dogood,andarewellborne;butifnot,thecontrary。One,then,oughttolooktothecountry,theseason,theage,andthediseasesinwhichtheyareproperornot。 3。Intheathletae,embonpoint,ifcarriedtoitsutmostlimit,isdangerous,fortheycannotremaininthesamestatenorbestationary; andsince,then,theycanneitherremainstationarynorimprove,itonlyremainsforthemtogetworse;forthesereasonstheembonpointshouldbereducedwithoutdelay,thatthebodymayagainhaveacommencementofreparation。Neithershouldtheevacuations,intheircase,becarriedtoanextreme,forthisalsoisdangerous,butonlytosuchapointastheperson’sconstitutioncanendure。Inlikemanner,medicinalevacuations,ifcarriedtoanextreme,aredangerous;andagain,arestorativecourse,ifintheextreme,isdangerous。 4。Aslenderrestricteddietisalwaysdangerousinchronicdiseases,andalsoinacutediseases,whereitisnotrequisite。Andagain,adietbroughttotheextremepointofattenuationisdangerous;andrepletion,whenintheextreme,isalsodangerous。 5。Inarestricteddiet,patientswhotransgressaretherebymorehurt(thaninanyother?);foreverysuchtransgression,whateveritmaybe,isfollowedbygreaterconsequencesthaninadietsomewhatmoregenerous。Onthisaccount,averyslender,regulated,andrestricteddietisdangeroustopersonsinhealth,becausetheybeartransgressionsofitmoredifficultly。Forthisreason,aslenderandrestricteddietisgenerallymoredangerousthanonealittlemoreliberal。 6。Forextremediseases,extrememethodsofcure,astorestriction,aremostsuitable。 7。Whenthediseaseisveryacute,itisattendedwithextremelyseveresymptomsinitsfirststage;andthereforeanextremelyattenuatingdietmustbeused。Whenthisisnotthecase,butitisallowabletogiveamoregenerousdiet,wemaydepartasfarfromtheseverityofregimenasthedisease,byitsmildness,isremovedfromtheextreme。 8。Whenthediseaseisatitsheight,itwillthenbenecessarytousethemostslenderdiet。 9。Wemustformaparticularjudgmentofthepatient,whetherhewillsupportthedietuntiltheacmeofthedisease,andwhetherhewillsinkpreviouslyandnotsupportthediet,orthediseasewillgivewaypreviously,andbecomelessacute。 10。Inthosecases,then,whichattaintheiracmespeedily,arestricteddietshouldbeenjoinedatfirst;butinthosecaseswhichreachtheiracmelater,wemustretrenchatthatperiodoralittlebeforeit;butpreviouslywemustallowamoregenerousdiettosupportthepatient。 11。Wemustretrenchduringparoxysms,fortoexhibitfoodwouldbeinjurious。Andinalldiseaseshavingperiodicalparoxysms,wemustrestrictduringtheparoxysms。 12。Theexacerbationsandremissionswillbeindicatedbythediseases,theseasonsoftheyear,thereciprocationoftheperiods,whethertheyoccureveryday,everyalternateday,orafteralongerperiod,andbythesuperveningsymptoms;as,forexample,inpleuriticcases,expectoration,ifitoccuratthecommencement,shortenstheattack,butifitappearlater,itprolongsthesame;andinthesamemannertheurine,andalvinedischarges,andsweats,accordingastheyappearalongwithfavorableorunfavorablesymptoms,indicatediseasesofashortorlongduration。 13。Oldpersonsendurefastingmosteasily;next,adults;youngpersonsnotnearlysowell;andmostespeciallyinfants,andofthemsuchasareofaparticularlylivelyspirit。 14。Growingbodieshavethemostinnateheat;theythereforerequirethemostfood,forotherwisetheirbodiesarewasted。Inoldpersonstheheatisfeeble,andthereforetheyrequirelittlefuel,asitwere,totheflame,foritwouldbeextinguishedbymuch。Onthisaccount,also,feversinoldpersonsarenotequallyacute,becausetheirbodiesarecold。 15。Inwinterandspringthebowelsarenaturallythehottest,andthesleepmostprolonged;attheseseasons,then,themostsustenanceistobeadministered;forasthebellyhasthenmostinnateheat,itstandsinneedofmostfood。Thewell—knownfactswithregardtoyoungpersonsandtheathletaeprovethis。 16。Ahumidregimenisbefittinginallfebrilediseases,andparticularlyinchildren,andothersaccustomedtoliveonsuchadiet。 17。Wemustconsider,also,inwhichcasesfoodistobegivenonceortwiceaday,andingreaterorsmallerquantities,andatintervals。Somethingmustbeconcededtohabit,toseason,tocountry,andtoage。 18。Invalidsbearfoodworstduringsummerandautumn,mosteasilyinwinter,andnextinspring。 19。Neithergivenorenjoinanythingtopersonsduringperiodicalparoxysms,butabstractfromtheaccustomedallowancebeforethecrisis。 20。Whenthingsareatthecrisis,orwhentheyhavejustpassedit,neithermovethebowels,normakeanyinnovationinthetreatment,eitherasregardspurgativesoranyothersuchstimulants,butletthingsalone。 21。Thosethingswhichrequiretobeevacuatedshouldbeevacuated,wherevertheymosttend,bytheproperoutlets。 22。Wemustpurgeandmovesuchhumorsasareconcocted,notsuchasareunconcocted,unlesstheyarestrugglingtogetout,whichismostlynotthecase。 23。Theevacuationsaretobejudgedofnotbytheirquantity,butwhethertheybesuchastheyshouldbe,andhowtheyareborne。Andwhenpropertocarrytheevacuationtodeliquiumanimi,thisalsoshouldbedone,providedthepatientcansupportit。 24。Usepurgativemedicinessparinglyinacutediseases,andatthecommencement,andnotwithoutpropercircumspection。 25。Ifthematterswhicharepurgedbesuchasshouldbepurged,theevacuationisbeneficial,andeasilyborne;but,notwithstanding,ifotherwise,withdifficulty。 SECTIONII。 1。Inwhateverdiseasesleepislaborious,itisadeadlysymptom; butifsleepdoesgood,itisnotdeadly。 2。Whensleepputsanendtodelirium,itisagoodsymptom。 3。Bothsleepandinsomnolency,whenimmoderate,arebad。 4。Neitherrepletion,norfasting,noranythingelse,isgoodwhenmorethannatural。 5。Spontaneouslassitudeindicatesdisease。 6。Personswhohaveapainfulaffectioninanypartofthebody,andareinagreatmeasuresensibleofthepain,aredisorderedinintellect。 7。Thosebodieswhichhavebeenslowlyemaciatedshouldbeslowlyrecruited;andthosewhichhavebeenquicklyemaciatedshouldbequicklyrecruited。 8。Whenapersonafteradiseasetakesfood,butdoesnotimproveinstrength,itindicatesthatthebodyusesmorefoodthanisproper; butifthishappenwhenhedoesnottakefood,itistobeunderstoodevacuationisrequired。 9。Whenonewishestopurge,heshouldputthebodyintoafluentstate。 10。Bodiesnotproperlycleansed,themoreyounourishthemoreyouinjure。 11。Itiseasiertofillupwithdrinkthanwithfood。 12。Whatremainsindiseasesafterthecrisisisapttoproducerelapses。 13。Personsinwhomacrisistakesplacepassthenightprecedingtheparoxysmuncomfortably,butthesucceedingnightgenerallymorecomfortably。 14。Influxesofthebowels,achangeofthedejectionsdoesgood,unlessthechangebeofabadcharacter。 15。Whenthethroatisdiseased,ortubercles(phymata)formonthebody,attentionmustpaidtothesecretions;foriftheybebilious,thediseaseaffectsthegeneralsystem;butiftheyresemblethoseofahealthyperson,itissafetogivenourishingfood。 16。Wheninastateofhunger,oneoughtnottoundertakelabor。 17。Whenmorefoodthanisproperhasbeentaken,itoccasionsdisease;thisisshownbythetreatment。 18。Fromfoodwhichprovesnourishingtothebodyeitherimmediatelyorshortly,thedejectionsalsoareimmediate。 19。Inacutediseasesitisnotquitesafetoprognosticateeitherdeathorrecovery。 20。Thosewhohavewaterydischargesfromtheirbowelswhenyounghavedrywhentheyareold;andthosewhohavedrydischargeswhentheyareyoungwillhavewaterywhentheyareold。 21。Drinkingstrongwinecureshunger。 22。Diseaseswhicharisefromrepletionarecuredbydepletion; andthosethatarisefromdepletionarecuredbyrepletion;andingeneral,diseasesarecuredbytheircontraries。 23。Acutediseasecometoacrisisinfourteendays。 24。Thefourthdayisindicativeoftheseventh;theeighthisthecommencementofthesecondweek;andhence,theeleventhbeingthefourthofthesecondweek,isalsoindicative;andagain,theseventeenthisindicative,asbeingthefourthfromthefourteenth,andtheseventhfromtheeleventh。 25。Thesummerquartansare,forthemostpart,ofshortduration; buttheautumnalareprotracted,especiallythoseoccurringneartheapproachofwinter。 26。Itisbetterthatafeversucceedtoaconvulsion,thanaconvulsiontoafever。 27。Weshouldnottrustameliorationsindiseaseswhentheyarenotregular,norbemuchafraidofbadsymptomswhichoccurinanirregularform;forsucharecommonlyinconstant,anddonotusuallycontinue,norhaveanyduration。 28。Infeverswhicharenotaltogetherslight,itisabadsymptomforthebodytoremainwithoutanydiminutionofbulk,ortobewastedbeyondmeasure;fortheonestateindicatesaprotracteddisease,andtheotherweaknessofbody。 29。Ifitappearthatevacuationsarerequired,theyshouldbemadeatthecommencementofdiseases;attheacmeitisbettertobequiet。 30。Towardthecommencementandendofdiseasesallthesymptomsareweaker,andtowardtheacmetheyarestronger。 31。Whenapersonwhoisrecoveringfromadiseasehasagoodappetite,buthisbodydoesnotimproveincondition,itisabadsymptom。 32。Forthemostpart,allpersonsinillhealth,whohaveagoodappetiteatthecommencement,butdonotimprove,haveabadappetiteagaintowardtheend;whereas,thosewhohaveaverybadappetiteatthecommencement,andafterwardacquireagoodappetite,getbetteroff。 33。Ineverydiseaseitisagoodsignwhenthepatient’sintellectissound,andheisdisposedtotakewhateverfoodisofferedtohim;butthecontraryisbad。 34。Indiseases,thereislessdangerwhenthediseaseisonetowhichthepatient’sconstitution,habit,age,andtheseasonareallied,thanwhenitisonetowhichtheyarenotallied。 35。Inalldiseasesitisbetterthattheumbilicalandhypogastricregionspreservetheirfullness;anditisabadsignwhentheyareveryslenderandemaciated;inthelattercaseitisdangeroustoadministerpurgatives。 36。Personsingoodhealthquicklylosetheirstrengthbytakingpurgativemedicines,orusingbadfood。 37。Purgativemedicinesagreeillwithpersonsingoodhealth。 38。Anarticleoffoodordrinkwhichisslightlyworse,butmorepalatable,istobepreferredtosuchasarebetterbutlesspalatable。 39。Oldhavefewercomplaintsthanyoung;butthosechronicdiseaseswhichdobefallthemgenerallyneverleavethem。 40。Catarrhsandcoryzainveryoldpeoplearenotconcocted。 41。Personswhohavehadfrequentandsevereattacksofswooning,withoutanymanifestcause,diesuddenly。 42。Itisimpossibletoremoveastrongattackofapoplexy,andnoteasytoremoveaweakattack。 43。Ofpersonswhohavebeensuspendedbytheneck,andareinastateofinsensibility,butnotquitedead,thosedonotrecoverwhohavefoamatthemouth。 44。Personswhoarenaturallyveryfatareapttodieearlierthanthosewhoareslender。 45。Epilepsyinyoungpersonsismostfrequentlyremovedbychangesofair,ofcountry,andofmodesoflife。 46。Oftwopainsoccurringtogether,notinthesamepartofthebody,thestrongerweakenstheother。 47。Painsandfeversoccurratherattheformationofpusthanwhenitisalreadyformed。 48。Ineverymovementofthebody,wheneveronebeginstoendurepain,itwillberelievedbyrest。 49。Thosewhoareaccustomedtoendurehabituallabors,althoughtheybeweakorold,bearthembetterthanstrongandyoungpersonswhohavenotbeensoaccustomed。 50。Thosethingswhichonehasbeenaccustomedtoforalongtime,althoughworsethanthingswhichoneisnotaccustomedto,usuallygivelessdisturbance;butachangemustsometimesbemadetothingsoneisnotaccustomedto。 51。Toevacuate,fillup,heat,cool,orotherwise,movethebodyinanywaymuchandsuddenly,isdangerous;andwhateverisexcessiveisinimicaltonature;butwhateverisdonebylittleandlittleissafe,moreespeciallywhenatransitionismadefromonethingtoanother。 52。Whendoingeverythingaccordingtoindications,althoughthingsmaynotturnoutagreeablytoindication,weshouldnotchangetoanotherwhiletheoriginalappearancesremain。 53。Thosepersonswhohavewaterydischargesfromthebowelswhentheyareyoung,comeoffbetterthanthosewhohavedry;butinoldagetheycomeoffworse,forthebowelsinagedpersonsareusuallydriedup。 54。Largenessofpersoninyouthisnobleandnotunbecoming;butinoldageitisinconvenient,andworsethanasmallerstructure。 SECTIONIII。 1。Thechangesoftheseasonmostlyengenderdiseases,andintheseasonsgreatchangeseitherofheatorofcold,andtherestagreeablytothesamerule。 2。Ofnatures(temperaments?),somearewell—orill—adaptedforsummer,andsomeforwinter。 3。Ofdiseasesandages,certainofthemarewell—orill—adaptedtodifferentseasons,places,andkindsofdiet。 4。Intheseasons,whenduringthesamedaythereisatonetimeheatandatanothertimecold,thediseasesofautumnmaybeexpected。 5。Southwindsinducedullnessofhearing,dimnessofvisions,heavinessofthehead,torpor,andlanguor;whentheseprevail,suchsymptomsoccurindiseases。Butifthenorthwindprevail,coughs,affectionsofthethroat,hardnessofthebowels,dysuriaattendedwithrigors,andpainsofthesidesandbreastoccur。Whenthiswindprevails,allsuchsymptomsmaybeexpectedindiseases。 6。Whensummerislikespring,muchsweatingmaybeexpectedinfevers。 7。Acutediseasesoccurindroughts;andifthesummerbeparticularlysuch,accordingtotheconstitutionwhichithasgiventotheyear,forthemostpartsuchdiseasesmaybeexpected。 8。Inseasonswhichareregular,andfurnishtheproductionsoftheseasonattheseasonabletime,thediseasesareregular,andcomereadilytoacrisis;butininconstantseasons,thediseasesareirregular,andcometoacrisiswithdifficulty。 9。Inautumn,diseasesaremostacute,andmostmortal,onthewhole。Thespringismosthealthy,andleastmortal。 10。Autumnisabadseasonforpersonsinconsumption。 11。Withregardtotheseasons,ifthewinterbeofadryandnortherlycharacter,andthespringrainyandsoutherly,insummertherewillnecessarilybeacutefevers,ophthalmies,anddysenteries,especiallyinwomen,andinmenofahumidtemperament。 12。Ifthebutthespringdryandnortherly,womenwhosetermofdeliveryshouldbeinspring,haveabortionsfromanyslightcause; andthosewhoreachtheirfulltime,bringforthchildrenwhoarefeeble,anddiseased,sothattheyeitherdiepresently,or,iftheylive,arepunyandunhealthy。Otherpeoplearesubjecttodysenteriesandophthalmies,andoldmentocatarrhs,whichquicklycutthemoff。 13。Ifthesummerbedryandnortherlyandtheautumnrainyandsoutherly,headachesoccurinwinter,withcoughs,hoarsenesses,coryzae,andinsomecasesconsumptions。 14。Butiftheautumnbenortherlyanddry,itagreeswellwithpersonsofahumidtemperament,andwithwomen;butotherswillbesubjecttodryophthalmies,acutefevers,coryzae,andinsomecasesmelancholy。 15。Oftheconstitutionsoftheyear,thedry,uponthewhole,aremorehealthythantherainy,andattendedwithlessmortality。 16。Thediseaseswhichoccurmostfrequentlyinrainyseasonsare,protractedfevers,fluxesofthebowels,mortifications,epilepsies,apoplexies,andquinsies;andindry,consumptivediseases,ophthalmies,arthriticdiseases,stranguries,anddysenteries。 17。Withregardtothestatesoftheweatherwhichcontinuebutforaday,thatwhichisnortherly,bracesthebody,givingittone,agility,andcolor,improvesthesenseofhearing,driesupthebowels,pinchestheeyes,andaggravatesanypreviouspainwhichmayhavebeenseatedinthechest。Butthesoutherlyrelaxesthebody,andrendersithumid,bringsondullnessofhearing,heavinessofthehead,andvertigo,impairsthemovementsoftheeyesandthewholebody,andrendersthealvinedischargeswatery。 18。Withregardtotheseasons,inspringandinthecommencementofsummer,childrenandthosenexttotheminagearemostcomfortable,andenjoybesthealth;insummerandduringacertainportionofautumn,oldpeople;duringtheremainderoftheautumnandinwinter,thoseoftheintermediateages。 19。Alldiseasesoccuratallseasonsoftheyear,butcertainofthemaremoreapttooccurandbeexacerbatedatcertainseasons。 20。Thediseasesofspringare,maniacal,melancholic,andepilepticdisorders,bloodyflux,quinsy,coryza,hoarseness,cough,leprosy,lichenalphos,exanthematamostlyendinginulcerations,tubercles,andarthriticdiseases。 21。Ofsummer,certainofthese,andcontinued,ardent,andtertianfevers,mostespeciallyvomiting,diarrhoea,ophthalmy,painsoftheears,ulcerationsofthemouth,mortificationsoftheprivyparts,andthesudamina。 22。Ofautumn,mostofthesummer,quartan,andirregularfevers,enlargedspleen,dropsy,phthisis,strangury,lientery,dysentery,sciatica,quinsy,asthma,ileus,epilepsy,maniacalandmelancholicdisorders。 23。Ofwinter,pleurisy,pneumonia,coryza,hoarseness,cough,painsofthechest,painsoftheribsandloins,headache,vertigo,andapoplexy。 24。Inthedifferentagesthefollowingcomplaintsoccur:tolittleandnew—bornchildren,aphthae,vomiting,coughs,sleeplessness,frightsinflammationofthenavel,waterydischargesfromtheears。 25。Attheapproachofdentition,pruritusofthegums,fevers,convulsions,diarrhoea,especiallywhencuttingthecanineteeth,andinthosewhoareparticularlyfat,andhaveconstipatedbowels。 26。Topersonssomewhatolder,affectionsofthetonsils,incurvationofthespineatthevertebranexttheocciput,asthma,calculus,roundworms,ascarides,acrochordon,satyriasmus,struma,andothertubercles(phymata),butespeciallytheaforesaid。 27。Topersonsofamoreadvancedage,andnowonthevergeofmanhood,themostofthesediseases,and,moreover,morechronicfevers,andepistaxis。 28。Youngpeopleforthemostparthaveacrisisintheircomplaints,someinfortydays,someinsevenmonths,someinsevenyears,someattheapproachtopuberty;andsuchcomplaintsofchildrenasremain,anddonotpassawayaboutpuberty,orinfemalesaboutthecommencementofmenstruation,usuallybecomechronic。 29。Topersonspastboyhood,haemoptysis,phthisis,acutefevers,epilepsy,andotherdiseases,butespeciallytheaforementioned。 30。Topersonsbeyondthatage,asthma,pleurisy,pneumonia,lethargy,phrenitis,ardentfevers,chronicdiarrhoea,cholera,dysentery,lientery,hemorrhoids。 31。Tooldpeopledyspnoea,catarrhsaccompaniedwithcoughs,dysuria,painsofthejoints,nephritis,vertigo,apoplexy,cachexia,pruritusofthewholebody,insomnolency,defluxionsofthebowels,oftheeyes,andofthenose,dimnessofsight,cataract(glaucoma),anddullnessofhearing。 SECTIONIV。 1。Wemustpurgepregnantwomen,ifmattersbeturgid(inastateoforgasm?),fromthefourthtotheseventhmonth,butlessfreelyinthelatter;inthefirstandlaststagesofpregnancyitshouldbeavoided。 2。Inpurgingweshouldbringawaysuchmattersfromthebodyasitwouldbeadvantageoushadtheycomeawayspontaneously;butthoseofanoppositecharactershouldbestopped。 3。Ifthematterswhicharepurgedbesuchasshouldbepurged,itisbeneficialandwellborne;butifthecontrary,withdifficulty。 4。Weshouldratherpurgeupwardinsummer,anddownwardinwinter。 5。Aboutthetimeofthedog—days,andbeforeit,theadministrationofpurgativesisunsuitable。 6。Leanpersonswhoareeasilymadetovomitshouldbepurgedupward,avoidingthewinterseason。 7。Personswhoaredifficulttovomit,andaremoderatelyfat,shouldbepurgeddownward,avoidingthesummerseason。 8。Wemustbeguardedinpurgingphthisicalpersonsupward。 9。Andfromthesamemodeofreasoning,applyingtheoppositeruletomelancholicpersons,wemustpurgethemfreelydownward。 10。Inveryacutediseases,ifmattersbeinastateoforgasm,wemaypurgeonthefirstday,foritisabadthingtoprocrastinateinsuchcases。 11。Thosecasesinwhichtherearetormina,painsabouttheumbilicus,andpainsabouttheloins,notremovedeitherbypurgativemedicinesorotherwise,usuallyterminateindrydropsy。 12。Itisabadthingtopurgeupwardinwinterpersonswhosebowelsareinastateoflientery。 13。Personswhoarenoteasilypurgedupwardbythehellebores,shouldhavetheirbodiesmoistenedbyplentyoffoodandrestbeforetakingthedraught。 14。Whenonetakesadraughtofhellebore,oneshouldbemadetomovemoreabout,andindulgelessinsleepandrepose。Sailingontheseashowsthatmotiondisordersthebody。 15。Whenyouwishthehelleboretoactmore,movethebody,andwhentostop,letthepatientgetsleepandrest。 16。Helleboreisdangeroustopersonswhosefleshissound,foritinducesconvulsion。 17。Anorexia,heartburn,vertigo,andabittertasteofthemouth,inapersonfreefromfever,indicatethewantofpurgingupward。 18。Painsseatedabovethediaphragmindicatepurgingupward,andthosebelowit,downward。 19。Personswhohavenothirstwhileundertheactionofapurgativemedicine,donotceasefrombeingpurgeduntiltheybecomethirsty。 20。Ifpersonsfreefromfeverbeseizedwithtormina,heavinessoftheknees,andpainsoftheloins,thisindicatesthatpurgingdownwardisrequired。 21。Alvinedejectionswhichareblack,likeblood,takingplacespontaneously,eitherwithorwithoutfever,areverybad;andthemorenumerousandunfavorablethecolors,somuchtheworse;whenwithmedicineitisbetter,andavarietyofcolorsinthiscaseisnotbad。 22。Whenblackbileisevacuatedinthebeginningofanydiseasewhatever,eitherupwardordownward,itisamortalsymptom。 23。Inpersonsattenuatedfromanydisease,whetheracuteorchronic,orfromwounds,oranyothercause,iftherebeadischargeeitherofblackbile,orresemblingblackblood,theydieonthefollowingday。 24。Dysentery,ifitcommencewithblackbile,ismortal。 25。Blooddischargedupward,whateverbeitscharacter,isabadsymptom,butdownwarditis(more?)favorable,andsoalsoblackdejections。 26。Ifinapersonillofdysentery,substancesresemblingfleshbedischargedfromthebowels,itisamortalsymptom。 27。Inwhatevercasesoffeverthereisacopioushemorrhagefromwhateverchannel,thebowelsareinaloosestateduringconvalescence。 28。Inallcaseswhatever,biliousdischargesceaseifdeafnesssupervenes,andinallcasesdeafnessceaseswhenbiliousdischargessupervene。 29。Rigorswhichoccuronthesixthdayhaveadifficultcrisis。 30。Diseasesattendedwithparoxysms,ifatthesamehourthatthefeverleavesitreturnagainnextday,areofdifficultcrisis。 31。Infebrilediseasesattendedwithasenseoflassitude,depositsformaboutthejoints,andespeciallythoseofthejaws。 32。Inconvalescentsfromdiseases,ifanypartbepained,theredepositsareformed。 33。Butifanypartbeinapainfulstateprevioustotheillness,therethediseasefixes。 34。Ifapersonlaboringunderafever,withoutanyswellinginthefauces,beseizedwithasenseofsuffocationsuddenly,itisamortalsymptom。 35。Ifinapersonwithfever,thebecomesuddenlydistorted,andhecannotswallowunlesswithdifficulty,althoughnoswellingbepresent,itisamortalsymptom。 36。Sweats,infebrilediseases,arefavorable,iftheysetinonthethird,fifth,seventh,ninth,eleventh,fourteenth,seventeenth,twenty—first,twenty—seventh,andthirty—fourthday,forthesesweatsproveacrisistothedisease;butsweatsnotoccurringthus,indicatepain,aprotracteddisease,andrelapses。 37。Coldsweatsoccurringwithanacutefever,indicatedeath;andalongwithamilderone,aprotracteddisease。 38。Andinwhateverpartofthebodythereisasweat,itshowsthatthediseaseisseatedthere。 39。Andinwhateverpartofthebodyheatorcoldisseated,thereisdisease。 40。Andwherevertherearechangesinthewholebody,andifthebodybealternatelycoldandhot,orifonecolorsucceedanother,thisindicatesaprotracteddisease。 41。Acopioussweataftersleepoccuringwithoutanymanifestcause,indicatesthatthebodyisusingtoomuchfood。Butifitoccurwhenoneisnottakingfood,itindicatesthatevacuationisrequired。 42。Acopioussweat,whetherhotorcold,flowingcontinuously,indicates,thecoldagreater,andthehotalesserdisease。 43。Fevers,notoftheintermittenttype,whichareexacerbatedonthethirdday,aredangerous;butiftheyintermitinanyform,thisindicatesthattheyarenotdangerous。 44。Incasesattendedwithprotractedfevers,tubercles(phymata)orpainsoccuraboutthejoints。 45。Whentubercles(phymata)orpainsattackthejointsafterfevers,suchpersonsareusingtoomuchfood。 46。Ifinafevernotoftheintermittenttypearigorseizeapersonalreadymuchdebilitated,itismortal。 47。Infeversnotoftheintermittenttype,expectorationswhicharelividbloody,fetidandbilious,areallbad;butifevacuatedproperly,theyarefavorable。Soitiswiththealvineevacuationsandtheurine。Butifnoneoftheproperexcretionstakeplacebythesechannels,itisbad。 48。Infeversnotoftheintermittenttype,iftheexternalpartsbecold,buttheinternalbeburntup,andiftherebethirst,itisamortalsymptom。 49。Inafevernotoftheintermittenttype,ifalip,aneye—brow,aneye,orthenose,bedistorted;oriftherebelossofsightorofhearing,andthepatientbeinaweakstate—whateverofthesesymptomsoccur,deathisathand。 50。Apostemesinfeverswhicharenotresolvedatthefirstcrisis,indicateaprotracteddisease。 51。Wheninafevernotoftheintermittenttypedyspnoeaanddeliriumcomeon,thecaseismortal。 52。Whenpersonsinfevers,orinotherillnesses,shedtearsvoluntarily,itisnothingoutofplace;butwhentheyshedtearsinvoluntarily,itismoreso。 53。Inwhatevercasesoffeververyviscidconcretionsformabouttheteeth,thefeversturnouttobeparticularlystrong。 54。Inwhatevercaseofardentfeverdrycoughsofaticklingnaturewithslightexpectorationarelongprotracted,thereisusuallynotmuchthirst。 55。Allfeverscomplicatedwithbuboesarebad,exceptephemerals。 56。Sweatsuperveninginacaseofthefeverceasing,isbad,forthediseaseisprotracted,anditindicatesmorecopioushumors。 57。Feversuperveninginacaseofconfirmedspasm,oroftetanus,removesthedisease。 58。Arigorsuperveninginacaseofardentfever,producesresolutionofit。 59。Atruetertiancomestoacrisisinsevenperiodsatfurthest。 60。Wheninfeversthereisdeafness,ifbloodrunfromthenostrils,orthebowelsbecomedisordered,itcarriesoffthedisease。 61。Inafebrilecomplaint,ifthefeverdonotleaveontheodddays,itrelapses。 62。Whenjaundicesupervenesinfeversbeforetheseventhday,itabadsymptom,unlesstherebewaterydischargesfromthebowels。 63。Inwhatevercasesoffeverrigorsoccurduringtheday,thefeverscometoaresolutionduringtheday。 64。Whenincasesoffeverjaundiceoccursontheseventh,theninth,theeleventh,orthefourteenthday,itisagoodsymptom,providedthehypochondriacregionbenothard。Otherwiseitisnotagoodsymptom。 65。Astrongheataboutthestomachandcardialgiaarebadsymptomsinfevers。 66。Inacutefevers,spasms,andstrongpainsaboutthebowelsarebadsymptoms。 67。Infevers,frightsaftersleep,orconvulsions,areabadsymptom。 68。Infevers,astoppageoftherespirationisabadsymptom,foritindicatesconvulsions。 69。Whentheurineisthick,grumoss,andscantyincasesnotfreefromfeveracopiousdischargeofthinnerurineprovesbeneficial。 Suchadischargemorecommonlytakesplacewhentheurinehashadasedimentfromthefirst,orsoonafterthecommencement。 70。Wheninfeverstheurineisturbid,likethatofabeastofburden,insuchacasethereeitherisorwillbeheadache。 71。Incaseswhichcometoacrisisontheseventhday,theurinehasarednubeculaonthefourthday,andtheothersymptomsaccordingly。 72。Whentheurineistransparentandwhite,itisbad;itappearsprincipallyincasesofphrenitis。 73。Whenthehypochondriacregionisaffectedwithmeteorismandborborygmi,shouldpainoftheloinssupervene,thebowelsgetintoalooseandwaterystate,unlesstherebeaneruptionofflatusoracopiousevacuationofurine。Thesethingsoccurinfevers。 74。Whenthereisreasontoexpectthatanabscesswillforminjoints,theabscessiscarriedoffbyacopiousdischargeofurine,whichisthick,andbecomeswhite,likewhatbeginstoformincertaincasesofquartanfever,attendedwithasenseoflassitude。Itisalsospeedilycarriedoffbyahemorrhagefromthenose。 75。Bloodorpusintheurineindicatesulcerationeitherofthekidneysorofthebladder。 76。Whensmallfleshysubstanceslikehairsaredischargedalongwiththickurine,thesesubstancescomefromthekidneys。 77。Inthosecaseswheretherearefurfuraceousparticlesdischargedalongwiththickurine,thereisscabiesofthebladder。 78。Inthosecaseswherethereisaspontaneousdischargeofbloodyurine,itindicatesruptureofasmallveininthekidneys。 79。Inthosecaseswherethereisasandysedimentintheurine,thereiscalculusinthebladder(orkidneys)。 80。Ifapatientpassbloodandclotsinhisurine,andhavestrangury,andifapainseizethehypogastricregionandperineum,thepartsaboutthebladderareaffected。 81。Ifapatientpassblood,pus,andscales,intheurine,andifithaveaheavysmell,ulcerationofthebladderisindicated。 82。Whentuberclesformintheurethra,ifthesesuppurateandburst,thereisrelief。 83。Whenmuchurineispassedduringthenight,itindicatesthatthealvineevacuationsarescanty。 SECTIONV。 1。Aspasmfromtakinghelleboreisofafatalnature。 2。Spasmsuperveningonawoundisfatal。 3。Aconvulsion,orhiccup,superveningonacopiousdischargeofbloodisbad。 4。Aconvulsion,orhiccup,superveninguponhypercatharsisisbad。 5。Ifadrunkenpersonsuddenlylosehisspeech,hewilldieconvulsed,unlessfevercomeon,orherecoverhisspeechatthetimewhentheconsequencesofadebauchpassoff。 6。Suchpersonsasareseizedwithtetanusdiewithinfourdays,oriftheypassthesetheyrecover。 7。Thosecasesofepilepsywhichcomeonbeforepubertymayundergoachange;butthosewhichcomeonaftertwenty—fiveyearsofage,forthemostpartterminateindeath。 8。Inpleuriticaffections,whenthediseaseisnotpurgedoffinfourteendays,itusuallyterminatesinempyema。 9。Phthisismostcommonlyoccursbetweentheagesofeighteenandthirty—fiveyears。 10。Personswhoescapeanattackofquinsy,andwhenthediseaseisturneduponthelungs,dieinsevendays;oriftheypassthesetheybecomeaffectedwithempyema。 11。Inpersonsaffectedwithphthisis,ifthesputawhichtheycoughuphaveaheavysmellwhenpoureduponcoals,andifthehairsoftheheadfalloff,thecasewillprovefatal。 12。Phthisicalpersons,thehairsofwhoseheadfalloff,dieifdiarrhoeasetin。