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of the epidemics-第12部分

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  CASE XII。 In Larissa; a young unmarried woman was seized with a



fever of the acute and ardent type; insomnolency; thirst; tongue sooty



and dry; urine of a good color; but thin。 On the second; in an



uneasy state; did not sleep。 On the third; alvine discharges



copious; watery; and greenish; and on the following days passed such



with relief。 On the fourth; passed a small quantity of thin urine;



having substances floating towards its surface; which did not subside;



was delirious towards night。 On the sixth; a great hemorrhage from the



nose; a chill; with a copious and hot sweat all over; apyrexia; had



a crisis。 In the fever; and when it had passed the crisis; the



menses took place for the first time; for she was a young woman。



Throughout she was oppressed with nausea; and rigors; redness of the



face; pain of the eyes; heaviness of the head; she had no relapse; but



the fever came to a crisis。 The pains were on the even days。



  CASE XIII。 Apollonius; in Abdera; bore up (under the fever?) for



some time; without betaking himself to bed。 His viscera were enlarged;



and for a considerable time there was a constant pain about the liver;



and then he became affected with jaundice; he was flatulent; and of



a whitish complexion。 Having eaten beef; and drunk unseasonably; he



became a little heated at first; and betook himself to bed; and having



used large quantities of milk; that of goats and sheep; and both



boiled and raw; with a bad diet otherwise; great mischief was



occasioned by all these things; for the fever was exacerbated; and



of the food taken scarcely any portion worth mentioning was passed



from the bowels; the urine was thin and scanty; no sleep;



troublesome meteorism; much thirst; disposition to coma; painful



swelling of the right hypochondrium; extremities altogether coldish;



slight incoherence; forgetfulness of everything he said; he was beside



himself。 About the fourteenth day after he betook himself to bed;



had a rigor; became heated; and was seized with furious delirium; loud



cries; much talking; again composed; and then coma came on; afterwards



the bowels disordered; with copious; bilious; unmixed; and



undigested stools; urine black; scanty; and thin; much restlessness;



alvine evacuations of varied characters; either black; scanty; and



verdigrisgreen; or fatty; undigested; and acrid; and at times the



dejections resembled milk。 About the twenty…fourth; enjoyed a calm;



other matters in the same state; became somewhat collected; remembered



nothing that had happened since he was confined to bed; immediately



afterwards became delirious; every symptom rapidly getting worn。 About



the thirtieth; acute fever; stools copious and thin; was delirious;



extremities cold; loss of speech。 On the thirty…fourth he died。 In



this case; as far as I saw; the bowels were disordered; urine thin and



black; disposition to coma; insomnolency; extremities cold;



delirious throughout。 Phrenitis。



  CASE XIV。 In Cyzicus; a woman who had brought forth twin



daughters; after a difficult labor; and in whom the lochial



discharge was insufficient; at first was seized with an acute fever;



attended with chills; heaviness of the head and neck; with pain;



insomnolency from the commencement; she was silent; sullen; and



disobedient; urine thin; and devoid of color; thirst; nausea for the



most part; bowels irregularly disordered; and again constipated。 On



the sixth; towards night; talked much incoherently; had no sleep。



About the eleventh day was seized with wild delirium; and again became



collected; urine black; thin; and again deficient; and of an oily



appearance; copious; thin; and disordered evacuations from the bowels。



On the fourteenth; frequent convulsions;extremities cold; not in



anywise collected; suppression of urine。 On the sixteenth loss of



speech。 On the seventeenth; she died。 Phrenitis。



  Explanation of the characters。 It is probable that death was caused;



on the seventeenth day; by the affection of the brain consequent



upon her accouchement。



  CASE XV。 In Thasus; the wife of Dealces; who was lodged upon the



Plain; from sorrow was seized with an acute fever; attended with



chills。 From first to last she wrapped herself up in her bedclothes;



still silent; she fumbled; picked; bored; and gathered hairs (from



them); tears; and again laughter; no sleep; bowels irritable; but



passed nothing; when directed; drank a little; urine thin and



scanty; to the touch of the hand the fever was slight; coldness of the



extremities。 On the ninth; talked much incoherently; and again



became composed and silent。 On the fourteenth; breathing rare;



large; at intervals; and again hurried respiration。 On the



sixteenth; looseness of the bowels from a stimulant clyster;



afterwards she passed her drink; nor could retain anything; for she



was completely insensible; skin parched and tense。 On the twentieth;



much talk; and again became composed; loss of speech; respiration



hurried。 On the twenty…first she died。 Her respiration throughout



was rare and large; she was totally insensible; always wrapped up in



her bedclothes; either much talk; or completely silent throughout。



Phrenitis。



  CASE XVI。 In Meliboea; a young man having become heated by



drinking and much venery; was confined to bed; he was affected with



rigors and nausea; insomnolency and absence of thirst。 On the first



day much faeces passed from the bowels along with a copious flux;



and on the following days he passed many watery stools of a green



color; urine thin; scanty; and deficient in color; respiration rare;



large; at long intervals; softish distention of the hypochondrium;



of an oblong form; on both sides; continued palpitation in the



epigastric region throughout; passed urine of an oily appearance。 On



the tenth; he had calm delirium; for he was naturally of an orderly



and quiet disposition; skin parched and tense; dejections either



copious and thin; or bilious and fatty。 On the fourteenth; all the



symptoms were exacerbated; he became delirious; and talked much



incoherently。 On the twentieth; wild delirium; On the twentieth;



wild delirium; jactitation; passed no urine; small drinks were



retained。 On the twenty…fourth he died。 Phrenitis。











                           …THE END…









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