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of the epidemics-第8部分

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  CASE IV。 The woman affected with quinsy; who lodged in the house



of Aristion: her complaint began in the tongue; speech inarticulate;



tongue red and parched。 On the first day; felt chilly; and



afterwards became heated。 On the third day; a rigor; acute fever; a



reddish and hard swelling on both sides of the neck and chest;



extremities cold and livid; and livid; respiration elevated; the drink



returned by the nose; she could not swallow; alvine and urinary



discharges suppressed。 On the fourth; all of the symptoms were



exacerbated。 On the fifth she died of the quinsy。



  Explanation of the characters。 It is probable that the cause of



death on the sixth day was the suppression of the discharges。



  CASE V。 The young man who was lodged by the Liars' Market was seized



with fever from fatigue; labor; and running out of season。 On the



first day; the bowels disordered; with bilious; thin; and copious



dejections; urine thin and blackish; had no sleep; was thirsty。 On the



second all the symptoms were exacerbated; dejections more copious



and unseasonable; he had no sleep; disorder of the intellect; slight



sweat。 On the third day; restless; thirst; nausea; much tossing about;



bewilderment; delirium; extremities livid and cold; softish distention



of the hypochondrium on both sides。 On the fourth; did not sleep;



still worse。 On the seventh he died。 He was about twenty years of age。



  Explanation of the characters。 It is probable that the cause of



his death on the seventh day was the unseasonable practices



mentioned above。 An acute affection。



  CASE VI。 The woman who lodged at the house of Tisamenas had a



troublesome attack of iliac passion; much vomiting; could not keep her



drink; pains about the hypochondria; and pains also in the lower



part of the belly; constant tormina; not thirsty; became hot;



extremities cold throughout; with nausea and insomnolency; urine



scanty and thin; dejections undigested; thin; scanty。 Nothing could do



her any good。 She died。



  CASE VII。 A woman of Pantimides; from a miscarriage; was taken ill



of fever。 On the first day; tongue dry; thirst; nausea;



insomnolency; belly disordered; with thin; copious; undigested



dejections。 On the second day; had a rigor; acute fever; alvine



discharges copious; had no sleep。 On the third; pains greater。 On



the fourth; delirious。 On the seventh she died。 Belly throughout



loose; with copious; thin; undigested evacuations; urine scanty; thin。



An ardent fever。



  CASE VIII。 Another woman; after a miscarriage about the fifth month;



the wife of Ocetes; was seized with fever。 At first had sometimes coma



and sometimes insomnolency; pain of the loins; heaviness of the



head。 On the second; the bowels were disordered; with scanty; thin;



and at first unmixed dejections。 On the third; more copious; and



worse; at night did not sleep。 On the fourth was delirious; frights;



despondency; strabismus of the right eye; a faint cold sweat about the



head; extremities cold。 On the fifth day; all the symptoms were



exacerbated; talked much incoherently; and again immediately became



collected; had no thirst; labored under insomnolency; alvine



dejections copious; and unseasonable throughout; urine scanty; thin;



darkish; extremities cold; somewhat livid。 On the sixth day; in the



same state。 On the seventh she died。 Phrenitis。



  CASE IX。 A woman who lodged near the Liars' Market; having then



brought forth a son in a first and difficult labor; was seized with



fever。 Immediately on the commencement had thirst; nausea; and



cardialgia; tongue dry; bowels disordered; with thin and scanty



dejections; had no sleep。 On the second; had slight rigor; acute



fever; a faint cold sweat about the head。 On the third; painfully



affected; evacuations from the bowels undigested; thin; and copious。



On the fourth; had a rigor; all the symptoms exacerbated;



insomnolency。 On the fifth; in a painful state。 On the sixth; in the



same state; discharges from the bowels liquid and copious。 On the



seventh; had a rigor; fever acute; much thirst; much tossing about;



towards evening a cold sweat over all; extremities cold; could no



longer be kept warm; and again at night had a rigor; extremities could



not be warmed; she did not sleep; was slightly delirious; and again



speedily collected。 On the eighth; about mid…day; she became warm; was



thirsty; comatose; had nausea; vomited small quantities of yellowish



bile; restless at night; did not sleep; passed frequently large



quantities of urine without consciousness。 On the ninth; all the



symptoms gave way; comatose; towards evening slight rigors; small



vomitings of bile。 On the tenth; rigor; exacerbation of the fever; did



not sleep at all; in the morning passed much urine having a



sediment; extremities recovered their heat。 On the eleventh; vomited



bile of a verdigris…green color; not long after had a rigor; and again



the extremities cold; towards evening a rigor; a cold sweat; much



vomiting; passed a painful night。 On the twelfth; had copious black



and fetid vomitings; much hiccup; painful thirst。 On the thirteenth;



vomitings black; fetid; and copious; rigor about mid…day; loss of



speech。 On the fourteenth; some blood ran from her nose; she died。



In this case the bowels were loose throughout; with rigors: her age



about seventeen。 An ardent fever。



                        Sect。 III







  1。 The year was southerly; rainy; no winds throughout。 Droughts



having prevailed during the previous seasons of the year; the south



winds towards the rising of Arcturus were attended with much rain。



Autumn gloomy and cloudy; with copious rains。 Winter southerly;



damp; and soft。 But long after the solstice; and near the equinox;



much wintery weather out of season; and when now close to the equinox;



northerly; and winterly weather for no long time。 The spring again



southerly; calm; much rain until the dog…days。 Summer fine and hot;



great suffocating heats。 The Etesian winds blew small and irregular;



again; about the season of Arcturus; much rains with north winds。



  2。 The year being southerly; damp; and soft towards winter; all were



healthy; except those affected with phthisis; of whom we shall write



afterwards。



  3。 Early in spring; along with the prevailing cold; there were



many cases of erysipelas; some from a manifest cause; and some not。



They were of a malignant nature; and proved fatal to many; many had



sore…throat and loss of speech。 There were many cases of ardent fever;



phrensy; aphthous affections of the mouth; tumors on the genital



organs; of ophthalmia; anthrax; disorder of the bowels; anorexia; with



thirst and without it; of disordered urine; large in quantity; and bad



in quality; of persons affected with coma for a long time; and then



falling into a state of insomnolency。 There were many cases of failure



of crisis; and many of unfavorable crisis; many of dropsy and of



phthisis。 Such were the diseases then epidemic。 There were patients



affected with every one of the species which have been mentioned;



and many died。 The symptoms in each of these cases were as follows:



  4。 In many cases erysipelas; from some obvious cause; such as an



accident; and sometimes from even a very small wound; broke out all



over the body; especially; in persons about sixty years of age;



about the head; if such an accident was neglected in the slightest



degree; and this happened in some who were under treatment; great



inflammation took place; and the erysipelas quickly spread all over。



in the most of them abscessed ended in suppurations; and there were



great fallings off (sloughing) of the flesh; tendons; and bones; and



the defluxion which seated in the part was not like pus; but a sort of



putrefaction; and the running was large and of various characters。



Those cases in which any of these things happened about the head



were accompanied with falling off of the hairs of the head and chin;



the bones were laid bare and separated; and there were excessive



runnings; and these symptoms happened in fevers and without fevers。



But these things were more formidable in appearance than dangerous;



for when the concoction in these cases turned to a these cases



turned to a suppuration; most of them recovered; but when the



inflammation and erysipelas disappeared; and when no abscess was



formed; a great number of these died。 In like manner; the same



things happened to whatever part of the body the disease wandered; for



in many cases both forearm and arm dropped off; and in those cases



in which it fell upon the sides; the parts there; either before or



behind; got into a bad state; and in some cases the whole femur and



bones of the leg and whole foot were laid bare。 But of all such cases;



the most formida
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