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第14章

54. In those cases where phlegm is collected between the diaphragm and the stomach, and occasions pain, as not finding a passage into either of the cavities, the disease will be carried off if the phlegm be diverted to the bladder by the veins.

55. When the liver is filled with water and bursts into the epiploon, in this case the belly is filled with water and the patient dies.

56. Anxiety, yawning, rigor,-wine drunk with an equal proportion of water, removes these complaints.

57. When tubercles (phymata) form in the urethra, if they suppurate and burst, the pain is carried off.

58. In cases of concussion of the brain produced by any cause, the patients necessarily lose their speech.

59. In a person affected with fever, when there is no swelling in the fauces, should suffocation suddenly come on, and the patient not be able to swallow, except with difficulty, it is a mortal symptom.

59a. In the case of a person oppressed by fever, if the neck be turned aside, and the patient cannot swallow, while there is no swelling in the neck, it is a mortal sign.

60. Fasting should be prescribed the those persons who have humid flesh; for fasting dries bodies.

61. When there are changes in the whole body, and the body becomes sometimes cold and sometimes hot, and the color changes, a protracted disease is indicated.

62. A copious sweat, hot or cold, constantly flowing, indicates a superabundance of humidity; we must evacuate then, in a strong person upward, and in a weak, downward.

63. Fevers, not of the intermittent type, if they become exacerbated every third day are dangerous; but if they intermit in any form whatever, this shows that they are not dangerous.

64. In cases of protracted fever, either chronic abscesses or pains in the joints come on.

65. When chronic abscesses (phymata) or pains in the joints take place after fevers, the patients are using too much food.

66. If one give to a person in fever the same food which is given to a person in good health, what is strength to the one is disease to the other.

67. We must look to the urinary evacuations, whether they resemble those of persons in health; if not at all so, they are particularly morbid, but if they are like those of healthy persons, they are not at all morbid.

68. When the dejections are allowed to stand and not shaken, and a sediment is formed like scrapings (of the bowels), in such a case it is proper to purge the bowels; and if you give ptisans before purging, the more you give the more harm you will do.

69. Crude dejections are the product of black bile; if abundant, of more copious, and if deficient, of less copious collections of it.

70. The sputa in fevers, not of an intermittent type, which are livid, streaked with blood, and fetid, are all bad, it is favorable when this evacuation, like the urinary and alvine, passes freely;and whenever any discharge is suppressed and not purged off it is bad.

71. When you wish to purge the body, you must bring it into a state favorable to evacuations; and if you wish to dispose it to evacuations upward, you must bind the belly; and if you wish to dispose it to evacuations downward, you must moisten the belly.

72. Sleep and watchfulness, both of them, when immoderate, constitute disease.

73. In fevers which do not intermit, if the external parts be cold, and the internal burning hot, and fever prevail, it is a mortal sign.

74. In a fever which does not intermit, if a lip, the nose, or an eye be distorted, if the patient lose his sense of sight or of hearing, while now in a weak state,-whatever of these symptoms occurs it is mortal.

75. Upon leucophlegmatia dropsy supervenes.

76. Upon diarrhoea dysentery.

77. Upon dysentery lientery.

78. Upon sphacelus exfoliation of the bone.

79 and 80. Upon vomiting of blood consumption, and a purging of pus upward; upon consumption a defluxion from the head; upon a defluxion diarrhoea; upon diarrhoea a stoppage of the purging upward; upon the stoppage of it death.

81. In the discharges by the bladder, the belly, and the flesh (the skin?) if the body has departed slightly from its natural condition, the disease is slight; if much, it is great; if very much, it is mortal.

82. Persons above forty years of age who are affected with frenzy, do not readily recover; the danger is less when the disease is cognate to the constitution and age.

83. In whatever diseases the eyes weep voluntarily, it is a good symptom, but when involuntarily, it is a bad.

84. When in quartan fevers blood flows from the nostrils it is a bad symptom.

85. Sweats are dangerous when they do not occur on critical days, when they are strong, and quickly forced out of the forehead, either in the form of drops or in streams, and if excessively cold and copious; for such a sweat must proceed from violence, excess of pain, and prolonged squeezing (affliction?).

86. In a chronic disease an excessive flux from the bowels is bad.

87. Those diseases which medicines do not cure, iron (the knife?)cures; those which iron cannot cure, fire cures; and those which fire cannot cure, are to be reckoned wholly incurable.

THE END

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