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第8章

42. A copious sweat, whether hot or cold, flowing continuously, indicates, the cold a greater, and the hot a lesser disease.

43. Fevers, not of the intermittent type, which are exacerbated on the third day, are dangerous; but if they intermit in any form, this indicates that they are not dangerous.

44. In cases attended with protracted fevers, tubercles (phymata) or pains occur about the joints.

45. When tubercles (phymata) or pains attack the joints after fevers, such persons are using too much food.

46. If in a fever not of the intermittent type a rigor seize a person already much debilitated, it is mortal.

47. In fevers not of the intermittent type, expectorations which are livid bloody, fetid and bilious, are all bad; but if evacuated properly, they are favorable. So it is with the alvine evacuations and the urine. But if none of the proper excretions take place by these channels, it is bad.

48. In fevers not of the intermittent type, if the external parts be cold, but the internal be burnt up, and if there be thirst, it is a mortal symptom.

49. In a fever not of the intermittent type, if a lip, an eye-brow, an eye, or the nose, be distorted; or if there be loss of sight or of hearing, and the patient be in a weak state-whatever of these symptoms occur, death is at hand.

50. Apostemes in fevers which are not resolved at the first crisis, indicate a protracted disease.

51. When in a fever not of the intermittent type dyspnoea and delirium come on, the case is mortal.

52. When persons in fevers, or in other illnesses, shed tears voluntarily, it is nothing out of place; but when they shed tears involuntarily, it is more so.

53. In whatever cases of fever very viscid concretions form about the teeth, the fevers turn out to be particularly strong.

54. In whatever case of ardent fever dry coughs of a tickling nature with slight expectoration are long protracted, there is usually not much thirst.

55. All fevers complicated with buboes are bad, except ephemerals.

56. Sweat supervening in a case of the fever ceasing, is bad, for the disease is protracted, and it indicates more copious humors.

57. Fever supervening in a case of confirmed spasm, or of tetanus, removes the disease.

58. A rigor supervening in a case of ardent fever, produces resolution of it.

59. A true tertian comes to a crisis in seven periods at furthest.

60. When in fevers there is deafness, if blood run from the nostrils, or the bowels become disordered, it carries off the disease.

61. In a febrile complaint, if the fever do not leave on the odd days, it relapses.

62. When jaundice supervenes in fevers before the seventh day, it a bad symptom, unless there be watery discharges from the bowels.

63. In whatever cases of fever rigors occur during the day, the fevers come to a resolution during the day.

64. When in cases of fever jaundice occurs on the seventh, the ninth, the eleventh, or the fourteenth day, it is a good symptom, provided the hypochondriac region be not hard. Otherwise it is not a good symptom.

65. A strong heat about the stomach and cardialgia are bad symptoms in fevers.

66. In acute fevers, spasms, and strong pains about the bowels are bad symptoms.

67. In fevers, frights after sleep, or convulsions, are a bad symptom.

68. In fevers, a stoppage of the respiration is a bad symptom, for it indicates convulsions.

69. When the urine is thick, grumoss, and scanty in cases not free from fever a copious discharge of thinner urine proves beneficial.

Such a discharge more commonly takes place when the urine has had a sediment from the first, or soon after the commencement.

70. When in fevers the urine is turbid, like that of a beast of burden, in such a case there either is or will be headache.

71. In cases which come to a crisis on the seventh day, the urine has a red nubecula on the fourth day, and the other symptoms accordingly.

72. When the urine is transparent and white, it is bad; it appears principally in cases of phrenitis.

73. When the hypochondriac region is affected with meteorism and borborygmi, should pain of the loins supervene, the bowels get into a loose and watery state, unless there be an eruption of flatus or a copious evacuation of urine. These things occur in fevers.

74. When there is reason to expect that an abscess will form in joints, the abscess is carried off by a copious discharge of urine, which is thick, and becomes white, like what begins to form in certain cases of quartan fever, attended with a sense of lassitude. It is also speedily carried off by a hemorrhage from the nose.

75. Blood or pus in the urine indicates ulceration either of the kidneys or of the bladder.

76. When small fleshy substances like hairs are discharged along with thick urine, these substances come from the kidneys.

77. In those cases where there are furfuraceous particles discharged along with thick urine, there is scabies of the bladder.

78. In those cases where there is a spontaneous discharge of bloody urine, it indicates rupture of a small vein in the kidneys.

79. In those cases where there is a sandy sediment in the urine, there is calculus in the bladder (or kidneys).

80. If a patient pass blood and clots in his urine, and have strangury, and if a pain seize the hypogastric region and perineum, the parts about the bladder are affected.

81. If a patient pass blood, pus, and scales, in the urine, and if it have a heavy smell, ulceration of the bladder is indicated.

82. When tubercles form in the urethra, if these suppurate and burst, there is relief.

83. When much urine is passed during the night, it indicates that the alvine evacuations are scanty.

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