Section II
Case 4
Case I. In Thasus, Philistes had headache of long continuance, and
sometimes was confined to bed, with a tendency
[p. 125] to deep sleep; having been seized with continual fevers from drinking, the pain was exacerbated;
during the night he, at first, became hot. On the first day, he vomited
some bilious matters, at first yellow, but afterwards of a verdigris-green
color, and in greater quantity; formed faeces passed from the bowels;
passed the night uncomfortably. On the second, deafness, acute fever;
retraction of the right hypochondrium; urine thin, transparent, had
some small substances like semen floating in it; delirium ferox about
mid-day. On the third, in an uncomfortable state. On the fourth, convulsions;
all the symptoms exacerbated. On the fifth, early in the morning,
died.
Explanation of the characters. It is probable that the death of the patient on the fifth day is to be attributed to a phrenitis, with
unfavorable evacuations.
Case 5
Charion, who was lodged at the house of Demaenetus, contracted
a fever from drinking. Immediately he had a painful heaviness of the
head; did not sleep; bowels disordered, with thin and somewhat bilious
discharges. On the third day, acute fever; trembling of the head,
but especially of the lower lip; after a little time a rigor, convulsions;
he was quite delirious; passed the night uncomfortably. On the fourth,
quiet, slept little, talked incoherently. On the fifth, in pain; all
the symptoms exacerbated; delirium; passed the night uncomfortably;
did not sleep. On the sixth, in the same state. On the seventh had
a rigor, acute fever, sweated all over his body; had a crisis. Throughout
the alvine discharges were bilious, scanty, and unmixed; urine thin,
well colored, having cloudy substances floating in it. About the eighth
day, passed urine of a better color, having a white scanty sediment;
was collected, free from fever for a season. On the ninth it relapsed.
About the fourteenth, acute fever. On the sixteenth, vomited pretty
frequently yellow, bilious matters. On the seventeenth had a rigor,
acute fever, sweated, free of fever; had a crisis; urine, after the
relapse and the crisis, well colored, having a sediment; neither was
he delirious in the relapse. On the eighteenth, became a little heated;
some thirst, urine thin, with cloudy substances floating in it; slight
wandering in his mind. About the nineteenth, free of fever, had
[p. 126] a
pain in his neck; a sediment in the urine. Had a complete crisis on
the twentieth.
Explanation of the characters. It is probable that the patient was
cured in twenty days, by the abundance of bilious stools and urine.
Case 6
The daughter of Euryanax, a maid, was taken ill of fever.
She was free of thirst throughout, but had no relish for food. Alvine
discharges small, urine thin, scanty, not well colored. In the beginning
of the fever, had a pain about the nates. On the sixth day, was free
of fever, did not sweat, had a crisis; the complaint about the nates
came to a small suppuration, and burst at the crisis. After the crisis,
on the seventh day, had a rigor, became slightly heated, sweated.
On the eighth day after the rigor, had an inconsiderable rigor; the
extremities cold ever after. About the tenth day, after a sweat which
came on, she became delirious, and again immediately afterwards was
collected; these symptoms were said to have been brought on by eating
grapes. After an intermission of the twelfth day, she again talked
much incoherently; her bowels disordered with bilious, scanty, unmixed,
thin, acrid discharges; she required to get frequently up. She died
on the seventh day after the return of the delirium. At the commencement
of the disease she had pain in the throat, and it red throughout,
uvula retracted, defluxions abundant, thin, acrid; coughed, but had
no concocted sputa; during the whole time loathed all kinds of food,
nor had the least desire of anything; had no thirst, nor drank anything
worth mentioning; was silent, and never spoke a word; despondency;
had no hopes of herself. She had a congenital tendency to phthisis.
Case 7
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.
[p. 127]
Explanation of the characters. It is probable that the cause of death
on the sixth day was the suppression of the discharges.
Case 8
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 9
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 10
A woman of those who lodged with 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 11
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
[p. 128]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 12
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 four-
[p. 129]teenth, 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.
