PART 18
XVIII. About the equinox up to the setting of
the Pleiades, and during winter, although the ardent
fevers continued, yet cases of phrenitis were most
frequent at this time, and most of them were fatal.
In summer, too, a few cases had occurred. Now the
sufferers from ardent fever, when fatal symptoms
attended, showed signs at the beginning. For right
from the beginning there was acute fever with slight
rigors, sleeplessness, thirst, nausea, slight sweats
about the forehead and collar-bones, but in no case
general, much delirium, fears, depression, very cold
extremities, toes and hands, especially the latter.
The exacerbations on the even days ; but in most
cases the pains were greatest on the fourth day, with
sweat for the most part chilly, while the extremities
could not now be warmed again, remaining livid and
cold ; and in these cases the thirst ceased. Their
urine was scanty, black, thin, with constipation of the
bowels. Nor was there hemorrhage from the nose in
any case when these symptoms occurred, but only
slight epistaxis. None of these cases suffered relapse,
but they died on the sixth day, with sweating.
The cases of phrenitis had all the above symptoms,
but the crises generally occurred on the eleventh
day. Some had their crises on the twentieth day,
namely those in whom the phrenitis did not begin
at first, or began about the third or fourth day, but
[p. 175]
though these fared tolerably at the beginning, yet
the disease assumed an acute form about the seventh
day.
