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PART 19

XIX. Now the number of illnesses was great. And of the patients there died chiefly striplings, young people, people in their prime, the smooth, the fair-skinned, the straight-haired, the black-haired, the black-eyed, those who had lived recklessly and care-lessly, the thin-voiced, the rough-voiced, the lispers, the passionate. Women too died in very great numbers who were of this kind. In this constitution there were four symptoms especially which denoted recovery :--a proper hemorrhage through the nostrils ; copious discharges by the bladder of urine with much sediment of a proper character ; disordered bowels with bilious evacuations at the right time ; the appearance of dysenteric characteristics. The crisis in many cases did not come with one only of the symptoms described above, but in most cases all symptoms were experienced, and the patients appeared to be more distressed ; but all with these symptoms got well. Women and maidens experienced all the above symptoms, but besides, whenever any took place properly, and whenever copious menstruation supervened, there was a crisis therefrom which resulted in recovery ; in fact I know of no woman who died when any of these symptoms took place properly. For the daughter of Philo, who died, though she had violent epistaxis, dined rather unseasonably on the seventh day.

In acute fevers, more especially in ardent fevers, when involuntary weeping occurs, epistaxis is to be

[p. 177] expected it the patient have no fatal symptoms besides ; for when he is in a bad way such weeping portends not hemorrhage but death.

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