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CASE III

Herophon had acute fever ; scanty stools with tenesmus at the beginning, afterwards becoming thin, bilious and fairly frequent. No sleep ; urine black and thin.

Fifth day. Deafness early in the day ; general exacerbation ; spleen swollen ; tension of the hypochondrium ; scanty black stools ; delirium.

Sixth day. Wandering talk ; at night sweat and chill ; the wandering persisted.

Seventh Day. Chill all over ; thirst ; out of his mind. During the night he was rational, and slept.

Eighth day. Fever ; spleen lessened ; quite rational ; pain at first in the groin, on the side of the spleen ; then the pains extended to both legs. Night comfortable ; urine of a better colour, with a slight deposit.

Ninth day. Sweat, crisis, intermission.

[p. 193] On the fifth day after the crisis the patient relapsed. Immediately the spleen swelled ; acute fever ; return of deafness. On the third day after the relapse the spleen grew less and the deafness diminished, but there was pain in the legs. During the night he sweated. The crisis was about the seventeenth day. There was no delirium during the relapse.

Hippocrates Collected Works I. Hippocrates. W. H. S. Jones. Cambridge. Harvard University Press. 1868.

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