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CASE XVI

In Meliboea a youth took to his bed after being for a long time heated by drunkenness and sexual indulgence. He had shivering fits, nausea, sleeplessness, but no thirst.

First day. Copious, solid stools passed in abundance of fluid, and on the following days the excreta were copious, watery and of a greenish yellow. Urine thin, scanty and of no colour ; respiration rare and large with long intervals ; tension, soft underneath, of the hypochondrium,1 extending out to either side ; continual throbbing throughout of the epigastrium ;2 urine oily.

Tenth day. Delirious but quiet, for he was orderly and silent ;3 skin dry and tense ; stools either copious and thin or bilious and greasy.

[p. 287] Fourteenth day. General exacerbation ; delirious with much wandering talk.

Twentieth day. Wildly out of his mind ; much tossing ; urine suppressed ; slight quantities of drink were retained.

Twenty-fourth day. Death.

1 See note, p. 188.

2 So Littré, following Galen. Perhaps, however, it means " heart," i. e. there was violent palpitation.

3 Said by Galen, followed by Littré (who reads ἥς1υχος2 for ς1ιγῶν), to refer to the character of the young man when well, which interpretation to modern minds is rather inconsistent with the first sentence. They would paraphrase, " the delirium was really serious, but appeared slight because the patient was naturally self-controlled and calm." I take the meaning to be that though delirious he remained quiet and comparatively silent.

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