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CASE III

In Thasos Pythion, who lay sick above the shrine of Heracles, after labour, fatigue and careless living, was seized by violent rigor and acute fever. Tongue dry ; thirst ; bilious ; no sleep ; urine rather black, with a substance suspended in it, which formed no sediment.

Second day. About mid-day chill in the extremities, especially in the hands and head ; could not speak or utter a sound ; respiration short for a long time ; recovered warmth ; thirst ; a quiet night ; slight sweats about the head.

Third day. A quiet day, but later, about sunset, grew rather chilly ; nausea ; distress ;1 painful night without sleep ; small, solid stools were passed.

Fourth day. Early morning peaceful, but about mid-day all symptoms were exacerbated ; chill ;

[p. 265] speechless and voiceless ; grew worse ; recovered warmth after a time ; black urine with a substance floating in it ; night peaceful ; slept.

Fifth day. Seemed to be relieved, but there was heaviness in the bowels with pain ; thirst ; painful night.

Sixth day. Early morning peaceful ; towards evening the pains were greater ; exacerbation ; but later a little clyster caused a good movement of the bowels. Slept at night.

Seventh day. Nausea ; rather uneasy ; urine oily ; much distress2 at night ; wandering ; no sleep at all.

Eighth day. Early in the morning snatches of sleep ; but quickly there was chill ; loss of speech ; respiration thin and weak ; in the evening he recovered warmth again ; was delirious ; towards morning slightly better ; stools uncompounded, small, bilious.

Ninth day. Comatose ; nausea whenever he woke up. Not over-thirsty. About sunset was uncomfortable ; wandered ; a bad night.

Tenth day. In the early morning was speechless ; great chill ; acute fever ; much sweat ; death.

In this case the pains on even days.

1 Probably bowel trouble. See p. 250

2 Probably bowel trouble. See p. 250.

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