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loose； or when they are unusually confined； and there has been no
previous evacuation； neither must we bathe those who are
debilitated； nor such as have nausea or vomiting； or bilious
eructations； nor such as have hemorrhage from the nose； unless it be
less than required at that stage of the disease （with those stages you
are acquainted）； but if the discharge be less than proper； one
should use the bath； whether in order to benefit the whole body or the
head alone。 If then the proper requisites be at hand； and the
patient be well disposed to the bath； it may be administered once
every day； or if the patient be fond of the bath there will be no
harm； though he should take it twice in the day。 The use of the bath
is much more appropriate to those who take unstrained ptisan； than
to those who take only the juice of it； although even in their case it
may be proper； but least of all does it suit with those who use only
plain drink； although； in their case too it may be suitable； but one
must form a judgment from the rules laid down before； in which of
these modes of regimen the bath will be beneficial； and in which
not。 Such as want some of the requisites for a proper bath； but have
those symptoms which would be benefited by it； should be bathed；
whereas those who want none of the proper requisites； but have certain
symptoms which contraindicate the bath； are not to be bathed。
APPENDIX
APPENDIX
Ardent fever （causus） takes place when the veins； being dried up
in the summer season； attract acrid and bilious humors to
themselves； and strong fever seizes the whole body； which
experiences aches of the bones； and is in a state of lassitude and
pain。 It takes place most commonly from a long walk and protracted
thirst； when the veins being dried up attract acrid and hot defluxions
to themselves。 The tongue becomes rough； dry； and very black； there
are gnawing pains about the bowels； the alvine discharges are watery
and yellow； there is intense thirst； insomnolency； and sometimes
wandering of the mind。 To a person in such a state give to drink water
and as much boiled hydromel of a watery consistence as he will take；
and if the mouth be bitter； it may be advantageous to administer an
emetic and clyster； and if these things do not loosen the bowels；
purge with the boiled milk of asses。 Give nothing saltish nor acrid；
for they will not be borne； and give no draughts of ptisan until the
crisis be past。 And the affection is resolved if there be an
epistaxis； or if true critical sweats supervene with urine having
white； thick； and smooth sediments； or if a deposit take place
anywhere； but if it be resolved without these； there will be a relapse
of the complaint； or pain in the hips and legs will ensue； with
thick sputa； provided the patient be convalescent。 Another species
of ardent fever： belly loose； much thirst； tongue rough； dry； and
saltish； retention of urine； insomnolency； extremities cold。 In such a
case； unless there be a flow of blood from the nose； or an abscess
form about the neck； or pain in the limbs； or the patient
expectorate thick sputa （these occur when the belly is constipated）；
or pain of the hips； or lividity of the genital organs； there is no
crisis； tension of the testicle is also a critical symptom。 Give
attractive draughts。
2。 Bleed in the acute affections； if the disease appear strong；
and the patients be in the vigor of life； and if they have strength。
If it be quinsy or any other of the pleuritic affections； purge with
electuaries； but if the patient be weaker； or if you abstract more
blood； you may administer a clyster every third day； until he be out
of danger； and enjoin total abstinence if necessary。
3。 Hypochondria inflamed not from retention of flatus； tension of
the diaphragm； checked respiration； with dry orthopnoea； when no pus
is formed； but when these complaints are connected with obstructed
respiration； but more especially strong pains of the liver；
heaviness of the spleen； and other phlegmasiae and intense pains above
the diaphragm； diseases connected with collections of humors；… all
these diseases do not admit of resolution； if treated at first by
medicine； but venesection holds the first place in conducting the
treatment； then we may have recourse to a clyster； unless the
disease be great and strong； but if so； purging also may be necessary；
but bleeding and purging together require caution and moderation。
Those who attempt to resolve inflammatory diseases at the commencement
by the administration of purgative medicines； remove none of the
morbific humors which produce the inflammation and tension； for the
diseases while unconcocted could not yield； but they melt down those
parts which are healthy and resist the disease； so when the body is
debilitated the malady obtains the mastery； and when the disease has
the upper hand of the body； it does not admit of a cure。
4。 When a person suddenly loses his speech； in connection with
obstruction of the veins；… if this happen without warning or any other
strong cause； one ought to open the internal vein of the right arm；
and abstract blood more or less according to the habit and age of
the patient。 Such cases are mostly attended with the following
symptoms： redness of the face； eyes fixed； hands distended； grinding
of the teeth； palpitations； jaws fixed； coldness of the extremities；
retention of airs in the veins。
5。 When pains precede； and there are influxes of black bile and of
acrid humors； and when by their pungency the internal parts are
pained； and the veins being pinched and dried become distended； and
getting inflamed attract the humors running into the parts； whence the
blood being vitiated； and the airs collected there not being able to
find their natural passages； coldness comes on in consequence of
this stasis； with vertigo； loss of speech； heaviness of the head；
and convulsion； if the disease fix on the liver； the heart； or the
great vein （vena cava？）； whence they are seized with epilepsy or
apoplexy； if the defluxions fall upon the containing parts； and if
they are dried up by airs which cannot make their escape； such persons
having been first tormented are to be immediately bled at the
commencement； while all the peccant vapors and humors are buoyant； for
then the cases more easily admit of a cure； and then supporting the
strength and attending to the crisis； we may give emetics； unless
the disease be alleviated； or if the bowels be not moved； we may
administer a clyster and give the boiled milk of asses； to the
amount of not less than twelve heminae； or if the strength permit；
to more than sixteen。
6。 Quinsy takes place when a copious and viscid defluxion from the
head； in the season of winter or spring； flows into the jugular veins；
and when from their large size they attract a greater defluxion； and
when owing to the defluxion being of a cold and viscid nature it
becomes enfarcted； obstructing the passages of the respiration and
of the blood； coagulates the surrounding blood； and renders it
motionless and stationary； it being naturally cold and disposed to
obstructions。 Hence they are seized with convulsive suffocation； the
tongue turning livid； assuming a rounded shape； and being vent owing
to the veins which are seated below the tongue （for when an enlarged
uvula； which is called uva； is cut； a large vein may be observed on
each side）。 These veins； then； becoming filled； and their roots
extending into the tongue； which is of a loose and spongy texture； it；
owing to its dryness receiving forcibly the juice from the veins；
changes from broad and becomes round； its natural color turns to
livid； from a soft consistence it grows hard； instead of being
flexible it becomes inflexible； so that the patient would soon be
suffocated unless speedily relieved。 Bleeding； then； in the arm； and
opening the sublingual veins； and purging with the electuaries； and
giving warm gargles； and shaving the head； we must apply to it and the
neck a cerate； and wrap them round with wool； and foment with soft
sponges squeezed out of hot water； give to drink water and hydromel；
not cold； and administer the juice of ptisan when； having passed the
crisis； the patient is out of danger。 When； in the season of summer or
autumn； there is a hot and nitrous defluxion from the head （it is
rendered hot and acrid by the season）； being of such a nature it
corrodes and ulcerates； and fills with air； and orthopnoea attended
with great dryness supervenes； the fauces； when examined； do not
seem swollen； the tendons on the back part of the neck are contracted；
and have the appearance as if it were tetanus； the voice is lost；
the breathing is small； and inspiration becomes frequent and
laborious。 In such persons the trachea becomes ulcerated； and the
lungs engorged； from the patient's not being able to draw in the
external air。 In such cases； unless there be a spontaneous
determination to the external parts of the neck； the symptoms become
still more dreadful； and the danger more imminent； partly owing to the
season； and the hot and acrid humors which cause the disease。
7。 When fever seizes a person who has lately taken food