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well to announce it beforehand。
10。 If; in a winter fever; the tongue be rough; and if there be
swoonings; it is likely to be the remission of the fever。 Nevertheless
such a person is to be kept upon a restricted diet; with water for
drink; and hydromel; and the strained juices; not trusting to the
remission of the fevers; as persons having these symptoms are in
danger of dying; when; therefore; you perceive these symptoms;
announce this prognostic; if you shall judge proper; after making
the suitable observations。 When; in fevers; any dangerous symptom
appears on the fifth day; when watery discharges suddenly take place
from the bowels; when deliquium animi occurs; or the patient is
attacked with loss of speech; convulsions; or hiccup; under such
circumstances he is likely to be affected with nausea; and sweats
break out under the nose and forehead; or on the back part of the neck
and head; and patients with such symptoms shortly die; from stoppage
of the respiration。 When; in fevers; abscesses form about the legs;
and; getting into a chronic state; are not concocted while the fever
persists; and if one is seized with a sense of suffocation in the
throat; while the fauces are not swelled; and if it do not come to
maturation; but is repressed; in such a case there is apt to be a flow
of blood from the nose; if this; then; be copious; it indicates a
resolution of the disease; but if not; a prolongation of the
complaint; and the less the discharge; so much worse the symptoms; and
the more protracted the disease; but if the other symptoms are very
favorable; expect in such a case that pains will fall upon the feet;
if then they attack the feet; and if these continue long in a very
painful; and inflamed state; and if there be no resolution; the
pains will extend by degrees to the neck; to the clavicle; shoulder;
breast; or to some articulation; in which an inflammatory tumor will
necessarily form。 When these are reduced; if the hands are contracted;
and become trembling; convulsion and delirium seize such a person; but
blisters break out on the eyebrow; erythema takes place; the one
eyelid being tumefied overtops the other; a hard inflammation sets in;
the eye become strongly swelled; and the delirium increases much;
but makes its attacks rather at night than by day。 These symptoms more
frequently occur on odd than on even days; but; whether on the one
or the other; they are of a fatal character。 Should you determine to
give purgative medicines in such cases; at the commencement; you
should do so before the fifth day; if there be borborygmi in the
bowels; or; if not; you should omit the medicines altogether。 If there
be borborygmi; with bilious stools; purge moderately with scammony;
but with regard to the treatment otherwise; administer as few drinks
and draughts as until there be some amendment; and the disease is past
the fourteenth day。 When loss of speech seizes a person; on the
fourteenth day of a fever; there is not usually a speedy resolution;
nor any removal of the disease; for this symptom indicates a
protracted disease; and when it appears on that day; it will be
still more prolonged。 When; on the fourth day of a fever; the tongue
articulates confusedly; and when there are watery and bilious
discharges from the bowels; such a patient is apt to fall into a state
of delirium; the physician ought; therefore; to watch him; and
attend to whatever symptoms may turn up。 In the season of summer and
autumn an epistaxis; suddenly occurring in acute diseases; indicates
vehemence of the attack; and inflammation in the course of the
veins; and on the day following; the discharge of thin urine; and if
the patient be in the prime of life; and if his body be strong from
exercise; and brawny; or of a melancholic temperament; or if from
drinking has trembling hands; it may be well to announce beforehand
either delirium or convulsion; and if these symptoms occur on even
days; so much the better; but on critical days; they are of a deadly
character。 If; then; a copious discharge of blood procure an issue
to the fullness thereof about the nose; or what is collected about the
anus; there will be an abscess; or pains in the hypochondrium; or
testicles; or in the limbs; and when these are resolved; there will be
a discharge of thick sputa; and of smooth; thin urine。 In fever
attended with singultus; give asafoetida; oxymel; and carrot;
triturated together; in a draught; or galbanum in honey; and cumin
in a linctus; or the juice of ptisan。 Such a person cannot escape;
unless critical sweats and gentle sleep supervene; and thick and acrid
urine be passed; or the disease terminate in an abscess: give
pine…fruit and myrrh in a linctus; and further give a very little
oxymel to drink; but if they are very thirsty; some barley…water。
11。 Peripneumonia; and pleuritic affections; are to be thus
observed: If the fever be acute; and if there be pains on either side;
or in both; and if expiration be if cough be present; and the sputa
expectorated be of a blond or livid color; or likewise thin; frothy;
and florid; or having any other character different from the common;
in such a case; the physician should proceed thus: if the pain pass
upward to the clavicle; or the breast; or the arm; the inner vein in
the arm should be opened on the side affected; and blood abstracted
according to the habit; age; and color of the patient; and the
season of the year; and that largely and boldly; if the pain be acute;
so as to bring on deliquium animi; and afterwards a clyster is to be
given。 But if the pain be below the chest; and if very intense;
purge the bowels gently in such an attack of pleurisy; and during
the act of purging give nothing; but after the purging give oxymel。
The medicine is to be administered on the fourth day; on the first
three days after the commencement; a clyster should be given; and if
it does not relieve the patient; he should then be gently purged;
but he is to be watched until the fever goes off; and till the seventh
day; then if he appear to be free from danger; give him some
unstrained ptisan; in small quantity; and thin at first; mixing it
with honey。 If the expectoration be easy; and the breathing free; if
his sides be free of pain; and if the fever be gone; he may take the
ptisan thicker; and in larger quantity; twice a day。 But if he do
not progress favorably; he must get less of the drink; and of the
draught; which should be thin; and only given once a day; at
whatever is judged to be the most favorable hour; this you will
ascertain from the urine。 The draught is not to be given to persons
after fever; until you see that the urine and sputa are concocted (if;
indeed; after the administration of the medicine he be purged
frequently; it may be necessary to give it; but it should be given
in smaller quantities and thinner than usual; for from inanition he
will be unable to sleep; or digest properly; or wait the crisis);
but when the melting down of crude matters has taken place; and his
system has cast off what is offensive; there will then be no
objection。 The sputa are concocted when they resemble pus; and the
urine when it has reddish sediments like tares。 But there is nothing
to prevent fomentations and cerates being applied for the other
pains of the sides; and the legs and loins may be rubbed with hot oil;
or anointed with fat; linseed; too; in the form of a cataplasm; may be
applied to the hypochondrium and as far up as the breasts。 When
pneumonia is at its height; the case is beyond remedy if he is not
purged; and it is bad if he has dyspnoea; and urine that is thin and
acrid; and if sweats come out about the neck and head; for such sweats
are bad; as proceeding from the suffocation; rales; and the violence
of the disease which is obtaining the upper hand; unless there be a
copious evacuation of thick urine; and the sputa be concocted; when
either of these come on spontaneously; that will carry off the
disease。 A linctus for pneumonia: Galbanum and pine…fruit in Attic
honey; and southernwood in oxymel; make a decoction of pepper and
black hellebore; and give it in cases of pleurisy attended with
violent pain at the commencement。 It is also a good thing to boil
opoponax in oxymel; and; having strained it; to give it to drink; it
answers well; also; in diseases of the liver; and in severe pains
proceeding from the diaphragm; and in all cases in which it is
beneficial to determine to the bowels or urinary organs; when given in
wine and honey; when given to act upon the bowels; it should be
drunk in larger quantity; along with a watery hydromel。
12。 A dysentery; when stopped; will give rise to an aposteme; or
tumor; if it do not terminate in fevers with sweats; or with thick and
white urine; or in a tertian fever; or the pain fix upon a varix; or
the testicles; or on the hip…joints。
13。 In a bilious fever; jaundice coming on with rigor before the
seventh day carries off the fever; but if it occur without the
fever; and not at the proper time; it is a fatal symptom。
14。 When the loins are in a tetanic state; and the spirits in the
veins are obstructed by melancholic humors; venesection will afford
rel