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having the appearance of wings： and women in like manner； with
regard to the melancholic and subsanguineous； phrenitic and dysenteric
affections principally attacked them。 Tenesmus troubled young
persons of a phlegmatic temperament。 Chronic diarrhoea； acrid and
viscid discharges from the bowels； attacked those who were troubled
with bitter bile。
15。 To all those which have been described； the season of spring was
most inimical； and proved fatal to the greatest numbers： the summer
was the most favorable to them； and the fewest died then； in autumn；
and under the Pleiades； again there died great numbers。 It appears
to me； according to the reason of things； that the coming on of summer
should have done good in these cases； for winter coming on cures the
diseases of summer； and summer coming on removes the diseases of
winter。 And yet the summer in question was not of itself well
constituted； for it became suddenly hot； southerly； and calm； but； not
withstanding； it proved beneficial by producing a change on the
other constitution。
16。 I look upon it as being a great part of the art to be able to
judge properly of that which has been written。 For he that knows and
makes a proper use of these things； would appear to me not likely to
commit any great mistake in the art。 He ought to learn accurately
the constitution of every one of the seasons； and of the diseases；
whatever that is common in each constitution and disease is good；
and whatever is bad； whatever disease will be protracted and end in
death； and whatever will be protracted and end in recovery； which
disease of an acute nature will end in death； and which in recovery。
From these it is easy to know the order of the critical days； and
prognosticate from them accordingly。 And to a person who is skilled in
these things； it is easy to know to whom； when； and how aliment
ought to be administered。
Sixteen Cases of Disease
CASE I。 In Thasus； the Parian who lodged above the Temple of Diana
was seized with an acute fever； at first of a continual and ardent
type； thirsty； inclined to be comatose at first； and afterwards
troubled with insomnolency； bowels disordered at the beginning；
urine thin。 On the sixth day； passed oily urine； was delirious。 On the
seventh； all the symptoms were exacerbated； had no sleep； but the
urine of the same characters； and the understanding disordered； alvine
dejections bilious and fatty。 On the eighth； a slight epistaxis； small
vomiting of verdigris…green matters； slept a little。 On the ninth；
in the same state。 On the tenth； all the symptoms gave way。 On the
eleventh； he sweated； but not over the whole body； he became cold； but
immediately recovered his heat again。 On the fourteenth； acute
fever； discharges bilious； thin； and copious； substances floating in
the urine； he became incoherent。 On the seventeenth； in a painful
state； for he had no sleep； and the fever was more intense。 On the
twentieth； sweated all over； apyrexia； dejections bilious； aversion to
food； comatose。 On the twenty…fourth； had a relapse。 On the
thirty…fourth； apyrexia； bowels not confined； and he again recovered
his heat。 Fortieth； apyrexia； bowels confined for no long time；
aversion to food； had again slight symptoms of fever； and throughout
in an irregular form； apyrexia at times； and at others not； for if the
fever intermitted； and was alleviated for a little； it immediately
relapsed again； he used much and improper food； sleep bad； about the
time of the relapse he was delirious； passed thick urine at that time；
but troubled； and of bad characters； bowels at first confined； and
again loose； slight fevers of a continual type； discharges copious and
thin。 On the hundred and twentieth day he died。 In this patient the
bowels were constantly from the first either loose； with bilious；
liquid； and copious dejections； or constipated with hot and undigested
faeces； the urine throughout bad； for the most part coma； or
insomnolency with pain； continued aversion to food。 Ardent fever。
Explanation of the characters。 It is probable that the weakness
produced by the fever； the phrenitis； and affection of the
hypochondrium caused death on the hundred and twentieth day。
CASE II。 In Thasus； the woman who lodged near the Cold Water； on the
third day after delivery of a daughter； the lochial discharge not
taking place； was seized with acute fever； accompanied with rigors。
But a considerable time before delivery she was feverish； confined
to bed； and loathed her food。 After the rigor which took place；
continual and acute fevers； with rigors。 On the eighth and following
days； was very incoherent； and immediately afterwards became
collected； bowels disordered； with copious； thin； watery； and
bilious stools； no thirst。 On the eleventh was collected； but disposed
to coma； urine copious； thin； and black； no sleep。 On the twentieth；
slight chills； and immediately afterwards was warm； slight
incoherence； no sleep； with regard to the bowels； in the same
condition； urine watery； and copious。 On the twenty…seventh； free from
fever； bowels constipated； not long afterwards violent pain of the
right hip…joint for a considerable time； fevers afterwards supervened；
urine watery。 On the fortieth； complaints about the hip…joint
better； continued coughs； with copious； watery sputa； bowels
constipated； aversion to food； urine the same； fever not leaving her
entirely； but having paroxysms in an irregular form； sometimes
present； sometimes not。 On the sixtieth； the coughs left her without a
crisis； for no concoction of the sputa took place； nor any of the
usual abscesses； jaw on the right side convulsively retracted；
comatose； was again incoherent； and immediately became collected；
utter aversion to food； the jaw became relaxed； alvine discharges
small； and bilious； fever more acute； affected with rigors； on the
following days lost her speech； and again became collected； and
talked。 On the eightieth she died。 In this case the urine throughout
was black； thin； and watery； coma supervened； there was aversion to
food； aversion to food； despondency； and insomnolency； irritability；
restlessness； she was of a melancholic turn of mind。
Explanation of the characters。 It is probable that the suppression
of the lochial discharge caused death on the day。
CASE III。 In Thasus； Pythion； who was lodged above the Temple of
Hercules； from labor； fatigue； and neglected diet； was seized with
strong rigor and acute fever； tongue dry； thirsty； and bilious； had no
sleep； urine darkish； eneorema floating on the top of the urine； did
not subside。 On the second day； about noon； coldness of the
extremities； especially about the hands and head； loss of speech and
of articulation； breathing short for a considerable time； recovered
his heat； thirst； passed the night quietly； slight sweats about the
head。 On the third； passed the day in a composed state； in the
evening； about sunset； slight chills； nausea； agitation； passed the
night in a painful state； had no sleep； small stools of compact faeces
passed from the bowels。 On the fourth； in the morning； composed； about
noon all the symptoms became exacerbated； coldness； loss of speech；
and of articulation； became worse； recovered his heat after a time；
passed black urine； having substances floating in it； the night quiet；
slept。 On the fifth； seemed to be lightened； but a painful weight
about the belly； thirsty； passed the night in a painful state。 On
the sixth； in the morning； in a quiet state； in the evening the
pains greater； had a paroxysm； in the evening the bowels properly
opened by a small clyster； slept at night。 On the seventh； during
the day； in a state of nausea； somewhat disturbed； passed urine of the
appearance of oil； at night； much agitation； was incoherent； did not
sleep。 On the eighth； in the morning； slept a little； but
immediately coldness； loss of speech； respiration small and weak；
but in the evening recovered his heat again； was delirious； but
towards day was somewhat lightened； stools small； bilious； and
unmixed。 On the ninth； affected with coma； and with nausea when
roused； not very thirsty； about sunset he became restless and
incoherent； passed a bad night。 On the tenth； in the morning； had
become speechless； great coldness； acute fever； much perspiration；
he died。 His sufferings were on the even days。
Explanation of the characters。 It is probable that the excessive
sweats caused death on the tenth day。
CASE IV。 The patient affected with phrenitis； having taken to bed on
the first day； vomited largely of verdigris…green and thin matters；
fever； accompanied with rigors； copious and contin