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of the epidemics-第3章

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  9。 Some were attacked with jaundice on the sixth day; but these were



benefited either by an urinary purgation; or a disorder of the bowels;



or a copious hemorrhage; as in the case of Heraclides; who was



lodged with Aristocydes: this person; though he had the hemorrhage



from the nose; the purgation by the bladder; and disorder of the



bowels; experienced a favorable crisis on the twentieth day; not



like the servant of Phanagoras; who had none of these symptoms; and



died。 The hemorrhages attacked most persons; but especially young



persons and those in the prime of life; and the greater part of



those who had not the hemorrhage died: elderly persons had jaundice or



disorder of the bowels; such as Bion; who was lodged with Silenus。



Dysenteries were epidemical during the summer; and some of those cases



in which the hemorrhage occurred; terminated in dysentery; as happened



to the slave of Eraton; and to Mullus; who had a copious hemorrhage;



which settled down into dysentery; and they recovered。 This humor



was redundant in many cases; since in those who had not the hemorrhage



about the crisis; but the risings about the ears disappeared; after



their disappearance there was a sense of weight in the left flank



extending to the extremity of the hip; and pain setting in after the



crisis; with a discharge of thin urine; they began to have small



hemorrhages about the twenty…fourth day; and the swelling was



converted into the hemorrhage。 In the case of Antiphon; the son of



Critobulus' son; the fever ceased and came to a crisis about the



fortieth day。



  10。 Many women were seized; but fewer than of the men; and there



were fewer deaths among them。 But most of them had difficult



parturition; and after labor they were taken ill; and these most



especially died; as; for example; the daughter of Telebolus died on



the sixth day after delivery。 Most females had the menstrual discharge



during the fever; and many girls had it then for the first time: in



certain individuals both the hemorrhage from the nose and the menses



appeared; thus; in the case of the virgin daughter of Daetharses;



the menses then took place for the first time; and she had also a



copinous hemorrhage from the nose; and I knew no instance of any one



dying when one or other of these took place properly。 But all those in



the pregnant state that were attacked had abortions; as far as I



observed。 The urine in most cases was of the proper color; but thin;



and having scanty sediments: in most the bowels were disordered with



thin and bilious dejections; and many; after passing through the other



crises; terminated in dysenteries; as happened to Xenophanes and



Critias。 The urine was watery; copious; clear; and thin; and even



after the crises; when the sediment was natural; and all the other



critical symptoms were favorable; as I recollect having happened to



Bion; who was lodged in the house of Silenus; and Critias; who lived



with Xenophanes; the slave of Areton; and the wife of Mnesistratus。



But afterwards all these were attacked with dysentery。 It would be



worth while to inquire whether the watery urine was the cause of this。



About the season of Arcturus many had the crisis on the eleventh



day; and in them the regular relapses did not take place; but they



became comatose about this time; especially children; but there were



fewest deaths of all among them。



  11。 About the equinox; and until the season of the Pleiades; and



at the approach of winter; many ardent fevers set in; but great



numbers at that season were seized with phrenitis; and many died; a



few cases also occurred during the summer。 These then made their



attack at the commencement of ardent fevers; which were attended



with fatal symptoms; for immediately upon their setting in; there were



acute fever and small rigors; insomnolency; aberration; thirst;



nausea; insignificant sweats about the forehead and clavicles; but



no general perspiration; they had much delirious talking; fears;



despondency; great coldness of the extremities; in the feet; but



more especially in their hands: the paroxysms were on the even days;



and in most cases; on the fourth day; the most violent pains set in;



with sweats; generally coldish; and the extremities could not be



warmed; but were livid and rather cold; and they had then no thirst;



in them the urine was black; scanty; thin; and the bowels were



constipated; there was an hemorrhage from the nose in no case in which



these symptoms occurred; but merely a trifling epistaxis; and none



of them had a relapse; but they died on the sixth day with sweats。



In the phrenitic cases; all the symptoms which have been described did



not occur; but in them the disease mostly came to a crisis on the



eleventh day; and in some on the twentieth。 In those cases in which



the phrenitis did not begin immediately; but about the third or fourth



day; the disease was moderate at the commencement; but assumed a



violent character about the seventh day。 There was a great number of



diseases; and of those affected; they who died were principally



infants; young persons; adults having smooth bodies; white skins;



straight and black hair; dark eyes; those living recklessly and



luxuriously; persons with shrill; or rough voices; who stammered and



were passionate; and women more especially died from this form。 In



this constitution; four symptoms in particular proved salutary; either



a hemorrhage from the nose; or a copious discharge by the bladder of



urine; having an abundant and proper sediment; or a bilious disorder



of the bowels at the proper time; or an attack of dysentery。 And in



many cases it happened; that the crisis did not take place by any



one of the symptoms which have been mentioned; but the patient



passed through most of them; and appeared to be in an uncomfortable



way; and yet all who were attacked with these symptoms recovered。



All the symptoms which I have described occurred also to women and



girls; and whoever of them had any of these symptoms in a favorable



manner; or the menses appeared abundantly; were saved thereby; and had



a crisis; so that I do not know a single female who had any of these



favorably that died。 But the daughter of Philo; who had a copious



hemorrhage from the nose; and took supper unseasonably on the



seventh day; died。 In those cases of acute; and more especially of



ardent fevers; in which there is an involuntary discharge of tears;



you may expect a nasal hemorrhage unless the other symptoms be of a



fatal type; for in those of a bad description; they do not indicate



a hemorrhage; but death。



  12。 Swellings about the ears; with pain in fevers; sometimes when



the fever went off critically; neither subsided nor were converted



into pus; in these cases a bilious diarrhoea; or dysentery; or thick



urine having a sediment; carried off the disease; as happened to



Hermippus of Clazomenae。 The circumstances relating to crises; as



far as we can recognize them; were so far similar and so far



dissimilar。 Thus two brothers became ill at the same hour (they were



brothers of Epigenes; and lodged near the theatre); of these the elder



had a crisis on the sixth day; and the younger on the seventh; and



both had a relapse at the same hour; it then left them for five



days; and from the return of the fever both had a crisis together on



the seventeenth day。 Most had a crisis on the sixth day; it then



left them for six days; and from the relapse there was a crisis on the



fifth day。 But those who had a crisis on the seventh day; had an



intermission for seven days; and the crisis took place on the third



day after the relapse。 Those who had a crisis on the sixth day;



after an interval of six days were seized again on the third; and



having left them for one day; the fever attacked them again on the



next and came to a crisis; as happened to Evagon the son of



Daetharses。 Those in whom the crisis happened on the sixth day; had an



intermission of seven days; and from the relapse there was a crisis on



the fourth; as happened to the daughter of Aglaidas。 The greater



part of those who were taken ill under this constitution of things;



were affected in this manner; and I did not know a single case of



recovery; in which there was not a relapse agreeably to the stated



order of relapses; and all those recovered in which the relapses



took place according to this form: nor did I know a single instance of



those who then passed through the disease in this manner who had



another relapse。



  13。 In these diseases death generally happened on the sixth day;



as with Epaminondas; Silenus; and Philiscus the son of Antagoras。



Those who had parotid swellings experienced a crisis on the



twentieth day; but in all these cases the dis
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