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Those who had parotid swellings experienced a crisis on the
twentieth day； but in all these cases the disease went off without
coming to a suppuration； and was turned upon the bladder。 But in
Cratistonax； who lived by the temple of Hercules； and in the maid
servant of Scymnus the fuller； it turned to a suppuration； and they
died。 Those who had a crisis on the seventh day； had an intermission
of nine days； and a relapse which came to a crisis on the fourth day
from the return of the fever； as was the case with Pantacles； who
resided close by the temple of Bacchus。 Those who had a crisis on
the seventh day； after an interval of six days had a relapse； from
which they had a crisis on the seventh day； as happened to
Phanocritus； who was lodged with Gnathon the fuller。 During the
winter； about the winter solstices； and until the equinox； the
ardent fevers and frenzies prevailed； and many died。 The crisis；
however； changed； and happened to the greater number on the fifth
day from the commencement； left them for four days and relapsed； and
after the return； there was a crisis on the fifth day； making in all
fourteen days。 The crisis took place thus in the case of most
children； also in elder persons。 Some had a crisis on the eleventh
day； a relapse on the fourteenth； a complete crisis on the
twentieth； but certain persons； who had a rigor about the twentieth；
had a crisis on the fortieth。 The greater part had a rigor along
with the original crisis； and these had also a rigor about the
crisis in the relapse。 There were fewest cases of rigor in the spring；
more in summer； still more in autumn； but by far the most in winter；
then hemorrhages ceased。
Sect。 III
1。 With regard to diseases； the circumstances from which we form a
judgment of them are；… by attending to the general nature of all；
and the peculiar nature of each individual；… to the disease； the
patient； and the applications；… to the person who applies them； as
that makes a difference for better or for worse；… to the whole
constitution of the season； and particularly to the state of the
heavens； and the nature of each country；… to the patient's habits；
regimen； and pursuits；… to his conversation； manners； taciturnity；
thoughts； sleep； or absence of sleep； and sometimes his dreams； what
and when they occur；… to his picking and scratching；… to his tears；…
to the alvine discharges； urine； sputa； and vomitings； and to the
changes of diseases from the one into the other；… to the deposits；
whether of a deadly or critical character；… to the sweat； coldness；
rigor； cough； sneezing； hiccup； respiration； eructation； flatulence；
whether passed silently or with a noise；… to hemorrhages and
hemorrhoids；… from these； and their consequences； we must form our
judgment。
2。 Fevers are；… the continual； some of which hold during the day and
have a remission at night； and others hold a remission during the day；
semi…tertians； tertians； quartans； quintans； septans； nonans。 The most
acute； strongest； most dangerous； and fatal diseases； occur in the
continual fever。 The least dangerous of all； and the mildest and
most protracted； is the quartan； for it is not only such from
itself； but it also carries off other great diseases。 In what is
called the semi…tertian； other acute diseases are apt to occur； and it
is the most fatal of all others； and moreover phthisical persons；
and those laboring under other protracted diseases； are apt to be
attacked by it。 The nocturnal fever is not very fatal； but protracted；
the diurnal is still more protracted； and in some cases passes into
phthisis。 The septan is protracted； but not fatal； the nonan more
protracted； and not fatal。 The true tertian comes quickly to a crisis；
and is not fatal； but the quintan is the worst of all； for it proves
fatal when it precedes an attack of phthisis； and when it supervenes
on persons who are already consumptive。 There are peculiar modes；
and constitutions； and paroxysms； in every one of these fevers； for
example；… the continual； in some cases at the very commencement；
grows； as it were； and attains its full strength； and rises to its
most dangerous pitch； but is diminished about and at the crisis； in
others it begins gentle and suppressed； but gains ground and is
exacerbated every day； and bursts forth with all its heat about and at
the crisis； while in others； again； it commences mildly； increases；
and is exacerbated until it reaches its acme； and then remits until at
and about the crisis。 These varieties occur in every fever； and in
every disease。 From these observations one must regulate the regimen
accordingly。 There are many other important symptoms allied to
these； part of which have been already noticed； and part will be
described afterwards； from a consideration of which one may judge； and
decided in each case； whether the disease be acute； acute； and whether
it will end in death or recovery； or whether it will be protracted；
and will end in death or recovery； and in what cases food is to be
given； and in what not； and when and to what amount； and what
particular kind of food is to be administered。
3。 Those diseases which have their paroxysms on even days have their
crises on even days； and those which have their paroxysms on uneven
days have their crises on uneven days。 The first period of those which
have the crisis on even days； is the 4th； 6th； 8th； 10th； 14th；
20th； 30th； 40th； 60th； 80th； 100th； and the first period of those
which have their crises on uneven days； is the 1st； 3d； 5th； 7th； 9th；
11th； 17th； 21th； 27th； 31st。 It should be known； that if the crisis
take place on any other day than on those described； it indicates that
there will be a relapse； which may prove fatal。 But one ought to pay
attention； and know in these seasons what crises will lead to recovery
and what to death； or to changes for the better or the worse。
Irregular fevers； quartans； quintans； septans； and nonans should be
studied； in order to find out in what periods their crises take place。
Fourteen Cases of Disease
CASE I。 Philiscus； who lived by the Wall； took to bed on the first
day of acute fever； he sweated； towards night was uneasy。 On the
second day all the symptoms were exacerbated； late in the evening
had a proper stool from a small clyster； the night quiet。 On the third
day； early in the morning and until noon； he appeared to be free
from fever； towards evening； acute fever； with sweating； thirst；
tongue parched； passed black urine； night uncomfortable； no sleep；
he was delirious on all subjects。 On the fourth； all the symptoms
exacerbated； urine black； night more comfortable； urine of a better
color。 On the fifth； about mid…day； had a slight trickling of pure
blood from the nose； urine varied in character； having floating in
it round bodies； resembling semen； and scattered； but which did not
fall to the bottom； a suppository having been applied； some scanty
flatulent matters were passed； night uncomfortable； little sleep；
talking incoherently； extremities altogether cold； and could not be
warmed； urine； black； slept a little towards day； loss of speech； cold
sweats； extremities livid； about the middle of the sixth day he
died。 The respiration throughout； like that of a person recollecting
himself； was rare； and large； and spleen was swelled upon in a round
tumor； the sweats cold throughout； the paroxysms on the even days。
CASE II。 Silenus lived on the Broad…way； near the house of
Evalcidas。 From fatigue； drinking； and unseasonable exercises； he
was seized with fever。 He began with having pain in the loins； he
had heaviness of the head； and there was stiffness of the neck。 On the
first day the alvine discharges were bilious； unmixed； frothy； high
colored； and copious； urine black； having a black sediment； he was
thirsty； tongue dry； no sleep at night。 On the second； acute fever；
stools more copious； thinner； frothy； urine black； an uncomfortable
night； slight delirium。 On the third； all the symptoms exacerbated； an
oblong distention； of a softish nature； from both sides of the
hypochondrium to the navel； stools thin； and darkish； urine muddy； and
darkish； no sleep at night； much talking； laughter； singing； he
could not restrain himself。 On the fourth； in the same state。 On the
fifth； stools bilious； unmixed； smooth； greasy； urine thin； and
transparent； slight absence of delirium。 On the sixth； slight
perspiration about the head； extremities cold and livid； much
tossing about； no passage from the bowels； urine suppressed； acute
fever。 On the seventh； loss of speech； extremities could no longer
be kept warm； no discharge of urine。