on the sacred disease-第2节
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when; the from of time; it is confirmed; and has became stronger
than the remedies applied。 Its origin is hereditary; like that of
other diseases。 For if a phlegmatic person be born of a phlegmatic;
and a bilious of a bilious; and a phthisical of a phthisical; and
one having spleen disease; of another having disease of the spleen;
what is to hinder it from happening that where the father and mother
were subject to this disease; certain of their offspring should be
so affected also? As the semen comes from all parts of the body;
healthy particles will come from healthy parts; and unhealthy from
unhealthy parts。 And another great proof that it is in nothing more
divine than other diseases is; that it occurs in those who are of a
phlegmatic constitution; but does not attack the bilious。 Yet; if it
were more divine than the others; this disease ought to befall all
alike; and make no distinction between the bilious and phlegmatic。
But the brain is the cause of this affection; as it is of other very
great diseases; and in what manner and from what cause it is formed; I
will now plainly declare。 The brain of man; as in all other animals;
is double; and a thin membrane divides it through the middle; and
therefore the pain is not always in the same part of the head; for
sometimes it is situated on either side; and sometimes the whole is
affected; and veins run toward it from all parts of the body; many
of which are small; but two are thick; the one from the liver; and the
other from the spleen。 And it is thus with regard to the one from
the liver: a portion of it runs downward through the parts on the
side; near the kidneys and the psoas muscles; to the inner part of the
thigh; and extends to the foot。 It is called vena cava。 The other runs
upward by the right veins and the lungs; and divides into branches for
the heart and the right arm。 The remaining part of it rises upward
across the clavicle to the right side of the neck; and is
superficial so as to be seen; near the ear it is concealed; and
there it divides; its thickest; largest; and most hollow part ends
in the brain; another small vein goes to the right ear; another to the
right eye; and another to the nostril。 Such are the distributions of
the hepatic vein。 And a vein from the spleen is distributed on the
left side; upward and downward; like that from the liver; but more
slender and feeble。
By these veins we draw in much breath; since they are the
spiracles of our bodies inhaling air to themselves and distributing it
to the rest of the body; and to the smaller veins; and they and
afterwards exhale it。 For the breath cannot be stationary; but it
passes upward and downward; for if stopped and intercepted; the part
where it is stopped becomes powerless。 In proof of this; when; in
sitting or lying; the small veins are compressed; so that the breath
from the larger vein does not pass into them; the part is
immediately seized with numbness; and it is so likewise with regard to
the other veins。
This malady; then; affects phlegmatic people; but not bilious。 It
begins to be formed while the foetus is still in utero。 For the brain;
like the other organs; is depurated and grows before birth。 If;
then; in this purgation it be properly and moderately depurated; and
neither more nor less than what is proper be secreted from it; the
head is thus in the most healthy condition。 If the secretion (melting)
the from the brain be greater than natural; the person; when he
grows up; will have his head diseased; and full of noises; and will
neither be able to endure the sun nor cold。 Or; if the melting take
place from any one part; either from the eye or ear; or if a vein
has become slender; that part will be deranged in proportion to the
melting。 Or; should depuration not take place; but congestion
accumulate in the brain; it necessarily becomes phlegmatic。 And such
children as have an eruption of ulcers on the head; on the ears; and
along the rest of the body; with copious discharges of saliva and
mucus;…these; in after life; enjoy best health; for in this way the
phlegm which ought to have been purged off in the womb; is
discharged and cleared away; and persons so purged; for the most part;
are not subject to attacks of this disease。 But such as have had their
skin free from eruptions; and have had no discharge of saliva or
mucus; nor have undergone the proper purgation in the womb; these
persons run the risk of being seized with this disease。
But should the defluxion make its way to the heart; the person is
seized with palpitation and asthma; the chest becomes diseased; and
some also have curvature of the spine。 For when a defluxion of cold
phlegm takes place on the lungs and heart; the blood is chilled; and
the veins; being violently chilled; palpitate in the lungs and
heart; and the heart palpitates; so that from this necessity asthma
and orthopnoea supervene。 For it does not receive the spirits as
much breath as he needs until the defluxion of phlegm be mastered; and
being heated is distributed to the veins; then it ceases from its
palpitation and difficulty of breathing; and this takes place as
soon as it obtains an abundant supply; and this will be more slowly;
provided the defluxion be more abundant; or if it be less; more
quickly。 And if the defluxions be more condensed; the epileptic
attacks will be more frequent; but otherwise if it be rarer。 Such
are the symptoms when the defluxion is upon the lungs and heart; but
if it be upon the bowels; the person is attacked with diarrhoea。
And if; being shut out from all these outlets; its defluxion be
determined to the veins I have formerly mentioned; the patient loses
his speech; and chokes; and foam issues by the mouth; the teeth are
fixed; the hands are contracted; the eyes distorted; he becomes
insensible; and in some cases the bowels are evacuated。 And these
symptoms occur sometimes on the left side; sometimes on the right; and
sometimes in both。 The cause of everyone of these symptoms I will
now explain。 The man becomes speechless when the phlegm; suddenly
descending into the veins; shuts out the air; and does not admit it
either to the brain or to the vena cava; or to the ventricles; but
interrupts the inspiration。 For when a person draws in air by the
mouth and nostrils; the breath goes first to the brain; then the
greater part of it to the internal cavity; and part to the lungs;
and part to the veins; and from them it is distributed to the other
parts of the body along the veins; and whatever passes to the
stomach cools; and does nothing more; and so also with regard to the
lungs。 But the air which enters the veins is of use (to the body) by
entering the brain and its ventricles; and thus it imparts sensibility
and motion to all the members; so that when the veins are excluded
from the air by the phlegm and do not receive it; the man loses his
speech and intellect; and the hands become powerless; and are
contracted; the blood stopping and not being diffused; as it was wont;
and the eyes are distorted owing to the veins being excluded from
the air; and they palpitate; and froth from the lungs issues by the
mouth。 For when the breath does not find entrance to him; he foams and
sputters like a dying person。 And the bowels are evacuated in
consequence of the violent suffocation; and the suffocation is
produced when the liver and stomach ascend to the diaphragm; and the
mouth of the stomach is shut up; this takes place when the breath does
not enter by the mouth; as it is wont。 The patient kicks with his feet
when the air is shut up in the lungs and cannot find an outlet;
owing to the phlegm; and rushing by the blood upward and downward;
it occasions convulsions and pain; and therefore he kicks with his
feet。 All these symptoms he endures when the cold phlegm passes into
the warm blood; for it congeals and stops the blood。 And if the
deflexion be copious and thick; it immediately proves fatal to him;
for by its cold it prevails over the blood and congeals it; or; if
it be less; it in the first place obtains the mastery; and stops the
respiration; and then in the course of time; when it is diffused along
the veins and mixed with much warm blood; it is thus overpowered;
the veins receive the air; and the patient recovers his senses。
Of little children who are seized with this disease; the greater
part die; provided the defluxion be copious and humid; for the veins
being slender cannot admit the phlegm; owing to its thickness and
abundance; but the blood is cooled and congealed; and the child
immediately dies。 But if the phlegm be in small quantity; and make a
defluxion into both the veins; or to those on either side; the
children survive; but exhibit notable marks of the disorder; for
either the mouth is drawn aside; or an eye; the neck; or a hand;
wherever a vein being filled with phlegm loses its tone; and is
attenuated; and the part of the body connected with this vein is
necessarily rendered weaker and defective。 But for the most it affords
relief for a lon