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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

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