on regimen in acute diseases-第10节

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labors　under　difficulty　of　breathing；　if　it　is　the　summer　season；
and　if　he　is　in　the　prime　of　life；　and　is　strong；　blood　should　be
abstracted　from　the　arm；　and　then　he　should　eat　hot　pieces　of　bread；
dipped　in　dark　wine　and　oil；　drink　very　little；　and　labor　much；　and
live　on　well…fed　pork；　boiled　with　vinegar；　so　that　he　may　be　able
to　endure　hard　exercises。
　　21。　Those　who　have　the　inferior　intestines　hot；　and　who　pass　acrid
and　irregular　stools　of　a　colliquative　nature；　if　they　can　bear　it；
should　procure　revulsion　by　vomiting　with　hellebore；　but　if　not；
should　get　a　thick　decoction　of　summer　wheat　in　a　cold　state；　lentil
soup；　bread　cooked　with　cinders；　and　fish；　which　should　be　taken
boiled　if　they　have　fever；　but　roasted　if　not　feverish；　and　also
dark…colored　wine　if　free　of　fever；　but　otherwise　they　should　take　the
water　from　medlars；　myrtles；　apples；　services；　dates；　or　wild　vine。　If
there　be　no　fever；　and　if　there　be　tormina；　the　patient　should　drink
hot　asses'　milk　in　small　quantity　at　first；　and　gradually　increase　it；
and　linseed；　and　wheaten　flour；　and　having　removed　the　bitter　part
of　Egyptian　beans；　and　ground　them；　sprinkle　on　the　milk　and　drink；
and　let　him　eat　eggs　half…roasted；　and　fine　flour；　and　millet；　and
perl…spelt　（chondrus）　boiled　in　milk；…　all　these　things　should　be
eaten　cold；　and　similar　articles　of　food　and　drink　should　be
administered。
　　22。　The　most　important　point　of　regimen　to　observe　and　be　guarded
about　in　protracted　diseases；　is　to　pay　attention　to　the　exacerbations
and　remissions　of　fevers；　so　as　to　avoid　the　times　when　food　should
not　be　given；　and　to　know　when　it　may　be　administered　without
danger；　this　last　season　is　at　the　greatest　possible　distance　from　the
exacerbation。
　　23。　One　should　be　able　to　recognize　those　who　have　headache　from
gymnastic　exercises；　or　running；　or　walking　or　hunting；　or　any　other
unseasonable　labor；　or　from　immoderate　venery；　also　those　who　are　of　a
pale　color；　or　troubled　with　hoarseness；　those　who　have　enlarged
spleen；　those　who　are　in　a　state　of　anaemia；　those　who　are　suffering
from　tympanites；　those　having　dry　cough　and　thirst；　those　who　are
flatulent；　and　have　the　course　of　the　blood　in　their　veins
intercepted；　those　persons　whose　hypochondria；　sides；　and　back　are
distended：　those　having　torpor；　those　laboring　under　amaurosis；　or
having　noises　in　their　ears；　those　suffering　from　incontinence　of
urine　or　jaundice；　or　whose　food　is　passed　undigested；　those　who
have　discharges　of　blood　from　the　nose　or　anus；　or　who　have　flatulence
and　intense　pain；　and　who　cannot　retain　the　wind。　In　these　cases　you
may　do　mischief；　but　cannot　possibly　do　any　good　by　purging；　but　may
interrupt　the　spontaneous　remissions　and　crises　of　the　complaints。
　　24。　If　you　think　it　expedient　to　let　blood；　see　that　the　bowels　be
previously　settled；　and　then　bleed；　enjoin　abstinence；　and　forbid
the　use　of　wine；　and　complete　the　cure　by　means　of　a　suitable　regimen；
and　wet　fomentations。　But　if　the　bowels　appear　to　be　constipated；
administer　a　soothing　clyster。
　　25。　If　you　think　it　necessary　to　give　medicines；　you　may　safely
purge　upwards　by　hellebore；　but　none　of　those　should　be　purged
downwards。　The　most　effectual　mode　of　treatment　is　by　the　urine；
sweats；　and　exercise；　and　use　gentle　friction　so　as　not　to　harden
the　constitution；　and　if　he　be　confined　to　bed　let　others　rub　him。
When　the　pain　is　seated　above　the　diaphragm；　place　him　erect　for　the
most　part；　and　let　him　be　as　little　reclined　as　possible；　and　when
he　is　raised　up　let　him　be　rubbed　for　a　considerable　time　with
plenty　of　hot　oil。　But　if　the　pains　be　in　the　lower　belly　below　the
diaphragm；　it　will　be　useful　to　lie　reclined　and　make　no　motion；　and
to　such　a　person　nothing　should　be　administered　except　the　friction。
Those　pains　which　are　dissolved　by　discharges　from　the　bowels；　by
urine；　or　moderate　sweats；　cease　spontaneously；　if　they　are　slight；
but　if　strong　they　prove　troublesome；　for　persons　so　affected　either
die；　or　at　least　do　not　recover　without　further　mischief；　for　they
terminate　in　abscesses。
　　26。　A　draught　for　a　dropsical　person。　Take　three　cantharides；　and
removing　their　head；　feet；　and　wings；　triturate　their　bodies　in
three　cupfuls　（cyathi）　of　water；　and　when　the　person　who　has　drunk　the
draught　complains　of　pain；　let　him　have　hot　fomentations　applied。
The　patient　should　be　first　anointed　with　oil；　should　take　the　draught
fasting；　and　eat　hot　bread　with　oil。
　　27。　A　styptic。　Apply　the　juice　of　the　fig　inwardly　to　the　vein；　or
having　moulded　biestings　into　a　tent；　introduce　up　the　nostril；　or
push　up　some　chalcitis　with　the　finger；　and　press　the　cartilages　of
the　nostrils　together；　and　open　the　bowels　with　the　boiled　milk　of
asses：　or　having　shaved　the　head　apply　cold　things　to　it　if　in　the
summer　season。
　　28。　The　sesamoides　purges　upwards　when　pounded　in　oxymel　to　the
amount　of　a　drachm　and　a　half；　and　drunk；　it　is　combined　with　the
hellebores；　to　the　amount　of　the　third　part；　and　thus　it　is　less　apt
to　produce　suffocation。
　　29。　Trichiasis。　Having　introduced　a　thread　into　the　eye　of　a
needle　push　it　through　the　upper　part　of　the　distended　eyelid；　and
do　the　same　at　the　base　of　it；　having　stretched　the　threads　tie　a　knot
on　them；　and　bind　up　until　they　drop　out：　and；　if　this　be
sufficient；　so　far　well；　but　if　otherwise；　you　must　do　the　same
thing　again。　And　hemorrhoids；　in　like　manner；　you　may　treat　by
transfixing　them　with　a　needle　and　tying　them　with　a　very　thick　and
large　woolen　thread；　for　thus　the　cure　will　be　more　certain。　When
you　have　secured　them；　use　a　septic　application；　and　do　not　foment
until　they　drop　off；　and　always　leave　one　behind；　and　when　the　patient
recovers；　let　him　be　put　upon　a　course　of　hellebore。　Then　let　him　be
exercised　and　sweated；　the　friction　of　the　gymnasium　and　wrestling
in　the　morning　will　be　proper；　but　he　must　abstain　from　running；
drinking；　and　all　acrid　substances；　except　marjoram；　let　him　take　an
emetic　every　seven　days；　or　three　times　in　a　month；　for　thus　will　he
enjoy　the　best　bodily　health。　Let　him　take　straw…colored；　austere；　and
watery　wine；　and　use　little　drink。
　　30。　For　persons　affected　with　empyema。　Having　cut　some　bulbs　or
squill；　boil　in　water；　and　when　well　boiled；　throw　this　away；　and
having　poured　in　more　water；　boil　until　it　appear　to　the　touch　soft
and　well…boiled；　then　triturate　finely　and　mix　roasted　cumin；　and
white　sesames；　and　young　almonds　pounded　in　honey；　form　into　an
electuary　and　give；　and　afterwards　sweet　wine。　In　draughts；　having
pounded　about　a　small　acetabulum　of　the　white　poppy；　moisten　it　with
water　in　which　summer　wheat　has　been　washed；　add　honey；　and　boil。
Let　him　take　this　frequently　during　the　day。　And　then　taking　into
account　what　is　to　happen；　give　him　supper。
　　31。　For　dysentery。　A　fourth　part　of　a　pound　of　cleaned　beans；　and
twelve　shoots　of　madder　having　been　triturated；　are　to　be　mixed
together　and　boiled；　and　given　as　a　linctus　with　some　fatty　substance。
　　32。　For　diseases　of　the　eyes。　Washed　spodium　（tutty？）　mixed　with
grease；　and　not　of　a　thinner　consistence　than　dough；　is　to　be
carefully　triturated；　and　moistened　with　the　juice　of　unripe
raisins；　and　having　dried　in　the　sun；　moisten　until　it　is　of　the
consistence　of　an　ointment。　When　it　becomes　again　dry；　let　it　be
finely　levigated；　anoint　the　eyes　with　it；　and　dust　it　upon　the　angles
of　the　eyes。
　　33。　For　watery　eyes。　Take　one　drachm　of　ebeny　and　nine　oboli　of
burnt　copper；　rub　them　upon　a　whetstone；　add　three　oboli　of　saffron；
triturate　all　these　things　reduced　to　a　fine　powder；　pour　in　an
Attic　hemina　of　sweet　wine；　and　then　place　in　the　sun　and　cover　up；
when　sufficiently　digested；　use　it。
　　34。　For　violent　pains　of　the　eyes。　Take　of　chalcitis；　and　of　raisin；
of　each　1　dr。；　when　digested　for　two　days；　strain；　and　pounding
myrrh　and　saffron；　and　having　mixed　must；　with　these　things；　digest　in
the　sun；　and　with　this　anoint　the　eyes　when　in　a　state　of　severe　pain。
Let　it　be　kept　in　a　copper　vessel。
　　35。　Mode　of　distinguishing　persons　in　an　hysterical　fit。　Pinch
them　with　your　fingers；　and　if　they　feel；　it　is　hysterical；　but　if
not；　it　is　a　convulsion。
　　36。　To　persons　in　coma；　（dropsy？）　give　to　drink　meconium
（euphorbia　peplus？）　to　the　amount　of　a　round　Attic　leciskion　（small
acetabulum）。
　　37。　Of　squama　aeris；　as　much　as　three　specilla　can　contain；　with　the
gluten　of　summer　wheat：　levigate；　pound；　form　into　pills；　and　give；　it
purges　water　downwards。
　　38。　A　medicine　for　opening　the　bowels。　Pour　upon　figs　the　juice　of
spurge；　in　the　proportion　of　seven　to　one：　then　put　into　a　new
vessel　and　lay　past　when　properly　mixed。　Give　before　food。
　　39。　Pounding　meconium；　pouring　on　it　water；　and　straining；　and
mixing　flour；　and　baking　into　a　cake；　with　the　addition　of　boiled
honey；　give　in　affections　of　the　anus　and　in　dropsy；　and　after
eating　of　it；　let　the　patient　drink　of　a　sweet　watery　wine；　and
diluted　hydromel　prepared　from　wax：　or　collecting　meconium；　lay　it
up　for　medicinal　purposes。




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