of the epidemics-第12节
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CASE XII。 In Larissa; a young unmarried woman was seized with a
fever of the acute and ardent type; insomnolency; thirst; tongue sooty
and dry; urine of a good color; but thin。 On the second; in an
uneasy state; did not sleep。 On the third; alvine discharges
copious; watery; and greenish; and on the following days passed such
with relief。 On the fourth; passed a small quantity of thin urine;
having substances floating towards its surface; which did not subside;
was delirious towards night。 On the sixth; a great hemorrhage from the
nose; a chill; with a copious and hot sweat all over; apyrexia; had
a crisis。 In the fever; and when it had passed the crisis; the
menses took place for the first time; for she was a young woman。
Throughout she was oppressed with nausea; and rigors; redness of the
face; pain of the eyes; heaviness of the head; she had no relapse; but
the fever came to a crisis。 The pains were on the even days。
CASE XIII。 Apollonius; in Abdera; bore up (under the fever?) for
some time; without betaking himself to bed。 His viscera were enlarged;
and for a considerable time there was a constant pain about the liver;
and then he became affected with jaundice; he was flatulent; and of
a whitish complexion。 Having eaten beef; and drunk unseasonably; he
became a little heated at first; and betook himself to bed; and having
used large quantities of milk; that of goats and sheep; and both
boiled and raw; with a bad diet otherwise; great mischief was
occasioned by all these things; for the fever was exacerbated; and
of the food taken scarcely any portion worth mentioning was passed
from the bowels; the urine was thin and scanty; no sleep;
troublesome meteorism; much thirst; disposition to coma; painful
swelling of the right hypochondrium; extremities altogether coldish;
slight incoherence; forgetfulness of everything he said; he was beside
himself。 About the fourteenth day after he betook himself to bed;
had a rigor; became heated; and was seized with furious delirium; loud
cries; much talking; again composed; and then coma came on; afterwards
the bowels disordered; with copious; bilious; unmixed; and
undigested stools; urine black; scanty; and thin; much restlessness;
alvine evacuations of varied characters; either black; scanty; and
verdigrisgreen; or fatty; undigested; and acrid; and at times the
dejections resembled milk。 About the twenty…fourth; enjoyed a calm;
other matters in the same state; became somewhat collected; remembered
nothing that had happened since he was confined to bed; immediately
afterwards became delirious; every symptom rapidly getting worn。 About
the thirtieth; acute fever; stools copious and thin; was delirious;
extremities cold; loss of speech。 On the thirty…fourth he died。 In
this case; as far as I saw; the bowels were disordered; urine thin and
black; disposition to coma; insomnolency; extremities cold;
delirious throughout。 Phrenitis。
CASE XIV。 In Cyzicus; a woman who had brought forth twin
daughters; after a difficult labor; and in whom the lochial
discharge was insufficient; at first was seized with an acute fever;
attended with chills; heaviness of the head and neck; with pain;
insomnolency from the commencement; she was silent; sullen; and
disobedient; urine thin; and devoid of color; thirst; nausea for the
most part; bowels irregularly disordered; and again constipated。 On
the sixth; towards night; talked much incoherently; had no sleep。
About the eleventh day was seized with wild delirium; and again became
collected; urine black; thin; and again deficient; and of an oily
appearance; copious; thin; and disordered evacuations from the bowels。
On the fourteenth; frequent convulsions;extremities cold; not in
anywise collected; suppression of urine。 On the sixteenth loss of
speech。 On the seventeenth; she died。 Phrenitis。
Explanation of the characters。 It is probable that death was caused;
on the seventeenth day; by the affection of the brain consequent
upon her accouchement。
CASE XV。 In Thasus; the wife of Dealces; who was lodged upon the
Plain; from sorrow was seized with an acute fever; attended with
chills。 From first to last she wrapped herself up in her bedclothes;
still silent; she fumbled; picked; bored; and gathered hairs (from
them); tears; and again laughter; no sleep; bowels irritable; but
passed nothing; when directed; drank a little; urine thin and
scanty; to the touch of the hand the fever was slight; coldness of the
extremities。 On the ninth; talked much incoherently; and again
became composed and silent。 On the fourteenth; breathing rare;
large; at intervals; and again hurried respiration。 On the
sixteenth; looseness of the bowels from a stimulant clyster;
afterwards she passed her drink; nor could retain anything; for she
was completely insensible; skin parched and tense。 On the twentieth;
much talk; and again became composed; loss of speech; respiration
hurried。 On the twenty…first she died。 Her respiration throughout
was rare and large; she was totally insensible; always wrapped up in
her bedclothes; either much talk; or completely silent throughout。
Phrenitis。
CASE XVI。 In Meliboea; a young man having become heated by
drinking and much venery; was confined to bed; he was affected with
rigors and nausea; insomnolency and absence of thirst。 On the first
day much faeces passed from the bowels along with a copious flux;
and on the following days he passed many watery stools of a green
color; urine thin; scanty; and deficient in color; respiration rare;
large; at long intervals; softish distention of the hypochondrium;
of an oblong form; on both sides; continued palpitation in the
epigastric region throughout; passed urine of an oily appearance。 On
the tenth; he had calm delirium; for he was naturally of an orderly
and quiet disposition; skin parched and tense; dejections either
copious and thin; or bilious and fatty。 On the fourteenth; all the
symptoms were exacerbated; he became delirious; and talked much
incoherently。 On the twentieth; wild delirium; On the twentieth;
wild delirium; jactitation; passed no urine; small drinks were
retained。 On the twenty…fourth he died。 Phrenitis。
…THE END…
。