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head; and vertigo; impairs the movements of the eyes and the whole

body; and renders the alvine discharges watery。



  18。 With regard to the seasons; in spring and in the commencement of

summer; children and those next to them in age are most comfortable;

and enjoy best health; in summer and during a certain portion of

autumn; old people; during the remainder of the autumn and in

winter; those of the intermediate ages。



  19。 All diseases occur at all seasons of the year; but certain of

them are more apt to occur and be exacerbated at certain seasons。



  20。 The diseases of spring are; maniacal; melancholic; and epileptic

disorders; bloody flux; quinsy; coryza; hoarseness; cough; leprosy;

lichen alphos; exanthemata mostly ending in ulcerations; tubercles;

and arthritic diseases。



  21。 Of summer; certain of these; and continued; ardent; and

tertian fevers; most especially vomiting; diarrhoea; ophthalmy;

pains of the ears; ulcerations of the mouth; mortifications of the

privy parts; and the sudamina。



  22。 Of autumn; most of the summer; quartan; and irregular fevers;

enlarged spleen; dropsy; phthisis; strangury; lientery; dysentery;

sciatica; quinsy; asthma; ileus; epilepsy; maniacal and melancholic

disorders。



  23。 Of winter; pleurisy; pneumonia; coryza; hoarseness; cough; pains

of the chest; pains of the ribs and loins; headache; vertigo; and

apoplexy。



  24。 In the different ages the following complaints occur: to

little and new…born children; aphthae; vomiting; coughs;

sleeplessness; frights inflammation of the navel; watery discharges

from the ears。



  25。 At the approach of dentition; pruritus of the gums; fevers;

convulsions; diarrhoea; especially when cutting the canine teeth;

and in those who are particularly fat; and have constipated bowels。



  26。 To persons somewhat older; affections of the tonsils;

incurvation of the spine at the vertebra next the occiput; asthma;

calculus; round worms; ascarides; acrochordon; satyriasmus; struma;

and other tubercles (phymata); but especially the aforesaid。



  27。 To persons of a more advanced age; and now on the verge of

manhood; the most of these diseases; and; moreover; more chronic

fevers; and epistaxis。



  28。 Young people for the most part have a crisis in their

complaints; some in forty days; some in seven months; some in seven

years; some at the approach to puberty; and such complaints of

children as remain; and do not pass away about puberty; or in

females about the commencement of menstruation; usually become

chronic。



  29。 To persons past boyhood; haemoptysis; phthisis; acute fevers;

epilepsy; and other diseases; but especially the aforementioned。



  30。 To persons beyond that age; asthma; pleurisy; pneumonia;

lethargy; phrenitis; ardent fevers; chronic diarrhoea; cholera;

dysentery; lientery; hemorrhoids。



  31。 To old people dyspnoea; catarrhs accompanied with coughs;

dysuria; pains of the joints; nephritis; vertigo; apoplexy;

cachexia; pruritus of the whole body; insomnolency; defluxions of

the bowels; of the eyes; and of the nose; dimness of sight; cataract

(glaucoma); and dullness of hearing。





  SECTION IV。



  1。 We must purge pregnant women; if matters be turgid (in a state of

orgasm?); from the fourth to the seventh month; but less freely in the

latter; in the first and last stages of pregnancy it should be

avoided。



  2。 In purging we should bring away such matters from the body as

it would be advantageous had they come away spontaneously; but those

of an opposite character should be stopped。



  3。 If the matters which are purged be such as should be purged; it

is beneficial and well borne; but if the contrary; with difficulty。



  4。 We should rather purge upward in summer; and downward in winter。



  5。 About the time of the dog…days; and before it; the administration

of purgatives is unsuitable。



  6。 Lean persons who are easily made to vomit should be purged

upward; avoiding the winter season。



  7。 Persons who are difficult to vomit; and are moderately fat;

should be purged downward; avoiding the summer season。



  8。 We must be guarded in purging phthisical persons upward。



  9。 And from the same mode of reasoning; applying the opposite rule

to melancholic persons; we must purge them freely downward。



  10。 In very acute diseases; if matters be in a state of orgasm; we

may purge on the first day; for it is a bad thing to procrastinate

in such cases。



  11。 Those cases in which there are tormina; pains about the

umbilicus; and pains about the loins; not removed either by

purgative medicines or otherwise; usually terminate in dry dropsy。



  12。 It is a bad thing to purge upward in winter persons whose bowels

are in a state of lientery。



  13。 Persons who are not easily purged upward by the hellebores;

should have their bodies moistened by plenty of food and rest before

taking the draught。



  14。 When one takes a draught of hellebore; one should be made to

move more about; and indulge less in sleep and repose。 Sailing on

the sea shows that motion disorders the body。



  15。 When you wish the hellebore to act more; move the body; and when

to stop; let the patient get sleep and rest。



  16。 Hellebore is dangerous to persons whose flesh is sound; for it

induces convulsion。



  17。 Anorexia; heartburn; vertigo; and a bitter taste of the mouth;

in a person free from fever; indicate the want of purging upward。



  18。 Pains seated above the diaphragm indicate purging upward; and

those below it; downward。



  19。 Persons who have no thirst while under the action of a purgative

medicine; do not cease from being purged until they become thirsty。



  20。 If persons free from fever be seized with tormina; heaviness

of the knees; and pains of the loins; this indicates that purging

downward is required。



  21。 Alvine dejections which are black; like blood; taking place

spontaneously; either with or without fever; are very bad; and the

more numerous and unfavorable the colors; so much the worse; when with

medicine it is better; and a variety of colors in this case is not

bad。



  22。 When black bile is evacuated in the beginning of any disease

whatever; either upward or downward; it is a mortal symptom。



  23。 In persons attenuated from any disease; whether acute or

chronic; or from wounds; or any other cause; if there be a discharge

either of black bile; or resembling black blood; they die on the

following day。



  24。 Dysentery; if it commence with black bile; is mortal。



  25。 Blood discharged upward; whatever be its character; is a bad

symptom; but downward it is (more?) favorable; and so also black

dejections。



  26。 If in a person ill of dysentery; substances resembling flesh

be discharged from the bowels; it is a mortal symptom。



  27。 In whatever cases of fever there is a copious hemorrhage from

whatever channel; the bowels are in a loose state during

convalescence。



  28。 In all cases whatever; bilious discharges cease if deafness

supervenes; and in all cases deafness ceases when bilious discharges

supervene。



  29。 Rigors which occur on the sixth day have a difficult crisis。



  30。 Diseases attended with paroxysms; if at the same hour that the

fever leaves it return again next day; are of difficult crisis。



  31。 In febrile diseases attended with a sense of lassitude; deposits

form about the joints; and especially those of the jaws。



  32。 In convalescents from diseases; if any part be pained; there

deposits are formed。



  33。 But if any part be in a painful state previous to the illness;

there the disease fixes。



  34。 If a person laboring under a fever; without any swelling in

the fauces; be seized with a sense of suffocation suddenly; it is a

mortal symptom。



  35。 If in a person with fever; the become suddenly distorted; and he

cannot swallow unless with difficulty; although no swelling be

present; it is a mortal symptom。



  36。 Sweats; in febrile diseases; are favorable; if they set in on

the third; fifth; seventh; ninth; eleventh; fourteenth; seventeenth;

twenty…first; twenty…seventh; and thirty…fourth day; for these

sweats prove a crisis to the disease; but sweats not occurring thus;

indicate pain; a protracted disease; and relapses。



  37。 Cold sweats occurring with an acute fever; indicate death; and

along with a milder one; a protracted disease。



  38。 And in whatever part of the body there is a sweat; it shows that

the disease is seated there。



  39。 And in whatever part of the body heat or cold is seated; there

is disease。



  40。 And wherever there are changes in the whole body; and if the

body be alternately cold and hot; or if one color succeed another;

this indicates a protracted disease。



  41。 A copious sweat after sleep occuring without any manifest cause;

indicates that the body is using too much food。 But if it occur when

one is not taking food; it indicates that evacuation is required。



  42。 A copious sweat; whether hot or cold; flowing con

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