按键盘上方向键 ← 或 → 可快速上下翻页，按键盘上的 Enter 键可回到本书目录页，按键盘上方向键 ↑ 可回到本页顶部！
————未阅读完？加入书签已便下次继续阅读！
exhaled at the head； it is not to be wondered at that the feet
become cold； being devoid of flesh； and tendinous； and besides； they
contract cold； owing to their distance from the hotter parts of the
body； an accumulation of heat having taken place in the chest： and
again； in like manner； when the fever is resolved and dissipated；
the heat descends to the feet； and； at the same time； the head and
chest become cold。 Wherefore one should attend to this； that when
the feet are cold； the bowels are necessarily hot； and filled with
nauseous matters； the hypochondrium distended： there is jactitation of
the body； owing to the internal disturbance； and aberration of the
intellect； and pains； the patient is agitated； and wishes to vomit；
and if he vomits bad matters he is pained； but when the heat
descends to the feet； and the urine passes freely； he is every way
lightened； even although he does not sweat； at this season； then；
the ptisan ought to be given； it would be death to give it before。
8。 When the bowels are loose during the whole course of fevers； in
this case we are most especially to warm the feet； and see that they
are properly treated with cerates； and wrapped in shawls； so that they
may not become colder than the rest of the body； but when they are
hot； no fomentation must be made to them； but care is to be taken that
they do not become cold； and very little drink is to be used； either
cold water or hydromel。 In those cases of fever where the bowels are
loose； and the mind is disordered； the greater number of patients pick
the wool from their blankets； scratch their noses； answer briefly when
questions are put to them； but； when left to themselves； utter nothing
that is rational。 Such attacks appear to me to be connected with black
bile。 When in these cases there is a colliquative diarrhoea； I am of
opinion that we ought to give the colder and thicker ptisans； and that
the drinks ought to be binding； of a vinous nature； and rather
astringent。 In cases of fever attended from the first with vertigo；
throbbing of the head； and thin urine； you may expect the fever to
be exacerbated at the crisis； neither need it excite wonder；
although there be delirium。 When； at the commencement； the urine is
cloudy or thick； it is proper to purge gently； provided this be
otherwise proper； but when the urine at first is thin； do not purge
such patients； but； if thought necessary； give a clyster； such
patients should be thus treated； they should be kept in a quiet state；
have unguents applied to them； and be covered up properly with
clothes； and they should use for drink a watery hydromel； and the
juice of ptisan as a draught in the evening； clear out the bowels at
first with a clyster； but give no purgative medicines to them； for； if
you move the bowels strongly； the urine is not concocted； but the
fever remains long； without sweats and without a crisis。 Do not give
draughts when the time of the crisis is at hand； if there be
agitation； but only when the fever abates and is alleviated。 It is
proper to be guarded at the crises of other fevers； and to withhold
the draughts at that season。 Fevers of this description are apt to
be protracted； and to have determinations； if the inferior extremities
be cold； about the ears and neck； or； if these parts are not cold；
to have other changes； they have epistaxis； and disorder of the
bowels。 But in cases of fever attended with nausea； or distention of
the hypochondria； when the patients cannot lie reclined in the same
position； and the extremities are cold； the greatest care and
precaution are necessary； nothing should be given to them； except
oxymel diluted with water； no draught should be administered； until
the fever abate and the urine be concocted； the patient should be laid
in a dark apartment； and recline upon the softest couch； and he should
be kept as long as possible in the same position； so as not to toss
about； for this is particularly beneficial to him。 Apply to the
hypochondrium linseed by inunctions； taking care that he do not
catch cold when the application is made； let it be in a tepid state；
and boiled in water and oil。 One may judge from the urine what is to
take place； for if the urine be thicker； and more yellowish； so much
the better； but if it be thinner； and blacker； so much the worse；
but if it undergo changes； it indicates a prolongation of the disease；
and the patient； in like manner； must experience a change to the worse
and the better。 Irregular fevers should be let alone until they become
settled； and； when they do settle； they are to be treated by a
suitable diet and medicine； attending to the constitution of the
patient。
9。 The aspects of the sick are various； wherefore the physician
should pay attention； that he may not miss observing the exciting
causes； as far as they can be ascertained by reasoning； nor such
symptoms as should appear on an even or odd day； but he ought to； be
particularly guarded in observing the odd days； as it is in them； more
especially； that changes take place in patients。 He should mark；
particularly； the first day on which the patient became ill；
considering when and whence the disease commenced； for this is of
primary importance to know。 When you examine the patient； inquire into
all particulars； first how the head is； and if there be no headache；
nor heaviness in it； then examine if the and sides be free of pain；
for if the hypochondrium be painful； swelled； and unequal； with a
sense of satiety； or if there be pain in the side； and； along with the
pain； either cough； tormina； or belly…ache； if any of these symptoms
be present in the hypochondrium； the bowels should be opened with
clysters； and the patient should drink boiled hydromel in a hot state。
The physician should ascertain whether the patient be apt to faint
when he is raised up； and whether his breathing be free； and examine
the discharges from the bowels； whether they be very black； or of a
proper color； like those of persons in good health； and ascertain
whether the fever has a paroxysm every third day； and look well to
such persons on those days。 And should the fourth day prove like the
third； the patient is in a dangerous state。 With regard to the
symptoms； black stools prognosticate death； but if they resemble the
discharges of a healthy person； and if such is their appearance
every day； it is a favorable symptom； but when the bowels do not yield
to a suppository； and when； though the respiration be natural； the
patient when raised to the night table； or even in bed； be seized with
deliquium； you may expect that the patient； man or woman； who
experiences these symptoms； is about to fall to fall into a state of
delirium。 Attention also should be paid to the hands； for if they
tremble； you may expect epistaxis； and observe the nostrils； whether
the breath be drawn in equally by both； and if expiration by the
nostrils be large； a convulsion is apt to take place； and should a
convulsion occur to such a person； death may be anticipated； and it is
well to announce it beforehand。
10。 If； in a winter fever； the tongue be rough； and if there be
swoonings； it is likely to be the remi