on regimen in acute diseases-第7章

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protracted　disease；　and　when　it　appears　on　that　day；　it　will　be
still　more　prolonged。　When；　on　the　fourth　day　of　a　fever；　the　tongue
articulates　confusedly；　and　when　there　are　watery　and　bilious
discharges　from　the　bowels；　such　a　patient　is　apt　to　fall　into　a　state
of　delirium；　the　physician　ought；　therefore；　to　watch　him；　and
attend　to　whatever　symptoms　may　turn　up。　In　the　season　of　summer　and
autumn　an　epistaxis；　suddenly　occurring　in　acute　diseases；　indicates
vehemence　of　the　attack；　and　inflammation　in　the　course　of　the
veins；　and　on　the　day　following；　the　discharge　of　thin　urine；　and　if
the　patient　be　in　the　prime　of　life；　and　if　his　body　be　strong　from
exercise；　and　brawny；　or　of　a　melancholic　temperament；　or　if　from
drinking　has　trembling　hands；　it　may　be　well　to　announce　beforehand
either　delirium　or　convulsion；　and　if　these　symptoms　occur　on　even
days；　so　much　the　better；　but　on　critical　days；　they　are　of　a　deadly
character。　If；　then；　a　copious　discharge　of　blood　procure　an　issue
to　the　fullness　thereof　about　the　nose；　or　what　is　collected　about　the
anus；　there　will　be　an　abscess；　or　pains　in　the　hypochondrium；　or
testicles；　or　in　the　limbs；　and　when　these　are　resolved；　there　will　be
a　discharge　of　thick　sputa；　and　of　smooth；　thin　urine。　In　fever
attended　with　singultus；　give　asafoetida；　oxymel；　and　carrot；
triturated　together；　in　a　draught；　or　galbanum　in　honey；　and　cumin
in　a　linctus；　or　the　juice　of　ptisan。　Such　a　person　cannot　escape；
unless　critical　sweats　and　gentle　sleep　supervene；　and　thick　and　acrid
urine　be　passed；　or　the　disease　terminate　in　an　abscess：　give
pine…fruit　and　myrrh　in　a　linctus；　and　further　give　a　very　little
oxymel　to　drink；　but　if　they　are　very　thirsty；　some　barley…water。
　　11。　Peripneumonia；　and　pleuritic　affections；　are　to　be　thus
observed：　If　the　fever　be　acute；　and　if　there　be　pains　on　either　side；
or　in　both；　and　if　expiration　be　if　cough　be　present；　and　the　sputa
expectorated　be　of　a　blond　or　livid　color；　or　likewise　thin；　frothy；
and　florid；　or　having　any　other　character　different　from　the　common；
in　such　a　case；　the　physician　should　proceed　thus：　if　the　pain　pass
upward　to　the　clavicle；　or　the　breast；　or　the　arm；　the　inner　vein　in
the　arm　should　be　opened　on　the　side　affected；　and　blood　abstracted
according　to　the　habit；　age；　and　color　of　the　patient；　and　the
season　of　the　year；　and　that　largely　and　boldly；　if　the　pain　be　acute；
so　as　to　bring　on　deliquium　animi；　and　afterwards　a　clyster　is　to　be
given。　But　if　the　pain　be　below　the　chest；　and　if　very　intense；
purge　the　bowels　gently　in　such　an　attack　of　pleurisy；　and　during
the　act　of　purging　give　nothing；　but　after　the　purging　give　oxymel。
The　medicine　is　to　be　administered　on　the　fourth　day；　on　the　first
three　days　after　the　commencement；　a　clyster　should　be　given；　and　if
it　does　not　relieve　the　patient；　he　should　then　be　gently　purged；
but　he　is　to　be　watched　until　the　fever　goes　off；　and　till　the　seventh
day；　then　if　he　appear　to　be　free　from　danger；　give　him　some
unstrained　ptisan；　in　small　quantity；　and　thin　at　first；　mixing　it
with　honey。　If　the　expectoration　be　easy；　and　the　breathing　free；　if
his　sides　be　free　of　pain；　and　if　the　fever　be　gone；　he　may　take　the
ptisan　thicker；　and　in　larger　quantity；　twice　a　day。　But　if　he　do
not　progress　favorably；　he　must　get　less　of　the　drink；　and　of　the
draught；　which　should　be　thin；　and　only　given　once　a　day；　at
whatever　is　judged　to　be　the　most　favorable　hour；　this　you　will
ascertain　from　the　urine。　The　draught　is　not　to　be　given　to　persons
after　fever；　until　you　see　that　the　urine　and　sputa　are　concocted　（if；
indeed；　after　the　administration　of　the　medicine　he　be　purged
frequently；　it　may　be　necessary　to　give　it；　but　it　should　be　given
in　smaller　quantities　and　thinner　than　usual；　for　from　inanition　he
will　be　unable　to　sleep；　or　digest　properly；　or　wait　the　crisis）；
but　when　the　melting　down　of　crude　matters　has　taken　place；　and　his
system　has　cast　off　what　is　offensive；　there　will　then　be　no
objection。　The　sputa　are　concocted　when　they　resemble　pus；　and　the
urine　when　it　has　reddish　sediments　like　tares。　But　there　is　nothing
to　prevent　fomentations　and　cerates　being　applied　for　the　other
pains　of　the　sides；　and　the　legs　and　loins　may　be　rubbed　with　hot　oil；
or　anointed　with　fat；　linseed；　too；　in　the　form　of　a　cataplasm；　may　be
applied　to　the　hypochondrium　and　as　far　up　as　the　breasts。　When
pneumonia　is　at　its　height；　the　case　is　beyond　remedy　if　he　is　not
purged；　and　it　is　bad　if　he　has　dyspnoea；　and　urine　that　is　thin　and
acrid；　and　if　sweats　come　out　about　the　neck　and　head；　for　such　sweats
are　bad；　as　proceeding　from　the　suffocation；　rales；　and　the　violence
of　the　disease　which　is　obtaining　the　upper　hand；　unless　there　be　a
copious　evacuation　of　thick　urine；　and　the　sputa　be　concocted；　when
either　of　these　come　on　spontaneously；　that　will　carry　off　the
disease。　A　linctus　for　pneumonia：　Galbanum　and　pine…fruit　in　Attic
honey；　and　southernwood　in　oxymel；　make　a　decoction　of　pepper　and
black　hellebore；　and　give　it　in　cases　of　pleurisy　attended　with
violent　pain　at　the　commencement。　It　is　also　a　good　thing　to　boil
opoponax　in　oxymel；　and；　having　strained　it；　to　give　it　to　drink；　it
answers　well；　also；　in　diseases　of　the　liver；　and　in　severe　pains
proceeding　from　the　diaphragm；　and　in　all　cases　in　which　it　is
beneficial　to　determine　to　the　bowels　or　urinary　organs；　when　given　in
wine　and　honey；　when　given　to　act　upon　the　bowels；　it　should　be
drunk　in　larger　quantity；　along　with　a　watery　hydromel。
　　12。　A　dysentery；　when　stopped；　will　give　rise　to　an　aposteme；　or
tumor；　if　it　do　not　terminate　in　fevers　with　sweats；　or　with　thick　and
white　urine；　or　in　a　tertian　fever；　or　the　pain　fix　upon　a　varix；　or
the　testicles；　or　on　the　hip…joints。
　　13。　In　a　bilious　fever；　jaundice　coming　on　with　rigor　before　the
seventh　day　carries　off　the　fever；　but　if　it　occur　without　the
fever；　and　not　at　the　proper　time；　it　is　a　fatal　symptom。
　　14。　When　the　loins　are　in　a　tetanic　state；　and　the　spirits　in　the
veins　are　obstructed　by　melancholic　humors；　venesection　will　afford
relief。　But　when；　on　the　other　hand；　the　anterior　tendons　are　strongly
contracted；　and　if　there　be　sweats　about　the　neck　and　face；　extorted
by　the　violent　pain　of　the　parched　and　dried　tendons　of　the　sacral
extremity　（these　are　very　thick；　sustaining　the　spine；　and　giving　rise
to　very　great　ligaments；　which　terminate　in　the　feet；）　in　such　a　case；
unless　fever　and　sleep　come　on；　followed　by　concocted　urine　and
critical　sweats；　give　to　drink　a　strong　Cretan　wine；　and　boiled
barley…meal　for　food；　anoint　and　rub　with　ointments　containing　wax；
bathe　the　legs　and　feet　in　hot　water；　and　then　cover　them　up；　and　so
in　like　manner　the　arms；　as　far　as　the　hands；　and　the　spine；　from
the　neck　to　the　sacrum；　are　to　be　wrapped　in　a　skin　smeared　with
wax；　this　must　extend　to　the　parts　beyond；　and　intervals　are　to　be
left　for　applying　fomentations；　by　means　of　leather　bottles　filled
with　hot　water；　then；　wrapping　him　up　in　a　linen　cloth；　lay　him　down
in　bed。　Do　not　open　the　bowels；　unless　by　means　of　a　suppository；　when
they　have　been　long　of　being　moved。　If　there　be　any　remission　of　the
disease；　so　far　well；　but　otherwise；　pound　of　the　root　of　bryonia　in
fragrant　wine；　and　that　of　the　carrot；　and　give　to　the　patient　fasting
early　in　the　morning；　before　using　the　affusion；　and　immediately
afterwards　let　him　eat　boiled　barley…meal　in　a　tepid　state；　and　as
much　as　he　can　take；　and　in　addition　let　him　drink；　if　he　will；　wine
well　diluted。　If　the　disease　yield　to　these　means；　so　much　the　better；
but；　if　otherwise；　you　must　prognosticate　accordingly。
　　15。　All　diseases　are　resolved　either　by　the　mouth；　the　bowels；　the
bladder；　or　some　other　such　organ。　Sweat　is　a　common　form　of
resolution　in　all　these　cases。
　　16。　You　should　put　persons　on　a　course　of　hellebore　who　are　troubled
with　a　defluxion　from　the　head。　But　do　not　administer　hellebore　to
such　persons　as　are　laboring　under　empyema　connected　with　abscesses；
haemoptysis；　and　intemperament；　or　any　other　strong　cause；　for　it　will
do　no　good；　and　if　any　thing　unpleasant　occur　the　hellebore　will　get
the　blame　of　it。　But　if　the　body　have　suddenly　lost　its　powers；　or
if　there　be　pain　in　the　head；　or　obstruction　of　the　ears　and　nose；
or　ptyalism；　or　heaviness　of　the　limbs；　or　an　extraordinary　swelling
of　the　body；　you　may　administer　the　hellebore；　provided　these　symptoms
be　not　connected　with　drinking；　nor　with　immoderate　venery；　nor　with
sorrow；　vexation；　nor　insomnolency；　for；　if　any　of　these　causes　exist；
the　treatment　must　have　respect　to　it。
　　17。　From　walking　arise　pains　of　the　sides；　of　the　back；　of　the
loins；　and　of　the　hip…joint；　and　disorder　of　the　respiration　has　often
been　from　the　same　cause；　for；　after　excesses　of　wine　and　flatulent
food；　pains　shoot　to　the　loins　and　hips；　accompanied　with　dysuria。
Walking　is　the　cause　of　such　complaints；　and　also　of　coryza　and
hoarseness。
　　18。　Disorders　connected　with　regimen；　for　the　most　part；　make
their　attack　accordingly　as　any　one　has　changed　his　habitual　mode　of
diet。　For　persons　who　dine　contrary　to　custom　experience　much　swelling
of　the　stomach；　drowsiness；　and　fullness；　and　if　they　take　supper　over
and　above；　their　belly　is　disordered；　such　persons　will　be　benefited
by　sleeping　after　taking　the　bath；　and　by　walking　slowly　for　a
considerable　time　after　sleep；　if；　then；　the　bowels　be　moved；　he　may
dine　and　drink　a　small　quantity　of　wine　not　much　diluted；　but　if　the
bowels　are　not　opened；　he　should　get　his　body　rubbed　with　hot　oil；
and；　if　thirsty；　drink　of　some　weak　and　white　wine；　or　a　sweet　wine；
and　take　repose；　if　he　does　not　sleep　he　should　repose　the　longer。
In　other　respects　he　should　observe　the　regimen　laid　down　for　those
who　have　taken　a　debauch。　With　regard　to　the　bad　effects　of　drinks；
such　as　are　of　a　watery　nature　pass　more　slowly　through　the　body；　they
regurgitate；　as　it　were；　and　float　about　the　hypochondria；　and　do
not　flow　readily　by　urine；　when　filled　up　with　such　a　drink；　he　should
not　attempt　any　violent　exertion；　requiring　either　strength　or
swiftness；　but　should　rest　as　much　as　possible　until　the　drink　has
been　digested　along　with　the　food；　but　such　drinks　as　are　stronger
or　more　austere；　occasion　palpitation　in　the　body　and　throbbing　in　the
head；　and　in　this　case　the　person　affected　will　do　well　to　sleep；
and　take　some　hot　draught　for　which　he　feels　disposed；　for
abstinence　is　bad　in　headache　and　the　effects　of　a　surfeit。　Those　who；
contrary　to　usage；　restrict　themselves　to　one　meal；　feel　empty　and
feeble；　and　pass　hot　urine　in　consequence　of　the　emptiness　of　their
vessels；　they　have　a　salt　and　bitter　taste　in　the　mouth；　they
tremble　at　any　work　they　attempt；　their　temples　throb；　and　they　cannot
digest　their　supper　so　well　as　if　they　had　previously　taken　their
dinner。　Such　persons　should　take　less　supper　than　they　are　wont；　and　a
pudding　of　barley…meal　more　moist　than　usual　instead　of　bread；　and
of　potherbs　the　dock；　or　mallow；　and　ptisan；　or　beets；　and　along
with　the　food　they　should　take　wine　in　moderation；　and　diluted　with
water；　after　supper　they　should　take　a　short　walk；　until　the　u