OF THE EPIDEMICS

第4章

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第4章

OF THE EPIDEMICS Marta Hanson

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OF THE EPIDEMICS
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  thediurnalisstillmoreprotracted,andinsomecasespassesintophthisis。Theseptanisprotracted,butnotfatal;thenonanmoreprotracted,andnotfatal。Thetruetertiancomesquicklytoacrisis,andisnotfatal;butthequintanistheworstofall,foritprovesfatalwhenitprecedesanattackofphthisis,andwhenitsupervenesonpersonswhoarealreadyconsumptive。Therearepeculiarmodes,andconstitutions,andparoxysms,ineveryoneofthesefevers;forexample,—thecontinual,insomecasesattheverycommencement,grows,asitwere,andattainsitsfullstrength,andrisestoitsmostdangerouspitch,butisdiminishedaboutandatthecrisis;inothersitbeginsgentleandsuppressed,butgainsgroundandisexacerbatedeveryday,andburstsforthwithallitsheataboutandatthecrisis;whileinothers,again,itcommencesmildly,increases,andisexacerbateduntilitreachesitsacme,andthenremitsuntilatandaboutthecrisis。Thesevarietiesoccurineveryfever,andineverydisease。Fromtheseobservationsonemustregulatetheregimenaccordingly。Therearemanyotherimportantsymptomsalliedtothese,partofwhichhavebeenalreadynoticed,andpartwillbedescribedafterwards,fromaconsiderationofwhichonemayjudge,anddecidedineachcase,whetherthediseasebeacute,acute,andwhetheritwillendindeathorrecovery;orwhetheritwillbeprotracted,andwillendindeathorrecovery;andinwhatcasesfoodistobegiven,andinwhatnot;andwhenandtowhatamount,andwhatparticularkindoffoodistobeadministered。

  3。Thosediseaseswhichhavetheirparoxysmsonevendayshavetheircrisesonevendays;andthosewhichhavetheirparoxysmsonunevendayshavetheircrisesonunevendays。Thefirstperiodofthosewhichhavethecrisisonevendays,isthe4th,6th,8th,10th,14th,20th,30th,40th,60th,80th,100th;andthefirstperiodofthosewhichhavetheircrisesonunevendays,isthe1st,3d,5th,7th,9th,11th,17th,21th,27th,31st。Itshouldbeknown,thatifthecrisistakeplaceonanyotherdaythanonthosedescribed,itindicatesthattherewillbearelapse,whichmayprovefatal。Butoneoughttopayattention,andknowintheseseasonswhatcriseswillleadtorecoveryandwhattodeath,ortochangesforthebetterortheworse。

  Irregularfevers,quartans,quintans,septans,andnonansshouldbestudied,inordertofindoutinwhatperiodstheircrisestakeplace。

  FourteenCasesofDiseaseCASEI。Philiscus,wholivedbytheWall,tooktobedonthefirstdayofacutefever;hesweated;towardsnightwasuneasy。Ontheseconddayallthesymptomswereexacerbated;lateintheeveninghadaproperstoolfromasmallclyster;thenightquiet。Onthethirdday,earlyinthemorninganduntilnoon,heappearedtobefreefromfever;towardsevening,acutefever,withsweating,thirst,tongueparched;passedblackurine;nightuncomfortable,nosleep;

  hewasdeliriousonallsubjects。Onthefourth,allthesymptomsexacerbated,urineblack;nightmorecomfortable,urineofabettercolor。Onthefifth,aboutmid—day,hadaslighttricklingofpurebloodfromthenose;urinevariedincharacter,havingfloatinginitroundbodies,resemblingsemen,andscattered,butwhichdidnotfalltothebottom;asuppositoryhavingbeenapplied,somescantyflatulentmatterswerepassed;nightuncomfortable,littlesleep,talkingincoherently;extremitiesaltogethercold,andcouldnotbewarmed;urine,black;sleptalittletowardsday;lossofspeech,coldsweats;extremitieslivid;aboutthemiddleofthesixthdayhedied。Therespirationthroughout,likethatofapersonrecollectinghimself,wasrare,andlarge,andspleenwasswelleduponinaroundtumor,thesweatscoldthroughout,theparoxysmsontheevendays。

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