Case I
In Thasus, the Parian who lodged above the Temple of Diana
was seized with an acute fever, at first of a continual and ardent
type; thirsty, inclined to be comatose at first, and afterwards troubled
with insomnolency; bowels disordered at the beginning, urine thin.
On the sixth day, passed oily urine, was delirious. On the seventh,
all the symptoms were exacerbated; had no sleep, but the urine of
the same characters, and the understanding disordered; alvine dejections
bilious and fatty. On the eighth, a slight epistaxis; small vomiting
of verdigris-green matters; slept a little. On the ninth, in the same
state. On the tenth, all the symptoms gave way. On the eleventh, he
sweated, but not over the whole body; he became cold, but immediately
recovered his heat again. On the fourteenth, acute fever; discharges
bilious, thin, and copious; substances floating in the urine; he became
incoherent. On the seventeenth, in a painful state, for he had no
sleep, and the fever was more intense. On the twentieth, sweated all
over; apyrexia, dejections bilious; aversion to food, comatose. On
the twenty-fourth, had a relapse.
[p. 136] On the thirty-fourth, apyrexia;
bowels not confined; and he again recovered his heat. Fortieth, apyrexia,
bowels confined for no long time, aversion to food; had again slight
symptoms of fever, and throughout in an irregular form; apyrexia at
times, and at others not; for if the fever intermitted, and was alleviated
for a little, it immediately relapsed again; he used much and improper
food; sleep bad; about the time of the relapse he was delirious; passed
thick urine at that time, but troubled, and of bad characters; bowels
at first confined, and again loose; slight fevers of a continual type;
discharges copious and thin. On the hundred and twentieth day he died.
In this patient the bowels were constantly from the first either loose,
with bilious, liquid, and copious dejections, or constipated with
hot and undigested faeces; the urine throughout bad; for the most
part coma, or insomnolency with pain; continued aversion to food.
Ardent fever.
Explanation of the characters. It is probable that the weakness produced
by the fever, the phrenitis, and affection of the hypochondrium caused
death on the hundred and twentieth day.
