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CASE II

Hermocrates, who lay sick by the new wall, was seized with fever. He began to feel pain in the head and loins ; tension of the hypochondrium without

[p. 221] swelling1; tongue at the beginning parched ; deafness at once ; no sleep ; no great thirst ; urine thick, red, with no sediment on standing ; stools not scanty, and burnt.

Fifth day. Urine thin, with particles floating in it, without sediment ; at night delirium.

Sixth day. Jaundice ; general exacerbation ; not rational.

Seventh day. Discomfort ; urine thin, and as before. The following days similar. About the eleventh day there seemed to be general relief ; coma began ; urine thicker, reddish, thin2 at the bottom, without sediment ; by degrees grew more rational.

Fourteenth day. No fever ; no sweat ; sleep ; reason quite recovered ; urine as before.

About the seventeenth day there was a relapse, and the patient grew hot. On the following days there was acute fever ; urine thin ; delirium.

Twentieth day. A fresh crisis ; no fever ; no sweat. All the time the patient had no appetite ; was perfectly collected but could not talk ; tongue dry ; no thirst ; snatches of sleep ; coma. About the twenty-fourth day he grew hot ; bowels loose with copious, thin discharges. On the following days acute fever ; tongue parched.

Twenty-seventh day. Death.

In this case deafness persisted throughout ; urine thick, red, without settling, or thin, colourless, with substances floating in it. The patient had no power to take food.

1 But see note on p. 188.

2 Galen says that the meaning of λεπτὰ is here "small," i. e. he thinks that there wore small particles at the bottom. Such is not the meaning of the word in Hippocrates when applied to urine.

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