SECTION IV
Part 1
We must purge pregnant women, if matters be turgid (in a state
of orgasm?), from the fourth to the seventh month, but less freely
in the latter; in the first and last stages of pregnancy it should
be avoided.
Part 2
In purging we should bring away such matters from the body as it
would be advantageous had they come away spontaneously; but those
of an opposite character should be stopped.
Part 3
If the matters which are purged be such as should be purged, it
is beneficial and well borne; but if the contrary, with difficulty.
Part 4
We should rather purge upward in summer, and downward in winter.
Part 5
About the time of the dog-days, and before it, the administration
of purgatives is unsuitable.
Part 6
Lean persons who are easily made to vomit should be purged upward,
avoiding the winter season.
Part 7
Persons who are difficult to vomit, and are moderately fat, should
be purged downward, avoiding the summer season.
Part 8
We must be guarded in purging phthisical persons upward.
[p. 310]
Part 9
And from the same mode of reasoning, applying the opposite rule
to melancholic persons, we must purge them freely downward.
Part 10
In very acute diseases, if matters be in a state of orgasm, we
may purge on the first day, for it is a bad thing to procrastinate
in such cases.
Part 11
Those cases in which there are tormina, pains about the umbilicus,
and pains about the loins, not removed either by purgative medicines
or otherwise, usually terminate in dry dropsy.
Part 12
It is a bad thing to purge upward in winter persons whose bowels
are in a state of lientery.
Part 13
Persons who are not easily purged upward by the hellebores, should
have their bodies moistened by plenty of food and rest before taking
the draught.
Part 14
When one takes a draught of hellebore, one should be made to move
more about, and indulge less in sleep and repose. Sailing on the sea
shows that motion disorders the body.
Part 15
When you wish the hellebore to act more, move the body, and when
to stop, let the patient get sleep and rest.
Part 16
Hellebore is dangerous to persons whose flesh is sound, for it
induces convulsion.
Part 17
Anorexia, heartburn, vertigo, and a bitter taste of the mouth,
in a person free from fever, indicate the want of purging upward.
Part 18
Pains seated above the diaphragm indicate purging upward, and
those below it, downward.
Part 19
Persons who have no thirst while under the action of a purgative
medicine, do not cease from being purged until they become thirsty.
Part 20
If persons free from fever be seized with tormina, heaviness of
the knees, and pains of the loins, this indicates that purging downward
is required.
Part 21
Alvine dejections which are black, like blood, taking place spontaneously,
either with or without fever, are very bad; and the more numerous
and unfavorable the colors, so much the worse; when with medicine
it is better, and a variety of colors in this case is not bad.
[p. 311]
Part 22
When black bile is evacuated in the beginning of any disease whatever,
either upward or downward, it is a mortal symptom.
Part 23
In persons attenuated from any disease, whether acute or chronic,
or from wounds, or any other cause, if there be a discharge either
of black bile, or resembling black blood, they die on the following
day.
Part 24
Dysentery, if it commence with black bile, is mortal.
Part 25
Blood discharged upward, whatever be its character, is a bad symptom,
but downward it is (more?) favorable, and so also black dejections.
Part 26
If in a person ill of dysentery, substances resembling flesh be
discharged from the bowels, it is a mortal symptom.
Part 27
In whatever cases of fever there is a copious hemorrhage from
whatever channel, the bowels are in a loose state during convalescence.
Part 28
In all cases whatever, bilious discharges cease if deafness supervenes,
and in all cases deafness ceases when bilious discharges supervene.
Part 29
Rigors which occur on the sixth day have a difficult crisis.
Part 30
Diseases attended with paroxysms, if at the same hour that the
fever leaves it return again next day, are of difficult crisis.
Part 31
In febrile diseases attended with a sense of lassitude, deposits
form about the joints, and especially those of the jaws.
Part 32
In convalescents from diseases, if any part be pained, there deposits
are formed.
Part 33
But if any part be in a painful state previous to the illness,
there the disease fixes.
Part 34
If a person laboring under a fever, without any swelling in the
fauces, be seized with a sense of suffocation suddenly, it is a mortal
symptom.
Part 35
If in a person with fever, the become suddenly distorted, and
he cannot swallow unless with difficulty, although no swelling be
present, it is a mortal symptom.
Part 36
Sweats, in febrile diseases, are favorable, if they set in on
the third, fifth, seventh, ninth, eleventh, fourteenth, seventeenth,
twenty-first, twenty-seventh, and thirty-fourth day, for these
[p. 312]sweats
prove a crisis to the disease; but sweats not occurring thus, indicate
pain, a protracted disease, and relapses.
Part 37
Cold sweats occurring with an acute fever, indicate death; and
along with a milder one, a protracted disease.
Part 38
And in whatever part of the body there is a sweat, it shows that
the disease is seated there.
Part 39
And in whatever part of the body heat or cold is seated, there
is disease.
Part 40
And wherever there are changes in the whole body, and if the body
be alternately cold and hot, or if one color succeed another, this
indicates a protracted disease.
Part 41
A copious sweat after sleep occuring without any manifest cause,
indicates that the body is using too much food. But if it occur when
one is not taking food, it indicates that evacuation is required.
Part 42
A copious sweat, whether hot or cold, flowing continuously, indicates,
the cold a greater, and the hot a lesser disease.
Part 43
Fevers, not of the intermittent type, which are exacerbated on
the third day, are dangerous; but if they intermit in any form, this
indicates that they are not dangerous.
Part 44
In cases attended with protracted fevers, tubercles (
phymata）
or pains occur about the joints.
Part 45
When tubercles (
phymata) or pains attack the joints after fevers,
such persons are using too much food.
Part 46
If in a fever not of the intermittent type a rigor seize a person
already much debilitated, it is mortal.
Part 47
In fevers not of the intermittent type, expectorations which are
livid bloody, fetid and bilious, are all bad; but if evacuated properly,
they are favorable. So it is with the alvine evacuations and the urine.
But if none of the proper excretions take place by these channels,
it is bad.
Part 48
In fevers not of the intermittent type, if the external parts
be cold, but the internal be burnt up, and if there be thirst, it
is a mortal symptom.
Part 49
In a fever not of the intermittent type, if a lip, an eye-brow,
an eye, or the nose, be distorted; or if there be loss of sight or
[p. 313]of hearing, and the patient be in a weak state-whatever of these symptoms
occur, death is at hand.
Part 50
Apostemes in fevers which are not resolved at the first crisis,
indicate a protracted disease.
Part 51
When in a fever not of the intermittent type dyspnoea and delirium
come on, the case is mortal.
Part 52
When persons in fevers, or in other illnesses, shed tears voluntarily,
it is nothing out of place; but when they shed tears involuntarily,
it is more so.
Part 53
In whatever cases of fever very viscid concretions form about
the teeth, the fevers turn out to be particularly strong.
Part 54
In whatever case of ardent fever dry coughs of a tickling nature
with slight expectoration are long protracted, there is usually not
much thirst.
Part 55
All fevers complicated with buboes are bad, except ephemerals.
Part 56
Sweat supervening in a case of the fever ceasing, is bad, for
the disease is protracted, and it indicates more copious humors.
Part 57
Fever supervening in a case of confirmed spasm, or of tetanus,
removes the disease.
Part 58
A rigor supervening in a case of ardent fever, produces resolution
of it.
Part 59
A true tertian comes to a crisis in seven periods at furthest.
Part 60
When in fevers there is deafness, if blood run from the nostrils,
or the bowels become disordered, it carries off the disease.
Part 61
In a febrile complaint, if the fever do not leave on the odd days,
it relapses.
Part 62
When jaundice supervenes in fevers before the seventh day, it
a bad symptom, unless there be watery discharges from the bowels.
Part 63
In whatever cases of fever rigors occur during the day, the fevers
come to a resolution during the day.
Part 64
When in cases of fever jaundice occurs on the seventh, the ninth,
the eleventh, or the fourteenth day, it is a good symp-
[p. 314]tom, provided
the hypochondriac region be not hard. Otherwise it is not a good symptom.
Part 65
A strong heat about the stomach and cardialgia are bad symptoms
in fevers.
Part 66
In acute fevers, spasms, and strong pains about the bowels are
bad symptoms.
Part 67
In fevers, frights after sleep, or convulsions, are a bad symptom.
Part 68
In fevers, a stoppage of the respiration is a bad symptom, for
it indicates convulsions.
Part 68
When the urine is thick, grumoss, and scanty in cases not free
from fever a copious discharge of thinner urine proves beneficial.
Such a discharge more commonly takes place when the urine has had
a sediment from the first, or soon after the commencement.
Part 70
When in fevers the urine is turbid, like that of a beast of burden,
in such a case there either is or will be headache.
Part 71
In cases which come to a crisis on the seventh day, the urine
has a red nubecula on the fourth day, and the other symptoms accordingly.
Part 72
When the urine is transparent and white, it is bad; it appears
principally in cases of phrenitis.
Part 73
When the hypochondriac region is affected with meteorism and borborygmi,
should pain of the loins supervene, the bowels get into a loose and
watery state, unless there be an eruption of flatus or a copious evacuation
of urine. These things occur in fevers.
Part 74
When there is reason to expect that an abscess will form in joints,
the abscess is carried off by a copious discharge of urine, which
is thick, and becomes white, like what begins to form in certain cases
of quartan fever, attended with a sense of lassitude. It is also speedily
carried off by a hemorrhage from the nose.
Part 75
Blood or pus in the urine indicates ulceration either of the kidneys
or of the bladder.
Part 76
When small fleshy substances like hairs are discharged along with
thick urine, these substances come from the kidneys.
[p. 315]
Part 77
In those cases where there are furfuraceous particles discharged
along with thick urine, there is scabies of the bladder.
Part 78
In those cases where there is a spontaneous discharge of bloody
urine, it indicates rupture of a small vein in the kidneys.
Part 79
In those cases where there is a sandy sediment in the urine, there
is calculus in the bladder (or kidneys).
Part 80
If a patient pass blood and clots in his urine, and have strangury,
and if a pain seize the hypogastric region and perineum, the parts
about the bladder are affected.
Part 81
If a patient pass blood, pus, and scales, in the urine, and if
it have a heavy smell, ulceration of the bladder is indicated.
Part 82
When tubercles form in the urethra, if these suppurate and burst,
there is relief.
Part 83
When much urine is passed during the night, it indicates that
the alvine evacuations are scanty.
