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τούτους: is defined by the following τὴν πόλιν. With καί φασι the subject changes, so that αὐτούς refers to the same as οἵ, while τούτους furnishes the subject for καί φασι.

οἰδεῖ καὶ ὕπουλός ἐστι: the first term denotes an external swelling or bloated condition, which may, however, for the time have all the appearance of health; the latter, the internal and hence invisible seat of disease.

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