第 2 节
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打倒一切 更新:2022-05-05 13:48 字数:9321
in like manner。 Such; then; as are painful; hard; and large;
indicate danger of speedy death; but such as are soft; free of pain;
and yield when pressed with the finger; are more chronic than these。
Swellings in the belly less frequently form abscesses than those in
the hypochondrium; and seldomest of all; those below the navel are
converted into suppuration; but you may rather expect a hemorrhage
from the upper parts。 But the suppuration of all protracted
swellings about these parts is to be anticipated。 The collections of
matter there are to be thus judged of: such as are determined outwards
are the best when they are small; when they protrude very much; and
swell to a point; such as are large and broad; and which do not
swell out to a sharp point; are the worst。 Of such as break
internally; the best are those which have no external communication;
but are covered and indolent; and when the whole place is free from
discoloration。 That pus is best which is white; homogeneous; smooth;
and not at all fetid; the contrary to this is the worst。
8。 All dropsies arising from acute diseases are bad; for they do not
remove the fever; and are very painful and fatal。 The most of them
commence from the flanks and loins; but some from the liver; in
those which derive their origin from the flanks and loins the feet
swell; protracted diarrhoeas supervene; which neither remove the pains
in the flanks and loins; nor soften the belly; but in dropsies which
are connected with the liver there is a tickling cough; with
scarcely any perceptible expectoration; and the feet swell; there
are no evacuations from the bowels; unless such as are hard and
forced; and there are swellings about the belly; sometimes on the
one side and sometimes on the other; and these increase and diminish
by turns。
9。 It is a bad symptom when the head; hands; and feet are cold;
while the belly and sides are hot; but it is a very good symptom
when the whole body is equally hot。 The patient ought to be able to
turn round easily; and to be agile when raised up; but if he appear
heavy in the rest of his body as well as in his hands and feet; it
is more dangerous; and if; in addition to the weight; his nails and
fingers become livid; immediate death may be anticipated; and if the
hands and feet be black it is less dangerous than if they be livid;
but the other symptoms must be attended; to; for if he appear to
bear the illness well; and if certain of the salutary symptoms
appear along with these there may be hope that the disease will turn
to a deposition; so that the man may recover; but the blackened
parts of the body will drop off。 When the testicles and members are
retracted upwards; they indicate strong pains and danger of death。
10。 With regard to sleep… as is usual with us in health; the patient
should wake during the day and sleep during the night。 If this rule be
anywise altered it is so far worse: but there will be little harm
provided he sleep in the morning for the third part of the day; such
sleep as takes place after this time is more unfavorable; but the
worst of all is to get no sleep either night or day; for it follows
from this symptom that the insomnolency is connected with sorrow and
pains; or that he is about to become delirious。
11。 The excrement is best which is soft and consistent; is passed at
the hour which was customary to the patient when in health; in
quantity proportionate to the ingests; for when the passages are such;
the lower belly is in a healthy state。 But if the discharges be fluid;
it is favorable that they are not accompanied with a noise; nor are
frequent; nor in great quantity; for the man being oppressed by
frequently getting up; must be deprived of sleep; and if the
evacuations be both frequent and large; there is danger of his falling
into deliquium animi。 But in proportion to the ingesta he should
have evacuations twice or thrice in the day; once at night and more
copiously in the morning; as is customary with a person in health。 The
faeces should become thicker when the disease is tending to a
crisis; they ought to be yellowish and not very fetid。 It is favorable
that round worms be passed with the discharges when the disease is
tending to a crisis。 The belly; too; through the whole disease; should
be soft and moderately distended; but excrements that are very watery;
or white; or green; or very red; or frothy; are all bad。 It is also
bad when the discharge is small; and viscid; and white; and
greenish; and smooth; but still more deadly appearances are the black;
or fatty; or livid; or verdigris…green; or fetid。 Such as are of
varied characters indicate greater duration of the complaint; but
are no less dangerous; such as those which resemble scrapings; those
which are bilious; those resembling leeks; and the black; these
being sometimes passed together; and sometimes singly。 It is best when
wind passes without noise; but it is better that flatulence should
pass even thus than that it should be retained; and when it does
pass thus; it indicates either that the man is in pain or in delirium;
unless he gives vent to the wind spontaneously。 Pains in the
hypochondria; and swellings; if recent; and not accompanied with
inflammation; are relieved by borborygmi supervening in the
hypochondrium; more especially if it pass off with faeces; urine;
and wind; but even although not; it will do good by passing along; and
it also does good by descending to the lower part of the belly。
12。 The urine is best when the sediment is white; smooth; and
consistent during the whole time; until the disease come to a
crisis; for it indicates freedom from danger; and an illness of
short duration; but if deficient; and if it be sometimes passed clear;
and sometimes with a white and smooth sediment; the disease will be
more protracted; and not so void of danger。 But if the urine be
reddish; and the sediment consistent and smooth; the affection; in
this case; will be more protracted than the former; but still not
fatal。 But farinaceous sediments in the urine are bad; and still worse
are the leafy; the white and thin are very bad; but the furfuraceous
are still worse than these。 Clouds carried about in the urine are good
when white; but bad if black。 When the urine is yellow and thin; it
indicates that the disease is unconcocted; and if it (the disease)
should be protracted; there maybe danger lest the patient should not
hold out until the urine be concocted。 But the most deadly of all
kinds of urine are the fetid; watery; black; and thick; in adult men
and women the black is of all kinds of urine the worst; but in
children; the watery。 In those who pass thin and crude urine for a
length of time; if they have otherwise symptoms of convalescence; an
abscess may be expected to form in the parts below the diaphragm。
And fatty substances floating on the surface are to be dreaded; for
they are indications of melting。 And one should consider respecting
the kinds of urine; which have clouds; whether they tend upwards or
downwards; and upwards or downwards; and the colors which they have
and such as fall downwards; with the colors as described; are to be
reckoned good and commended; but such as are carried upwards; with the
colors as described; are to be held as bad; and are to be
distrusted。 But you must not allow yourself to be deceived if such
urine be passed while the bladder is diseased; for then it is a
symptom of the state; not of the general system; but of a particular
viscus。
13。 That vomiting is of most service which consists of phlegm and
bile mixed together; and neither very thick nor in great quantity; but
those vomitings which are more unmixed are worse。 But if that which is
vomited be of the color of leeks or livid; or black; whatever of these
colors it be; it is to be reckoned bad; but if the same man vomit
all these colors; it is to be reckoned a very fatal symptom。 But of
all the vomitings; the livid indicates the danger of death; provided
it be of a fetid smell。 But all the smells which are somewhat putrid
and fetid; are bad in all vomitings。
14。 The expectoration in all pains about the lungs and sides; should
be quickly and easily brought up; and a certain degree of yellowness
should appear strongly mixed up with the sputum。 But if brought up
long after the commencement of the pain; and of a yellow or ruddy
color; or if it occasions much cough; or be not strongly mixed; it
is worse; for that which is intensely yellow is dangerous; but the
white; and viscid; and round; do no good。 But that which is very green
and frothy is bad; but if so intense as to appear black; it is still
more dangerous than these; it is dangerous than these; it is bad; if
nothing is expectorated; and the lungs discharge nothing; but are
gorged with matters which boil (as it were) in the air…passages。 It is
bad when coryza and sneezing either precede or follow affections of
the lungs; but in all other affections; even the most deadly; sneezing
is a salutary symptom。 A yellow spittle mixed up with not much blood