《on regimen in acute diseases》

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on regimen in acute diseases- 第9部分


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veins are obstructed by melancholic humors; venesection will afford
relief。 But when; on the other hand; the anterior tendons are strongly
contracted; and if there be sweats about the neck and face; extorted
by the violent pain of the parched and dried tendons of the sacral
extremity (these are very thick; sustaining the spine; and giving rise
to very great ligaments; which terminate in the feet;) in such a case;
unless fever and sleep come on; followed by concocted urine and
critical sweats; give to drink a strong Cretan wine; and boiled
barley…meal for food; anoint and rub with ointments containing wax;
bathe the legs and feet in hot water; and then cover them up; and so
in like manner the arms; as far as the hands; and the spine; from
the neck to the sacrum; are to be wrapped in a skin smeared with
wax; this must extend to the parts beyond; and intervals are to be
left for applying fomentations; by means of leather bottles filled
with hot water; then; wrapping him up in a linen cloth; lay him down
in bed。 Do not open the bowels; unless by means of a suppository; when
they have been long of being moved。 If there be any remission of the
disease; so far well; but otherwise; pound of the root of bryonia in
fragrant wine; and that of the carrot; and give to the patient fasting
early in the morning; before using the affusion; and immediately
afterwards let him eat boiled barley…meal in a tepid state; and as
much as he can take; and in addition let him drink; if he will; wine
well diluted。 If the disease yield to these means; so much the better;
but; if otherwise; you must prognosticate accordingly。
  15。 All diseases are resolved either by the mouth; the bowels; the
bladder; or some other such organ。 Sweat is a common form of
resolution in all these cases。
  16。 You should put persons on a course of hellebore who are troubled
with a defluxion from the head。 But do not administer hellebore to
such persons as are laboring under empyema connected with abscesses;
haemoptysis; and intemperament; or any other strong cause; for it will
do no good; and if any thing unpleasant occur the hellebore will get
the blame of it。 But if the body have suddenly lost its powers; or
if there be pain in the head; or obstruction of the ears and nose;
or ptyalism; or heaviness of the limbs; or an extraordinary swelling
of the body; you may administer the hellebore; provided these symptoms
be not connected with drinking; nor with immoderate venery; nor with
sorrow; vexation; nor insomnolency; for; if any of these causes exist;
the treatment must have respect to it。
  17。 From walking arise pains of the sides; of the back; of the
loins; and of the hip…joint; and disorder of the respiration has often
been from the same cause; for; after excesses of wine and flatulent
food; pains shoot to the loins and hips; accompanied with dysuria。
Walking is the cause of such complaints; and also of coryza and
hoarseness。
  18。 Disorders connected with regimen; for the most part; make
their attack accordingly as any one has changed his habitual mode of
diet。 For persons who dine contrary to custom experience much swelling
of the stomach; drowsiness; and fullness; and if they take supper over
and above; their belly is disordered; such persons will be benefited
by sleeping after taking the bath; and by walking slowly for a
considerable time after sleep; if; then; the bowels be moved; he may
dine and drink a small quantity of wine not much diluted; but if the
bowels are not opened; he should get his body rubbed with hot oil;
and; if thirsty; drink of some weak and white wine; or a sweet wine;
and take repose; if he does not sleep he should repose the longer。
In other respects he should observe the regimen laid down for those
who have taken a debauch。 With regard to the bad effects of drinks;
such as are of a watery nature pass more slowly through the body; they
regurgitate; as it were; and float about the hypochondria; and do
not flow readily by urine; when filled up with such a drink; he should
not attempt any violent exertion; requiring either strength or
swiftness; but should rest as much as possible until the drink has
been digested along with the food; but such drinks as are stronger
or more austere; occasion palpitation in the body and throbbing in the
head; and in this case the person affected will do well to sleep;
and take some hot draught for which he feels disposed; for
abstinence is bad in headache and the effects of a surfeit。 Those who;
contrary to usage; restrict themselves to one meal; feel empty and
feeble; and pass hot urine in consequence of the emptiness of their
vessels; they have a salt and bitter taste in the mouth; they
tremble at any work they attempt; their temples throb; and they cannot
digest their supper so well as if they had previously taken their
dinner。 Such persons should take less supper than they are wont; and a
pudding of barley…meal more moist than usual instead of bread; and
of potherbs the dock; or mallow; and ptisan; or beets; and along
with the food they should take wine in moderation; and diluted with
water; after supper they should take a short walk; until the urine
descend and be passed; and they may use boiled fish。
  Articles of food have generally such effects as the following:
Garlic occasions flatulence and heat about the chest; heaviness of the
head; and nausea; and any other habitual pain is apt to be exasperated
by it; it is diuretic; which; in so far; is a good property which it
possesses; but to eat it when one means to drink to excess; or when
intoxicated。 Cheese produces flatulence and constipation; and heats
the other articles of food; and it gives rise to crudities and
indigestion; but it is worst of all to eat it along with drink after a
full meal。 Pulse of all kinds are flatulent; whether raw; boiled; or
fried; least so when macerated in water; or in a green state; they
should not be used except along with food prepared from the
cerealia。 Each of these articles; articles; however; has bad effects
peculiar to itself。 The vetch; whether raw or boiled; creates
flatulence and pain。 The lentil is astringent; and disorders the
stomach if taken with its hull。 The lupine has the fewest bad
effects of all these things。 The stalk and the juice of silphium
(asafoetida); pass through some people's bowels very readily; but in
others; not accustomed to them; they engender what is called dry
cholera; this complaint is more especially produced by it if mixed
with much cheese; or eaten along with beef。 Melancholic diseases are
most particularly exacerbated by beef; for it is of an unmanageable
nature; and requires no ordinary powers of stomach to digest it; it
will agree best with those who use it well boiled and pretty long
kept。 Goat's flesh has all the bad properties of beef; it is an
indigestible; more flatulent and engenders acid eructations and
cholera; such as has a fragrant smell; is firm; and sweet to the
taste; is the best; when well baked and cooled; but those kinds
which are disagreeable to the taste; have a bad smell; and are hard;
such are particularly bad; and especially if very fresh; it is best in
summer and worst in autumn。 The flesh of young pigs is bad; either
when it is too raw or when it is over…roasted; for it engenders bile
and disorders the bowels。 Of all kinds of flesh; pork is the best;
it is best when neither very fat; nor; on the other hand; very lean;
and the animal had not attained the age of what is reckoned an old
victim; it should be eaten without the skin; and in a coldish state。
  19。 In dry cholera the belly is distended with wind; there is
rumbling in the bowels; pain in the sides and loins; no dejections;
but; on the contrary; the bowels are constipated。 In such a case you
should guard against vomiting; but endeavor to get the bowels
opened。 As quickly as possible give a clyster of hot water with plenty
of oil in it; and having rubbed the patient freely with unguents;
put him into hot water; laying him down in the basin; and pouring
the hot water upon him by degrees; and if; when heated in the bath;
the bowels be moved; he will be freed from the complaint。 To a
person in such a complaint it will do good if he sleep; and drink a
thin; old; and strong wine; and you should give him oil; so that he
may settle; and have his bowels moved; when he will be relieved。 He
must abstain from all other kinds of food; but when the pain remits;
give him asses milk to drink until he is purged。 But if the bowels are
loose; with bilious discharges; tormina; vomitings; a feeling of
suffocation; and gnawing pains; it is best to enjoin repose; and to
drink hydromel; and avoid vomiting。
  20。 There are two kinds of dropsy; the one anasarca; which; when
formed; is incurable; the other is accompanied with emphysema
(tympanites?) and requires much good fortune to enable one to
triumph over it。 Laborious exertion; fomentation; and abstinence
(are to be enjoined)。 The patient should eat dry and acrid things; for
thus will he pass the more water; and his strength be kept up。 If he
labors under difficulty of breathing; if it is the summer season;
and if he is in the prime of life; and is strong; bl
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