Biology -- Greece -- History; Medicine, Greek and Roman
‘In Thasos, the wife of Delearces who lodged on the plain,
through sorrow was seized with an acute and shivering fever.
From first to last she always wrapped herself up in her
bedclothes; kept silent, fumbled, picked, bored and gathered
hairs [from the clothes]; tears, and again laughter; no
sleep; bowels irritable, but passed nothing; when urged
drank a little; urine thin and scanty; to the touch the
fever was slight; coldness of the extremities. _Ninth day_,
talked much incoherently, and again sank into silence.
_Fourteenth day_, breathing rare, large, and spaced, and
again hurried. _Seventeenth day_, after stimulation of the
bowels she passed even drinks, nor could retain anything;
totally insensible; skin parched and tense. _Twentieth
day_, much talk, and again became composed, then voiceless;
respiration hurried. _Twenty-first day_, died. Her
respiration throughout was rare and large; she was totally
insensible; always wrapped up in her bedclothes; throughout
either much talk, or complete silence.’
This second case is in part a description of low muttering delirium,
a common end of continued fevers such as, for instance, typhoid. The
description closely resembles the condition known now in medicine as
the ‘typhoid state’. Incidentally the case contains a reference to
a type of breathing common among the dying. The respiration becomes
deep and slow, as it sinks gradually into quietude and becomes rarer
and rarer until it seems to cease altogether, and then it gradually
becomes more rapid and so on alternately. This type of breathing is
known to physicians as ‘Cheyne-Stokes’ respiration in commemoration of
two distinguished Irish physicians of the last century who brought it
to the attention of medical men.[119] Recently it has been partially
explained on a physiological basis. We may note that there is another
and even better pen-picture of Cheyne-Stokes respiration in the
Hippocratic collection. It is in the famous case of ‘Philescos who
lived by the wall and who took to his bed on the first day of acute
fever’. About the middle of the sixth day he died and the physician
notes that ‘the respiration throughout was _like that of a person
recollecting himself_ and was large and rare’. Cheyne-Stokes breathing
is admirably described as ‘that of a person recollecting himself’.
[119] John Cheyne (1777-1836) described this type of respiration in
the _Dublin Hospital Reports_, 1818, ii, p. 216. An extreme case of
this condition had been described by Cheyne’s namesake George Cheyne
(1671-1743) as the famous ‘Case of the Hon. Col. Townshend’ in his
_English Malady_, London, 1733. William Stokes (1804-78) published his
account of Cheyne-Stokes breathing in the _Dublin Quarterly Journal of
the Medical Sciences_, 1846, ii, p. 73.
Public-domain text, read in full here on John Shaqi.
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