Of Medicine, in Eight BooksCelsus, Aulus Cornelius
History
Of Medicine, in Eight Books
Celsus, Aulus Cornelius
Medicine, Greek and Roman
On the contrary, when there is a pain in the head in a continued
fever, and it does not at all remit, it is a bad and mortal symptom:
and boys from the seventh to the fourteenth year are most liable to
this danger. In a peripneumony, if the spitting did not come on in the
beginning, but after the seventh day, and has continued above other
seven days, it is dangerous: and the more mixed and less distinct the
colours are, so much the worse. And yet nothing is worse, than for
it to be excreted entirely homogeneous, whether it be reddish, or
bloody, or white, or glutinous, or pale, or frothy: but the worst of
all colours is black. A cough and catarrh are dangerous in the same
disease; also a sneezing, which in other cases is reckoned salutary;
and there is the greatest danger of all, if these things have been
followed by a sudden purging. Now generally the symptoms, which are
either good or bad in peripneumonies, are so in pleurisies too. A
discharge of bloody pus from the liver is mortal. These are the worst
kinds of suppurations, which tend inward, and discolour the external
skin at the same time. Of that kind, that breaks outward(14), the
worst are those, that are largest and flattest. But if the fever has
not gone off, when the vomica is broke, or the pus evacuated, or after
its ceasing returns again; also if there be a thirst, or a nausea,
or a loose belly, or livid and pale pus, if the patient expectorates
nothing but frothy phlegm; then there is certain danger. And of these
kinds of suppurations, which have been produced by diseases of the
lungs, old men commonly die: but those; those that are younger, by
the other kinds. But in a consumption, a mixed and purulent spitting,
a continued fever, which also destroys the appetite, and torments with
thirst, in a slender body are sure prognosticks of immediate danger. If
one has lasted under this distemper even for a considerable time, when
the hairs first fall off, when the urine has something floating upon
it like cobwebs, and the spittle has a fetid smell, and particularly
when after these a purging has appeared, he will die soon: and more
especially if it be autumn: in which season commonly those, that have
got over the other part of the year, come to the close of their life.
It is also mortal in this distemper to have expectorated pus, and
afterwards for that to have entirely disappeared. It is likewise common
for this disease in young people to arise from a vomica or fistula;
and they do not readily recover, unless many salutary symptoms have
ensued. With regard to others, virgins are the hardest to cure, or
those women, that fall into a consumption from a suppression of the
menses. A healthy person who has been taken with a sudden pain of his
head, and then fallen into a deep sleep, so as to snore, and does not
awake, will die before seven days are expired: and more especially
if, when a looseness has not preceded, his eyelids are not closed
in sleep, but the white of his eyes appears.
Public-domain text, read in full here on John Shaqi.
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