The Legacy of Greece: Essays By: Gilbert Murray, W. R. Inge, J. Burnet, Sir T. L. Heath, D'arcy W. Thompson, Charles Singer, R. W. Livingston, A. Toynbee, A. E. Zimmern, Percy Gardner, Sir Reginald Blomfield
Philosophy
The Legacy of Greece: Essays By: Gilbert Murray, W. R. Inge, J. Burnet, Sir T. L. Heath, D'arcy W. Thompson, Charles Singer, R. W. Livingston, A. Toynbee, A. E. Zimmern, Percy Gardner, Sir Reginald Blomfield
Greece -- Civilization
The chief glory of the Hippocratic collection regarded from the clinical
point of view is perhaps the actual description of cases. A number of
these--forty-two in all--have survived.[77] They are not only unique as
a collection for nearly 2,000 years, but they are still to this day
models of what succinct clinical records should be, clear and short,
without a superfluous word, yet with all that is most essential, and
exhibiting merely a desire to record the most important facts without
the least attempt to prejudge the case. They illustrate to the full the
Greek genius for seizing on the essential. The writer shows not the
least wish to exalt his own skill. He seeks merely to put the data
before the reader for his guidance under like circumstances. It is a
reflex of the spirit of full honesty in which these men lived and worked
that the great majority of the cases are recorded to have died. Two of
this remarkable little collection may be given:
'The woman with quinsy, who lodged with Aristion: her complaint
began in the tongue; voice inarticulate; tongue red and parched.
_First day_, shivered, then became heated. _Third day_, rigor,
acute fever; reddish and hard swelling on both sides of neck and
chest; extremities cold and livid; respiration elevated; drink
returned by the nose; she could not swallow; alvine and urinary
discharges suppressed. _Fourth day_, all symptoms exacerbated.
_Fifth day_, she died.'
[77] They are to be found as an Appendix to Books I and III of the
_Epidemics_ and embedded in Book III.
We probably have here to do with a case of diphtheria. The quinsy, the
paralysis of the palate leading to return of the food through the nose,
and the difficulty with speech and swallowing are typical results of
this affection which was here complicated by a spread of the septic
processes into the neck and chest, a not uncommon sequela of the
disease. The rapid onset of the conditions is rather unusual, but may be
explained if we regard the case as a mild and unnoticed diphtheria,
subsequently complicated by paralysis and by secondary septic infection,
for which reasons she came under observation.
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