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
'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.[78] 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'.
[78] 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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