Scaife ATLAS

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Of the Prognostics (11-15)

urn:cts:greekLit:tlg0627.tlg003.perseus-eng2:11-15
Refs {'start': {'reference': '11', 'human_reference': 'Section 11'}, 'end': {'reference': '15', 'human_reference': 'Section 15'}}
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The excrement is best which is soft and consistent, is passed at the hour which was customary to the patient when in health, in quantity proportionate to the ingests; for when the passages are such, the lower belly is in a healthy state. But if the discharges be fluid, it is favorable that they are not accompanied with a noise, nor are frequent, nor in great quantity; for

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the man being oppressed by frequently getting up, must be deprived of sleep; and if the evacuations be both frequent and large, there is danger of his falling into deliquium animi. But in proportion to the ingesta he should have evacuations twice or thrice in the day, once at night and more copiously in the morning, as is customary with a person in health. The faeces should become thicker when the disease is tending to a crisis; they ought to be yellowish and not very fetid. It is favorable that round worms be passed with the discharges when the disease is tending to a crisis. The belly, too, through the whole disease, should be soft and moderately distended; but excrements that are very watery, or white, or green, or very red, or frothy, are all bad. It is also bad when the discharge is small, and viscid, and white, and greenish, and smooth; but still more deadly appearances are the black, or fatty, or livid, or verdigris-green, or fetid. Such as are of varied characters indicate greater duration of the complaint, but are no less dangerous; such as those which resemble scrapings, those which are bilious, those resembling leeks, and the black; these being sometimes passed together, and sometimes singly. It is best when wind passes without noise, but it is better that flatulence should pass even thus than that it should be retained; and when it does pass thus, it indicates either that the man is in pain or in delirium, unless he gives vent to the wind spontaneously. Pains in the hypochondria, and swellings, if recent, and not accompanied with inflammation, are relieved by borborygmi supervening in the hypochondrium, more especially if it pass off with faeces, urine, and wind; but even although not, it will do good by passing along, and it also does good by descending to the lower part of the belly.

The urine is best when the sediment is white, smooth, and consistent during the whole time, until the disease come to a crisis, for it indicates freedom from danger, and an illness of short duration; but if deficient, and if it be sometimes passed clear, and sometimes with a white and smooth sediment, the disease will be more protracted, and not so void of danger. But if the urine be reddish, and the sediment consistent and smooth, the affection, in this case, will be more protracted than the former,

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but still not fatal. But farinaceous sediments in the urine are bad, and still worse are the leafy; the white and thin are very bad, but the furfuraceous are still worse than these. Clouds carried about in the urine are good when white, but bad if black. When the urine is yellow and thin, it indicates that the disease is unconcocted; and if it (the disease) should be protracted, there maybe danger lest the patient should not hold out until the urine be concocted. But the most deadly of all kinds of urine are the fetid, watery, black, and thick; in adult men and women the black is of all kinds of urine the worst, but in children, the watery. In those who pass thin and crude urine for a length of time, if they have otherwise symptoms of convalescence, an abscess may be expected to form in the parts below the diaphragm. And fatty substances floating on the surface are to be dreaded, for they are indications of melting. And one should consider respecting the kinds of urine, which have clouds, whether they tend upwards or downwards, and upwards or downwards, and the colors which they have and such as fall downwards, with the colors as described, are to be reckoned good and commended; but such as are carried upwards, with the colors as described, are to be held as bad, and are to be distrusted. But you must not allow yourself to be deceived if such urine be passed while the bladder is diseased; for then it is a symptom of the state, not of the general system, but of a particular viscus.

That vomiting is of most service which consists of phlegm and bile mixed together, and neither very thick nor in great quantity; but those vomitings which are more unmixed are worse. But if that which is vomited be of the color of leeks or livid, or black, whatever of these colors it be, it is to be reckoned bad; but if the same man vomit all these colors, it is to be reckoned a very fatal symptom. But of all the vomitings, the livid indicates the danger of death, provided it be of a fetid smell. But all the smells which are somewhat putrid and fetid, are bad in all vomitings.

The expectoration in all pains about the lungs and sides, should be quickly and easily brought up, and a certain degree of yellowness should appear strongly mixed up with the sputum.

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But if brought up long after the commencement of the pain, and of a yellow or ruddy color, or if it occasions much cough, or be not strongly mixed, it is worse; for that which is intensely yellow is dangerous, but the white, and viscid, and round, do no good. But that which is very green and frothy is bad; but if so intense as to appear black, it is still more dangerous than these; it is bad, if nothing is expectorated, and the lungs discharge nothing, but are gorged with matters which boil (as it were) in the air-passages. It is bad when coryza and sneezing either precede or follow affections of the lungs, but in all other affections, even the most deadly, sneezing is a salutary symptom. A yellow spittle mixed up with not much blood in cases of pneumonia, is salutary and very beneficial if spit up at the commencement of the disease, but if on the seventh day, or still later, it is less favorable. And all sputa are bad which do not remove the pain. But the worst is the black, as has been described. Of all others the sputa which remove the pain are the best.

When the pains in these regions do not cease, either with the discharge of the sputa, nor with alvine evacuations, nor from venesection, purging with medicine, nor a suitable regimen, it is to be held that they will terminate in suppurations. Of empyemata such as are spit up while the sputum is still bilious, are very fatal, whether the bilious portion be expectorated separate, or along with the other; but more especially if the empyema begin to advance after this sputum on the seventh day of the disease. It is to be expected that a person with such an expectoration shall die on the fourteenth day, unless something favorable supervene. The following are favorable symptoms: to support the disease easily, to have free respiration, to be free from pain, to have the sputa readily brought up, the whole body to appear equally warm and soft, to have no thirst, the urine, and faeces, sleep, and sweats to be all favorable, as described before; when all these symptoms concur, the patient certainly will not die; but if some of these be present and some not, he will not survive longer than the fourteenth day. The bad symptoms are the opposite of these, namely, to bear the disease with difficulty, respiration large and dense, the pain not ceasing, the sputum

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scarcely coughed up, strong thirst, to have the body unequally affected by the febrile heat, the belly and sides intensely hot, the forehead, hands, and feet cold; the urine, and excrements, the sleep, and sweats, all bad, agreeably to the characters described above; if such a combination of symptoms accompany the expectoration, the man will certainly die before the fourteenth day, and either on the ninth or eleventh. Thus then one may conclude regarding this expectoration, that it is very deadly, and that the patient will not survive until the fourteenth day. It is by balancing the concomitant symptoms whether good or bad, that one is to form a prognosis; for thus it will most probably prove to be a true one. Most other suppurations burst, some on the twentieth, some on the thirtieth, some on the fortieth, and some as late as the sixtieth day.[*]

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and 41 w 3982
sides 1 w 3987
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quickly 1 w 4003
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and 43 w 4025
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certain 1 w 4033
degree 1 w 4039
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yellowness 1 w 4051
should 10 w 4057
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But 10 w 4095
if 14 w 4097
brought 2 w 4104
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long 2 w 4110
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the 86 w 4118
commencement 1 w 4130
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ruddy 1 w 4159
color 7 w 4164
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cough 1 w 4189
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it 46 w 4213
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which 11 w 4233
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dangerous 2 w 4261
but 15 w 4265
the 88 w 4268
white 7 w 4273
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viscid 2 w 4283
and 46 w 4287
round 2 w 4292
do 8 w 4295
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But 11 w 4305
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bad 9 w 4339
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if 16 w 4345
so 12 w 4347
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nothing 1 w 4419
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expectorated 1 w 4433
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lungs 2 w 4445
discharge 4 w 4454
nothing 2 w 4461
but 17 w 4465
are 27 w 4468
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matters 1 w 4485
which 13 w 4490
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the 91 w 4509
air-passages 1 w 4521
It 4 w 4524
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sneezing 1 w 4550
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affections 1 w 4581
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lungs 3 w 4591
but 18 w 4595
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affections 2 w 4615
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deadly 3 w 4633
sneezing 2 w 4642
is 72 w 4644
a 328 w 4645
salutary 1 w 4653
symptom 4 w 4660
A 3 w 4662
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spittle 1 w 4675
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up 9 w 4682
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much 2 w 4693
blood 1 w 4698
in 91 w 4700
cases 1 w 4705
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pneumonia 1 w 4716
is 73 w 4719
salutary 2 w 4727
and 50 w 4730
very 8 w 4734
beneficial 1 w 4744
if 18 w 4746
spit 2 w 4750
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commencement 2 w 4769
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disease 9 w 4781
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if 19 w 4787
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the 98 w 4792
seventh 1 w 4799
day 2 w 4802
or 63 w 4805
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And 3 w 4837
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sputa 1 w 4845
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But 12 w 4878
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Of 1 w 4918
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others 1 w 4927
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pain 5 w 4953
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When 2 w 4968
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medicine 1 w 5097
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regimen 1 w 5117
it 62 w 5120
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Of 2 w 5168
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bilious 2 w 5220
are 31 w 5224
very 9 w 5228
fatal 3 w 5233
whether 2 w 5241
the 114 w 5244
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advance 1 w 5344
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It 5 w 5389
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heat 1 w 6089
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Thus 1 w 6370
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symptoms 6 w 6524
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form 3 w 6556
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prognosis 1 w 6566
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prove 1 w 6597
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one 7 w 6609
Most 1 w 6614
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suppurations 2 w 6631
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twentieth 1 w 6655
some 10 w 6660
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thirtieth 1 w 6674
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fortieth 1 w 6692
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as 49 w 6708
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sixtieth 1 w 6719
day 8 w 6722
The 8 w 6726
observations 1 w 6738
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measure 1 w 6763
confirmed 1 w 6772
the 156 w 6775
opinion 1 w 6782
of 43 w 6784
Hippocrates 1 w 6795
and 64 w 6798
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authors 1 w 6810
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and 65 w 6821
modern 1 w 6827
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certain 4 w 6847
days 1 w 6851
in 119 w 6853
the 159 w 6856
duration 3 w 6864
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disease 13 w 6876
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which 16 w 6883
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is 91 w 6890
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greater 2 w 6898
tendency 1 w 6906
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amelioration 1 w 6920
Of 3 w 6923
ninety-three 1 w 6935
cases 2 w 6940
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found 1 w 6948
twenty-three 1 w 6960
give 2 w 6964
way 1 w 6967
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the 162 w 6972
seventh 3 w 6979
thirteen 1 w 6988
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fourteenth 5 w 7023
and 66 w 7027
nine 2 w 7031
on 74 w 7033
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twentieth 2 w 7045
days 2 w 7049
The 9 w 7053
recoveries 1 w 7063
in 123 w 7065
the 166 w 7068
remaining 1 w 7077
cases 3 w 7082
commenced 1 w 7091
on 75 w 7093
twelve 1 w 7099
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forty-two 1 w 7113
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days 3 w 7129
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many 1 w 7136
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the 167 w 7162
tenth 1 w 7167
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Thus 2 w 7175
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recoveries 2 w 7188
on 77 w 7190
critical 2 w 7198
days 4 w 7202
averaged 1 w 7210
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high 1 w 7216
as 58 w 7218
fourteen 6 w 7226
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those 6 w 7237
on 78 w 7239
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three 3 w 7272
Dr 1 w 7276
C 2 w 7278
J 1 w 7280
B 13 w 7282
Williams 1 w 7291
on 80 w 7293
Pneumonia 1 w 7302
Cyclop 1 w 7309
of 46 w 7312
Pract 1 w 7317
Med 1 w 7321
vol 1 w 7326
iii 1 w 7330
p 135 w 7333
405 1 w 7337
See 1 w 7342
also 3 w 7346
Andral 2 w 7352
Clin 1 w 7357
Med 2 w 7361
c 211 w 7364
ii 3 w 7367
p 136 w 7370
365 1 w 7374