§5#2οὐ γὰρ ὁμοία κατὰ πάντα ἐστὶν ἑκάστου τῶν εἰρημένων καιρῶν ἡ ἀρχὴ τῇ τελευτῇ, διαφέρουσι δ’ ἀλλήλων τε καὶ τοῦ μέσου καιροῦ σαφῶς.
For the beginning of each of the mentioned periods is not similar in all respects to its end, but they clearly differ from each other and from the middle period.
ἡ γοῦν ἀρχὴ τοῦ παροξυσμοῦ βραχύ τι τῆς κατὰ φύσιν ἀποκεχώρηκε καταστάσεως, ὥσπερ ἡ τελευτὴ πλεῖστον·
At any rate, the beginning of the paroxysm has departed but a little from the natural state, whereas the end has departed the most.
ὅπου δὲ ταῦτα μεγίσταις διαφοραῖς ἀλλήλων ἀποκεχώρηκε, πάντως δή που καὶ μέσος τίς ἐστιν αὐτῶν καιρὸς, πλεῖον μὲν τῆς ἀρχῆς ἀπέχων τοῦ κατὰ φύσιν, ἔλαττον δὲ τῆς τελευτῆς.
And where these have departed from each other by the greatest differences, there is surely also some middle period of them, being further distant from the natural state than the beginning, but less so than the end.
οὕτω δὲ καὶ ἡ τῆς ἀνωμαλίας ἀρχὴ μικρόν τι διαλλάττει τῆς συναπτούσης αὐτῇ τοῦ πρώτου καιροῦ τελευτῆς, ἐπιπλέον δ’ ἀφισταμένη, καὶ μέση οὖσα, μεταξύ πως ἥνωται τῇ εἰρημένῃ τοῦ πρώτου καιροῦ τελευτῇ καὶ τῇ ἀρχῇ τοῦ τρίτου.
In the same way, the beginning of the irregularity also differs but a little from the end of the first period which joins it, and as it departs further and becomes the middle, it is somehow joined between the mentioned end of the first period and the beginning of the third.
κατὰ δὲ τὸν αὐτὸν, οἶμαι, λόγον καὶ ὅσα συνάπτει τοῦ δευτέρου καιροῦ τοῦδε τῆς ἀνωμαλίας ταῖς ἀρχαῖς τοῦ τρίτου καιροῦ, παραπλησίαν ἐκείνοις ἔχει τὴν κατάστασιν.
And by the same reasoning, I think, whatever of this second period of irregularity joins the beginnings of the third period has a state very similar to them.
οὕτω δὲ καὶ τοῦ τρίτου πάλιν αὐτοῦ καιροῦ τὰ μὲν πρῶτα τῶν ὑστάτων τοῦ δευτέρου βραχὺ παραλλάττει, τὰ δ’ ὕστατα παραπλήσιά πώς ἐστι τῇ τῆς ἀκμῆς ἰδέᾳ, τὸ μέσον δ’ ἀμφοῖν ἴσον ἑκατέρων τῶν ἄκρων ἀφέστηκεν.
In the same way again, in the third period itself, the first parts differ but a little from the last of the second, and the last are somehow similar to the form of the height, while the middle is equally distant from both extremes.
ὥστ’ οὐδὲν θαυμαστὸν, ὥσπερ τούτων ἑκάστου τῶν καιρῶν, οὕτω καὶ τῆς παρακμῆς τὸ μὲν ἀρχὴν εἶναι, τὸ δὲ τελευτὴν, τὸ δὲ μεσότητα.
So that it is nothing wonderful if, just as in each of these periods, so also in the decline, there is a beginning, an end, and a middle.
καλεῖν δέ γε, εἰ βούλοιτό τις, ἕκαστον αὐτῶν ἰδίᾳ προσηγορίᾳ δύναται.
And indeed, if anyone wishes, he is able to call each of them by its own name.
ἀκούω γοῦν ἑκάστοτε τῶν ἰατρῶν λεγόντων, ἀπέκλινεν ἀρτίως ἡ ἀκμὴ, νῦν ὑφίησι, νῦν ἐνδίδωσι, νῦν ἀνίεται· εἴπερ οὖν ταῦτα λέγουσιν, οὐκ ἀδύνατον αὐτοῖς τὰ πρῶτα τῆς παρακμῆς ὀνομάζειν ἀπόκλισιν, ἢ ὕφεσιν, ἢ ἔνδοσιν, ἢ ἄνεσιν, ἢ καί τινα τούτων, ἢ καὶ πάντα.
At any rate, I hear on each occasion the doctors saying: "The height has just declined," "now it remits," "now it yields," "now it relaxes." If, therefore, they say these things, it is not impossible for them to name the first parts of the decline "declination," or "remission," or "yielding," or "relaxation," or even some of these, or even all.
καὶ μέντοι καὶ τὰ μέσα καλεῖν ἔξεστιν ὀνόματι τῶν εἰρημένων ἑνὶ, καὶ τελευταῖα κατὰ τὸν αὐτὸν τρόπον· ὥσπερ καὶ ὁ Ἀρχιγένης ἄνεσιν ὀνομάζει τὸ τελευταῖον τῆς παρακμῆς. ἀλλ’ ἐκεῖνος φαύλως γε πράττει, νομίζων αὐτὴν ἕτερον εἶναι καιρὸν ἰδέᾳ τινὶ διαφέροντα τῆς παρακμῆς.
And indeed, it is possible to call the middle parts by one of the mentioned names, and the last parts in the same manner; just as Archigenes also names the last part of the decline "relaxation." But he does so poorly, thinking that it is another period differing from the decline in some form.
ἀμέλει πάντων τῶν μερῶν τῆς ὅλης περιόδου τὸ μὲν ἀρχὴν ποιούμενος, τὸ δὲ τελευτὴν, τὸ δὲ μέσον· οὕτω καὶ αὐτῆς τῆς ἀνέσεως ποιεῖται τὴν τομὴν, ὡς ἰδίου τινὸς ὄντος καιροῦ τῶν κατὰ τὴν πρώτην διαίρεσιν, ὅσοι διαφέρουσιν ἀλλήλων ἰδέαις τισὶν, οὐ μόνον τῷ μᾶλλόν τε καὶ ἧττον.
To be sure, while making of all parts of the whole period a beginning, an end, and a middle, he thus makes the division of the relaxation itself, as if it were some proper period among those of the first division which differ from each other in certain forms, and not only in the more and the less.
ἐν ἀμφοτέροις οὖν ἁμαρτάνει προφανῶς, ἐξαίρων τε τὴν ἀνάβασιν τῆς πρώτης τομῆς, ἣν ἐναργέστερον ἅπαντες οἱ ἄνθρωποι νοοῦσι τῆς ἀρχῆς, καὶ προστιθεὶς τὴν ἄνεσιν ἐν τῷ τέλει τῆς περιόδου.
In both respects, therefore, he clearly errs, both by removing the ascent from the first division, which all people understand more clearly than the beginning, and by adding the relaxation at the end of the period.
εἰ μὲν γὰρ εἰς ἀπυρεξίαν ἀφικνοῖτο, σαφὴς ἂν εἴη ἡ διαφορὰ τοῦ τοιούτου καιροῦ πρὸς τοὺς ἄλλους ἅπαντας· εἰ δὲ ἐπιλαμβάνει τὴν παρακμὴν ἡ εἰσβολὴ τοῦ δευτέρου παροξυσμοῦ τριχῆ τμηθεῖσα, ἐν τῷδε τὸ τῆς ὅλης παρακμῆς μέρος ἔξεστι καλεῖν ἄνεσιν, οὐ μὴν ἄλλόν γέ τινα νομίζειν εἶναι καιρὸν ἰδίᾳ τινὶ φύσει χαρακτηριζόμενον, ὥσπερ τοὺς ἔμπροσθεν εἰρημένους.
For if it should arrive at apyrexia, the difference of such a period from all the others would be clear; but if the onset of the second paroxysm should overtake the decline divided into three, in this case it is possible to call that part of the whole decline "relaxation," but not to think that it is some other period characterized by a certain proper nature, like those mentioned before.
ὅτι μὲν οὖν ἔξεστι τὰ πάντα μέρη τῆς τριταίας περιόδου σαφέσι διαφοραῖς ἀλλήλων ὁρᾷν χωριζόμενα, πρόδηλον παντὶ τῷ θεασαμένῳ κᾂν ἕνα τινὰ τῶν οὕτω καμνόντων ἀῤῥώστων·
That it is possible, then, to see all the parts of the tertian period separated from each other by clear differences is obvious to anyone who has observed even one of the patients so suffering.
εἰ δέ τινες αὐτῶν ἀνονόμαστοι, πρὸς μὲν τοὺς ἐριστικοὺς ἐροῦμεν, καιρὸς πρῶτος, καὶ δεύτερος, καὶ τρίτος, καὶ τέταρτος, καὶ πέμπτος, εἶθ’ ἕκτος, ὁ τῆς ἀπυρεξίας· πρὸς δὲ τοὺς εἰδότας ὀνομάτων χρῆσιν αὐτοὶ συντιθέμενοι τὰ ἐπιτήδεια.
And if some of them are nameless, to the contentious we shall say: "the first, and second, and third, and fourth, and fifth period, then the sixth, that of apyrexia"; but to those who know the use of names, we ourselves shall compound the appropriate ones.
καὶ τῷ μὲν πρώτῳ καιρῷ τὸ τῆς ἀρχῆς ἴδιον ὄνομα κείσθω· τῷ δὲ δευτέρῳ τὸ τῆς ἀνωμαλίας· τῷ δὲ τρίτῳ τὸ τῆς ἀναβάσεως· καὶ τῷ τετάρτῳ τὸ τῆς ἀκμῆς· καὶ τῷ πέμπτῳ τὸ τῆς παρακμῆς· ὁ δὲ ἕκτος, ὁ τῆς ἀπυρεξίας, διάλειμμα προσαγορευέσθω.
And let the proper name of "beginning" be assigned to the first period; to the second, that of "irregularity"; to the third, that of "ascent"; to the fourth, that of "height"; to the fifth, that of "decline"; and let the sixth, that of "apyrexia," be addressed as "intermission."