§3#2ὅπως μέντοι χρὴ διακρίνειν αὐτοὺς, οἱ πλείους μὲν οὐδὲ ὅλως ἐζήτησαν, ἔνιοι δὲ τῇ διαφορᾷ τεκμαίρονται τῶν ὡρῶν, ὥσπερ οὐκ ἐνὸν ὥρας ἕκτης εἰ τύχοι πάντας εἰσβάλλειν ἐν διαφερούσαις ἡμέραις·
As to how one should distinguish them, however, the majority did not search into it at all, while some judge by the difference of the hours, as if it were not possible for all paroxysms to begin at the sixth hour, for instance, on different days.
ὅπερ εἰ γένοιτο, συμβήσεται καθ’ ἑκάστην ἡμέραν ἕνα φαίνεσθαι παροξυσμὸν, ἐπιπλεκομένων ἀλλήλαις τῶν τριῶν περιόδων, ἀμφημερινῆς, καὶ τριταίας καὶ τεταρταίας.
If this should happen, it will result that one paroxysm appears every day, with the three periods—the quotidian, the tertian, and the quartan—coinciding with one another.
ἡ μὲν γὰρ πρώτη τῶν ἡμερῶν τὴν τεταρταίαν ἕξει μόνην· ἡ δὲ δευτέρα τὴν τριταίαν· ἡ δὲ τρίτη τὴν ἀμφημερινήν· ἡ δὲ τετάρτη ἅμα πάσας τὰς τρεῖς εἰς ἕνα χρόνον συνεληλυθυίας· ἐφ’ αἷς ἡ πέμπτη πάλιν ἡμέρα τὴν ἀμφημερινὴν ἕξει μόνην· ἡ δ’ ἕκτη πρὸς ταύτῃ καὶ τὴν τριταίαν· ἡ δὲ ζ΄ τὰς τρεῖς εἰς ἕνα χρόνον συνεληλυθυίας.
For the first of the days will have the quartan alone, the second the tertian, the third the quotidian, and the fourth all three having come together at the same time; and after these, the fifth day again will have the quotidian alone, the sixth in addition to this also the tertian, and the seventh all three having come together at the same time.
ἄδηλον οὖν, ὡς εἴρηται, πότερον ἀμφημερινὸς εἷς ἐστιν, ἢ δύο τριταίων μίξεις, ἢ τριταίων καὶ τεταρταίων, ἢ τεταρταίου καὶ τριταίου καὶ ἀμφημερινοῦ.
It is therefore unclear, as has been said, whether there is one quotidian, or a mixture of two tertians, or of tertians and quartans, or of a quartan, a tertian, and a quotidian.
καὶ μὴν οὐχ ἡ αὐτὴ θεραπεία τριταίου καὶ τεταρταίου καὶ ἀμφημερινοῦ, πλὴν εἰ καὶ τοῦτο νομίζουσιν.
And indeed, the treatment of a tertian, a quartan, and a quotidian is not the same, unless they believe this too.
ἀφ’ οὗ γὰρ ἐπεπόλασεν ἀπαιδευσία τε ἅμα καὶ ἀναισχυντία τῶν ἐπιπηδώντων τῇ τέχνῃ, θαυμαστὸν οὐδέν ἐστιν ἀγνοεῖσθαί τισι καὶ τὰ τηλικαῦτα.
For since the ignorance and shamelessness of those who leap into the art have become prevalent, it is not at all surprising that even such major things are unknown to some.
ἀλλ’ ἡμεῖς γινώσκομεν εἰς ὅσον διαφερούσης δέονται θεραπείας ἀμφημερινὸς εἷς τριταίοιν δυοῖν, καὶ τριταῖοι τεταρταίοιν, ὡς οὐχ οἷόν τ’ ἐστὶ διακρῖναι κατὰ τοὺς ἀγνοοῦντας ἑκάστου πυρετοῦ τὴν ἰδέαν.
But we know how much of a different treatment one quotidian and two tertians, and tertians and quartans, require, so that it is impossible to distinguish them in the manner of those who are ignorant of the form of each fever.
καὶ πολλάκις ἐπὶ τῶν καμνόντων ἐθεασάμεθα δυοῖν τριταίοιν ἐπιπλοκὴν ἀμφημερινὸν ἕνα νομίζοντας εἶναι τοὺς θεραπεύοντας, οὓς μόγις ἐπείσαμεν ὑπὸ δυοῖν τριταίοιν ἐνοχλεῖσθαι τὸν κάμνοντα, λυθέντος μὲν ἐξ αὐτῶν πρότερον τοῦ προτέρου, καταλειφθέντος δὲ μόνου τοῦ χαλεπωτέρου.
And we have often observed in patients that those treating them thought a complication of two tertians was one quotidian, whom we barely convinced that the patient was troubled by two tertians, after the first of them was resolved earlier, leaving only the more severe one.
ἅπαντες οὖν ἐοίκασιν οἱ τὰ περὶ τύπων βιβλία γεγραφότες οὐδὲν φροντίσαι τῆς εἰς τὴν πρόγνωσίν τε καὶ δίαιταν ἐξ αὐτῶν ὠφελείας, ἀλλ’ ὥσπερ λέγουσιν, οὕτω καὶ ποιῆσαι, γυμνάσματα τοῖς νέοις γράψαι ταῦτα παραπλήσια τοῖς περὶ δεῖπνον αἰνίγμασιν, εἰ μὲν οὖν αὐτοὺς ἁπλῶς βούλονται γυμνάζειν, ἐνῆν τοῦτο πράττειν ἐπί τε γεωμετρίαν ἄγουσι καὶ ἀριθμητικὴν καὶ λογιστικὴν καὶ διαλεκτικήν·
All those, then, who have written books on types seem to have cared nothing for the benefit derived from them for prognosis and regimen, but just as they speak, so they have acted, writing these exercises for the young similar to riddles at dinner. If, on the one hand, they simply wish to exercise them, it was possible to do this by leading them to geometry, arithmetic, calculation, and dialectic.
εἰ δ’ ἕνεκα τοῦ προγινώσκειν τὸν ἐρχόμενον παροξυσμὸν ἐπὶ τὸ γυμνάσιον ἀφικνοῦνται τοῦτο, τοῦ παντὸς ἁμαρτάνουσι, διὰ μοχθηρῶν ὁδῶν ἰέναι τοὺς νέους ἀναπείθοντες, ἐξ ὧν οὐδὲν εὑρίσκουσιν οὔτ’ εἰς πρόγνωσιν οὔτ’ εἰς θεραπείαν χρηστὸν, ἐνὸν αὐτοὺς (ἑαυτοὺς) διδάξαι διαγινώσκειν παροξυσμὸν ἀμφημερινοῦ πυρετοῦ καὶ τριταίου καὶ τεταρταίου καὶ ἡμιτριταίου καὶ τριταιοφυοῦς, ἑκάστου τε τῶν ἄλλων, ὅσοι μὴ μόνον κατὰ τὸ σχῆμα τῶν περιόδων, ἀλλὰ καὶ κατὰ τὴν ὅλην φύσιν ἀλλήλοις διαφέρουσιν.
But if, on the other hand, they come to this exercise for the sake of predicting the coming paroxysm, they miss the mark entirely, persuading the young to go through wretched paths, from which they find nothing useful either for prognosis or for treatment, when it is possible to teach them to diagnose the paroxysm of a quotidian fever, a tertian, a quartan, a hemitritaean, a tertian-like fever, and each of the others, as many as differ from one another not only in the form of their periods but also in their entire nature.
ὡς ὅσοι γε τούτους ἐπίστανται γνωρίζειν, ἄχρηστος αὐτοῖς πᾶσα ἡ περὶ τύπων θεωρία· κάλλιον δ’ ἂν ἴσως εἰπεῖν, ὡς αὕτη μὲν ἅπασα ματαία, τῷ δὲ ἀσκήσαντι διὰ τῶν ἰδίων σημείων ἕκαστον τῶν πυρετῶν γνωρίζειν, οὐ μόνον κέρδος ἐστὶ τὸ τῆς ματαίου φλυαρίας καταφρονεῖν, ἀλλὰ καὶ τὸ προγινώσκειν γε τὸ τῆς διαίτης εἶδος ἑκάστῳ πρόσφορον.
For to those who know how to recognize these, the entire theory of types is useless; indeed, it would perhaps be better to say that this whole theory is vain, while for the one who has practiced recognizing each of the fevers through its own signs, there is not only the profit of despising this vain babble, but also that of predicting the form of regimen suitable for each.
ἀλλ’ οὗτοι μὲν ἔτ’ ἀνεκτοὶ, καὶ γὰρ Ἀγαθῖνος ἀνὴρ οὐχ ὁ τυχὼν εἰς τὴν τοιαύτην ὑπεισῄει διδασκαλίαν· οἱ δ’ ἑπτὰ ποιοῦντες ὡρῶν περιόδους ἐδέοντο μὲν οὐχ ἡμῶν, ἀλλὰ Φιλιστίωνος, ἤ τινος τοιούτου τοῦ διαπαίζοντος αὐτῶν τὸν λῆρον.
But these people are still tolerable, for even Agathinus, no ordinary man, entered into such teaching; but those who make periods of seven hours need not us, but Philistion, or someone like him to make fun of their nonsense.