§1919.
19.
Αἱ δὲ ξὺν πυρετῷ γιγνόμεναι ὀδύναι περὶ τὴν ὀσφῦν τε καὶ τὰ κάτω χωρία, ἢν τῶν φρενῶν ἅπτωνται, τὰ κάτω ἐκλείπουσαι, ὀλέθριαι κάρτα.
And pains accompanied by fever about the loins and lower parts, if they attack the diaphragm, leaving the lower parts, are very fatal.
Προσέχειν οὖν δεῖ τὸν νόον τοῖσιν ἄλλοισι σημείοισιν, ὡς ἤν τι καὶ τῶν ἄλλων σημείων ἐπιφαίνηται πονηρὸν, ἀνέλπιστος ὁ ἄνθρωπος ἢν δὲ, ἀναΐσσοντος τοῦ νουσήματος ὡς πρὸς τὰς φρένας, τἄλλα σημεῖα μὴ πονηρὰ ἐπιγίγνηται, ἔμπυον ἔσεσθαι τοῦτον πολλαὶ ἐλπίδες.
Therefore, one must pay attention to the other signs, for if any of the other signs also appear bad, the patient is without hope. But if, while the disease rushes up towards the diaphragm, the other signs do not turn out bad, there are many hopes that this patient will develop an empyema.
Κύστιες δὲ σκληραί τε καὶ ἐπώδυνοι δειναὶ μὲν παντελῶς καὶ ὀλέθριαι· ὀλεθριώτεραι δὲ ὁκόσαι ξὺν πυρετῷ ξυνεχεῖ γίγνονται· καὶ γὰρ οἱ ἀπ᾿ αὐτέων τῶν κύστιων πόνοι ἱκανοὶ ἀποκτεῖναι· καὶ αἱ κοιλίαι οὐ διαχωρέουσιν ἐν τουτέῳ τῷ χρόνῳ, εἰ μὴ σκληρά τε καὶ πρὸς ἀνάγκην· λύει δέ οὖρον πυῶδες οὐρηθὲν, λευκὴν καὶ λείην ἔχον τὴν ὑπόστασιν.
Hard and painful bladders are altogether dangerous and fatal; and they are more fatal when they occur with a continuous fever; for the pains from the bladders themselves are sufficient to kill; and the bowels do not discharge during this time, unless hard and by force; but it is resolved if purulent urine is passed, having a white and smooth sediment.
Ἢν δὲ μήτε τὸ οὖρον μηδὲν ἐνδιδοίη, μήτε ἡ κύστις μαλάσσοιτο, ὅ τε πυρετὸς ξυνεχὴς ᾖ, ἐν τῇσι πρώτῃσι περιόδοισι τοῦ νουσήματος ἐλπὶς τὸν ἀλγέοντα ἀπολέσθαι.
But if neither the urine yields anything, nor the bladder becomes soft, and the fever is continuous, there is an expectation that the patient will perish in the first periods of the disease.
Ὁ δὲ τρόπος οὗτος ἅπτεται τῶν παιδίων μάλιστα τῶν ἑπταετέων, ἕως ἂν ἐς τὰ πεντεκαίδεκα ἔτεα γένωνται.
This form of disease attacks children especially, from seven years of age until they reach fifteen.
§2020.
20.
Οἱ δὲ πυρετοὶ κρίνονται ἐν τῇσιν αὐτέῃσιν ἡμέρῃσι τὸν ἀριθμὸν, ἐξ ὧν τε περιγίγνονται οἱ ἄνθρωποι καὶ ἐξ ὧν ἀπόλλυνται.
Fevers are resolved on the very same days in number, both those from which people recover and those from which they perish.
Οἵ τε γὰρ εὐηθέστατοι τῶν πυρετῶν καὶ ἐπὶ σημείων ἀσφαλεστάτων βεβῶτες τεταρταῖοι παύονται, ἢ πρόσθεν· οἵ τε κακοηθέστατοι καὶ ἐπὶ σημείων δεινοτάτων γιγνόμενοι τεταρταῖοι κτείνουσιν, ἢ πρόσθεν.
For the mildest of fevers, and those established upon the safest signs, cease on the fourth day, or sooner; and the most malignant, and those occurring upon the most terrible signs, kill on the fourth day, or sooner.
Ἡ μὲν οὖν πρώτη ἔφοδος αὐτέων οὕτω τελευτᾷ· ἡ δὲ δευτέρη ἐς τὴν ἑβδόμην περιάγεται· ἡ δὲ τρίτη ἐς τὴν ἑνδεκάτην· ἡ δὲ τετάρτη ἐς τὴν τεσσαρεσκαιδεκάτην· ἡ δὲ πέμπτη ἐς τὴν ἑπτακαιδεκάτην· ἡ δὲ ἕκτη ἐς τὴν εἰκοστήν.
Thus, then, their first attack ends; the second is brought round to the seventh day; the third to the eleventh; the fourth to the fourteenth; the fifth to the seventeenth; the sixth to the twentieth.
Αὗται μὲν οὖν ἐκ τῶν ὀξυτάτων νουσημάτων διὰ τεσσάρων ἐς τὰς εἴκοσιν ἐκ προσθέσιος τελευτῶσιν.
These, then, in the most acute diseases, end by an addition of four days up to twenty.
Οὐ δύναται δὲ ὅλῃσιν ἡμέρῃσιν οὐδὲν τουτέων ἀριθμέεσθαι ἀτρεκέως· οὐδὲ γὰρ ό ἐνιαυτός τε καὶ οἱ μῆνες ὅλῃσιν ἡμέρῃσι πεφύκασιν ἀριθμέεσθαι.
But none of these can be numbered precisely in whole days; for neither the year nor the months are naturally numbered in whole days.
Μετὰ δὲ ταῦτα ἐν τῷ αὐτέῳ τρόπῳ κατὰ τὴν αὐτέην πρόσθεσιν ἡ πρώτη περίοδος τεσσάρων καὶ τριήκονθ᾿ ἡμερέων, ἡ δὲ δευτέρη τεσσαράκοντα ἡμερέων, ἡ δὲ τρίτη ἑξήκονθ᾿ ἡμερέων.
After these, in the same manner and according to the same addition, the first period is thirty-four days, the second forty days, the third sixty days.
Τουτέων δ᾿ ἐν ἀρχῇσίν ἐστι χαλεπώτατον διαγιγνώσκειν τὰ μέλλοντα ἐν πλείστῳ χρόνῳ κρίνεσθαι· ὁμοιόταται γὰρ αἱ ἀρχαί εἰσιν αὐτέων· ἀλλὰ χρὴ ἀπὸ τῆς πρώτης ἡμέρης ἐνθυμέεσθαι, καὶ καθ᾿ ἑκάστην τετράδα προστιθεμένην σκέπτεσθαι· καὶ οὐ λήσεται ὅπη τρέψεται τὸ νούσημα.
Of these, it is most difficult at the beginning to recognize those that are going to be resolved in the longest time; for their beginnings are very similar; but one must observe from the first day, and investigate at each added four-day period; and it will not escape notice which way the disease will turn.
Γίγνεται δὲ ἡ τῶν τεταρταίων κατάστασις ἐκ τοῦ τοιούτου κόσμου.
The establishment of the fourth-day crises arises from such an order.
Τὰ δὲ ἐν ἐλαχίστῳ χρόνῳ μέλλοντα κρίνεσθαι, εὐπετέστερα γιγνώσκεσθαι· μέγιστα γὰρ τὰ διαφέροντα ἀπ᾿ ἀρχῆς αὐτέων ἐστίν· οἱ μὲν γὰρ περιεσόμενοι εὔπνοοί τε καὶ ἀνώδυνοί εἰσι, καὶκοιμῶνται τὰς νύκτας, τά τε ἄλλα σημεῖα ἔχουσιν ἀσφαλέστατα· οἱ δὲ ἀπολούμενοι δύσπνοοι γίγνονται, ἀλλοφάσσοντες, ἀγρυπνέοντες, τά τε ἄλλα σημεῖα κάκιστα ἔχοντες.
But those that are going to be resolved in the shortest time are easier to recognize; for their differences are greatest from the beginning; for those who will survive have good respiration, are free from pain, sleep at night, and have all other signs very safe; but those who will perish become short of breath, delirious, sleepless, and have all other signs very bad.
Ὡς οὖν τουτέων οὕτω γιγνομένων ξυμβάλλεσθαι χρὴ, κατά τε τὸν χρόνον, κατά τε τὴν πρόσθεσιν ἑκάστην ἐπὶ τὴν κρίσιν ἰόντων τῶν νουσημάτων.
Thus, since these things occur in this way, one must form a conjecture, both by the time and by each addition, as the diseases progress towards the crisis.
Κατὰ δὲ τὸν αὐτὸν λόγον καὶ τῇσι γυναιξὶν αἱ κρίσιες ἐκ τῶν τόκων γίγνονται.
And according to the same ratio, crises also occur in women from childbed.