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Hippocrates · On Regimen in Acute Diseases (Appendix) §12-17

Sequelae of Dysentery, Tetanus Care, and Causes of Pains

Passage 8 of 12 · Greek

Summary

This chunk describes the complications following dysentery, the prognosis of jaundice in bilious fevers, the treatment of tetanus including warm poultices and specific root recipes, the routes of disease resolution, the indications and contraindications for hellebore, and the causes of pains in various body parts arising from walking and flatulent food.

§1212.
12.
Δυσεντερίη ἀπόστημα ἢ ἔπαρμά τι παυσαμένη ποιήσει, ἢν μὴ ἐς πυρετοὺς ἢ ἱδρῶτας καὶ οὖρα παχέα καὶ λευκὰ ἐπιφανῇ, ἢ ἐς τριταίους ἢ ἐς κιρσὸν ἢ ἐς ὄρχιν ἢ ἐς σκέλεα ἢ ἐς ἰσχία στηρίξῃ ὀδύνη.
Dysentery, when it has ceased, will produce an abscess or some swelling, unless it should appear in fevers or sweats and thick, white urine, or unless the pain should fix itself in tertian fevers, or in varix, or in testicle, or in legs, or in loins.
§1313.
13.
Ἐν πυρετῷ χολώδεϊ πρὸ τῆς ἑβδόμης μετὰ ῥίγεος ἴκτερος ἐπιγενόμενος λύει τὸν πυρετόν· ἄνευ δὲ ῥίγεος ἢν ἐπιγένηται ἔξω τῶν καιρῶν, ὀλέθριον.
In a bilious fever, jaundice supervening before the seventh day with a chill resolves the fever; but if it supervenes without a chill or out of season, it is fatal.
§1414.
14.
Τετάνου δὲ ὀσφύος, καὶ ἀπὸ μελαγχολικῶν διὰ φλεβῶν πνευμάτων ἀπολήψιες ὁκόταν ἔωσι, φλεβοτομίη ῥύεται.
For tetanus of the loins, and whenever there are obstructions of breath from melancholic matters through the veins, venesection delivers.
Ὁκόταν δὲ ἀπὸ τῶν τενόντων σφοδρῶς ἔμπροσθεν ἀντισπῶνται, καὶ ἱδρῶτες περὶ τράχηλον καὶ πρόσωπον, ὑπὸ τοῦ πόνου δακνομένων καὶ ξηραινομένων τῶν τενόντων τῶν οὐρωδέων, οἳ παχύτατοι τὴν ῥάχιν ξυνέχουσιν, ᾗ οἱ μέγιστοι ξύνδεσμοι καταπεφυκότες ἕως ἐς πόδας ἀποτελευτῶσι, τῷ τοιῷδε ἢν μὴ πυρετὸς καὶ ὕπνος ἐπιγένηται, καὶ τὰ ἑπόμενα οὖρα πέψιν ἔχοντα ἔλθῃ καὶ ἱδρῶτες κριτικοὶ, πίνειν οἶνον κρητικὸν οἰνώδεα, καὶ ἄλητον ἑφθὸν ἐσθίειν, καὶ κηρωτῇ ἀλείφειν καὶ ἐγχρίειν·
But when they are violently drawn forward by the tendons, and sweats occur around the neck and face, the urine-tendons—which are the thickest, holding the spine together, where the largest ligaments are rooted and terminate down to the feet—being irritated and dried up by the pain, for such a patient, unless fever and sleep supervene, and the subsequent urine comes showing digestion, and critical sweats appear, make him drink cretic wine of strong body, and eat boiled meal, and anoint and rub in with wax-salve.
τά τε σκέλεα περιελίσσειν ἕως τῶν ποδῶν, θερμῷ προβρέχων ἐν σκάφῃ, καὶ βραχίονας ἕως δακτύλων κατελίσσειν, καὶ ὀσφὺν ἀπὸ τοῦ τραχήλου ἕως τῶν ἰσχίων, λάσιον ἐγκηρώσας, ὅκως καὶ τὰ ἔξωθεν περιέξει, καὶ διαλιπὼν πυρία τοῖσιν ἀσκίοισι, θερμὸν ὕδωρ ἐγχέων, καὶ περιτείνων σινδόνιον, ἐπανάκλινε αὐτόν·
And wrap the legs down to the feet, pre-wetting them with warm water in a tub, and wrap the arms down to the fingers, and the loins from the neck to the hips, applying wax-salve with a shaggy cloth, so that it also encloses them from the outside, and at intervals apply poultices with leather bags, pouring in warm water, and stretching a linen cloth over them, lay him down.
κοιλίην δὲ μὴ λύσῃς, ἢν μὴ βαλάνῳ, ἢν πουλὺς χρόνος ᾖ ἀδιαχωρήτῳ ἐούσῃ·
Do not loosen the belly, unless with a suppository, if it has been long without passage.
καὶ ἢν μὲν ἐπιδιδῷ τί σοι, ἐπὶ τὸ βέλτιον· εἰ δὲ μὴ, τοῦ μόδου τῆς ῥίζης τρίβων ἐν οἴνῳ εὐώδει καὶ τοῦ δαύκου, πίνειν δίδου πρωΐ νήστει πρὸ τοῦ βρέχειν, καὶ ταχὺ ἐπὶ τουτέοισι τὸ ἄλευρον ἑφθὸν χλιαρὸν ἐσθιέτω ὡς πλεῖστον, καὶ οἶνον, ὁκόταν βούληται, εὔκρητον ἐπιπινέτω·
And if he makes any progress for you for the better, it is well; but if not, grinding the root of modus in fragrant wine with that of daucus, give it to drink in the morning fasting before the wetting, and quickly after these let him eat as much boiled warm meal as possible, and let him drink after it well-mixed wine whenever he wishes.
καὶ ἢν μέν σοι ἐπιδιδῷ, ἐπὶ τὸ βέλτιον· εἰ δὲ μὴ, προλέγειν.
And if he makes progress for you for the better, it is well; but if not, give warning beforehand.
§1515.
15.
Τὰ δὲ νουσήματα πάντα λύεται ἢ κατὰ στόμα ἢ κατα κοιλίην ἢ κατὰ κύστιν ἢ τινὸς ἄλλου τοιούτου ἄρθρου· ἡ δὲ τοῦ ἱδρῶτος ἰδέη κοινὸν ἁπάντων.
And all diseases are resolved either by the mouth, or by the belly, or by the bladder, or by some other such outlet; but the form of sweat is common to all.
§16Ἐλλεβορίζειν δὲ χρὴ οἷσιν ἀπὸ κεφαλῆς φέρεται ῥεῦμα·
16.
ὁκόσοι δὲ ἐξ ἀποστημάτων ἢ φλεβοῤῥαγίης ἢ δι᾿ ἀκρησίην ἢ δι᾿ ἄλλην τινὰ ἰσχυρὴν αἰτίην ἔμπυοι γίγνονται, μὴ δίδου ἐλλέβορον τοῖσι τοιουτέοισιν· οὐδὲν γὰρ ὠφελήσει, καὶ ἤν τι πάθῃ, αἴτιον δόξει εἶναι δ ἐλλέβορος·
And one must administer hellebore to those in whom a rheum flows from the head; but to those who become full of pus from abscesses, or from rupture of a vein, or through intemperance, or through some other strong cause, do not give hellebore; for it will benefit nothing, and if anything happens, hellebore will seem to be the cause.
ἢν δὲ διαλύηται τὸ σῶμα, ἢ πόνος ἐν κεφαλῆ ᾖ, ἢ ἐμπεπλασμένα τὰ οὔατα ἢ ῥὶς, ἢ πτυελισμὸς, ἢ γουνάτων βάρος, ἢ σώματος ὄγκος παρὰ τὸ ἔθος, ὅ τι ἂν ξυμβαίνῃ μήτε ὑπὸ ποτῶν, μήτε ὑπὸ ἀφροδισίων, μήτε ὑπὸ λύπης, μήτε ὑπὸ φροντίδων, μήτε ὑπὸ ἀγρυπνιῶν· ἢν μέν τι τουτέων ἔχῃ αἴτιον, πρὸς τοῦτο ποιέεσθαι τὴν θεραπείη.
But if the body is wasted, or there is pain in the head, or the ears or nose are obstructed, or there is salivation, or heaviness of the knees, or an unusual swelling of the body—whichever of these happens to be neither from drinking, nor from sexual intercourse, nor from sorrow, nor from cares, nor from watchings—if indeed any of these has a cause, direct the treatment toward this.
§1717.
17.
Τὰ δὲ ἐκ πορείης ἀλγήματα, πλευρέων, νώτου, ὀσφύος, ἰσχίων, καὶ ὁκόσα ἀναπνέοντες ἀλγέουσι πρόφασιν ἔχοντες, πολλάκις γὰρ μεμάθηκε φοιτῇν ἐκ κραιπαλέων καὶ βρωμάτων φυσωδέὡν ἀλγήματα ἐς ὀσφὺν καὶ ἐς ἰσχία, οἷσι δ᾿ ἂν αὐτέων ᾖ τοιάδε δυσουρέεται, τουτέων δὲ πορείη αἰτίη καὶ κορυζέων καὶ βράγχων.
And pains of the sides, back, loins, and hips arising from walking, and all those in which they feel pain when breathing, have an obvious cause; for often from excesses of wine and flatulent foods, pains have a habit of visiting the loins and hips; and whichever of them have such pains suffer from difficulty in urinating, and for these walking is the cause, as well as of catarrhs and hoarseness.

Notes

  1. §12ἢν μὴ ἐς πυρετοὺς ἢ ἱδρῶτας ... ἢ ἐς ... στηρίξῃ ὀδύνη — Inside the conditional clause introduced by ἢν μὴ ("unless"), two subjunctive verbs (ἐπιφανῇ and στηρίξῃ) are parallel. The structure represents two exceptional conditions: "unless it should appear in fevers or sweats..." and "unless the pain should fix itself in...".
  2. §14τῶν τενόντων τῶν οὐρωδέων — The word οὐρωδέων is a subject of textual variation and varying interpretations, sometimes understood as "tail-like" (from οὐρά, i.e., sacral or terminal) or associated with the urinary tract. Here it modifies the thick tendons supporting the spine.
  3. §14πίνειν οἶνον ... καὶ ἄλητον ἑφθὸν ἐσθίειν — The series of infinitives (πίνειν, ἐσθίειν, ἀλείφειν, etc.) are used as independent infinitives with imperative force (imperative infinitives), directing the treatment.
  4. §16ὅ τι ἂν ξυμβαίνῃ μήτε ὑπὸ ποτῶν ... — For this conditional clause ἢν δὲ ... ὅ τι ἂν ξυμβαίνῃ ("but if they happen, not because of..."), there is no explicit main clause. Instead, the following sentence ἢν μέν τι τουτέων... ("if there is a cause in these, direct the treatment toward this") practically supplies the conclusion.

Cite this passage

Hippocrates, On Regimen in Acute Diseases (Appendix) §12-17. Humanitext Reader, https://reader.humanitext.ai/en/text/urn:cts:greekLit:tlg0627.tlg005.humanitext-grc1:12-17

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