§77.
7.
Ἢν πυρετὸς λάβῃ παλαιῆς κόπρου ὑπεούσης, νεοβρῶτι ἐόντι, ἤν τε ξὺν ὀδύνῃ πλευροῦ, ἤν τε μὴ, ἡσυχίην ἄγεινιμέχρις οὗ καταβῇ τὰ σιτία πρῶτόν ἐς τὴν κάτω κοιλίην· πόματι δὲ χρεέσθω ὀξυμέλιτι·
If a fever seizes a patient when old feces are retained, he having recently eaten, whether with pain in the side or not, he should keep quiet until the food first descends into the lower belly; and let him use oxymel as a drink.
ὁκόταν δὲ ἐς τὴν ὀσφὺν βάρος ἥκῃ, κάτω κλύσαι κλυσμῷ, ἢ καθᾶραι φαρμάκῳ· ὁκόταν δὲ καθαρθῇ, διαιτᾷν ῥοφήματι πρῶτον καὶ πόματι μελικρήτῳ· ἔπειτα σιτίοισι καὶ ἰχθύσιν ἑφθοῖσι καὶ οἴνῳ ὑδαρεῖ, ἐς νύκτα ὀλίγῳ· ἡμέρῃ δὲ ὑδαρὲς μελίκρητον.
When a weight comes to the loins, purge below with a clyster, or cleanse with a drug; and when he is cleansed, nourish him first with gruel and with hydromel as a drink; then with food and boiled fish and diluted wine, a little towards night; but by day, diluted hydromel.
Ὁκόταν δὲ αἱ φῦσαι δυσώδεες ἔωσιν, οὕτως ἢ βαλάνῳ ἢ κλυσμῷ· εἰ δὲ μὴ, ἐπισχεῖν ὀξύμελι πίνοντα, ἕως ἂν καταβῇ ἐς τὴν κάτω κοιλίην, εἶθ᾿ οὕτω κλυσμῷ ὑπαγαγεῖν.
When the flatus is foul-smelling, then relieve him either with a suppository or a clyster; if not, hold off, giving him oxymel to drink, until it descends to the lower belly, and then thus lead it out with a clyster.
Ἢν δὲ λαπαρῷ ἐόντι καῦσος ἐπιγένηται, ἤν σοι δοκέῃ φαρμακεύειν ἐπιτηδείως ἔχειν, ἔσω τριῶν ἡμερέων μὴ φαρμακεύειν, ἀλλ᾿ ἢ τεταρταῖον.
If an ardent fever (causus) supervenes when he is empty-bellied, and if it seems to you to be suitable to purge, do not purge within three days, but only on the fourth day.
Ὁκόταν δὲ φαρμακεύσῃς, τοῖσι ῥοφήμασι χρῶ, διαφυλάσσων τοὺς παροξυσμοὺς τῶν πυρετῶν, ὅκως μηδέποτε προσοίσεις μελλόντων ἔσεσθαι τῶν πυρετῶν, ἀλλὰ ληγόντων, ἀλλὰ παυσαμένων, καὶ ὡς ποῤῥωτάτω ἀπὸ τῆς ἀρχῆς.
When you purge, use gruels, guarding against the paroxysms of the fevers, so that you never administer them when the fevers are about to occur, but when they are declining or when they have ceased, and as far as possible from the onset.
Ποδῶν δὲ ψυχρῶν ἐόντων, μήτε ποτὸν μήτε ῥόφημα μήτ᾿ ἄλλο μηδὲν δίδου τοιόνδε, ἀλλὰ μέγιστον ἡγοῖο τοῦτ᾿ εἶναι διαφυλάσσεσθαι, ἕως ἂν διάθερμοι σφόδρα γένωνται· εἶθ᾿ οὕτω τὸ ξυμφέρον πρόσφερε.
When the feet are cold, give neither drink nor gruel nor anything else of the sort, but consider this to be the greatest thing to guard against, until they become thoroughly warm; and then thus administer what is beneficial.
Ὡς γὰρ ἐπιτοπουλὺ σημεῖόν ἐστι μέλλοντος παροξύνεσθαι τοῦ πυρετοῦ ψύξις ποδῶν· εἰ δ᾿ ἐν τοιούτῳ καιρῷ προσοίσεις, ἅπαντα τὰ μέγιστα ἐξαμαρτήσεις· τὸ γὰρ νούσημα αὐξήσεις οὐ σμικρῶς.
For generally, coldness of the feet is a sign that the fever is about to be exacerbated; if you administer anything at such a time, you will make the greatest mistakes in all respects; for you will increase the disease not a little.
Ὁκόταν δὲ ὁ πυρετὸς λήγῃ, τοὐναντίον οἱ πόδες θερμότεροι γίγνονται τοῦ ἄλλου σώματος·
But when the fever declines, on the contrary, the feet become warmer than the rest of the body.
αὔξεται μὲν γὰρ ψύχων τοὺς πόδας, ἐξαπτόμενος ἐκ τοῦ θώρηκος, ἐς τὴν κεφαλὴν ἀναπέμπων τὴν φλόγα· ξυνδεδραμηκότος δὲ ἅλες τοῦ θερμοῦ ἅπκντος ἄνω, καὶ ἀναθυμιωμένου ἐς τὴν κεφαλὴν, εἰκότως οἱ πόδες ψυχροὶ γίγνονται, ἄσαρκες καὶ νευρώδεες φύσει ἐόντες· ἔτι δὲ πουλὺ ἀπέχοντες τῶν θερμοτάτων τόπων ψύχονται, ξυναθροιζομένου τοῦ θερμοῦ ἐς τὸν θώρηκα·
For the fever increases while chilling the feet, being kindled from the chest and sending up the flame to the head; and when all the heat has run together upward and rises like vapor into the head, naturally the feet become cold, being by nature fleshless and sinewy; and furthermore, being far removed from the warmest parts, they are chilled while the heat is gathered into the chest.
καὶ πάλιν ἀνάλογον, λυομένου τοῦ πυρετοῦ καὶ κατακερματιζομένου, ἐς τοὺς πόδας καταβαίνει· κατὰ δὲ τὸν χρόνον τοῦτον ἡ κεφαλὴ καὶ ὁ θώρηξ κατέψυκται.
And conversely, when the fever is resolved and dispersed, the heat descends to the feet; and during this time, the head and the chest are cooled.
Τοῦ δ᾿εἵνεκα προσεκτέον, ὅτι, ὁκόταν οἱ πόδες ψυχροὶ ἔωσι, θερμὴν ἀνάγκη τὴν κοιλίην εἶναι καὶ πολλῆς ἄσης μεστὴν, καὶ ὑποχόνδριον ἐντεταμένον, καὶ ῥιπτασμὸν τοῦ σώματος διὰ τὴν ἔνδον ταραχὴν, καὶ μετεωρισμὸν γνώμης, καὶ ἀλγήματα· καὶ ἕλκεται, καὶ ἐμέειν ἐθέλει, καὶ ἢν πονηρὰ ἐμέῃ, ὀδυνῆται· θέρμης δὲ καταβάσης ἐς τοὺς πόδας, καὶ οὔρου διελθόντος, κἢν μὴ ἱδρώσῃ, πάντα λωφᾷ· κατὰ τόνδε οὖν τὸν καιρὸν δεῖ τὸ ῥόφημα διδόναι τότε δὲ ὄλεθρος.
For this reason one must pay attention, because, when the feet are cold, the belly must of necessity be hot and full of much distress, and the hypochondrium tensed, and there is tossing of the body because of the internal disturbance, and flightiness of mind, and pains; and the belly is irritated and he wants to vomit, and if he vomits bad things, he suffers pain; but when the heat has descended to the feet and urine has passed, even if he does not sweat, all symptoms abate; at this time, therefore, one must give the gruel, but at that other time it is destruction.