§88.
8.
Ὁκόσοισι δὲ διὰ τέλεος ἡ κοιλίη ἐν τοῖσι πυρετοῖσιν ὑγρὴ, τουτέοισι διαφερόντως τοὺς πόδας θερμαίνων, καὶ περιστέλλων κηρώμασι, καὶ ταινιδίοισι περιελίσσων πρόσεχε, ὅκως μὴ ἔσονται ψυχρότεροι τοῦ ἄλλου σώματος· θερμοῖσι δὲ ἐοῦσι θέρμασμα μηδὲν πρόσφερε, ἀλλὰ παρατήρει ὅκως μὴ ψυχθήσονται· πόμκτι δὲ χρέεσθαι ὡς ἐλαχίστῳ ὕδατι ψυχρῷ ἢ μελικρήτῳ.
But for those whose belly is loose throughout in fevers, pay special attention to warming their feet, wrapping them in wax-salves, and binding them with bandages, so that they may not be colder than the rest of the body; when they are warm, apply no heating-poultice, but watch that they do not get cold; and use as a drink the least possible amount of cold water or hydromel.
Ὁκόσοισι δὲ ἐν πυρετοῖσι κοιλίη ὑγρὴ καὶ γνώμη τεταραγμένη, οἱ πολλοὶ τῶν τοιουτέων τὰς κροκύδας ἀφαιρέουσι, καὶ τὰς ῥῖνας σκάλλουσι, καὶ κατὰ βραχὺ μὲν ἀποκρίνονται τὸ ἐρωτώμενον, αὐτοὶ δὲ ἀφ᾿ ἑωυτῶν οὐδὲν λέγουσι κατηρτημένον· δοκέει οὖν μοι τὰ τοιάδε μελαγχολικὰ εἶναι·
But for those who in fevers have a loose belly and a disturbed mind, most of such patients pluck at the nap of their clothes, and pick their noses, and answer what is asked only briefly, but of their own accord say nothing coherent; therefore, such symptoms seem to me to be atrabilious.
ἢν δὲ τοιῶνδε ἐόντων ἡ κοιλίη ὑγρὴ ᾖ καὶ ξυντήκῃ, δοκέει μοι τὰ ῥοφήματα ψυχρότερα καὶ παχύτερα προσφέρειν, καὶ τὰ πόματα στατικὰ καὶ οἰνωδέστερα ἢ καὶ στυπτικώτερα.
And if, while they are in this state, the belly is loose and wasting away occurs, it seems to me best to administer the gruels colder and thicker, and the drinks checking and more winy or even more astringent.
Ὁκόσοισι δὲ τῶν πυρετῶν δῖνοί τε ἀπ᾿ ἀρχῆς καὶ σφυγμοὶ κἑφαλῆς εἰσι καὶ οὖρα λεπτὰ, τουτέοισι προσδέχεσθαι πρὸς τὰς κρίσιας παροξυνθησόμενον τὸν πυρετόν· οὐ θαυμάσαιμι δ᾿ ἂν οὐδ᾿ εἰ παραφρονήσειαν.
But for those in whom from the beginning of the fevers there are dizziness and throbbing of the head, and thin urine, for these one must expect that towards the crises the fever will be exacerbated; and I should not be surprised even if they should become delirious.
Οἷσι δὲ ἐν ἀρχῇ τὰ οὖρα νεφελοειδέα καὶ παχέα, τοὺς τοιούσδε ὑποκαθαίρειν, ἢν καὶ τὰ ἄλλα ξυμφέρῃ· ὁκόσοισι δὲ ἐν ἀρχῇ τὰ οὖρα λεπτὰ, μὴ φαρμάκευε τοὺς τοιούτους, ἀλλ᾿ ἢν δοκέῃ, κλύσαι· τούτους ξυμφέρει οὕτω θεραπεύεσθαι, τῷ σώματι ἡσυχίην ἄγοντας, ἀλείφοντά τε καὶ περιστέλλοντα ὁμαλῶς· ποτῷ δὲ χρέεσθαι μελικρήτῳ ὑδαρεῖ, καὶ ῥοφήματι χυλῷ πτισάνης ἐς ἑσπέρην· κοιλίην δὲ ὕπαγε κατ᾿ ἀρχὰς κλυσμῷ· φάρμακα δὲ μὴ πρόσαγε τούτοισιν·
But for those whose urine is cloudy and thick at the beginning, one must gently purge such patients, if other conditions also favor it; but for those whose urine is thin at the beginning, do not purge such patients with drugs, but if it seems best, use a clyster; it is beneficial for these to be treated thus: keeping the body at rest, anointing and wrapping it evenly; and to use for drink diluted hydromel, and for gruel, barley-water towards evening; and draw off the belly at the beginning with a clyster; but do not administer drugs to these patients.
ἢν γάρ τι κινήσῃς κατὰ κοιλίην, τὸ οὖρον οὐ πεπαίνεται, ἀλλ᾿ ἄνιδρός τε καὶ ἄκριτος ὁ πυρετὸς ἐπὶ πολὺν χρόνον ἔσται.
For if you disturb the belly in any way, the urine does not coct, but the fever will remain sweatless and without crisis for a long time.
Τὰ δὲ ῥοφήματα, ὁκόταν ἐγγὸς τῶν κρισίων ᾖ, μὴ δίδου, ἢν θορυβῆται, ἢν δ᾿ ἀνῇ καὶ ἐπιδιδῷ ἐπὶ τὸ βέλτιον· φυλάσσεσθαι δὲ χρὴ καὶ τῶν ἄλλων πυρετῶν τὰς κρίσιας, καὶ ἀφαιρέειν τὰ ῥοφήματα κατὰ τοῦτον τὸν καιρόν.
But do not give gruels when it is near the crises, if the patient is disturbed; but if it remits and shows improvement, do so; and one must also watch for the crises of other fevers, and withdraw gruels at this time.
Μεμαθήκασι δὲ μακροὶ οἱ πυρετοὶ οἵδε γίγνεσθαι, καὶ ἀποσκήμματα ἴσχειν, ἢν μὲν τὰ κάτω ψυχρὰ ᾖ, περὶ ὦτα καὶ τράχηλον· ἢν δὲ μὴ ψυχρὰ ᾖ, ἄλλας ἴσχειν μεταβολάς· ῥέει δὲ καὶ αἷμα ἐκ ῥινῶν, καὶ αἱ κοιλίαι τοῖσι τοιουτέοισιν ἐκταράσσονται·
These fevers are accustomed to become long, and to have abscesses around the ears and neck, if the lower parts are cold; but if they are not cold, they undergo other changes; and blood also flows from the nose, and the bellies are thoroughly disturbed in such patients.
ὁκόσοισι δὲ πυρετοὶ ἀσώδεές εἰσι, καὶ ὑποχόνδρια ξυντείνουσι, καὶ κεκλιμένοι οὐκ ἀνέχονται ἐν τῷ αὐτέῳ, καὶ τὰ ἄκρεα ψύχονται πάντα, πλείστης ἐπιμελείης καὶ φυλακῆς δέονται· διάγειν δὲ τούτοισι προσφέροντας μηδὲν ἄλλο ἢ ὀξύμελι ὑδαρές· ῥόφημα δὲ μὴ πρόσφερε, ἕως ἂν λήξῃ, καὶ τὸ οὖρον πεπανθῇ· κατακλίνειν δέ ἐς ζοφερὰ οἰκήματα, καὶ κατακεκλίσθαι ὡς ἐπὶ μαλθακωτάτοισι στρώμασι, πολὺν χρόνον ἐπὶ τὰ αὐτὰ καρτερέοντα, καὶ ὡς ἥκιστα ῥιπτάζειν· μάλιστα γὰρ τοῦτο τοὺς τοιούτους ὠφελέει.
But those whose fevers are accompanied by nausea, and the hypochondria are tensed, and when lying down they cannot bear to remain in the same position, and all their extremities are cold, stand in need of the greatest care and precaution; and keep them by administering nothing else but diluted oxymel; and do not administer gruel until the fever declines and the urine is cocted; and lay them down in dark rooms, and let them lie on the softest possible beds, enduring for a long time in the same position, and tossing about as little as possible; for this especially benefits such patients.
Ἐπὶ δὲ τὸ ὑποχόνδριον λίνου σπέρμα ἐγχρίων ἐπιτίθει, φυλασσόμενος ὅκως μὴ φρίξῃ προστιθέμενος· ἔστω δὲ ἀκροχλίαρον, ἑφθὸν ἐν ὕδατι καὶ ἐλαίῳ.
And upon the hypochondrium apply linseed, boiled in water and oil, let it be lukewarm, taking care that he does not shiver when it is applied.
Τεκμαίρεσθαι δὲ ἐκ τῶν οὔρων τὸ μέλλον ἔσεσθαι· ἢν μὲν γὰρ παχύτερα καὶ ὠχρότερα ᾖ, βελτίω· ἢν δὲ λεπτότερα καὶ μελάντερα, πονηρότερα· ἢν δὲ μεταβολὰς ἔχῃ, χρόνον τε σημαίνει, καὶ ἀνάγκη τῷ νοσέοντι μεταβάλλειν καὶ ἐπὶ τὰ χείρω καὶ ἐπὶ τὰ βελτίω τὴν ἀνωμαλίην.
And judge what is going to happen from the urine; for if it is thicker and yellower, it is better; but if it is thinner and darker, it is worse; and if it has changes, it indicates duration, and of necessity the patient's irregularity must change both for the worse and for the better.
Τοὺς δὲ ἀκαταστάτους τῶν πυρετῶν ἐᾷν, μέχρις ἂν στῶσιν, ὁκόταν δὲ στῶσιν, ἀπαντῆσαι διαίτῃ καὶ θεραπείῃ τῇ προσηκούσῃ, κατὰ φύσιν θεωρέων.
And leave unstable fevers alone until they are established; but when they are established, meet them with the proper diet and treatment, observing according to nature.