§1## ΠΕΡΙ ΚΡΙΣΙΩΝ.
1.
ON CRISES. 1.
Περὶ κρισίων ξυντόμων ἐπὶ τὸ ἄμεινον τὰ μὲν πλεῖστα ταὐτὰ ἐστὶν, ἅπερ ἐς ὑγίην σημεῖα.
For the most part, the signs of rapid crises for the better are the same as those that lead to recovery.
Ἱδρῶτες γὰρ ἄριστοί εἰσιν καὶ τάχιστα πυρετὸν παύοντες οἱ ἐν τῇσι κρισίμῃσιν ἡμέρῃσι γινόμενοι καὶ τελέως τὸν πυρετὸν ἀπαλλάσσοντες· ἀγαθοὶ δὲ καὶ ὅσοι διὰ παντὸς τοῦ σώματος γενόμενοι εὐπετεστέρως τὸ νόσημα φέρειν ποιήσουσιν·
For the best sweats, and those that most quickly stop a fever, are those that occur on critical days and completely rid the body of the fever; and all those are also good which, occurring over the whole body, make it easier to bear the illness.
οἳ δ’ ἂν τουτέων τι μὴ ἐργάσωνται, οὐ λυσιτελέσουσι γινόμενοι.
But those which do none of these things are of no benefit when they occur.
§22.
2.
Παχύνεσθαι δὲ χρὴ τὸ διαχώρημα πρὸς τὴν κρίσιν ἰούσης τῆς νόσου· ἔστω δὲ ὑπόπυῤῥον καὶ μὴ σφόδρα δυσῶδες· ἐπιτήδειον δὲ καὶ ἕλμινθας ἐξιέναι πρὸς τὴν κρίσιν.
The excrement should become thicker as the disease moves toward a crisis; let it be slightly reddish and not excessively foul-smelling; it is also favorable for worms to be passed towards the crisis.
§33.
3.
Οὖρον δὲ ἄριστόν ἐστιν, ὃ ἂν ἔχῃ λευκότατον ὑπόστημα καὶ λεῖον καὶ ὁμαλὸν παρὰ πάντα τὸν χρόνον ἕως ἂν κριθῇ τὸ νόσημα· σημαίνει γὰρ ἀσφαλέα καὶ ὀλιγοχρονίην τὴν νοῦσον ἔσεσθαι.
That urine is best which, throughout the entire period until the disease is resolved, has a very white, smooth, and uniform sediment; for this signifies that the disease will be safe and of short duration.
Ἢν ἱδρῶτος ἐγγενομένου ἡ νούσος ἐκλίπῃ, καὶ τὸ οὖρον πυῤῥὸν θεωρηθῇ λευκὴν ὑπόστασιν ἔχον, τουτέοισιν αὐθημερὸν ὑποστροφὴ τοῦ πυρετοῦ γίνεται, οὗτος καὶ ἐν πέντε ἀκινδύνως κρίνεται.
If, when a sweat has occurred, the disease abates, and the urine is seen to be reddish with a white sediment, in these cases a relapse of the fever occurs on the same day, but this is also resolved without danger within five days.
§44.
4.
Τοῖσιν ἐλαχίστῳ χρόνῳ μέλλουσιν ὑγιάζεσθαι μέγιστα σημεῖα ἅπαξ γίνεται· ἀπονώτεροι γὰρ διατελοῦσιν καὶ ἀκίνδυνοι, καὶ τὰς νύκτας κοιμέονται, καὶ τὰ ἄλλα σημεῖα προφαίνουσιν ἀσφαλέα.
In those who are going to recover in the shortest time, the most significant signs appear all at once; for they continue with less pain and free from danger, they sleep during the nights, and they show all other signs to be safe.
§55.
5.
Οἷς ἐν πυρετῷ μὴ θανατώδει κεφαλῆς ἄλγημα καὶ τὰ ἄλλα περιεστικὰ σημεῖα, χολὴ τουτέων κρατεῖ.
In those who, in a non-fatal fever, have a headache and other signs indicative of recovery, bile is dominant in them.
§66.
6.
Οἷς ἂν ἄρξηται ὁ πόνος τῇσι πρώτῃσιν ἡμέρῃσιν, τεταρταῖοί τε μᾶλλον καὶ πεμπταῖοι πιέζονται· ἐς δὲ τὴν ἑβδόμην ἀπαλλάσσονται τοῦ πυρετοῦ.
Those in whom the pain begins on the first days are harder pressed on the fourth and fifth days, but on the seventh they are rid of the fever.
§77.
7.
Οἱ δὲ πυρετοὶ κρίνονται ἐν τῇσιν αὐτέῃσιν ἡμέρῃσι τὸν ἀριθμὸν, ἐξ ὧν ἀπόλλυνται οἱ ἄνθρωποι καὶ ἐξ ὧν περιγίνονται·
Fevers are resolved within the same number of days by which people either perish or survive.
οἵ τε γὰρ εὐηθέστατοι τῶν πυρετῶν καὶ ἐπὶ σημείων ἀσφαλεστάτων τεταρταῖοι παύονται ἢ πρόσθεν· οἵ τε φονικώτατοι καὶ ἐπὶ σημείων δεινοτάτων γινόμενοι τεταρταῖοι κτείνουσιν ἢ πρόσθεν·
For the mildest fevers, occurring with the safest signs, cease on the fourth day or before; and the most fatal ones, occurring with the most dreadful signs, kill on the fourth day or before.
ἡ μὲν οὖν πρώτη ἔφοδος οὕτως τελευτᾷ.
Thus the first onset ends.
Ἡ δ’ ἑτέρη ἐς ἑπτὰ περιάγει, ἡ δὲ τρίτη ἐς τὴν ἑνδεκάτην, ἡ δὲ τετάρτη ἐς τὴν τεσσαρεσκαιδεκάτην, ἡ δὲ πέμπτη ἐς τὴν ἑπτακαιδεκάτην, ἡ δὲ ἕκτη ἐς τὴν εἰκοστήν·
The second leads up to seven days, the third to the eleventh, the fourth to the fourteenth, the fifth to the seventeenth, and the sixth to the twentieth.
αὗται μὲν οὖν ἐπὶ τῶν ὀξυτάτων διὰ τεσσάρων ἐς τὰς εἴκοσι προσθέσεις.
These then, in the most acute diseases, are the additions by four up to twenty days.
Οὐ δύναται δὲ ὅλαις ἡμέραις οὐθὲν τουτέων ἀριθμεῖσθαι ἀτρεκέως· οὐδὲ γὰρ οἱ ἐνιαυτοί τε καὶ μῆνες ὅλαις ἡμέραις πεφύκασιν.
None of these, however, can be calculated exactly in whole days; for neither years nor months are by nature composed of whole days.
§88.
8.
Ἐν τοῖσι καύσοισι τὰ ἀγαθὰ σημεῖα γινόμενα, οἷα ἐν τοῖσιν ὑγιεινοῖσι γέγραπται, μείονα μὲν ἐόντα ἐς τρίτην ἄνεσιν δηλοῖ, παχύτερα δὲ αὔριον, πάνυ παχέα δὲ αὐθημερόν.
In burning fevers, when good signs appear, such as have been described for those who recover, if they are less marked, they indicate relief on the third day; if they are thicker, tomorrow; if very thick, on the same day.
§99.
9.
Ἐν τοῖσι καύσοισιν ἢν ἑβδομαίῳ ὕστερον ἐπιγένηται ἴκτερος, δῆλον ἀνίδρωτος· τὸ γὰρ νόσημα οὐ φιλέει ἔτι ἱδροῦν, οὐδὲ ἄλλῃ ἀφίστασθαι οὐδαμῇ, ἀλλὰ ὑγιὴς γίνεται.
In burning fevers, if jaundice supervenes on the seventh day or later, it is clearly without sweat; for the disease no longer tends to produce sweat, nor to experience a metastasis in any other way, but the patient recovers.
§1010.
10.
Ἀνάγκη τοῦ θερμοῦ ἀπιόντος [καὶ] ἐφ’ ἑωυτὸ τὸ ὑγρὸν ἑλκύσαντος, τῷ πυρετῷ κρίσιν γενέσθαι διὰ τὰ οὖρα τὰ ἀποχωρέοντα ἢ καὶ τὰ διαχωρήματα κοιλίης, ἢ αἵματος ἐκ τῶν ῥινέων ῥύσιν, ἢ οὔρησιν πολλὴν, ἢ διαῤῥοίην ἰσχυρὴν, ἢ ἱδρῶτα, ἢ ἔμετον, γυναικὶ δὲ καὶ ἐπιμηνίων ὁδόν·
As the heat departs and draws the moisture to itself, it is necessary that a crisis in the fever should occur through the urine voided, or the evacuations of the bowels, or a flow of blood from the nostrils, or copious urination, or severe diarrhea, or sweat, or vomiting, and in a woman also through the menstrual flow.
μάλιστα μὲν οὖν ταῦτα ποιέει κρίσιν, ἢ ὅ τι ἂν τουτέων ἐγγὺς γίνηται· ποιέει δὲ καὶ ἕτερα κρίσεις, ἧττον μὲν τουτέων.
Therefore, these things especially bring about a crisis, or whatever comes close to them; other things also produce crises, but to a lesser degree than these.