purgative medicines or otherwise, usually terminate in dry dropsy.

12. It is a bad thing to purge upward in winter persons whose bowels
are in a state of lientery.

13. Persons who are not easily purged upward by the hellebores,
should have their bodies moistened by plenty of food and rest before
taking the draught.

14. When one takes a draught of hellebore, one should be made to
move more about, and indulge less in sleep and repose. Sailing on
the sea shows that motion disorders the body.

15. When you wish the hellebore to act more, move the body, and when
to stop, let the patient get sleep and rest.

16. Hellebore is dangerous to persons whose flesh is sound, for it
induces convulsion.

17. Anorexia, heartburn, vertigo, and a bitter taste of the mouth,
in a person free from fever, indicate the want of purging upward.

18. Pains seated above the diaphragm indicate purging upward, and
those below it, downward.

19. Persons who have no thirst while under the action of a purgative
medicine, do not cease from being purged until they become thirsty.

20. If persons free from fever be seized with tormina, heaviness
of the knees, and pains of the loins, this indicates that purging
downward is required.

21. Alvine dejections which are black, like blood, taking place
spontaneously, either with or without fever, are very bad; and the
more numerous and unfavorable the colors, so much the worse; when with
medicine it is better, and a variety of colors in this case is not
bad.

22. When black bile is evacuated in the beginning of any disease
whatever, either upward or downward, it is a mortal symptom.

23. In persons attenuated from any disease, whether acute or
chronic, or from wounds, or any other cause, if there be a discharge
either of black bile, or resembling black blood, they die on the
following day.

24. Dysentery, if it commence with black bile, is mortal.

25. Blood discharged upward, whatever be its character, is a bad
symptom, but downward it is (more?) favorable, and so also black
dejections.

26. If in a person ill of dysentery, substances resembling flesh
be discharged from the bowels, it is a mortal symptom.

27. In whatever cases of fever there is a copious hemorrhage from
whatever channel, the bowels are in a loose state during
convalescence.

28. In all cases whatever, bilious discharges cease if deafness
supervenes, and in all cases deafness ceases when bilious discharges
supervene.

29. Rigors which occur on the sixth day have a difficult crisis.