there will be a relapse, which may prove fatal. But one ought to pay

attention, and know in these seasons what crises will lead to recovery

and what to death, or to changes for the better or the worse.

Irregular fevers, quartans, quintans, septans, and nonans should be

studied, in order to find out in what periods their crises take place.

Fourteen Cases of Disease

CASE I. Philiscus, who lived by the Wall, took to bed on the first

day of acute fever; he sweated; towards night was uneasy. On the

second day all the symptoms were exacerbated; late in the evening

had a proper stool from a small clyster; the night quiet. On the third

day, early in the morning and until noon, he appeared to be free

from fever; towards evening, acute fever, with sweating, thirst,

tongue parched; passed black urine; night uncomfortable, no sleep;

he was delirious on all subjects. On the fourth, all the symptoms

exacerbated, urine black; night more comfortable, urine of a better

color. On the fifth, about mid-day, had a slight trickling of pure

blood from the nose; urine varied in character, having floating in

it round bodies, resembling semen, and scattered, but which did not

fall to the bottom; a suppository having been applied, some scanty

flatulent matters were passed; night uncomfortable, little sleep,

talking incoherently; extremities altogether cold, and could not be

warmed; urine, black; slept a little towards day; loss of speech, cold

sweats; extremities livid; about the middle of the sixth day he

died. The respiration throughout, like that of a person recollecting

himself, was rare, and large, and spleen was swelled upon in a round

tumor, the sweats cold throughout, the paroxysms on the even days.

CASE II. Silenus lived on the Broad-way, near the house of

Evalcidas. From fatigue, drinking, and unseasonable exercises, he

was seized with fever. He began with having pain in the loins; he

had heaviness of the head, and there was stiffness of the neck. On the

first day the alvine discharges were bilious, unmixed, frothy, high

colored, and copious; urine black, having a black sediment; he was