^\ li <J Digitized by tine Internet Archive in 2010 with funding from Boston Library Consortium IVIember Libraries http://www.archive.org/details/aphorismsofhippoOOhipp :3 ^^'^M^ /jCf^dt^^^f^ Zj. J /WfeV^-^ THE APHORISMS .,y ^,^!S:jr «-wJaCJi-^^-jf s ^. ^•-•i''!'* >.«iv' S'-;^^^ ^.«..«•v»-^,»-**'"^'*'*" OF J 1 oj HIPPOCRATES, < VROAl THE LATIN VERSION OF VERHOOFB^ WITH A J.lTfiRAL TRANSLATION ON THE OPPOSITE PAGE. AND EXPLANATORYNOTES, X (^i revera vult proficercj Hlppocratem sibi exemplo proponet. Plutarch. TME WORK INTENDED AS J BOOK OF REFERENCE TO THE MEDICAL STUDENT. BY ELIAS MARKS, Mejnber of tLe^Pl^^sico.IVfeajcal PKINTBD AND SOLD BY COLLINS M. D. Sociel;- & . 'j' '::'hk. CO,' NO, 189, STREET. iaif. BOS fr: I'f. f- OLLEG] ^Vf P£A»I DISTRICT OF NEW- YORK, ss. BE IT REMEMBERED, That on the twenty-fourth day of December, in the forty- second year of the Independence of the United States of America, Collins b' Co. of the said district, have deposited in this office the title of a book, the right whereof they claim as proprietors, in the words and figures following, to wit " The Aphorisms of Hippocrates, from the Latin version of Vcrhoofd, with a literal translation on the opposite page, and explanatory notes. *• Qui rcvera vuk proficere, Hippocratem sibi exemplo proponet. ^; " The work intended as a book of reference to By Elias Marks, M. D. Member of the dent. Society of New- York." Plutarch. the medical stuPhysico-Medical In conformity to the act of the Congress of the United States, An act for the encouragement of learning by securing the copies of maps, charts and books, to the authors and proprietors of such copies, during the time therein mentioned," and also an act, entitled "An act, supplementary to an act, entitled an act for the encouragement of learning, by securing the copies of maps, charts and books, to the authors and proprietors of r,uch copies, during the time therein mentioned, and extending the benefits thereof to the art« of designing, engraving and etching historical and other prints." entitled " JAMES DILL, Clerk of the Southern District of New- York. [Submitted to the PhysicO' Medical Society of New-York^ and published at the request of that Association^ pursuant to their Resolution^ dated December^ 1817.] BOSTON CGLLE K' I to STEPHEN ELLIOT, ESQUIRE, PRESIDENT OP THE LITERARY AND PHILOSOPHICAL SOCIETY, OF CHARLESTON, SOUTH-CARGLINA, AS A TRIBUTE OF RESPECT FOR HIS LITERARY AND SCIENTIFIC TALENTS, BY HIS OBEDIENT SERVANT, THE AUTHOR. APHORISMS OF : lilt'. Z^^'coiJ.^ I Nl COLLEGE i JUT HlLl PREFACE Th e only translations which I have seen of the Aphorisms of Hippocrates, M. Pariset, printed English translation of C. in 1708. The French version, phrase, and 1816;* in reader, I. is th^t of and the Sprengell, by reverting will perceive much done to the of para- some tournures de phrase^ by no means correspondent with the original text of the author, which I have frequently Were subjoined in the margin. I of in have preferred the version of Verhoofd, as adopted riset, not for would be, these objections, this attempt a measure, supererogatory. it by Pa» not only on account of the elegance its latinity, but from Heurnius, the most its literal being next to of many which That of the learned Villebrune, of 1779, however correct in the original text, is too diffuse and free in I have had recourse s to. Aphorisma D' Hippocrates L 2tin-FraDcai5> PREFACE. X its latin version, to be again transfused into more copious English and was some danger, lest in recurring to a the stiil : there para- phrastic, instead of a literal translation, that not only the spirit, matter might be The Lejden nius, * but some of the original lost. edition of Johannes possesses, perhaps, the and literal translation and is in its style, of any will be most close have yet seen, I so analagous to that of Verhoofd, that the reader, them, Heur- by comparing irresistibly led to the inference, no more than a revision of the former. But what the various commendiffered most upon, is the tators have genuineness of some portions of this work. that the latter is While some condemn eighth sections as as differing in the seventh and altogether spurious, and from the style dialect of the original ; terse, Ionic others view them genuine in the main, but as containing mterpolations and alterations. as many Among these, Villebrune has given, as genuine, six sections, and the greatest part of the seventh (down to * Aphor, 66,) observing at the conclusion,— Hipp. Coi Aphor. Grscce etLatine. Lug. Batav. 1627. PREFACE. XI " Reliquos ut absurdos, inutilcsve, letio, cum Me- Philotheo, Arabibus, pluribus Graeci neglexi." But although Villebrune has arrayed on his side some stout oppositionists, yet there who are others, equaiiy strong, integrity of the Amidst many so spectable maintain the work handed down to us. contradictory, and yet re- authorities, the stands bewildered, and like Medical Tyro the devout Mus- sulman, knows not wherein consists the veBesides, this ritable part. of Villebrune, might be to *' ratio sufficiens*' equally extended many Aphorisms throughout the work and the gleaner of absurdities might derive as fine a harvest from the works of the Coan -Sage, as from any of the ancients extant, not excepting the divine Plato, or the critical Aristotle. No one defend, although he will seriously may attempt to palliate the errors, imperfections and absurdities of Hippocrates; —they were incident to the age in which he when the which beams on lived, the antipodes. influx of scientific light the present day, was yet in PREFACE. Xli I obtained the Sprengell,* my English translation of C. after and, labours, I had nearly in conripleted adverting to more than ever convinced of the sity of a more correct, literal, and translation; in attempting for others to decide, how which, far I it New- York it, was neceselegant is left have sue- oeeded. * In the Library of the L Hospital. STRICTURES ON THE LIFE AND WRITINGS OF HIPPOCRATES, Hippocrates, distinguished by the titles of Father of Medicine and Prince of Physicians, the first was born in the island of Cos, in year of the 80th Olympiade, and 460 years before the Christian era. Of his history, Hke that of most fnen of science^ very little seems to be perfectly known and ; indeed the whole of so is it involved in doubt, so interwoven with intentional fraud and anachronism, that the testimony of the it is many spoken of him, that the is only by collating authors critical who have Biographer enabled to arrive at any thing like the truth. * greatest He was cotemporary with the men of Greece, Socrates, Hero. — dotus, Thucydides, Democritus, and others and was of the family of the Asclepiades, being himself the eighteenth lineal descendant from iEsculapius, and the seventeenth from * See Cydopsedia Edin. Art. Hipp. 2 Por AND WRITINGS LIFE XIV dalirius, the latter of accompanied the Trojans.'^ By whom, with Machaon^ allied his Greeks against the mother's side he also claimed lieneage with the Hcraclidae. From j^sculapius downwards, the family of the Asclepiades were devoted to the cultivation of medicine, and, like the Levites of the Jews^ were unwilling that the inheritance of their fathers should depart was from their house. It thus, that the learning and science of the age were successively tranmitted from one generation to another, and were as tenaciously guarded from the votarist of wisdom, as were the Apples of the Hesperides, or the Fleece of Colchis, from the adventurous heroism of the times. The art of printing, w^hich, in after ages, gave so wide a range to observation and facts, which established as it were a commu^ nion of knowledge, and transmitted to a sue» ceeding age the labours of that which had preceeded, was then unknown. Consequently there was a monopoly of ideas as there was of power, although in the present enlightened age, they are the tlie elements of most opposite principles civil and political ment. » IlUade, B. IL in govern^ OF HIPPOCRATES. XV We may then easily conceive how a famithe Asclepiades, ly like energies to science, directing cultivation of a the and making all their all particular their learning observation contributive to its and advancement^ should, with each succeeding generation, find new truths developed, and a facts Yet to act upon. it new series of does not detract from the glory of Hippocrates, that his were the materials of a long line of ancestry — that knowledge which he poured in upon the v/orld, should have been the contri- the tide of butions of successive auxiliary streams, which, falling into one channel, had rolled on- ward through a space of five centuries. ever gigantic be the infancy les is, is manhood How- of Science, its not always the infancy of a Hercu- however potent be its in its origin, for the most ; in its progress to and interrupted. vance of any art, final energies, part, maturity, feeble, tedious, it and slow, In tracing the gradual ad- how small a proportion does each individual contribution bear to the grand result ; —how great the difference between the rough-hewn, mishapen Hermes of the Egyptian, and the breathing, speaking, animated Marble of the Greek ! The poet and era- may tor AND WRITINGS LIFE XYl start up a giant, but Science, like the mythological world of the ancients, has had its origin from an Egg-shell. Althousrh the sacred mantle of the Asclepiades descended upon the shoulders of Hip- enlarged and pocrates, yet he possessed too philanthropic a mind to aim at confining the mass of knov/ledge bequeathed by tors solely to his own family. his ances- With pirical practice of his predecessors the em- he combi- ned the gymnastic medicine of Herodicus, under whose brother, Gorgias, lie is said to have studied philosophy and eloquence. He was, however, both in his practice and writings, a true eclectic, admitting or rejecting what preceding ages had offered to his notice., only as they accorded or differed with his own observation and experience. stract theories of Sectarian The ab- philosophy were from what he considered carefully seperated the rational principles of practice. " Hippocrates Cous primus quidem, ex omnibus memorise dignis, ab studio (philosopham) disciplinam hanc ^ir et arte et facundia insignis.* « Celsu'^. sapiential separavit^ OF HIPPOCRATES, XVII Like the philosophers of that age, he ad= ded to the traditionary knowledge he had rereceived, the instruction which travel, obser» vation, and an intercourse with the most en- men lightened new ing Deriv- of his time afforded. accession of facts from the various countries which he visited, he made the tour of Greece and Asia Minor, and took his abode Most up in Larissa, the capital of Thessaly. of the stories, so highly interesting^ re» him bv Soranus and others, are'disf such as his discovercarded by the critics ing, by his art, that the illness of the young Perdiccas was owing to the love he bore to lated of ; Phila, the mistress Macedon ; and of his but whom sest whom at the solicitation of they deemed insane ^^ Hippocrates pronounced the wi- and most sane man of Abdera. supposed crates, on letter this occasion, is writers, (Erasistratus,) The of the Abderites to Hippostill cure of the young Perdiccas,^ most king of his visits to the philosopher Democritus, of Abdera, the Abderites, father, is, extant. The however, by ascribed to another physician and his visit to Democritus appears to be altogether a fictitious drama, wrought up by some writer who flourished AND WRITINGS LIFE XVIU him. The account given by Ae» long after tins, of the part he took in the dreadful plague- which visited Athens in the time of Pericles^, has met a refutation from the judicious Clerc* in related Le Plutarch ascribes the actions thereof Hippocrates, to one Acron of Agrigentum; and Dr. Ackerman thinks that these fictitious circumstances were conjured up long after the death of Hippocrates by the Dogmatic Sect who regarded him as their founder. But the fame of Hippocrates does not con- sist in a few interesting incidents, heightened by classical feeling, and rendered prominent upon a it rests by classical association more stable and imperishable base on the vast accession he made to the science which ; — ; he professed, and on his endeavours to form a co'mplete system of medicine, founded upon observation and rational deduction. life After a spent in the most useful labours, and de- voted to the purposes of humanity, he died at Larissa, in Thessaly, at the advanced age of one hundred and nine. vine, was affixed to his The name ; epithet, di- statues and- * Vids Cyclopsed. Edin. Art. Hippr OF HIPPOCRATES» temples were erected to his SIX memory and ; in= eense was offered up on altars dedicated to his divinity. by comparing the medical knowledge of Hippocrates, with what it was previous to It is his time, that we shall be enabled to form an estimate of the services which he has render- ed the science, of which he has been consid- The ered the fotmder. like the present, upon a w ill not critical analysis limits of a permit our entering of the peculiar doc- trines of Hippocrates, or a the subjects work^ general detail of upon which he has written.^'" We merely purpose to advert to a few of the leading ral principles upon which his gene- doctrines rest, as they serve to illustrate some of his pathological observations, in the folio vving work,. He supposes a principle, '7. (pvn^, Vv^hich per- vades the material creation, and which serves, as the motive pawer of elementary matter» This principle the cause of animal is motion, and through receive heat, life, ceived, that the '- Vide" Ojjinia it, Qpera nature," Jocsii." and the blood and spirits and sensation. ^' life g'^fs's It will be per- of Hippocra- etCyclopxd. Edip, .Art», Hippi LIFE XX tes, is the ple," — AND WRITINGS " Archeus'' '' the — the Vital princi- Power," Sensorial —and ** —" The "Vis Medicatrix Naturae" of succeeding writers. The Dog- Excitability," matic their to who Sect, the clainried greatest deference founder,* paid the his 'sj^'i'?'?, Hippocrates as and viewed her as the vis con- derangements of the animal servatrix in all economy. Their practice was, therefore, The symptoms passive^ not operative. disease were so many of preservative efforts of the vis medicatrix to throw off the morbific being duly matter, after may trine, concocted. We trace the spirit of this erroneous doc- through sucessive ages, down to our was maintained and defended by the illustrious Sydenham, though very little influencing his practice^ and forms, at ovvn time. It this day, the basis of the School. Its Theory of the French tendency in Medicine, like the doctrine of predestination in Ethics, goes to paralize every intellectual effort doptionby the most ; and scientific nation in its a- Europe ean only be ascribed to that classical mania which measures every species of excellence * See this claim refuted, Cyclopaed : Edin. Art Medicine, OF HIPPOCEATES. by a Greek and Roman XXI But scale. it does not appear, in recurring to the writings of Hipthat he pocrates, gave the same indefinite scope to the curative agency of Nature in diseases, as was deputed ed followers, who, regarding the to ker like true by his reput- sectarians, dis- adhered religiously to spirit, the literal bodt/. The anatomical knowledge of Hippocrates was necessarily circumscribed by the age in which he lived, when a jnaterial theology^ combined with the grossest bade a recourse to superficial superstition, for- dissectiojis ; and when the knowledge which the student ob- tained of the structure of the human body, was derived from comparative anatomy, and which accident affordthe opportunities ed. To this may be ascribed most of his physiological and pathological errors to this, we add ; and if, the extreme deficiency of the age, in the Quxiliary sciences of medicine, so far from ^vondering at the errors encounter in his writings, we be wisdom which he evinces knowledge of the nature and We shall lost ia and almost admiration, at the sagacity tuitive which we in in- his seat of diseases. shall not advert to the many singular XXU LIFE AND WRITINGS. and ridiculous notions, which, like spurious veins of earth amidst the metallic splendour mine, of the among after may be found interspersed the writings of Hippocrates. Long him, when the anatomical labours of Erasistratus and Herophilus threw a con- siderable light on the structure of the human body, most of these errors and absurdities were maintained and defended ; and we have only to turn over the pages of Aristptle and of Plato, to observe these anomalies of genius, modified into form, system. The and extended into curative plan of Hippocrates was extremely simple. He depended much on the resources of nature, but not to the ex- by his followers and recommends a reliance upon her^ in prefertent afterwards adopted ; ence to a dependance on a rash and uncertain remedy. The most simple plan of treatment was sometimes alternated with the use of the most violent and active medicines, such as Hellebore, Elaterium, Colycinth, and Scammony. Avoiding indecision on the one hand, and a rasli precipitancy on the other, he appears to have been prompt, yet judicious decisivCj and yet calm. i; HIPPOCRATES. o:F But it is Sxlil chiefly in matters of fact and ob- servation, that the greatness of Hippocrates consists. The own is, times, in a He writings. technical language of our measure, drawn from his divided diseases into first epidemic^ endefitic, and sporadic, according to the present acceptations of these terms and ; these diseases he again divides into acute and chronic. The duration of an acute disease was distinguished by the beginning, height, decline^ In the third stage of the and termination. disease, decoction took place was placed between this As crisis to he observed the ; and the and the crisis last stage. supervene, for the most part, on particular days, he institu- ted his dies critici, and thence deduced prognostica symptomnta. his cal his Besides devoting; pen to the various departments of medi« knowledge, he paid much attention, in the education of his pupils, to what may be His ideas of the profession, were as fully ex- called ethical medicine. dignity of his emplified in his life, as they are elegantly given in his writings " Decet etiam moribus honestis elegantem : esse. Et cum talem se praestiterit, crga AND WBITlNGS LIFE XXIV omnes insuper et gravis et humaniis esto, Promptitudo enim et facilitas medendi ef. fuse oblata, ab asgris contemnitur alioqui siimmas benignitatis : quamvis officium illud sit."* and successful Indefatigable in his re- searches, he greatly enlarged the empire of medicine. His pathology and principles of cure are, with a few exceptions and modifi- own times. Yet how few who pronounce his name with reverence our cations, those of and respect, have ever consulted his oracles. Satisfied with doing hom^age to his wisdom, they have dispensed with its precepts. When the Goths, in the recesses of their forests, had tasted, for the first time, the vintage of Italy, they eagerly marched forward in quest of the land less which had produced ardour does the student satisfied with receiving at how much evince, who is it : secondary and Bary sources, that wisdom which may be ter- ob- tained at the fountain-head, pure and unadulterated. The name of Hippocrates * D€ Medic©, Hipp. has become XXV CF HIPPOCRATES. identified with the science which he pro= His was the ambition which seeks fessed. the aggrandizement of self in encompassing the happiness of others ; his the wished for whose throne is cotemporary gratitude, and whose crown -the blessings of afHis object was to enlarge the do= ter ages. mains of Medicine by multiplying her re= sources, and by exciting an emulation among her votariese Before his tim^e, Medicine was glory, — the art of priests and of jugglers : he rescued her from the degrading thraldom into which she had fallen, and raised her to the of a Science. Greece listened with reverence precepts to his dis^nit^^ — his sentences were heard amidst the groves of the Academus and the assemblages of the Porch, and Philosophy was proud to ners he had elevated. herself enlist beneath the ban- Independent of the advantages to be derived from the study of the ancient Authors^ there is connected with the enthusiasm whicli urges us on to the pursuit, a curiosity, which prompts us spirit- stirring to seek for the sources of those streams of knowledge, thst^ in our own times, dispense their blessings to 3 LIFE XXvi mankind. vigour may AND WRITINGS, Added which to this, characterize &C. the energy and attempts, their serve to impart a nerve to our ertions, and furnish examples to own ex- incite us on However ample be the forces of genius, they need some rallying point to impart to them confidence, and some to similar undertakings. authority to marshal their numbers, and give direction to their efforts. The memories of Hippocrates, Aristotle, Galileo, Harvey, Bacon, live Newton, Franklin and Fulton, would in the gratitude of after- ages, were even individual contributions their terity. the Each, as it to pos- were, gave a fulcrum to human mind, and its exertions. lost enlarged the sphere of Their very names will serve as w^tch- words to animate the timid votary of Science onward, and to nerve him up for the encounter; and their memories, like signaL iires, blazing from afar, and streaming through the lapse of ages, will, in the darkest night of the human intellect, few scattered tliem hope serve to assemble the p?trtisans of wisdom, and bid HIPPOCRATIS SECTIO 1. I. Vita brevis, ars longa, occasio ceps,* experientia fallax, Oportet autem non modo judicium se prse- difficile. ipsum exhibere qujs oportet facientem, sed etiam aegrum^ et pra^sentes^ et externa. 2. In perturbationibus Sp«)!ite evenientibus, alvi, et vomitibus siquidem qualia oportet piirgari, purgentur, confert, et facile ferunt minus, sill ciiatio, fert, contra. Sic siquidem qualem et facile ferunt; vasorum et fieri decet, minus, sin igitur oportet, et Respicere teiiipestatcm, et ^tatem, et fiat, eva- con- contra. regionem, et morbos, in qui- biis convenit, aut non. '- VillebrunCj in his version of 1779, has rendered Kaipog oipt ^:'2omsntit}n urgens \ but most translators agree with Verhoofd. THE OP HIPPOCRATES. SECTION Life 1. is I. short, art long, occasion brief^ experience fallacious, judgment is requisite that the Physician exhibit and that the is essential, and It difficult. what patient, attendants^ which surrounds him, concur therein. all and spontaneous vomiting, 2. In diarrhoea if the matter voided be of a nature that ought to be expelled, let the patient be purged, for in this case, the evacuations are beneficial and are but easily supported; be otherwise, the contrary same rule when it is obtains beneficial it be and othervv^ise, is easily supported: the contrary therefore, tieficial infer The indicated. vascular depletion; is to bear in climate, the season, the age and thence the effect judiciously had recourse is We ought, in is if to, it but if indicated. mind the and the disease^ whether these things be be- or otherwise. 3t Q 50 HIPPOCRATIS APHORISMI. In exercitantibus boni habitus ad sum- 3. mum progress!, periculosi, Non enim fiienPit.^" escant, extremo Cum neque ultra possint vero non qui- in melius profi= Ho- reliquum est igitur ut in deterius. cere, rum in possunt in eodem ma- neque quiescere. nere, si igitur causa, bonum habitum baud cunc- quo rursus renutritionis principium sumat corpus. Neque conpericulosidentii© ad extremum ducend^e sed qualis natura fuerit ejus siiKi enim taoter solvere confert, ; : qui perferet, eo usque ducenda3. cuationes ad extremum et iursiis refectiones, Sic et eva- ducentes, periculosi cum extremse fuerint, periculosss. Tenuis 4. loiigis exquisitus morbis semper, convenit, tremum Nam et periculosus. victus, et in acutis, Et rursus, in et ubi non ad ex^ tenuitatis progressus victus, difficilis. et repletiones ad extremum progress^, diiEciles sunt. * Sensum hujus loci recte dat Celsus lib. i. " Sed at hujns generis esereitationes cibique necessarii sint, sic athletic! supervacui, Ac ae c„ I. his quidem athletarum exemplo, immodicus Lmplet autem corpus modica exercitatio." C'riticsB. c, i. esse labor debetf Fillebrane^ Nos^ APHORISMS OF HIPPOCRATES. 3. In those having an violent exercise stitutions is excess of health, dangerous; for in such con- an equilibrium of health cannot be And maintained. health is 31 as their temperament of neither stationary nor progressive, it must, of necessity, have a retrograde tendency. For these reasons, therefore, we should speedily set about reducing this extreme of health, in may order that the body principle of nutrition. new take upon itself a Neither should this reduction be carried too we should for far, be guided by the strength and constitution of the patient. Thus the extrem.es of reple- and depletion are equally to be avoided^ both are attended with danger, tion as 4. In protracted regimen is always ilfness, a severe and thin dangerous, and equally so in acute maladies, where it it is accords not with the constitution of the patient. And again,— an attenuated regimen carried too is as difficult to support,, as far an excess of . repletion». BOSTON COLLEGE FACULTY LIBRAP'! CHESTNUT HU :ASS. 1 ^ IIIPPOCRATIS APHORISMI. 32 In 5. id tenui victu delinquunt aegri; Omne enim magis Iseduntur. quod committitur, multo majus quam in paulo pleniore victu.* ob delictum^ fft in tenui, Propterea etiam sanis periculosus est valde tenuis, et et exquisitus victus, quia de- constitutus, licta gravius ferunt. Ob hoc et exquisitus victus periculosus igitur tenuis magis, quam paulo pienior. 6. Ad extremes morbos^, extrema remedia exquisite optima. 7. Ubi igitur peracutus est extremos habet labores, tini nuissimo victu iion, uti necesse morbus, et est. sta- extreme te- Ubi vero sed pleniorem victum exhibere iicetj tantum a tenui recedendum, quantum mor-> bus remissior extremis 8. Cum morbus fuerit. in vigore fuerit, time vel tcnuissimo victu uti necesse 9. * est. Considerare oportet etiam gegrotantem, Hic carpit et monet auctor medicos ut plurimum. errebant aui temporls, qui gr^viter, in tenui ori dista prsescribcnda, - Fillehrunt, APHORISMS OF HIPPOCRATES. The 5. sick frequently err in the adoption They of a spare diet. injured. In the evil more choice of regimen, more are therein the from abstraction than from a results small 33 excess. A thin, frugal, and over- exact regimen accords not even with the man in health, who Hence, privation. grievously supports the in general, the superiority of a due refection over that w^hich ficient. 6. The greater the evil — ^the is de- more vigo= rous the remedy. most violent symptoms supervene the severest regimen But if these is, therefore, to be observed. symptoms be wanting, a more generous diet . In 7. acute diseases the : is to be permitted course to it, ; only w^e are to have re- in proportion to the subsidence of the malady. 8. then When the disease attains most vigour-— it is, that the severest regimen is re- we are quired. 9. In the prescribing of regimen, to consider, whether it be sufficient to sup- port the patient until the disease attain height ; its whether before this period, the patient HIPPOCRATIS APHORISMI. 34 num ad morbi vigorem victu an prius ille possit, vel morbus non et victu deficiat, sufficiat, et sufficere priiis deficiat, et obtun- datur. 10. Quibus igitur statim vigor adest, sta- Quibus vero tim tenuiter alendi. in pos- terum vigor, his ad illud, et paulo ante illud tempus, subtrahendum. Antea vero uberiiis alendum, ut 11. sufficiat aeger. In exacerbationibus cibuni subtra- here oportet : Et qusecunque exhibere enim, noxium est, per circuitus exacerbantur, in exacerbationibus subtrahere oportet.* 12. tiones et Exacerbationes autem indicabunt periodorum sive quotidie, morbi, inter collata sive mox apparent, Aph. n. desumkur partes huju3 aph. e lib. se incrementa, diebus, si statim circa Diat. Act/t. p. 68,69. Prior de morbis sive Quin etiam et per eadem indicantur, yelut in pleuriticis sputum, • constitu- anni tempora, alternis longiore fiant tempore. ea, qua3 et et cum BinaB sunt febre, longis vel acutis; posterior de morbis periodicis-cum vel sine febre. P^illsbruns, APHORISMS OF HIPPOCRATES. 3-5 may sink from an inability to support the regimen or, whether the malady will, thereby^ ; be previously broken and overcome, which quickly arrive at thei^ climax, a thin regimen should immediately be adopted. In those which attain it at a somewhat later period, we should 10. In those diseases or before that period, subtract from their at, but until then, sufficient nourishment should be allov/ed, that the strength of the diet : may be patient 11. supported. During the exacerbations, food be suspended would be to administer : When injurious. periodical, the diet is to the at that it is to time the returns are be withdrawn on coming on of the paroxysms. 12. The nature of diseases, with their paroxysms, are ascertained by regarding the time of the year of periods ; — the comparative succession — observing whether the also, exacerbations occur each day, or on alternate days, or at greater result * The is foIJoT^-ing distich " Ars, "' by attending obtained ftliich indications arc Mos taken aetas, rcgio, et intervals.^ The same to present comprehends the general heads from : complesio, virtus, symptoina; repletio, teaipns ct osus." HIPPOCRATIS APHORISMI. 36 initia morbum brevem si vero longum futurum denunciat. Et subappareat, posteriiis, urinas, et alvi excrementa, et sudores, ciim apparent, vel judicatu faciles, vel v.el ; breves, vel longos fore difficiles^ mor bos indicant. 13. Senes facillime jejunium ferunt; se- cundo astate consistentes omnium minime centes, minime adoles- pueri ex ; his autem, qui inter ipsos sunt alacriores.* Qu^ 14. lidi innati ; crescunt, plurimiim habent ca- plurimo igitur egent alimento sin miniss, corpus consumitur. tem paucus calor Senibus au- propterea paucis fomiti- ; bus indigent, a multis enim extinguitur. Idcirco etiam febres senibus Frigidum enim acutae. 15. Ventres * The hyeme non similiter est corpus. et vere natura sunt ancients distinguish six different stages of existence. JStas pueritias, childhood - adolescentiee, juventntis virilis, —— ; youth ; ; to the 5 th year. to the 25th year. from the ajth to the 35th year. manhood senectQtis, old ; age from the 35th to the 50th year. ; —— crepita, decrepitude from the 50th to the 6oth year ; ending in death. APHORISMS OF HIPPOCRATES. symptoms ; as in pleurisy, if the flow of sa« liva take place commencement, the the at duration of the disease will be short a later period The alvine, tions, will &f — it will be more extended» and cutaneous excre- urinary, serve to indicate whether the disease be mild or severe, short or protracted. 13. Old men bear abstinence best; next, who have those attained their climacteric adolescence, less; and infancy, least; of if at ; all these, the vivacious support ^ —but most it easily. 14. The growing body has most of innate most aliment heat, and, therefore, requires Old men otherwise the constitution suffers. have less heat, and, therefore, needless food. An over quantity would injure them. fore, folio wsjthat fevers It, there- have not that acute ten- dency with the aged which they have with the youthful; with the former the body 15. In winter is In those more generous cold. and in spring the stomach necessarily warmer, extended. is diet and the sleep more seasons, is to therefore, be permitted the augmentation of innate heat 4 ; a for demands a HIPPOCRATIS APHORISMI. 58 somni longissimi. In his igitur temporibus copiosiora cibaria exhi= callidissimi, et benda sunt innatum enim calorem majorem ; ideoque habent; copiosiore indigent ali- mento. Indicio sunt states et Athletse. humidus, 16. Victus omnibus, tiim cum maxim e febricitantibus pueris, et alliis tali victu uti consuetis, confert. Animadvertendi sunt etiam quibus 17. semel, aut bis, et quibus plura vel pauciora, Concedendum et per partes exhibenda. tem au- aliquid et consuetudini, et tempestati, et regioni, et setati. 18. ^Estate et ferunt: 19. hyeme autumno cibos facillime Quibus per nihil dato, ; difficillime, '^einde vere. circuitus exacerbantur, neque cogito, sed de appositioae detrahito ante judicationes. 20. Quae judicantur, et judicata sunt perfecte, ea tis, neque neque mo veto, neque medicamen- irritamentis innovato, sed ducere oportet, quo maxime aliis sinito. 21. Quae APHORISMS OF HIPPOCRATES. more plentiful aliment. This m youth, and in the habits A 16. children — and with made essential. it 17. food — observable is of the Athletse. moist aliment accords well with remarkably constitutions brile 59 Note well is [^iaily) all those to well whom the constitution, with use has w^herein required either once, or twice in greater or less quantities, or But we duated allowance. consideration fe- habit, by a gra- are to take into season, country, and age. 18. In difficult ; summer and autumn, in winter, vigorous ; digestion in spring, is in*- different. 19. In those diseases wherein the exacer- bations are periodical, neither give nor force any thing, but let the food be withdrawn be- coming on of the paroxysm. 20. When the paroxysm is well ascertained, do not disturb it either by medicines or fore the any new irritation 21. That which : leave is it to itself. excrementitious, should HIPPOCRATIS APHORISM!. 40 vergant, eo ducenda, per convenientia loca. 22. Concocta piirgare et movere oportet, non cruda geant ; neque in principiis, tur- nisi piurima vero non turgent. ; 23. Quse prodeunt non copia sunt manda, sed facile si ferat. sesti- prodeant qualia oportet, et Et ubi ad animi deliquium ducere oportet, id etiam faciendum, si seger sufficiat. 24. In acutis initia, afFectionibus raro, et per purgantibus utendum, idque diligenti prills adhibita cautione faciendum. 25. Si, qualia purgari oportet, purgentuFj confert, et facile ferunt; si vero contraria, difliculter.* * HIc e secundo dcsumtiis, ncc hue male adductus, Hippocrate, ut puto. Villebruns, ctsi non ab 41 APHORISMS OF HIPPOCRATES. be drawn off at the point to which it most by the most convenient outlets. 22. Purgatives should be administered after the food on the stomach is concocted, tends, not while they be it is crude; neither should yet given at the commencement of disease, lest turgescence ensue ; though the latter rarely occurs. 23. Depletion its is not to be estimated by copiousness, but by its being judiciously When it is ne- ad deliquium animi^ let be done, but previously consult the re- used, and easily supported. cessary to extend it it sources of the patient. 24. In acute affections, and especially at commencement, purgatives ought rarely be used, and when permitted, are to be their to administered with care. 25. If the matter voided be of a nature that ought to be expelled, let the patient be purged, for then, the evacuations are beneficial, and are easily supported ; but if the effect be otherwise, the contrary is indicated. (Vide Aphor. 2. Sect. 1.) 4* HIPPOCRATIS APHORISMr, 42 SECTIO 1. Quo kthale; si IL morbo somnus laborem facit^ vero somnus juvet, non est in lethale. 2. Ubi somnus delerium sedat, bonum. Somnus, vigilia, utraque modum excedentia, malum. 4. Non satietas, non fames, neque aliud quicquam bonum est, quod supra naturae S. modum 5. fuerit. Lassitudines sponte obortae morbos de- nuntiant. 6. lentes Quicumquc dolorem aliqua corporis parte do- fere non sentiunt, iis mens aegrotat. 7. Attenuata longo tempore corpora lente reficere oportet 8. Si a ; quae vero brevi, celeriter. morbo quis cibum capiens non roboretur, copiosiore alimento corpus uti sig- APHORISMS OF HIPPOCRATES. SECTION i. ^ 2. IL In disease, a laborious sleep presages great danger ing, 43 it is but ; if the slumber be refresh- favourable. When sleep sooths deleriiim, it be- Excessive sleep, or wakefulness, are tokens well. 3. alike injurious 4. Neither hunger nor satiety, nor any excess which oversteps the bounds of nature can be beneficial. 5. Spontaneous lassitude foreshows dis» ease, 6. Whosoever hath pain in any part of his body, without being sensible thereof, is diseased in mind. 7. Where gradual, where it it is the waste of the should be body has been gradually restored; rapid, our applications should be prompt. 8. If the convalescent acquire not strength from the food he takes, it shows that the body HIPFOCRATIS APHORISMI. 44 Si vero nificat. cibum non eveniat, evacuatione indigere 9. capienti istud sciendum est* Corpora, ubi quis purgare voluerit, cile fluentia reddere oportet. Impura corpora quo magis 10. eo magis nutriveris, laedes. 11. Facilius est potu repkri 12. fa- Qua5 in quam morbis post crisim cibo. relin- quuntur, recidivas facere solent. 13. Qurbus crisis bationem gravis est fitj ; iis nox ante exacer- sequens vero levior plerumque.. 14. In alvi profluviis dejectionem muta- tiones juvant, nisi in prava mutentur. 15. Ubi fauces aegrotant, aut tubercula in corpore exoriuntur, excretiones inspicere oportet aegrotat nutrire 16. 17. si ; ; si enim biliosse fuerint, vero similes sanis tutum corpus una fiant, corpus est. Ubi fames^ non oportet laborare. Ubi cibus prseter naturam copiosior APHORISMS OF HIPPOCRATES, But needs a more plentiful supply. same effect arise of food, from an 45 if the inability to partake sufficiently evinces the necessity it of purgatives. 9. When becomes necessary it to purge, the evacuations ought to be loose and free. Impure constitutions^ when most nourished, are most injured. 10. 11. Liquids replete more than easily solids. 12. The matter remaining in the body af- produces a re- ter the crisis is past, often lapse. 13. The night preceding that in which the crisis takes place, is follows, is distressmg ; that which more comfortable. 14. In alvine fluxes, a change in the de- jections, unless they assume a vicious ap- pearance, is 15. beneficlah When the fauces tubercles arise therein, the excretions ; ture, the entire be as and examine are affected, we ought to when they are of a bilious nabody is affected but if they in health, w^e ; may safely impart nou- rishment16. 17. Daring hunger, labour is injurious. Excess of food produces disease^ HIPPOCRATIS A PH OR I SMI. 46 ingressus fuerit, id autem 18. morbum creat. Ostendit sanatio. E or urn confertim quae et- celeriter nutriunt, celeres etiam fiunt egestiones. 19. Morborum acutorum tutae sunt prsedictiorxes, non omnino neque mortis, neque sanitatis. dum 20. Quibus, humid V, iis senescentibus siccanfur; dum bus vero, sunt juvenes, alvi sunt sunt juvenes, alvi quisiecae sunt, his senescentibus humectantur. 21. Famem A vini potio solvit. quicumque fiunt morbi, evacuatione sanantur-; et quicumque ab eva22. cuatione, repletione repletione sicque aliorum j con- trarietas. 23. Acuti morbi in quatuordecim diebus judicantur. 24. Septimorum quartus est index^ Alterius septimanae octavus est initium. dus vero undecimus alterius : is enim est quartus Notandus rursum dehie enim quartus est qui^ septimanae. cimus Septimus ; Notan- APHORISMS OF HIPPOCRATES. 47 same time, points out the and, at the re- medy. Those aliments which quickly and 18. agregately nourish, are soonest egested. 19. In acute diseases, predictions of death or recovery are not always unerring. Those whose dejections, in youth, are humid, have with them more of siccity in 20. age ; but on the contrary, the dejections if, have a siccity in youth, they acquire hu- midity with age. 21. A 22. The pletion, potion of wine allays hunger. is sickness which arises from re- cured by evacuation ; and that irom evacuation, by repletion. which arises Thus opposites are each counteractive of other. 23. Acute maladies determine themselves within fourteen days. 24. The seventh The ; fourth day is the index of the the eighth, that of the fourteenth. eleventh is to be noted, as being the fourth day of the second week. We again, to notice the seventeenth: it is are, the HIPPOCRATIS APHORISMI. 48 dem a decimo-quarto ; septimus vero ab undecimo.* 25. Quartange breves ; automnales vero quae prope 26. hyemem Febrem lius est, jestivEe plemmque fiunt longas, et maxime inciduiit. convuisioni supervenire me- quam convulsionem febri. 27. His qua? non secundiim rationem non oportet credere vant, ; neque timere Ho- Vaide quae prreter rationem prava Hunt. rum enim multa modum 28. citant, aut le- inconstantia sunt, nee ad- permanere, neque durare solent. Eorum qui non omnino leviter febri- permanere et nihil remittere corpus, quam etiam magis quefieri, malum tudinem significat, est. Illud pro ratione colli- enim morbi longi- hoc vero infirmitatem. 29. Incipientibus morbis, si quid movendum videatur, move ; vigentibus vero, quiescere melius * " The Ancients est. f put too much confidence in Pythagorick bers, whereas, the Physician ought not to observe the exacerbations themselves." number the Gels. Lib. f Et hoc ctiam intelligendum de motu e loco iii. c. num- days, but v. ad locum. Filk. APHORISMS OF HIPPOCRATES. fourth day, beginning with the 49 fourteenth, and the seventh day, beginning with the eleventh. 25. Summer part, short quartans are, for the most those of autumn, long ; espe- ; when they manifest themselves commencement of winter. at the cially 26. It much is better that convulsions precede than that they should succeed fever, 27. We should distrust an apparent fa- vourable change which cannot be accounted for : neither ought we despair anv reasonable without in those cause, which^ are unfa- most of these transitions are uncertain, transient, and variable. vourabie ; for 28. In fevers of a serious aspect, where the body remains stationary without suffer- —and extreme, — ing any emaciation, the waste is where the appearances are, alike, unfavourable. protracted illness also, in those The former indicates — the latter a an extreme de- bility. commencement of illness, if motion be allowable, the patient may use it 29. In the but in the height of the disorder, rest is es- sential. FAC %^ COLLEGE I HIPPOCRATIS APHORISM!. so 30. Circa principia debiliora 31. morbo circa nihil belle malum licere corpus, 32. omnia sunt circa vigores vero, vehementiora. ; A fines et comedenti est. Ut plurimiim omnes male quidem bene initia postea fastidiunt, comedentes, et qui vero circa ; habentes^ ad finem rursiis cibum proficientes, non appetunt pro- nihil autem cibos initia bene appetunt,. melius liberantur. 33. In omni morbo, mente valere, et se habere ad ea quas oiFerunter, bene bonum est contrarium vero, malum. 34. In morbis rum periclitantur naturae, et setati, et habitui, magis cognatus bus horura 35. In nem fuerit et ii quo- tempori morbus, quam ii qui» nulli similis fuerit. omnibus morbis, partes quse sunt ad umbilicum et minus et imum habere melius est eliquatas esse, ventrem, crassitudi; valde autem tenues pravum. Periculosum yero illud est etjam ad infernas purgationes. APHORISMS OF HIPPOCRATES. 30. At commencement and termina- the tion of disease, all is 51 all is debility — at its height^ vigour. 31. If the convalescent gain not strength^ notwithstanding that he eats well- — it shows unfavourably. 32. Almost all that suffer w^ho have at tion, first a good, but an un- profitable appetite, become, gusted with food those, mencement of ; illness, afterwards regain a from indisposiin the end, dis- who, at com- the loathe their victuals, for relish it, and re- establish their health soonest. 33. In all diseases, if the patient evince a sane mind, and be well disposed to is offered, it is favourable : all which the contrary is unfavourable. 34. If the disease be peculiar to the age, constitution and habits of the patient, season in which also to the less it occurs, and it is dangerous than that wherein the circum- stances are different. 35. In all diseases in which the umbilical and hypogastric regions maintain their usual plumpness, it is favourable but if they be; come flaccid the latter is and emaciated, the eompanied with it is otherwise more dangerous when diarrhoea. ; ac- HIPPOCRAXrS APHORISMI. 52 36. Qui Sana habent corpora, pharmacis purgati citd ex solvuntur, ut et qui pravo utuntur cibo. 37. sunt Qui bene valent corporc, purgatu difficiles. 38. Paulo deterior et potus et cibus, ju- cundior autem, eligendus potius liores quidem, sed quam me- ingratiores. plurimum quidem juvenibus minus asgrotant quicumque vero ipsis morbi,^,ti^t diuturni, pierumqu^commoriuntur. 39. Senes ut ; 40. Raucedines et gravedines in valde senibus non coquunfur, 41. Qui ssepe et vehementer, citra rnani- animo iinquuntur, ex im» festam causam, proviso moriuntur. vehementem quidebilem vero, non facile, 42. Solvere apoplexiam, dem, impossibile 43. Ex mortuis, ii : strangulatis et dissolutis, non circa os fuerit. necdimi se recoUigunt, quibus spuma APHORISMS OF HIPPOCRATES. 36» They whose constitutions are healthy, down by are as speedily broken who With as those 37. 5o purgatives, use an unwholesome diet. who those enjoy bodily health, purgatives do not easily operate. Those aliments which are grateful, although somewhat objectionable, are to be preferred to those which are more whole38. some, yet 39. less grateful. The aged disposed to fall are, for the most part, less into disease than the young but, with them, protracted diseases generally prove fatal. Catarrh and 40. are coryza, much advanced in age, in who those do not attain concoction. 41. Those who frequently and suddenly, without any apparent cause, phyxia, are suddenly taken 42. In violent impossible ; in fits fall into as- off. of apoplexy, relief those is of a lighter nature, difficult. 43. Those who who have all are suffocated, and those the appearances of dissolution, without being really dead, are never resuscitated, when they have the mouth. 5*- a froth surrounding HIPPOCRATIS APHORISMI. 54 Qui natura valde 44. crassi sunt, magis subito moriuntur, qiiam qui graciles. 45. Epilepticis pueris, mutationes, ime aetatis, et regionum, max- et vitas, liberationem faciunt. 46'. in ^Duobus doloribus simul eodem loco, vehementior non obscurat aL obortis, terum. 47. Circa puris generationes, dolores et febres magis accidunt, quam ipso facto, 48. In omni corporis motu, quando dolere coeperit, interquiescere, statim lassitudinem curat. Qui 49. srunt, solitos iabores ferre consueve- etiamsi debiles fuerint aut senes, in- suetis robustis licet et juvenibus, facilius ferunt. 50. A iongo tempore consueta, etiamsi fuerint deteriora, insuetis tent; oportet vertereo egitur minus turbare etiam ad insolita so- se APHORISMS OF HIPPOCRATES. 55 Those who are, by nature, very corpulent, expire more suddenly than those 44. who have a spare habit. 45. Epilepsy in children is removed by, changes ;* especially by those of age, climatej and mode of Two 46. living. painful sensations arising at the same time, though not the greater obscures the When 47. is same place, less. about forming, there when suppuration pain than greater is pus the in is complete. 48. If pain ensue from bodily motion^, in- termit 49. rest is the onlv cure. ; The who aged, and even the weak, are inured to labour, bear it more easily than the young and robust w^ho are not habituated to 50. it. Long accustomed and even vicious habits are less hurtful, than those which are themselves preferable, but to which in are unaccustomed ; we we ought, therefore, gra- dually to adopt the latter. * This translation is literal, and,, sense of the original; vide Af. lator renders exposes aux it somewhat morts.'' (j^h. we believe, conveys the exact TM. jS. The French Trans- different. Tff.^u^Mu.roi ^«."kXav^ " phis HIPPOCRATIS APHORISMI. 56 Multiim derepente vacuare, aiit replere, aut calefacere, aut frigefacere, aut 51. et modo corpus movere, periculosum est Omne siquidem multum naturae inimicum. Quod vero paulatim fit alio quocunqiie : tutum est ad alterum 52. turn alias, tiim ; si quis ex altero transeat. Omnia secundum rationem facienti, non secundiim rationem evenientibus, non ad aliud transeundum^ manente eo quod ab et initio 53» dum visum est. Quicunque alvos habent humidas. quidem juvenes sunt, melius liberantur his qui siccas habent. pejus liberantur mum ; Ad siccantur senectutem vero, enim ut alvi senescentibus. 54. Procero corpore juventutem degere, liberale est, nee deforme veroj pluri- inconimodum, : quidem insenescere et parvis deterius. APHORISMS OF HIPPOCRATES. 51. Evacuation, and calefaction — repletion, 57 refrigeration these or any other corres- pondent modifications of body, when excessive, or too suddenly accompiished, are dangerous, — nature That which extremes. is safely done, extreme 52. being ever opposed to g-raduallv done? is whether we pass from one to another, or otherwise. Every thing which done, without success, to recede from our is we judicious being are not, therefore, plan, while same views as we did Those who have hismid tertain the S'^, when young, still en- at first. dejections, are sooner released from illness than those with men do we whom they are arid ; old not fare so well, because the alvine excretions in age are generally dry. 54. An youth, and it is erect is body accords both proper and graceful inconvenient in less than a age, more humble with well ; but and becomes carriage. it HIPPOCRATIS APHORISM!» 58 SECTIO IIL* 1. temporum maxime ipsis temporibus mu- Mutationes anni morbos et in tationes magnte tiim frigoris tiini csetera pro ratione eodem modo. pariunt 2. alise ; Naturarum vero ad caloris, et quidem ad alise hyemem bene sestatem, aut male con- stitutas sunt. 3. Morborum se habent ; alii et states ad alios bene aut male qujedam ad tempora^ et regiones, et victus. 4. * In eadem In temporibus, quandp die modo author treats of the seasons, their peculiar this section the modifications as affecting the constitutions of health and disease, and as predisposing to peculiar maladies. understand his division of the year, tion from Riegerus. we (Vide Gaien. That we may the shall Aph. here subjoin a transla15. commencing from the equinox and extending i. e. the hend two months. last 2. of April, "The Sect. 3.) ancient Hippocratic Physicians distinguished four seasons the Pleiades, better : i. Springy to the rising of which space does not compre- Smnmer^ commencing from the rising of the Pleiades, and which consisted of two parts, the first called APHORISMS OF HIPPOCRATES. SECTION 1. The III. mutations of seasons are productive of diseases and ; 59 greatljr those great changes of heat and cold which occur at from similar their stated periods, act, rea- same manner. 2. There are some constitutions which summer either improves or injures, and others again on which winter produces sisons, in the milar effects. 3. Some diseases accord better with constitutions than others tains with ; and this some also ob- certain ages, as connected with season, climate, and aliment. 4. In the various seasons, if cold and heat. M^a extending to the rising of Arcturus ; the latter, a/^o^a, the rising to the setting of Arcturus; so that the fflsted in all of four months; is from the latter summer con- end of April to Autumn commenced with the setting finished with the falling of the Pleiades, which the beginning of September. of Arcturus, and i.e. from time comprehends September and October. menced, which consisted of divided into three part*; winter solstice; a. i. Here Winter commore than four months, and was from the comprehended tended to the rernal equinox." the first of November winter solstice; to the 3. ex- HIPPOCRATIS APHORISMI. 60 calor, modo frigus fit, autumnales morbos exspectare oportet. Austri auditum gravantes, 5. caliginosi, caput gravantes, segnes, dissolventes. hie dominatum tiuntur. tenucrit, talia in Ciim morbis pa- Si vero acquilonium fuerit, tusses, fauces asperse, alvi durae, urinas difficultates, horrores, dolores costarum, pectorum. sic invaluerit, talia in Ciim morbis exspectare oportet* 6. Quando ^stas veri similis est, sudores in febribus multos exspectare oportet. 7. In siccitatibus febres acutss fiunt. Et quidem annus majore ex parte talis fuerit, qualem fecit constitutionem, ut plurimiim tales etiam morbos exspectare oportet, si 8. In constantibus temporibus, si tern- pestiva tempestive reddantur, constantes et judicatu faciles fuint morbi : in inconstan- tibus autera, inconstantes, et judicatu ciies» diffi- APHORISMS OF HIPPOCRATES. 61 frequently alternate with each other in the same day, we must look forward to au« tumnal diseases* The south wind produces 5. thickness of hearing, dimness of sight, heaviness of head,^ and ing on the whole, oppressive and relax- is, ; srich are the effects in sickness, the prevalence of such winds. the north, brings with it during That from; coughs, sore throats^ dysury, constipation, shiverings, and pains of the side and breast toms which take place sympsickness when this these are the : in wind holds dominion, 6. When summer character of spring, takes we upon itself the are to expect much, perspiration in fevers. 7- long droughts, In acute type; and part, dry, such a so very apt to bring about is expect Where assume as year be, for the greater febrile character, that neral, to 8. it if the fevers we are, in ge=* it. the seasons are constant and assume an uniform aspectg but where the ascertained regular, diseases and are easilv ; seasons are irregular, the diseases are als» irregular, and are with 6 difficulty understood«. HIPPOCRATXS APHORISMI. 62 autumno morbi acutissimi, et maxime exitiales: ver autem saluberrimum, et minime lethale. In 9. 10. 11. hyems Autumnus Quod ad anni tempora, siquidem sicca et aquilonia fuerit, ver pluviosum et australe, bres acutas terias, tabidis malus. oriri, aestate necesse est et ophthalmias, et maxime autem autem muiieribus, fe- dysen- et viris natura humidis. 12. Si vero hyems et placida fuerit, ver australis et pluviosaj autem siccum et aqui- lonium, mulieres quidem, quibos partus in ver ex incidit, qu^ quitvis occasione abortiunt vero pepererint, infirmos et morbosos pariunt pueros, ita ut vel statim pereant, vel tenues et valetudinarii vivant, Cseteris vero mortalibus dysenterise et ophthalmiae siccse oriuntur ; senioribus autem catarrhi brevi perimentes. 13. Si vero sestas sicca, et aquilonia autumnus autem pluviosus pitis dolores ad hyemem fiat, et australis, ca- fiunt, et tusses, et APHOEISMS OF HIPPOCRATES. 63 In autumn, diseases are most acute, and 9. are extremely fatal ; the spring is, in general, very healthy and diseases are then less fatal. Autumn is injurious to phthisis. As it respects the seasons, — if a dry 10. 11. winter, attended with northern winds, be fol- lowed by a wet spring, and a prevalence of southern winds, it must necessarily follow, that the summer will produce acute fevers, ophthalmia, and dysentery, and thesf. especially, with more women, and men of a lax fibre, 12. If the whiter be austral and rainy, but otherwise calm, and the spring dry and boreal, the wcmen who expect to bring forth in miscarry spring, causes; and even those time, brijig forth w^ho eitiier through from the slightest who go their full weak and sickly children, immediately perish or linger on, infirm and emaciated. life, Other maladies resulting from this disposition of the seasons, are dry dysentery — ;- and the aged generally dying of those of ophthalmia violent catairhs. 13. But if, indeed, the summer be dry and boreal, and the autumn wet and there arise, in winter, cephalalgia, austral, coughs HIPPOCRATIS APHORISMI. 64 raucedines, et gravedines etiam nonnuilis ; et tabes. 14. Si vero aquilonius fuerit aiitumnus, iis sine pluviis quidem qui natum sunt liumidi, et mulieribus, liquis vero et commodus erit ophthalmias erunt siccae, et bres acutae, et diuturniB gravedines busdam vero 15. Ex re- ; ; fe- qui- et meiancholige. anni vero constitutionibus, in uni» yersum quidem siccitates pluviosis sunt sa« lubrioresj et miniis lethales. Morbi autem rumque fiunt, et 16. quidem in pluviosis febres longae, et plealvi lluxiones, et putredmes, et epiieptici, et apoplectici et anginae : in siccitatibus vero ta- urin3e bidi, ophthalmiae, arthritides, stillici^ dia, et dysenteriae. 17. Quotidian3£' lonise autem constitutiones, aqui- quidem corpora compingunt, et ro- busta^ et facile m^)bilia, et bene colorata, et melius audientia faciunt, cant, et oculos thoracem, ciiint. si mordent ; alvos et sic- dolorem circa quis praeexistat, Austrinas etiam majorem fa-» vero corpora dissolvunt, iiumectant, et auditus graves, et capitis gra- APHORISMS OF HIPPOCRATES. hoarseness, and coryza ; 6B and also some cases of phthisis. autumn be dry and boreal,, those who are by nature of a humid constitution, as also women, will generally enjoy good health those of different constitu14. If the ; tions will be afflicted with dry ophthalmia, acute some 15. and obstinate coryzas fevers, will As and ; be affected with melancholia. it regards the general constitution of the year,— droughts are. for the most more part^^ healthy, and are less attended with dis- ease, than excessive rains. 16. The diseases sive rains, are, for which attcud on excesthe most part, protract- ed fever, diarrhoea, putrefaction, apoplexy and angina ; those epilepsy,, which arise from long droughts, are tabes, ophthalmia^ gout, dysuria and dysentery. 17. Next, as to the quotidian eonstitution of the atmosphere, —-we observe that northern winds serve to brace the body, rendering it strong, agile and florid, and giving great faci^ lity it of hearing, — although, at the same time, produces constipation of the bowels, and flammation of the eyes ; and, where a predis- position to pectoral disease exists^ 6^- in- it tends. HIPPOCRATIS APHORISM!» Yitates faciunt, corporibus et motum oculis, et vertigines in difficilem, hu- et alvos mectantc Secundimi tempora autem, vere qui» dem, et prima aestate, pueri, et his eetate prokimi, optime degunt, et maxime sani S8. . tiimni, senes. 19. Morbi autem quibus libet anni quadam aii^ sed autumno^ et Reliquo liyeme, qui medii sunt in parte instate vero, et sunt, aetate. quilibet fiunt temporibus ; quidem nonnulli vero in quibusdam ipsorum potius et fiunt, et exacerbantur. 20. Vere quidem^ insania?, et melancholiae, et epilepsias, et sanguinis lluxiones, et anginae^et gravedines, et raucedines, et tusses^ et leprae, et impetigines, et vitiligines, et pustular ulcerosae plurimce, et tubercula, et ar- ticulorum dolores» 21. iEstate vero, et febres continuae, et plurimse, et horum ardentes, quartafi^e, et nonnulla, et et tertian ae vomitus^ et alvi APHORISMS OF HIPPOCRATES. to aggravate hand, other it. Southern winds, on the produce lassitude and humirender dity of body, the head heavy, the hearing thick, and impart dizziness of sight, sluggishness of body, and laxity bowels. 18. In 67 succession the spring and beginning of of seasons summer of —the are ge- nerally favourable to children, and those ap- who then The summer and proximating to youth, enjoy excel- lent health. early part of autumn agree well with the aged ; but with those of a middle age, the wniter and latter autumn appear to part of Although diseases occur 19. periods of the year, diseases, at various yet there are peculiar which appear, and seem most to pre^ peculiar seasons. vail, at 20. suit best. The spring is frequently attended with mania, melancholia, epilepsy, hemorrhage, angina, defiuxions of the head, hoarseness, cough, leprosy, cutaneous affec- tions, white leprosy,^ ulcerative pustules, and arthritic pains. 21. The summer, besides many of the tubercles, above *- We Med. affections, is attended with continued have here followed Coxe's definition of FHiligo. Diet. Vide. HIPPOCRATIS APHORISM!. G8 fiuxuSj et ophthalmice, et oris exulcerationes, dines, et 22. auriom dolores, pudendorum et et putre- sudamiaa.* Autumno autem, quartans, et et febres et ex sestivis multay. et lienes, et erraticas, hydiopes, et tabes, et urin^ lienterise, et dysenterise, et stiilicidia, et coxae dolores, et angina, et asthmata, et volvuli, et epilepsic^y et insani e, et melancholia. 23. Hyenie vero, pleuritides, peripneu- moniae, lethargi, gravedines, raucedines, tusses, dolores borum, pectorum, et laterum, et lum- vertigines, apo- et capitis dolores, plexicc. 24. In setatibus aiitem talia eveniunt. Par^ vis quidem et recens natis pueris aphthsSj, vomitus, tusses, vigilise, pavores, umbilici inflammationes, aurium humiditates. 25. Ad dentitionem vero accedentibus gin- «ivarum pruritus, profluvia ; et febres, convulsiones, alvi maxime Sttdanaina, hydros, ubi caninos dentes Vide Coxe*s Med. ."DkU-. APHORISMS OF HIPPOCRATES. and inflammatory and quartans, spontaneous fluxes, ophthalmia, vomitings, frequent tertians fevers, aivine 69 ulcerations otalgia, of the mouth, putrid affections of the geni- and miliary eruptions. tals, 22. Autumn, with many of of summer, has, also, the diseases quartan and erratic fevers, spleen, dropsy, tabes, strangury, lientery, dysentery, sciatica, angina, asthma, iliac passion, epilepsy, insania 23. In winter there and melancholia. arise pleurisy, ripneumony, lethargy, catarrh, cough, pains of the breast, pe- hoarseness, loins side, and head, vertigo and apupiv xy, 24.* The following diseases obtain with different ages : 'witk early infancy^ —aphth^^ vomiting, cough, v>^atchfulness, terrors, bilical inflammation, um- and humidity of the ears. 25. At the commencement there arise irritation * This, and rious diseases predisposed. gums, fevers, -these, more es- of the convulsions and diarrhoea pecially, take place of dentition, ; — on the appearance of the the seven following Aphorisms, to which the several periods of treat of the valife are peculiarly HIPPOCRATIS APHORISMI. 70 producunt, et ils qui inter pueros sunt eras- sissimi, et qui alvos duras habent. 26. lis autem qui aetate sunt majores, toninflammatae, sillse vtrticuli in occipitio in- trorsum extrlisiones, asthmata, calciilorum generationes, verrucae iumbrici rotundi, ascarides, satyriasmi. (strangurias,) strumas, et csetera tuber cuia, maxime vero pens' les, suprct dicta. 27. iEtate vero adhuc provectioribus, et jam ad pubertatem dem horum progressis, qui- multa, et febres diuturn^, et ex nari- bus sanguinis fiuxiones. 28. Plurim£8 quidem affect'ones in pueris judicantur, aii^ in quadraginta diebus, iae in septem mensibus, alise ipsib alis in al- septem annisj ad pubertatem accedentibus. Quae vero in pueris permanserint, neque solutae fuerint circa pubertatem, aut in ioeminis circa menstruorum eruptiones, diu perseverare so- lent. 29, Juvenibus autem, sanguinis spuitiones^ tabes, febres acutae, epilepsiae, et caeteri mor-^ bij maxime vero supra nominati. APHORISMS OF HIPPOCRATES. canine teeth, and are children who 71 aggravated in those are of a gross constitution, and, also, in those of a constipated habii". 26. A more advanced age is attended with tonsillary inflammation, exostosis within the occipital brici, vertebra, 27. Still lum- satyriasis, and other tumours, scrophula, specified, for the worts, pensile ascarides, strangury, asthma, calculus, most part, above. advancing onward, until we we observe rive at puberty, that with ar- most of the above diseases, are joined protracted fevers, and nasal hemorrhages. (Vide note, p. 69.) 28. fest Most of the diseases of children mani» themselves within forty days seven months : others in ; the former determine them- selves in seven years ; the latter frequently But those which continue during childhood, and which do not extend to puberty. arrive at a crisis males) with the with puberty, or first appearance (in fe- of the menses, are apt to assume a permanent and chronic character. 29. Those who have attained puberty, are subject to sanguineous expectorations, tabes, acute fevers, epilepsies, and fections, many other af- but more particularly the above. HIPPOCRATIS APHORISMI. 72 SO. Ultra banc setatem vero progressis, asthmata, pieuritides, peripneumoniae, lethargi, phrenitides, febres ardentes, alvi proflu- via diuturna, cholerse, dysenteriae, lienterisSj haemorrhoides. 31. Senibus autem, spiraiidi difficultatesj catarrh! tussiculosi, stranguriee, dysurise, ar- ticulorum doiores, nephritides, vertigines^ apoplexi^, mali corporis habitus, pruritus totius corporis, et vigilise, alvi, et oculorum, narium humiditates, visus habetudines, glaucedines, auditus gravitates. APHORISMS OF HIPPOCRATES» 30. As we proceed onward rive at the climacteric point) risy, (till ive —asthma, chronic sentery, lientery Age affections, ar- pleu- peripneumony, lethargy, phrenitis, dent fever, 31. 73 diarrhoea, cholera, ar^ dy» and hsemorrhoides» brings with it dyspnoea, catarrhal strangury, dysury, painful articu«= (of the joints)'^ likewise, nephritis^ vertigo, apoplexy, cachexy ; as also, itch, aflation fecting the whole body, watchfulness, dity of stomach, eyes sight, cataract, and humi- and nose, dimness of diffiulty * See note. Sect. I. of hearing.* Apor.13. HIPPOCRATXS APHORISMI 74 SECTIO 1. Pr^gnantes purgandse, mensem : hse vero et seniores foetus, utilia tia, minus. : Juniores autem^ talia e etiam qualia sunt materia tur- caute vitare oportet. In purgationibus ducenda, si usque ad septimum geat, quadrimestres, et 2. IV, contrario corpore sunt sponte prodeuntia autem modo prodeun- sistenda. 3. Si gentur, quidem qualia purgari oportet, pur= confert, et facile ferunt : contraria vero, difficulter. 4. Purgandum, periores ventres 5. Sub ; aestate hyeme quidem, magis su« vero, inferiores» cane, et ante canem, difficiks sunt> purgationes. 6. Graciles, et purgandi, vitantes facile vomentes, hyemem. sursam APHORISMS OF HIPPOCRATES. SECTION 1. nant IV. much turgescence in pregwomen, they may be purged from the If there be fourth to the seventh extending to the month though seldom ; more advanced 2. In We period. latter should very young, or carefully avoid injuring the the 75 foetus. purgations— such matter is to be from the body, whose sponta- eliminated neous expulsion appears to be beneficial: but we if the latter produce a contrary are not to have recourse to 3. Vide Aphor. 25. Sect. effect, it. 1. summer, we should prefer evacuating stomach upwards in winter, down- 4. In the ; wards. 5. Preceding and during the canicular period, purgatives are with difficulty sup- ported. 6. they When the delicate easily bear vomiting, may have to avoid it recourse to in winter. it ; but they are HIPPOCRATIS APHORISM!. ^b Difficulter, 7. autem vomentes, et medio- criter carnosi, deorsiim, vitantes sestatem. Tabidi 8. vero, vitantes (purgationes) siirsum. Melancholicos autem, 9. sumpurgabis. Eadem uberius deor- ratione^ coiitraria ad* hibens. Purgandum 10. in valde geat materia, e^Idem die libus malum ; acutis, si tur« morari enim in ta- est. umbilicum dolores, et lumborum dolor, qui neque purgante, neque aliter solvitur, in hydropem 11. Quibus tormina, et circa siccum firmatur. Quibus alvi sunt lientericge, eos hyeme sursum purgare, malum. ^ 12. 13. Ad elleboros, qui non facile sursiim APHORISMS OF HIPPOCRATES. 77 But with those with whom vomiting does not well agree, and who are inclined to 7. of habit, fulness it particularly, to is, avoided during the winter season. 8. Those be '^ from phthisis should suffering avoid vomits. 9. The melancholic should be copiously evacuated downwards ; and, from the same principle of reasoning, those of a contrary temperament should be differently treated. In very acute affections, attended with 10.- turgescence, purgatives are immediately to be used : here, procrastinate to is dan- gerous. Those w^ho 11. are tormented with severe gripings, pains about the umbilicus, and in the region of the loins, and relieved by purgatives, usually 12. fall It is who are neither or any other means^ into tympanites.* dangerous to vomit those whose evacuations are lienteric, especially in winter. 13. * The Those who Latin version, both of Verhoofd and Villebrune, fbUows the original spirit are not easily vomited ; rather than the but we letter are disposed, here, to of the Author. j'Cndered ut^w^» '^vfov^'tympanites. 7* by literally regard the We have, therefore, HIPPOCRATIS APHORISMI, 78 purgantur, iis ante potionem corpora prae- humectanda, copiosiore alimento, et quiete. Ubi biberit quis elleborum, ad motiones quidem corporum magis ducito ad somnos vero, et quietem, minus. Declarat autem etiam navigatio, quod motus turbat 14. : corpora. Quando 15. moveto corpus iium facito, et vis : magis ducere elleborum, quando vero cessare, som- non moveto. 16. Llleborus periculosus est sanas carlies habentibus convulsionem enim inducit. Non febricitanti 17. oris ventriciili et tigo, opus : appetitus dejectiis, et morsus, et tenebricosa ver- amarescensj OS sursum purgante esse, indicat. 18. Supra septum transversum doloresp qui purgatione egent, sursum purgante opus esse indicant 19, Qui ; in qui vero infra, deorsum. purgantium potionibus pen APHORISMS OF HIPPOCRATES, hellebore, should, previous to taking fresh the system by rest and a 79 it, re- more copious aliment. 14. Motion of body favours the action of hellebore ; The active. rest eft'ect and sleep render of sailing is it less an instance of the influence of motion on the body, 15. the When to of hellebore action motion : becomes necessary it when we wish to promote quiet and 16. To hellebore — have those is lessen to assist recourse to it, endeavour sleep. who are sound of body, dangerous, and has a tendency to induce convulsions. 17. Want of appetite, uneasy sensation of the upper orifice of the stomach, attended with vertigo and obscure vision, and bitterness of mouth ; all these symptoms existing, without the presence of fever, indicate the necessity of vomiting. 18. If there be pain immediately above or beloiv the diaphragm, wherein evacuation is essential ; the former demands vomiting, the latter, purging. 19. Those who during the operation Qf HIPPOCRATIS APHORISMI. 80 diim purgantur, non cessant, prius- sitiunt, quam sitiverint. Non 20. genum febricitantibus gravitas, et fiat si iumborum tormen, et dolor, deorsum qnalis sanguis purgante opus esse indicat. Dejectiones 21. niger, nigrae, cum sponte prodeuntes, et sine febre, pessimae et, \ febre, et quanto colores de- jectionum piures fuerint pejores, eo deterius cum purgante vero, melius lores piures non mali atra, vel et quanto co- sunt. 22. Morbis quibus vis bilis ; ; incipientibus, si sursum, vel deorsum pro- dierit, lethale. 23. Quibus cumque ex morbis acutis, aut ex diuturnis, aut ex vulneribus, aut quocumque modo aliter extenuatis, bilis atra, vel qualiscumque sanguis niger prodierit, postridie moriuntur. 24. Dysenteria, si ab atra bile inceperitj lethale.* * Dejectio nigra velut sanguis, et est : malae item omnes variorum rat», pravae. Coasts Frcenot : cum febre et sine febre, colorum Aph. ; et abundc 17. Cap. xjtviii. mala bile aaCU' APHORISMS OF HIPPOCRATES. 81 purgatives have no thirst, ought to be purged be induced. until thirst 20. Pain in the lower region of the ab- domen, with griping, and aching of the knees, unattended with fever, indicate the necessity of purgatives. Dark coloured dejections, resembling black blood, coming on spontaneously, ei« 21. ther with, or without fever, vourable ; and, the these dejections more very unfa- is so, if the become, with colour of their conti- more depraved but if the evacuations assume a more favourable com- nuance, still : plexion, or, if their fect of purgatives, dark colour be the less evil is to ef- be appre- hended. At commencement of all diseases, of whatever nature they may be, the purging 22. the or vomiting of atrabilious matter is fatal. 23. In those wasted by acute or chronic diseases, by wounds or any other received injury, the evacuation of atrabilious matter, or of a matter resembling dark blood, is fol- lowed, on the succeeding day, by death. 24. Dysentery, proceeding from atrabili* ous matter, is fatal. B6sTON COrLEGE FACUtrV LIBRARY HIPPOCRATIS APHORISMI. 82 25. Sanguis sursiim quidem, qualiscum- que sit, malum deorsum : vero, bonum, ni- ger subtiis secedens. 26. Si a dysenteria detento velut caruncecesserint, lethale est. Guljfi Quibus per febres sanguinis copia undecumque eruperit, his in refectionibus 27. alvi humectantur. 28. ditate Quibus biliosss superveniente, sunt egestiones, surcessant et, : quibus surditas est, biliosis supervenientibus, cessat. 29. Quibus per fuint, difficuiter 30. Quibus j febres sexta die rigores udicantur. exacerbationes eumque hora eadem hora si dimiserit fiunt, febris, qui- postridie corripuerit, difficuiter judi- ©antur. 31. Lassatis per circa maxillas febres ad articulos, ct maxime, abscessus fiunt. ; APHORISMS OF HIPPOCRATES. The 25. of expectoration small soever in quantity, 83 injurious is the evacuation of black blood how blood, but : downwards is (frequently) advantageous. 26. during dysentery, there come away If, by evacuation, substances resembling small pieces of hesh, the disease will prove fataL 27. A profuse haemorrhage taking place in fevers,* ironi whatsoever part, followed, during recovery, is generally by a humid stomach. 28. With those whose dejections are bi- lious, if deafness supervene, a cessation of the former will take place who : and with those coming on of cuation generally removes it. are deaf, a bilious eva° 29. In fevers, where rigors take place on the sixth day, the result is not easily de^- termined. Where 30. roxysms, go attended fevers, off at a certain hour, the following day, at the ficult to determine the with pa- and return same hour, it is dif= with lassitude, in- crisis. 51. Fevers, attended dicate a deposition of matter about the joints and more especially near the maxillary ar- ticulation. * The observations from the ayth to the 73d Aphor, most part, treat of pyrexial symptoms. &r the HIPPOCRATIS APHORISM!. 84 32. Quibus ex morbo resurgentibus aliquid dolet, ibi abscessus fiunt. 33. Sed ibi se figit quid doluerit ante morbum, et, si morbus. 34. Si a febre detento, tumore in fauci- bUs non existente, suffocatio ex improviso su- perveniat, lethale. 35. Si a febre detento collum derepentc inversum fuerit, et more non existente, lethale. vix deglutire possit, tu- 36. Sudores febricitantibus boni sunt die si incesserintj tertia, et quinta, et septima, et Bona, et undecima, et quarta decima, et sep- tima decima, et septima, trigesima prima, et trigesima et vigesima prima, et vigesima Hi enim sudores morbum judicant* Qui vero ita non fuint, laborem significantj €t morbi longitudinem et recidivas, quarta. cum acuta quidem mortem cum mitiore veroj 37. Sudores frigidi, febre evenientes, ; suorbi longitudinem significant. APHORISMS OF HIPPOCRATES, 85 32. If in those recovering from indisposi» occur any local pain, tion, there it foreshows the formation of an abscess. 33, But, disease, it if local pain immediately precede foreshows a determination of the disease to that part. When 34. suffocation suddenly any tumour being present, in fever, without it immediately proves When, 35, comes on fatal. consequence of fever, such iii an inversion of the action of the oesophagus takes place, that, notwithstanding the absence of tumour, deglutition can scarcely be per- formed, it is fatal. 36, Perspiration, in fever, when ninth, it comes out on the is third, fifth, seventhj fourteenth, eleventh, favourable^ seventeenth, twenty-first, twenty-seventh, thirty -first thirty-fourth day ; for these several periodic €al sweats are indicative of the disease. if they do not occur in this ord«^^r, shows a tedious and protracted and it But fore- disease, at- tended with many relapses. 37. Cold sweats ver, coming on with acute annourice a speedy dissolution; fe- when they exist but in a slight degree, they foretd protracted illness. 8 HIPPOCRATIS APHORISMI. 86 38. Et qua morbum 39. frigus, 40. si corporis parte inest sudor, ibi esse indicat. Et qua corporis parte inest calor, aut ibi morbus est. Et ubi in toto corpore mutationes, et corpus perfrigeretur, aut rursus aut color alius ex alio nem fiat, calefiat^ morbi longitudi« significat. 41. Sudor multus a somno, citra causam manifestam factus, corpus uberiore alimento Si vero uti significat. hoc flat, cibum non capienti evacuatione indigere significat. Sudor multus, frigidus aut calidus, semper fluens, frigidus quidem majorem, ca42. minorem morbum significat. 43. Febres quaecumque non intermitten- lidus vero tes tertia |iericulos8e mittant, vehementiores die : fiunt, quocumque autem niodo quod sine periculo siiit magis inter» significat. 44. Quibus febres longse, his tubcrcula ad articulos, aut dolores fiunt. 45. Quibus tubercula ad articulos, aut dolores et febribus iongis fiunt, hi pluribus Utuntur cibis. APHORISMS OF HIPPOCRATES. From whatsoever 38. sweat breaks forth, it 87 part of the body foreshows a determina- tion of the disease to that part. 39. In wliatever part of the cold arises, 40. — body heat or there the disease seats Where itself. there occur alternate changes of cold and heat, and the complexion under- goes various changes of colour, we dict extended illness. may pre- 41. Profuse sweats, during sleep, without any manifest local aiFection, too plentiful diet withstanding men, it tlie ; but if it may arise from a take place, not- observance of a frugal regi- shows the necessity of evacuations. 42. Profuse sweats, continually present, — either cold the former or hot^ denotes a greater, the latter, a less disease. 43. Continued fevers, that increase in violence on the third day are, in consequencCj more dangerous but if they, assume an intermittent form, the ; in any way, the danger entirelv ceases. 44. Protracted fevers bring with them mours and pains of the joints. 45. Those vv^ho, from extended have tumours or pains of the joints, clined to excess in their food. tu- fevers, are in- HIPPOCRATIS APHORISMI. 88 46. Si rigor incidat febri non intermittently debili jam existente aegro, iethaie. 47. Exscreationes in febribus non inter- mittentibus lividse, et cruentae, et graveolen- omnes malse sunt. At probe ht eadem ratio est quod secedentts, bona?, ad alvi egtstiones, et quod ^d uriuas. Si tes, et biliosee, vero nihil hsec loca, ex conducentibus excernatur per malum. 48. In non intermittentibus febnbus, s! externa quidem frigida sint. interna veru uran- tur, et sitim habeant, lethale. 49. In lebre non intermittente, si labium, aut supercilium, aut oculus, aut nasus pervertatur, si jam non videat, si non auaiat, corporc debili existente, quicquid propinquo mors 50. Ubi in fiat, in est. febre non intermittente c ultas spirandi et delirium 51. In horum febribus, fit, diffi- Iethaie. abscessus qui non sol- vuntur ad primas judicationes, morbi longi- tudinem 52. significat. Quicumque in febribus, aut in cgete- — APHORISMS OF HIPPOCRATES. 89 46. Rigors coming on, in those enfeebled by long continued prove fever, fatal. 47. Livid, bloody, foetid and bilious stools^ coming on in continued favourable ; fevers, are alike un- but a timely appearance of them is beneficial. The same observation may be applied to the alvine and urinary discharges but if ; the matter offending be not thrown out along with the excretions —these excretions are injurious. 48. In continued fevers, parts be cold, much thirst, the disease will aiid the if the external internal hot, 49. In continued fever, if prove the with fatal. lip, the eye and eyebrow, and nose, become distorted if — over the whole system — the sight and hearing vail these fail debility pre- all and each of foretel the near approach of ; symptoms if death. 50. In continued fever, delirium, accom- panied with difficulty of breathing, proves fatal. where abscesses have not ht^n dispersed, during the primary stages 51. In fever, of the disease, they foreshow extended ill- ness. 52. When, in fever, or in 8^ any in other af- HIPPOCRATIS APHORISMI. 90 ex proposito lachrymantur^ ris inlirmitatibus, nihil incoiiveniens sito, qui vero non ex propo- : magis inconveniens. 53, Quibus in febre cumnascuntur, his ad dentes viscosa febris fiunt cir- vehemen- tiores. 54. Quibus diii tusses siccse, pauh'im tantes, in febribus ardentibus, non irri- admodum siticulosi sunt. 55, In bubonibus febres, omnes malse, prseter ephemeras. 56. Febricitanti sudor superveniens, febre non malum. reniittente, morbus, 57. A et copiosiorem humiditatem indicat. convulsione aut tetano detento, bris superveniens solvit 58. A Prolongatur enim morbum. febre ardente detento, rigore super- veniente, solutio (fit). 59. Tertiana exquisita in septem ad mum 60. fe- sum- circuitibus judicatur. Quibus in febre aures obsurduerint, his sanguis e naribus effluens, aut alvus ex- turbata, morbum solvit. APHORISMS OF HIPPOCRATES. 91 fection, the patient sheds tears voluntarily, is not unfavourable luntarily, it is ; but around the they flow invo- somewhat alarming. When, during 53. if it teeth, it fever, sordes collect denotes the violence of the disease. 54. Those who, in ardent fevers, are trou- bled for a long time with dry cough, and somewhat of irritation, have not much thirst, 55. Buboes arising in fever are always dangerous, except in ephemera. 56. Perspiration coming on in fever, with- out a remission of the disorder taking place, is an unfavourable circumstance case, ; for in that denotes a too copious humidity of the it system, and foreshows a prolongation of the disease. 57. If in convulsion or tetanus, fever su- pervene, 58. he disease goes When they prove rigors off. come on in ardent fever, critical. 59. Severe tertians determine themselves, at farthest, in 60. is Wnen generally ©r diarrhoea. seven paroxysms. comes on in fever, it removed by nasal haemorrhage, deafness 92 HIPPOCRATIS APHORISMI. 61. Febricitanti, nisi in diebus imparibiis dimiserit febris, reverti solet. Quibus in febre morbus regius snpervenit ante septimum diem, malum est. 63. Quibus in febribus quotidie rigores 62. iiunt, quotidie febres solvuntur. 64. Quibus in febre septima, aut nona, aut undecima, aut quart a decima morbus re- bonum est nisi dextrum hypochondrium durum sit alioqui, non bogius supervenit, : ; num. 65. In febribus circa ventrem sestus vehe- mensj et oris ventriculi dolor, 66. In febribus malum. acutis convulsiones, circa viscera doiores vehementes, et malum. 67. In febribus, ex somnis pavores, aut convulsi >nes, malum. 68. In febribus spiritus ofFendens, eonvulsionem enim malum : significat. Quibus urinse crassae, grumosse, paueae, non sine febre, copia ex his succedens tenui, juvat. Tales autem iis maxime pro69. deunt, quibus ab initio morbi^ aut brevi post, subsidentiam continent. — APHORISMS OP HIPPOCRATES. 61. day, Unless fever depart on an irregular apt to return.* it is 62. jaundice supervene be- in fever, If, fore the seventh 63. 93 Those day — fevers it is unfavourable. which have daily rigors^ have dailv remissions. 64. Jaundice supervening, in fever, on the seventh, ninth, eleventh and fourteenth day favourable: but is if drium be indurated, 65. If, hypochon- the right it is not so. in fever, a violent heat arise about the stomach aud upper orifice of the stomach? it is unfavourable. 66. Convulsions and violent pains of the viscera, in acute fever, are unfavourable. 67. If, in fever, the sleep be disturbed convulsion or terror, 68. An — When, grumy, scant precedes convulsion. it with existing fever, a thick, urine, is followed copious discharge the more so, disease, or a sits denotes danger. interrupted respiration in fever is unfavot-rable 69. it by — when, little it is beneficial at the time by a thin and is commencement of after, the a sediment. * See Aphor. but it 24. Section II. ; urine depo« HIPPOCRATIS APHORISMI. 94 70. Quibus autem in febre uriiise contur- batae, quails ju mentor um, his capitis doloreSj aut ads Lint, aut aderunt. Quibus morbi septima die judicantur, lis nubeculam rubram urina die quarta continet, et csetera secundum rationem. 71. Quibus urinee pellucidse, albae, malae, Maxime autem in phreneticis observatur» 72. 73. Quibus hypochondria elevata lumborum superve- murmurantia, dolore niente, his alvi humectantur : nisi flatus eru- perint, aut urinse copia prodierit. bus autnii 74. sunt In fehri- ^'(ec. Quibus spes est abscessum fore ad ticulos, eos abscessu iiberat urina multa crassa, et alba reddita, qualis in febribus ; aret cum iassitudine quarta die quibvisdam fieri incipit. Si vcrj etiam ex naribus perit, brevi admpdum sanguis eru- solvit. 75. Si quis sanguinem, aut pus mingat, renum, aut vesicae exulcerationem significat. ; APHORISMS OF HIPPOCRATES. When, 70. the urine has a tur= in fever, bid appearance, such as in labouring animals, sent, or is it wont to take place denotes either pre- approaching pains of the head, When the 71- 95 disease determines itself on the seventh day, the urine contains a red ne* bulous matter, and assumes other character^ istic appearances. When 72. the urine assumes a white pel- lucid appearance, is it is unfavourable, for such a distinguislied character of phrenitis. 73. When distention of the hypochondria, attended with borborygmus, takes place, if pain of the loins supervene, diarrhoea follows unless there be a discharge of wind, or copi° Tkus much of/ever.^ ous issue of urine. 74. Where there is any expectation of ab- scess being about to take place in the joints, it prevented by a plentiful emission of is urine, of a thick, white consistence, such as is voided in the fourth day of fevers attended with lassitude. with But if there be combined haemorrhage from the nose^ the still more sudden. this, a relief is 75. A micturition of blood or pus de- notes ulceration of the kidneys or bladder» HIPPOCRATIS APHORISMI, 96 76. Qiiibus in urina crassa existentc ca« runculae parvse, aut veluti una pili exeunt., his de renibus excernunturo 77. Quibus in urina crassa existente fur- furacea simul minguntur, iis vesica scabie laborat. 78. 1, Qui f^^ponte renibus vci 79. illis ge Quibus sanguinem mingunt, ruptionem in urina, significat. arenosa subsidentj vesica calculo laborat. 80. Si quis sanguinem mingat, @t urinas stiiucidium habeatj imum ad his et grumos^ et dolor incidat ventreni, et perinseunij partes eirca vesicam laborant» 81. Si quis banguinem et pus raingat^ et squamas, tionem 82. ti odor gravis vesicae exuicera^ signiiicat. Quibua in urinaria fistula Bascitur, bib, bupparato tic sit, tuberculuna eoet perrupto, solu-^^ fit, 83. Mictio noctu multa contingens^ par- Vatn alvi dtjectioncm significat. APHORISMS OF HIPPOCRATES. 76. When a thick urine is 97 voided with small caruncles, resembling short pieces of excretion proceeds from the kid- hair, the neys, 77. A micturition of thick urine, together with a furfuraceous matter, shows an ulceration of the bladder, 78. A spontaneous micturition of blood, shows the rupture of a 79. A sandy deposit from a calculus renal vein. in the urine proceeds in the bladder. 80. If a micturition of blood and grumous matter, be connected with strangury and pain in the hypograsirmm and perinseum, it mdi- Gates an affection about the bladder. 81. If there be a micturition of blood, pus an squamse, accompanied with a disagreeable odour, it denotes an ulceration of the blad- €ler. 82. If a tubercle, arising in the urethra^ suppurate and break, the disorder ceases. 83. A the night, copious emission of urine, during is indicative of a less copious al- vine dejection, 9 HIPPOCRATIS APHORISMIa 98 SECTIO 1. 2. V. Convulsio ab elleboro Vulneri convulsio lethale. superveniens, le- thaie. 3. Sanguine multo effuso, singultus superveniens, 4. Purgationi malum. immodicae convulsio, singultus superveniens, 5. convulsio, aut malum. Si quis ebrius ex improviso convulsus moritur, aut nisi febris mutus fiat, corripuerit^ aut ubi ad horam qua crapulae solvuntur, pervenit, locutus fuerit. 6. Qui a tetano corripiuntur, in quatuor diebus pereunt ; si vero hos efFugerint, sani fiunt. Quibus epilepsise ante pubertatem conQuibus vero tingunt, mutationem habent. 7. accidunt viginti quinque annos natisj his- plerumque commoriuntur. 8. Qui pleuritici facti, non repurguntui? superne in quatuordecim diebus, purationem convertitur. is in sup- APHORISMS OV HIPPOCRATES. SECTION 1. 99 V. Convulsion, arising from hellebore, is Convulsion, arising from a wound, is fataL 2. fatal. Convulsion, or hiccough, 3. from haemorrhage, Convulsion, 4. from immoderate If 5. briation aphonia is proceeding dangerous. or hiccough, proceeding catharsis, dangerous. is come on suddenly from ine- —death ensues, — unless fever super- vene, or the speech return, on the intoxication going off. Those who 6. are expire within four days seized with tetanus, ; but if they survive the fourth day, they generally recover. Those who 7. are attacked with epilepsy before the age of puberty, have a chance of cure the ; but when the disorder comes on after twenty-fifth year, it ceases only with life. 8. In pleuritic affections, Gome not on commences. if expectoration in fourteen days, suppuration HIPPOCRATIS APHORISMI. 100 9. Tabes maxime fit aetatibus ab anno oc- tavo decinio usque ad quintum trigesimunie Quibus anginam effugientibus ad pulmoneni vertitar, in septern diebus tnoriuntur. 10. Si vero hos efFugerint, suppurati fiunt. 11. A tabe vexatis, si sputum quod ex- tussiuntj^prunis superfusum, et capiiii ^e capite defiuant, 1% Quibus graviter oleat, letiiaie. tabe laborantlbus capilli de hi alvi iiuxu super veniente, capite ciefiuuut, moriuntur. 13. his Qui sanguinem spumosum ex spuunt, ex pUiUione 14. A talis rejectio lit. tahe detento alvi proilavium super- veniens, lethale. 15. Qui ex pleuritide intra quadraginta dies, facta, repurgentur suppurati fiunt, ex quo ruptio superne, si fuerit liberantur : si vero minus, ad tabem transeunt. 16. Calidum, eo frequenter utentibus, has effeminationem, ner- vorum impotentiam, mentis torporem, san- affert noxas : carnis guinis eruptiones, iuiimi deiiquia bus mors. : hsec qui- APHORISMS OF HIPPOCRATES. Phthisis manifests 9. from the eighteenth part, for the itself, 101 most to the thirty-fifth year. 10. When lungs, the patient he escape this dies in the itself to angina translates seven days ; if suppuration com- period, mences. 11. In phthisis, if the matter expectorated, when thrown upon odour and ; the disease if live the hair coals, fall emit a foetid from the head, is fatal. 12. In phthisis, if the hair head, and diarrhoea ensue — fall the from the disease is fatal. 13. The expectoration of a spumous blood proceeds from the lungs. 14. In phthisis, diarrhoea proves 15. risy, — When empyema if, fatal. comes on in pleu- after the abscess breaks, the mat- be expectorated within forty days, the ter disorder ceases : but, if it happen otherwise, the disease assumes the character of phthisis. Excess of heat induces debility of muscular fibre, impotence of nerve, tor- 16. tiie por of mind, haemorrhage, lastly, death. fainting, and, HIPPOCRATIS APHORISMI, 102 Frigidum 17. autem, convulsiones, te- tanos, nigrores, et rigores febriies. Frigidum inimicum ossibus, denti- 18. bus, nervis, cerebro, spinali medullae lidum vero ca- utile, Quse perfrigerata 19. : oportet, prseterquam sunt, excalefacere sanguinem pro- quae fundunt, aut sunt profusura. quidem mordax, cutem obdurat, dolorem non suppurantem 20. Ulceribus frigidum nigrores, rigores febriles, convulsiones, facit, et tetanos. 21. Est vero, ubi in tetano sine ulcere, juveni bene carnoso, sestate media^ revocationem facit; multse afFusio caloris calor autem hsec frigidae solvit. 22. Calidum suppuratorium, non in ulcere, cutem maximum signum ad securitatem emollit, attenuat, dolores sedat, gores, convulsiones, tetanos mitigat tis vero gravitatem solvit confert ossium nudatis capite fracturis : : omni : ; ri- capi- plurimum autem max me i vero de- quidem maxime, qui in ulcera habent et quae a frigore mo: ex his : riuntur^ aut ulcerantur : et herpetibus exe- APHORISMS OF HIPPOCRATES. 103 Excess of cold induces convulsion, tetanus, petechiae, and febrile rigors. 17. 18. Cold prejudicial to the bones, teeth, is marrow nerves, braia, and spinal the contrary, Those 19. is beneficial pvirts heat, on to them. which have suffered from ought to be warmed, cold, : haemorrhage takes place, or —except when about to take is place. Cold proves corrosive 20. to harden the to ulcers, tends causes skin, pain by sup- pressing suppuration, and induces petechias, febrile rigors, convulsions 21. When and tetanus. place, without takes tetanus previous ulcer, in the middle of summer, in those of full habits, — cold affusion serves to recall the absent heat, and, thereby, termi- nate the disease. 22. In most tions) heaty^ greatly wounds (with few excep- by favouring suppuration, tends to their cure : it softens tenuates the skin, subdues pain, rigors, convulsions the for attendant and particularly those in nuded, and ^ is, at- mitigates and relieves of head it is, tetanus,, heaviness the most part, and beneficial : in fractures, which the bone furthermore, is greatly deser- Te ^egjCtov—however, CaliJa A^aa ought, here, to be understood^ ; 104 HIPPOCRATIS APHORISMI. dentibus, sedi, pudendo, utero, vesicae. His ealidum quidem amicum et decretorium frigidum vero inimicum et occidens. 23, In his autem frigido uti oportet unde sanguis erumpit, super Ipsa, aut erupturus sed circa haec unde est : influit. non Et quajcumque inliammationes, aut flammei ardores ad rubrum et sanguineum coiorem vergentes novo sanguine, super ipsos nam : inveteratos nigrefacit exulceratum (juvat) : : erysipelas etiam non quoniam exulceratum Igedit, 24. Frigida velut nix, glaeies, pectori APHORISMS OF HIPPOCRATES. 105 it, alsOg wounds of the head does good when applied to parts ulcerated viceable in : or mortified by coid ; and, also, to that spe- cies of ulcerative tetter affectnig the womb pudendum, and bladder these, therefore, /ie«^* dicious in its — with beneficicii is application ; anus, and ju- whereas cold ; highly prejudicial and even all is atal. 23. In those instances where haemorrhage takes place, or is about to take place, the application of cold f tually to the parts is h emorrhage circumjacent. But itseif, but to the wheresoever in- new ac- flammation exists, or when, from a cumulation quire oi blood, the parts affected, ac- a preternatural part is itself ; to be and assume a heat, flame-coloured appearance, of cold the application made immediately to the otherwise, by a long continuance of the inflammation, discolouration parts not ac- necessary, will take place. of the In erysipelas, unat- tended with ulceration, cold applications are beneficial, but when ulceration is present, they are injurious. 24. Cold applications, such as • See note, p. loj. f Aqua snow and friglda. HIPPOCRATIS APHORISMI. 106 inimica, tusses movent, sanguinis eriiptiones ac catarrhos induciint. Tumores autem 25. absque ulcere, et podagricos, et convulsiones; horum plurima et attenuat, et in articulis et dolores frigida multa dolorem solvit. afFusa, et levat Torpor enim inodicus doloris solvendi vim habet. Aqua, quae 26. cito calefiat, et cito re- frigeratur, levissima. Quibus autem bibendi 27. tu, valde iis sitientibus, appetentise noc- si obdormierint, bonum. 28. SulEtus ssepiiis autem aromatum muliebria ducit,* et ad alia utilis esset, nisL ca- pitis gravitates induceret. 29. teria, Pr ipgnantes purgandse, si t orgeat ma» quadrimestres, et usque ad septimum mensem et : semores hae vero minus. Juniores autem, foetus, cautevitare oportet. Mulierem in utero gerentem ab acuto aliquo morbo corripi, lethale. 30. * Villebrune understands here " aromatum sufposHorum,^' APHORISMS OF HIPPOCRATES. to the breast, ice, are injurious, 107 producing cough, catarrh, and hasmorrhage. Tumours, and 25. attended with pains of the joints, un- ulcer; convulsive and also, podagrical aiFections, are, for the most part, by frequent cold affusions, which have a tendency to mitigate and throw off the moderate degree of torjjor benefitted complaint has the : for a of subduing pain.* eftect Tiat water 26. est heated which is soon- those who need much drink du- — sleep succeed great thirsty ring the night, it is lightest and cooled. With 27. is if a favourable symptom. 28. Aromatic fumigations menstrual flux they are, also, serviceable in : other instances bring on the ; but we should discontinue them where they induce heaviness of head.f 29. See Aphor. With 30. From Sect. iv. pregnant women, acute diseases generally prove • 1. fatal. the inference here drawn, it will appear that Hippo» crates considered cold, in every stage, as a sedative. f J}e, We have our doubts, whether indeed, ridieuleut. his suggestion (so oftefl ridieuled^ HIPPOCRAIIS APHORISMI. 108 31. Muiier utero gerens in abortit, et magis, si 32. struis 33. Mulieri major secta vena fuerit foetus. sanguinem evomenti, erumpentibus, solutio men- fit, menstruis deficientibus, e Mulieri, naribus sanguinem fiuercj bonum. 34. Mulieri in utero gerenti, muU alvus si tiim fiuxerit, periculum ne abortiat. 35. Mulieri ab uterina passione vexatse^ aut difiicuiter parienti, sternutatio superveBiens, bonum. S6, Mulieri menses decolores, neque se- cundum eadcm semper prode antes, purga= tione opus esse significant. 37. Mulieri in utero gerenti ex improvibo graciles 38. Mulieri liiamma in litrum abortit, et iat^ marem : si si vero mammae fiant, abortit. utero gracilis fiat, si gerenti, altera si gemellos gestanti, quidem dextra sinistra^ alter- gracilis feminam. APHORISMS OF aiPPOCR ATES. 31, With 109 pregnant women, venesection produces abortion especially ; if gestation be far advanced. 32. in When women, it vomiting of blood takes place, ceases on the appearance of the menses. S3, When a deficiency takes place in the menstrual discharge, nasal haemorrhage is be- neficiaL 34. When comes on, in preg>some danger of abor- diarrhoea nant women, there is tion. 35\ In hysterical affections, or difficult parturition, sternutation is beneficial. 36, Discoloured and irregular menses indicate the necessity of purgatives. 37, A sudden subsidence of the breast% during pregnancy, is followed by abortion. 38, In pregnancy, where twins stre pres^n% a subsidence of either breast foreshows the death of one of them ; a male foetus the right breast, and a female, reft. 10 — if it if it be be the HIPPOCRATIS APHORISMI. 110 39. Si mulier qnx peperit, iac habeat, ei nee prasgnans est nee menstrua defecerunt, mammas 40. Mulieribus quibus in insaniam -guis convertitur, Mullerem 41. iians sit, iibi si velis significat, cognoscere an pr^g- dato, et quidem tormen si habeat circa ventrem, prsegnans est : minus, prsegnans non bene colorata est si : tjuidem si marem vero feminam, colorata. 43. Si mulieri prsegnanti Htero ver© si est. 42. Mulier pryegnans, male san- dormitura est (incoenatsej aquam mulsam bibendam gestat, . fiat, erysipelas in lethale. 44. Quae prtaeter naturam tenues in utero gerunt, abortiunt, existentes- priusquam cras- sescant. 45. Quae vero mediocriter corpus habentes abortiunt bimestres et trimestres causa manifest», his uteri acetabula ; sine muco APHORISMS OF HIPPOCRATES. A 39. those had Ill secretion of milk, in the breasts of who are not pregnant, offspring, proceeds and have never from a suppression of the menstrual discharge. A 40. secretion of blood (instead in the breasts (ofpuerperal of 7tiilk) women ^) is folio w^- cd by mania. 41. In order to ascertain whether a wo- man be pregnant on her or not, administer hydromel, retiring supperiess to duce griping, she is bed pregnant : — if it pro- —otherwise, not.* 42. In pregnancy dicates a male, —a fine complexion and the contrary — in- a female foetus. 43. rus, An erysipelatous affection of the ute- during pregnancy, proves 44. Women who, during pregnancy, be- come exceedingly begin to grow fat. 45. bit of fatal. thin, When women miscarry until they of a tolerable * The ha- body, miscarry, without any manifest cause, about the second or third with full philosopher, the extent of whose his douks credo, ("• staunch sectarian ! — As quod impossibile we Mid/was est") month of in a direct ratio must have been a profess no particular professional creed? Wje leave this Aphorism as " un morceau" for the critic. HIPPOCRATIS APHORISMI» il2 plena sunt, et non possunt continere fostmn^ abrumpuntur. prae gravitate^ sed 46. Qugeprseter naturam crassae existentes non concipiiint in utero, his uteri comprimit, omentum os priusquam attenuentur^ et, praegnantes non fiunt. 47. Si uterus coxi incumbens suppuratus necesse fuerit, mniem est, ut pure colllquescant.^ quidem 48. Foetus, mares minse vero in 49. 'indito, profuso, vicmia in sinistris Ut secundse in dextris, fe- magis. excidant, sternutatorio nares et os apprehendere oportet. 50. Mulieri menstrua cucurbitam si velis cohibere. quam maximam ad mammas ap- pone. * In the latter part of this Latin version of Villebrunc rant. j Aphorism which the we have preferred tht original text seems to war AFH02irSMS OF HIPPOCRATES. pregnancy, it il3 denotes a too copious mucosi-- tv in the pelvis of the uterus ; womb, the becomes incapable of retaining the which latter detaches itself by its own therefore, foetus, weight. 46. Women excessively corpulent do not conceive, on account of the omentum com- mouth of the uterus they cannot become pregnant until the pressing the therefore, ; 3. system be reduced, 47. (In prolapso uteris) where the womb upon the ischia, should suppuration commence, the pus soon degenerates into sanies, and the parts adjoining are melted down. rests 48. The male the female^ — -to foetus inclines to the right the — left side. 49. In order to hasten the rejection of the secundine, a sternutatory tered, at the is to be adminis- same time the mouth and nose are to be closed. 50. To restrain the menstrual; discharge^ a large cupping-glass is to breasts,- m^ be applied to tlio HIPPOCRATIS APHORISMI. 114 Quae 51. clausum in utero gerunt, harum est. Mulieri in utero gerenti 52. ex lactis mammis significat. fluxerit, infirmum foetum graciles fiant, dolor Si fiunt. erit, mammsej sfgnificat. Quae perditurae sunt mse multum si Si vero solidse fuerint saniorem foetum 53. os uteri aut in mam- foetus, his vero rursiis mammis, durae aut incoxis^ aut in oculis, aut in genibus, et non perdunt. Quibus os uteri durum cesse est OS uteri clausum esse. 54. 55. Quaecumque est, his ne- in utero gerentes a febri^ bus corripiuntur, et vehementer attenuantur, absque manifesta occasione, difficulter et periculose pariunt, aut abortientes pericii* tantur, 56. Si fluxui muliebri convulsio et animi deliquium superveniat, malum, Mensibus copiosioribus prodeuntibus, morbi contingunt non prodeuntibus^ ab *it€^ 57. : ro fiunt morbi* 58. Recto intestino inflammato, et uter^ APHORISMS OF HIPPOCRATES. During 51 womb is gestation, the Il5 mouth of the closed. 52. If a great flow of milk from the breasts take place during gestation, weakness of the foetus maintain their firmness, ; it but is it if denotes the the breasts indicative of a healthy child. 53. A subsidence of the breasts ed by abortion ; but, is follow- they resume their if usual firmness and become painful, accom- panied also with pains in the hips, eyes and kneesj the result will be favourable. 54. When the mouth to the touch, 55. it is of the uterus is hard necessarily closed. Those who, during pregnancy, are seized with fever, attended with great waste of body, and that, too, without any manifest cause, have a difficult and dangerous parturition, or an abortion, followed by alarming consequences. 56. If, in menorrhagia, convulsion and fainting supervene, the case is alarming. 57. A too copious menstrual discharge in- duces (general) disease ; a suppression, on the other hand, causes a (local) affection of the uterus. 56. Inflammation of the rectum and tite- HIPPOCRATXS APHORISMI. 116 infiamniato^ et renibus stjliicidium hupervenit i suppuratis, hepati iinnse autem iniiam» mato, singultus supervenit. 59. Mulierj an conceptura velis aiitem scire circumtectam subter procedere tibi non ventre in si suffito ; concipiat, sit, vestibus et si quidem videatur odor per corpus ad nares et ad os, scito hanc, non propter se ip- sum, iofecundam esse. 60. Si mulieri in iitero gerenti purgationes prodeant, fcetum sanum esse impossibile. 61. Si mulieri purgationes non prodeanty neque horrorcj neque febre supervenicntCj cibi auteni fastidia ipsi accidant ; hanc in Htero gerere putato. 62. Qu^ frigidos ac densos uteros ha- non concipiunt et quce prsehumidos habent uteros, non concipiunt extinguitur bent, ; ; enim ipsis genitura adurentes : rumpitur. mentum : alimenti et quae siccos magis enim inopia semen et cor- Qua? vero ex utrisque tempera- habent moderatum, hae ipsae pro- Jiferae fiunt. — APHORISMS OF HIPPOCRATES. rus, 117 and suppuration of the kidneys, are suc- ceeded by strangury the liver is but inflammation of ; followed by hiccough. 59. In order to ascertain whether a wo- man, who has not conceived, be capable of conception, let hi her garment, if her be completely enveloped and fumigated from beneath ; the odour, pervading the body, be percep- nose and mouth, tible at the is it an evi- dence that her non- conception proceeds from no impotence on her part.* 60. If the menstrual discharge occur du- ring pregnancy, an unhealthy a sure indication of is it foetus. 61. If there happen a suppression of the menses, unaccompanied with horrors and fe- but attended with loathing of food, we ver, may conclude that conception has taken place. 62. Conception does not take place the uterus cold, is where dense or humid, for here, the generative fire neither does has too the seed ment it much is * is extinguished ; take place where the uterus of heat or siccity, — for here^ destroyed for want of due those : — only who are removed Vide note accompanying Aphor. 41. p. iii» ali- from. HIPPOCRATIS APHORISMI. 118 autem 63, Similiter Aut enim propter corporis adeo extrti fertur et propter ciensitatem foras ; etiam raritateiii spiritus semen nun eniittat aut humidum non pervadit : aut propter frigiditatem liOn incalescit, ut ad hunc locum congregetur caliditatem hoc 64. masculis. in aut propter idem contmgit. Lac dare Malum ; malum* capita dolentibus, vero etiam febricitantibus, et qui» bus hypochondria elevata sunt, nmrmnrantia, et siticuiosis. Malum autem dejectiones biiiosse, et febribvss : et est egestiO. modi Ui iis et quibus qui in acutis sunt quibus copiosi sanguiias facta Convenit vero tabidis non ad- vaidL febricitantibus (lac) dare, in febribus iongis et ianguidis, nuilo pradictis sigrus praesente quideni cxienuatis. ; et prteter et ex su- rationem ; APHORISMS OF HIPPOCRATES. and who are possessed of a cither extreme, moderate temperament, are The same 63. tain with males ; prolific. circumstances equally ob- — scmttimes, the body, of meability 119 from the per- the subtile spirit escapes outward, in so much, that no emis-^ semen takes sion of from the impervious eretiiig orgcmj the ternally : place (in coitu) (of the ex^ cannot escape ex- may frigidity of the parts, may from a also arise whereby they cannot be excited to emission excessive heat or nature fluid impotence ^ also (during coition) produce the same effect. 64. Milk afflicted is injurious to who those are with headach, fever, and distention hypochondrium, attended with bor-< borygmus,— also, where great thirst exists ; of the furthermore, it is, injurious in bilious jections and acute fevers, and where blood is voided in egestion beneficial in phthisis, sent, — also, in when : fever it, we are, ; present. in therefore, serve, that none of the foregoing fee is slow protracted fevers, tended with great emaciation ministration of much however, it is, little de-- the preatad-, to ob- symptoms HIPPOCRATIS APHORISMI. 120 Quibus tumores 65. in ulceribus apparent, non valde convelluntur, neqiie insaniunt* His autem derepente disparentibus, quibus in postica quidem parte fuerint, convulsiones ii et tetani fiunt : quibus vero in antica, saniie, aut lateris dolores acuti, ratio, aut dysenteria, si in- aut suppu- rubicundi fuerint tu- mores, 66. Si magnis et pravis existentibus vuL neribus, tumores non appareant, ingens ma- lum. 67. Laxi tumores, boni crudi ; vero^ mali. 68. Postica capitis parte dolenti, recta in fronte vena secta juvat. 69. Rigores incipiunt, mulieribus quidem^ ex lumbis magis, et per dorsum ad caput ; viris autem postica magis parte, quam anlica corporis, velut ex cubitis ac femoribus, Sed et cutis viris rara Hoc quidem est. gilus indicat. 70. A quartanis eorrepti, h, convulsioae APHORISMS OF HIPPOCRATES» 65. Tumefaction supervening wounds^ in prevents both spasm and delirium wounds of the back, of the but in the tumefaction sud- if : body tetanus are attended with delirium, or acute pains of the side tion, or dysentery, if ; and convulsions wounds received on the fore-part; denly disappear, follow 121 also with suppura- ; —and this more especially the tumefaction be very red, 66. If in bad and large conditioned wounds, tumefaction does not take place^ the danger is considerable, Tumours which have a 67. l^eneficial ; soft feel are those which are hard and callous are unfavourable, 68. Pain in the back part of the headj relieved by opening the 69. Rigors and women ; is^ frontal vein. commence differently with men —-with the latter, they begin at the loins, and extend along the vertebrae to the head ; with the former, they originate rather at the posterior body, — arm and for instance, at the thigh. as is evident 70. than the anterior part of the The cutis from the back of the fore- of men is thinnest, hairs inserted in it.* Quartans are never We * cannot perceive what connection iYpborism has ^ith the former. 11 attended tiic lattcff with part of ^is HIPP0CRATI$ APHORISMI. 122 non admodiim corripiuntur ; si vero prius Corripiuntur, et postea quartana supervenerit, liberantur. 71. it Quibus cutis obtenditur arida ac dura, sine sudore moriuntur ac rara, ii cum 72, Icterici ; quibus vero lax^ sudore moriuntur. non admodum flatulenti sunt* APHORISMS OF HIPPOCRATES. convulsions ; on the disappear, on the 71. When and hard, the —-death ; occurs without perspira- but when, on the contrary, is accompanied with sweat. The latter coming on of the former. lax and thin, dissolution 72» n the cuticle appears tense, dry tion taking place it is contrary, 12 icterical are never flatulent» 12.4 HIPPOCRATIS APHORISM!. SECTIO 1. Diuturnus VI. intestinorum Isevitatibus ructus acidus superveniens, qui prius noii fuit, 2. sigiium bonum. Quibus nares natura humidiores, et genitura humidior, imperfectius sani sunt :; quibus vero contraria, perfectiuSo 3. tus, In iongis dysenteriis appetitus prostra- malum : et cum febre pejus. 4. Uicera circum-glabraj maligna. 5. Dolores et in lateribus et in pectoribus^ et in caeteris (partibus), si considerandum»- multum difFerant* APHORISMS OF HIPPOCRATES. 125 SECTION VL 1. first Acid eructations supervening, for the time, in long protracted lientery, is a fa- vourable symptom.* 2. trils A preternatural humidity of the nos- and of the seminal of imperfect health ; liquor, is indicative but when the contrary the case, the indication is A total loss of 3. appetite, in long conti- unfavourable nued dysentery, is danger when is great, favourable. is it is ; but the accompanied by fever. 4. Ulcers which have a smooth circumfe- rence, are of a malignant nature. 5. Pains of the side, breast, and of other parts, often varying, demand attentive obser* vation. ^ " For on this It testines is in may a. denotes, (observes Van Swieten, in his commentary tip- Aphorism), that the contractile force of the stomach and in- some measure returned, whereby the ingested be retained, at least, so aliments, long in the stomach a; to degenerate fetf spontaneous csrrupthn,^' 11^ HIPPOCRATIS APHORISMX- 1.26 Renum 6. et vesicae dolores difficulter sa- rantur in senibus. Dolores qui in ventre 7. dem^ leviores non : elati fnint, elati qui- vero vehementiores. Hydropicis ulcera in corpore orta non 8. facile sanantur, Efflorescentiae latae 9. non admodum pru- liginosae. Caput 10. laboranti, et circum circa do^ ientij pusj aut aqua, aut sanguis effluens per iiares, aut per os, aut per aures, solvit mor- bum. 1 i . Melancholicis, et nephriticis, haemor- rhoides supervenientes, bonum. Ab 12. nisi haemorrhoidibus sanato diuturnisj una servata fuerit, periculum est ne hy- drops super veniat, aut tabes. 13. A singultu detento, sternutationes sti- l^ervenientes, solvunt singultum. 14. dum Ab hydrope detento si aqua secun- venas in alvum fiuxerit^ solutio A fit* diuturno alvi profluvio detento^, sponte superveniens vomitus^ alvi profluvi'^- 15. Aim solvit. APHORISMS OF HIPPOCRATES. 12'?^ Pains of the kidneys and bladder, 6. in- eld men, are of difficult cure. When 7. distention accompanies pain of the belly, the latter but is is, by no means, severe ; there be no distention present, the pain if greater. In dropsical patients, ulcers are of dif- 8. ficult cure. Large exanthematas 9. are never prurigi- nous. 10. Pains of the head and neighbouring by an efflux of pus, or wa= or blood, from the nostrils, mouthy or; parts are relieved ter, ears. 11. In melancholia and nephritis, coming on of the heemorrhoides is the beneficiaL 12. In long continued haemorrhoids, a total cure is frequently followed by dropsy or phthisis. Sternutation removes hiccough, 13. 1,4. In dropsy, intestines, if the water pass off into the by means of the veins, the disease ceases. 15. Long continued diarrheea h^ spontaneous vomiting. is arrested HIPPOCRATIS APHORISM!, 128 A 16. pleiiriticle, aut a peripneumonia de^ tento, alvi profluvium superveniens, Ophthalmia laborantem 17. malum. alvi profluvio bonum. 18. Cui persecta est vesica, aut cerebrumj aut cor, aut septum transversum, aut aliquod ex intestinis tenuibus, aut ventriculus, corrissi, aut hepar, lethale. Ubi dissectum 19. fuerit os, aut cartilage, autnervus, aut gense pars tenuis, aut prseputiunij neque augetur, neque 20. Si in ventrem prseter coalescit. sanguis elFusus fuerit naturam, necesse est suppurari. 21. Insanientibus si varices, aut hsemor- rhoides supervenerint, insanise sokitio 22. lit. Qu?e ruptiones es dorso ad cubitos descendunt, venae sectio solvit.* 23. Si metus et aeverant, tristitia multo tempore per- melancholicum hoc ipsum. * In the text used by Vlllebrune which we have given we have 5 in the translation. aKyrifAara^f^idQlarest) APHORISMS OF HIPPOCRATES. 12§ 16. Diarrhoea supervening in pleurisy, or peripneumonia, is unfavourable. 17. Diarrhoea supervening in ophthalmia^ is beneficial. A 18. lesion of the bladder, brain, hearty diaphragm, stomach, small intestines, proves When 19. liver, or any of the fatal. an entire section takes place of a bone, cartilage, or nerve ; or of the pre- puce, or thin portion of the cheek, no after- growth or adhesion of the parts can take place. 20. If an effusion of bL')od take place within the abdomen, suppuration necessarily fol« lows. 21. vene 22. back When varices or haemorrhoids super* in mania, the disorder ceases. Sudden pains, extending from the to the fore-arm, are relieved by venesec^ tion, 23. Fear, attended with an obstinate de-. pression of spirits, indicates a disposition to meiaiieholiaa HIPPOCRATIS APHORISMI- 130 24. Si ex intestinis tenuibus aliquod sectum fuerit, non coalescit. quidem intro vero foras, bonum. 25. Erysipelas foris non bonum, intiis dis-- verti, 26. Qiiibus in febre ardente tremoresfiunt? delirium solvit. 27. avit Qui suppurati aut hydropici urunturj secantur, hi, pure, aut aqua acervatim ef- omnino moriuntur. 28. Eunuchi non laborant podagia, neque fluente, calvi iiunt. 29. Mulier non laborat podagia, nisi men*' ses ipsi defecerint. 30. Fuer non laborat podagra ante veneris iisum. 31. Oculorum dolores meri potus, aut balneum, aut fomentum, aut venae sectio, aut purgatio solvit. 32. Balbi ab alvi profluvio maxime cor- ripiuntur longo. 33. Acidum ructantes non admodum pleu^ ritici fiunt. 34. fiunt. Qui calvi sunt, his varices magni non Quibus vero, dum sunt calvi, super^ veniunt varices^ hi rursus capiiiati fiunt. APHORISMS OF HIPPOCRATES. 24. A lesion of the small intestines ver followed by a re- union 25. Erysipelas, ly, is injurious nally ; when but its 131 is ne- of parts. it inward- recedes re-appearance exter- is beneficial. Tremors supervening in ardent fevers^ go oiF on the coming on of delirium. 27. In dropsy or empyema, the evacuation hy cautery or incision, of a great quantity of 26. water or pus, is always followed by death. Eunuchs never suffer from podagrical affections, or become bald. 29. Women are exempt from podagrical 28. affections, until the cessation of the 30. Gout does not appear menses, in adolescence^ previous to venery. 31. Pains of the eyes are relieved by pure wine, bathing, fomentation, venesection and purging. 32. Stammerers are much subject to chro» uic diarrhoea. 33. Those who have acid eructations are never subject to pleuritic affections. 34. Those who with severe varices are bald are not affected : but if considerable, the hair again ance. the latter become makes its appear- HIPPOGRATIS APHORISMI. 132 35. Hydropicis tussis superveniens, ma- lum. 36. Urinse difficultatem v^nse sectio solvit secandce veto internee.^ : 37. Ab angina detento, tumorem bonum COllo, 38. Quibus curare melius Non : foras enim In vertitur. occulti cancri fiunt, eos noix Curati enim cito pareunt est. curati vero longius 39. Convulsio ^yacuatione. fieri fit, Sic tempus perdurant, aut a repletione, aut ab quidem etiam singultus. 40. Quibus ad hypochondrium dolores fiunt, absque inilammatione, his febris super- veniens solvit dolorem. 41. Quibus suppuratum quid in corporc existens nullum sui L e. signum Secare autcm eportet intenoi vmasj FaesiuB, et Htf^rniti^. proditj his prop- fetg itoo,, Sk Villebrune.- — APHORISMS OF HIPPOCRATES. Cough supervening 35. in dropsy 133 is unfa- vourable. Dysury 36. but is it is relieved the artery by blood-letting which ought to be open- ed.* A tumour arising on 37. na is favourable, as the neck in angi- denotes a derivation of it the disease externally. 38. Occult cancers should not be molest- ed attempting to discuss them, they in ; quickly become remain fatal when unmolested, they : in a scirrhous state for a length of time. 39. Convulsion or evacuation the may arise hiccough ; from repletion may proceed from same causes. 40. Pains in the hypochondrium, unattend- ed with inflammation, are relieved by 41. When fever. an abscess exists in any part of the body, w^ithout any signs of suppuration being present, the latter * circumstance Hippocrates must, here, allude to the operation of arteriotomy, as frequently practiced by the dangerous consequences, tenotomy is now aneients, for the who were not aware of the most part, resulting from scarcely ever performed in poral artery. 12 it. Ar» any other, but the tem- HIPPOCRATIS APHORISMI. 1S4 ter crassitudinem puris, aut loci, signum non exhibct. 42. In ictericis hepar 43. Qui lienosi durum fieri, malum. a dysenteria corripiunturj his longa superveniente dysenteria, hydrops supervenit, aut intestinorum Isevitas, et pereunt. 44. Quibus ex urinse stillicidio volvulus supervenit, in septem diebus pereunt, nisi abunde fluxerit. 45. Ulcera qusecumque annua fiunt, aut longius tempus occupant, necesse est os absfebre superveniente urina cedere, et cicatrices cavas 46. fieri. Qui gibbi ex asthmate, aut tussi fiunty ante pubertatemj pereunt. 47. Quibus vense ducit, his sectio, aut purgatio con- vere convenit purgationem facere. vcnam secare, aut ^ APHORISMS OF HIPPOCRATES. may arise from the inspissated 1S5 of the state pus, or the thickness of the superincumbent part. 42. The induration of the liver, in jaun- dice, is unfavourable. 43. Long continued superve- dysentery, ning in affections of the spleen, either dropsy or lientery, induces and consequent death. 44. When volvulus arises from strangury the patient dies in seven days, unless fever and a copious flow of urine supervene.^ 45. When ulcers have continued one year, or longer, it becomes necessary the bone lying beneath,- denude to —thus forming, as it were, a depressed cicatrix. Those who, before puberty, become gibbous from cough or asthma, generally pe46. rish. 47. Those with whom venesection or purgatives agree, should have recourse to them in the spring. An iliac passion, and which have sympcoms upon * " kidneys. that of a fatal tendency, has followed^, indicated the disease in the bladder or Galen seems to have a doubt about this met with it, though it must be confessed that the and uncommon." Van Swieten, Com. abridged, ; but case I Is p. 344. have once very rare , HIPPOCEATIS APHORISMI. 136 48. Lienosis dysenteria superveniens, boniini. 49. Qui podagrici morbi fiunt, hi sedata infiammatione, in quadraginta diebus dece-' dunt. 50. Quibus percipum fuerit his necesse est febrem, et bilis cerebrum vomitum su- per venire. 51. Quibus sanis dolores derepente fiunt in capite, et statim muti fiunt, ae stertunt, in septeni diebus pereunt, nisi febris apprehenderit. 52. Considerare vero etiam oportet oculo- rum subtds apparentia in somnis. Si enim bi quid, palpebris reat, commissis, subtus appa- idque non ex alvi profluvio potione purgante, al- sit, pravum signum, aut ex et valde lethale. cum risu quidem accidentia, cum studio vero, periculosiora. 53, Deliria, securiora : 54, Inacutis affectionibus qu2e cum febre sunt, luctuosse respirationes malse. 55, Podagrici morbi, vere et ventur ut plurimiim. autumno mo- APHORISMS OF HIPPOCRATES. 137 48. Dysentery supervening in affections of the spleen, is beneficial. Those attacked with the gout, 49. entirely freed of it in forty days are after the sub- sidence of the inflammation. A 50. lesion of the brain is necessarily followed by fever and bilious vomiting. come on attended with imme- 51. If sudden pains of the head during perfect health, diate aphonia and stertor, the patient dies in seven days, unless fever supervene. 52. It is particularly n cessary, in disease, to observe the appearance of the eyes during sleep if ; so that the eyelids be imperfectly closed, some of the white is observable (the patient not being, then, under the operation of purgatives, or existing diarrhoea) the symp- tom is very unfavourable, and frequently fatal. 53. Delirium, is less accompanied with laughter, dangerous, than that accompanied with a severe expression of countenance. 54. In acute diseases, attended with fe- ver, painful respiration is unfavourable, 55. Podagrical affections most part, in spring come and autumn. 12» on, for the HIPPOCRATiS APHORISM!. 138 si 56» Morbis melancholicis ad haec perieulo- sunt humorum decubitus, aut corporis sid- erationem, aut convulsionem, aut insanianij aut csecitatem significant. Apoplectici 57. aetate autem liunt maxime, ab anno quadragesimo usque ad sexa- gesimum. 58. Si omentum exciderit, necesse est putrefieri. 59. Quibus a diuturno coxendicis morbo vexatis coxa excidit, et rursiis incidit, his mucus 60. innascitur. Quibus a diuturno coxendicis morbo vexatis coxa excidit, his crus claudicant, nisi usti fuerint, tabescit, ct : APHOaiSMS OF HIPPOCRATES. 139 56. In melaiicholick* affections, the translation of the humours to various parts, has a tendency to produce the following diseases apoplexy, mania, convulsion, and blindness, 57. Apoplexy is most prevalent from the fortieth to the sixtieth year. 58. In omental hernia, the part protruded^ necessarily mortifies. 59. In long continued sciatica, where the motion of the joint of the thigh has been terrupted, if the mucus be the articulation restored. is in- again secreted, 60. In long continued sciatica, where the head of the femur has been displaced, the parts below become emaciated, and lameness ensues, vmless the actual cautery be used. * The word melanchoUch is used here, as referring to a eause^ and as its etymological sense imports, is synonymous with atrabilious. HIPPOCRATIS APHOBISMI. J40 SECTIO 1. VII. I In morbis acutis, extremarum partium frigus, malum. 2. Ex 3. A osse segrotante caro livida, malum. vomitu singultusj et occuli rubri^ malum. 4. A sudore horror, non bomim. 5. Ab insania dysenteria, bonum.* In morbo diuturno, aut hydrops, aut extasis, 6. tus, et 7. appetitus prostra- meracsB dejectiones, malum. A multo potu A tumoris intus ruptione, exsolutio, rigor, et delirium, ma- lum. 8. yomitus, et animi deliquium * Ratio hujus patet in Aph. fit. 56. Sect. vi. Yiilebrafie. APHORISMS OF HIPPOCRATES. SECTION 1. is unfavourable, Lividity of the flesh, arising from an unhealthy bone, 3. VII. In acute diseases, coldness of the ex- tremities 2. 141 is unfavourable. Hiccough, and redness of eyes, arising from vomiting, are unfavourable. 4. A sensation of horror, succeeding per- spiration, is unfavourable. Dysentery, 5. dropsy, or exstasis, fol- lowing insania, are beneficial.* 6. Long illness, attended with a prostration of appetite and unassimilated dejections, is dangerous. 7. Rigors and deliriums, proceeding froni excess of drink, are dangerous. 8. The rupture of an internal tumour is followed by lassitude, vomiting, and deliqumm anmi, *SeeAph,56,SecVl. HIPPOCRATIS APHORISMI. 142 9. A sanguis fluxu convulsio, Ab 10. delirium, aut etiam malum. ileo vomitus, aut singultus, aut convulsio, aut delirium, malum. 11. A pleuritide peripneumonia, 12. A 13. Ab sio, malum. peripneumonia phrenitis, malum. ardoribus vehementibus convul- aut tetanus, malum. 14. A plaga in caput, stupor aut delirium, malum. A 15. sanguinis sputo, puris sputum, malum. 16. lum. A puris sputo, tabes, et fluxus, Postquam vero sputum retinetur, mamo- riuntur. 17. Ab hepatis inflammatione singultus, malum. 18. A vigilia convulsio, aut delirium, ma- um. 19. um.) Ab ossis dedunatione erysipelas (ma- ' APHORISMS OF HIPPOCRATES. 9. When 143 delirium, or convulsions, pro- ceed from haemorrhage, it is dangerous. Vomiting, singultus, convulsion, or 10. delirium, arising from iliac passion, is dan- gerous. Peripneumonia, arising from pleurisy, 11. —dangerous. —dangerous. 12. Phrenitis, arising Convulsion, 13. from excessive When 14. heat, from peripneumonia, or tetanus, proceeding —dangerous. a blow on the head causes stu- por or delirium, the symptoms are unfavourable. A 15. spitting of blood, followed purulent expectoration, 16. Tabes and is by a unfavourable. colliquative diarrhoea, aris- ing from purulent expectoration, are unfa- vourable ; if the expectoration {suddenly) stops, the patient dies. 17- Singultus, proceeding from hepatitis, —dangerous. 18. Convulsion, or delirium, arising from vigilancy, is dangerous. 19. Erysipelas, caused bonc^ —dangerous. by a denudation of HIPPOCRATIS APHORISMI. 144 20. Ab erysipelate putredo, aut suppuratio (malum.) 21. A forti pulsii in ulceribus, sanguinis cruptio. 22. A dolore diuturno partium circa ven- trem, suppuratio (malum.) 23. A 24. Ab cuum 25. meraca dejectione dysenteria. osse "perscisso delirium, in va- si penetravit. A purgantis potione, convulsio, le- thale. 26. A dolore vehementi partium circa ven- trem, extremarum frigus, malum. 27. Mulieri in utero gerenti, tenesmus superveniens, abortire 28. facit. Quodcumque os, aut cartilago, nervus in corpore dissectus aut neque fuerit, augetur, neque coalescit. 29. mens 30. Si a leucophlegmatia detente vehediarrhoea superveniat, Quibus spumosse egestiones profluviis, his 31. morbum Quibus de capite pituita solvit. in alvi defiuit. febricitantibus, in urinis subsi- APHORISMS OF HIPPOCRATES. 147 20. Sphacelus, or suppuration, arising from erysipelas, —dangerous. 21. In ulcers, a strong pulsation of the part, foreshows haemorrhage.^ 22. Suppuration surpervening in long con- tinued pain of the abdomen, 23. A dejection of is unfavourable, unconcocted matter is followed by dysentery. 24. Wounds, which extend low of the bone, are followed into the hol- by delirium. 25. Convulsion arising from purgatives,, proves fatal. 26. Coldness of the extremities, proceed- ing from severe pains about the abdomen, is dangerous. 27. Tenesmus, during pregnancy, produces abortion. 28. nerve, The is lesion of a bone, cartilage or never followed by a growth, or re- union of parts. 29. If a severe diarrhoea supervene in leu- cophlegmasia, the latter affection ceases. 30. Diarrhoea, attended with an evacuation of spumous matter, foreshows a defluxion of the head. 3 1. In fevers, a subsidence in the urine of from existing aneurism. 13 HIPPOCRATIS APHORISMI. 148 dentise fiunt crassiori farinae similes, longam infirmitatem significant. Quibus autem biliosae subsidentise, ab initio vero tenues, acutum morbum signi32. ficat. Quibus autem 33, vehemens est in corpore turbatio. Quibus vero 34. renum urinse divulsse fiunt, iis in urinis bullae superstant, afFectiones significant, et longam fore invaletudinem. 35. quod Quibus autem pingue est et confertum supernatat, his affectiones nephriticas, et acutas significat. 36. Quibus vero, nephriticis existentibus, praedicta signa accidunt, et dolores circa mus- ora fuint, quidemadloca exteriabscessum exspecta futurum ex- trorsum si culos spinales ; fiant, si vero dolores fiunt magis ad in- terna loca, etiam abscessum magis introrsum fore expecta. quidem si vero cum febre, masine febre, salutare Curandum autem refrigerantibus, et lum. 37. Qui sanguinem vomunt, : astringentibus. si APHORISMS OF HIPPOCRATES. a thick farinaceous 149 substance, indicates a long continuance of the disease. 32. A limpid urine, having a bilious de- posit, is indicative of 33. When an acute affection. the urine has a troubled, cloud- ed appearance, it denotes great commotion in the system. 34. The presence of bubbles on the sur- face of the urine, indicates an affection of the kidneys, and extended 35. But if illness. the supernatant substance be of a thick, oily consistence, tic, it shows a nephri- and, also, an acute affection. 36. In nephritic affections, accompanied with the above symptoms, together with about the muscles of the spine pains — if the pains be external, 'we are to expect the appearance of an external abscess ; but if they be situated internally, the abscess will determine 37. fever, sent, itself inwardly. Vomiting of blood, without existing is not dangerous but if fever be pre- it is frigerants ; injurious : the cure consists in rc^ and astringents. HIPPOGRATIS APHORISMI. 150 38. Distillationes in ventrem supernum, in viginti diebus suppurantur. S9, Si quis sanguinem ct et stranguriam habeat, et perineum, et imum grumos mingat^ dolor incidat ad ventrem, et pectinem, partes circa vesicam laborare significat. 40. Si lingua ex improviso impoten's fiat, aut aliqua corporis pars siderata, melancholiciim hoc ipsum fit. 41. Si senioribus nimiiim purgatis, singultus superveniat, 42. Si febris, at, aqua multa bris solutio non bonum. quae non est a et calida in bile, detine» caput affusa, fe- fit, 43. Mulier ambidextra non fit. Qui suppurati uruntur, aut secantur, quidem purum effluat pus et album, eva44. si dunt : si vero subcruentum, et Gcenosum, ac graveolens, pereunt, Qui ad hepar suppuratum uruntur, aut secantur, si quidem purum efiluat pus et album^ superstites evadunt: ipsis enim pus 45. APHORISMS OF HIPPOCRATES. 38. thorax, 151 An extravasation in the cavity of tlie is followed within twenty days by suppuration. 39. See Aphor. 80. Sect. iv. A sudden paralysis of the organs of speech, or of any part of the body, is fre40. c[uently the eifect of a melancholick affection.* 41. Singultus arising in old men from hy- symptom. 42. Fevers, not proceeding from bile, ?vre cured by an affusion of warm water on the percatharsis, is an unfavourable head. Women are 43. never ambidextrous. 44. In opening an abscess, either or actual cautery, jsion if the matter issue pure and white, the patient recovers it be of a bloody, foetid the disease proves by inci- ; but if and offensive nature, fatal. 45. In opening an abscess of the liver either by incision or actual cautery, if the matter issue pure and white, the patient reco•vers : for we are to recollect that the enclosed in a sac ; but, if the matter * 5ec Aphor. 56. 13^ Sa^t. vK pus is which HIPPOCRATIS APHORISMI. 152; est 111 tunica si : vero effluat velut amurca, pereunt. 46. In doloribus oculorum, postquam me- rum bibendum veris, 47. dederisj et multa calida la- venam secto. Hydropicum si tussis habeat, despe- ratus est. 48. Urinae stillicidium, et urinse difficult tatem vini potus, et venae sectio solvit ; se- candae vero ihternse (venae.) 49. Ab pectore angina detento tumor super veniens, bonum : rubor in et foras morbus, 50. Quibus cerebrum sphacelo enim vertitur fectum, in tribus diebus pereunt fuerit af; si vero hos effugerint, sani fuint, 51. Sternutatio fit ex capite, cerebro, aut perhumectato, pite, vacuo, modum foras Aer enim qui effunditur. percalefacto quod est in ca- intus est supra Strepit autem, quia per augustum ipsi est transitus. APHORISMS OF HIPPOCRATES. flows out, resemble inspissated ISS the patient oil, dies. 46. In pains of the eyes, after having pre- scribed the use of good wine, and of frequent warm 47. When the case 48. we collyria, is are to bleed. cough takes place in dropsy desperate. Dysury and strangury wine and venesection ; are relieved by but we are to open an internal vein. 49. In angina, the appearance of redness and tumour on the breast is favourable ; thev denote an external derivation of the disease. 50. Sphacelation of the brain proves fatal within three days ; — if the patient escape this period, the disorder ceases. 51. Sternutation proceeds either from calefaction or humidity of the brain ; for the superfluous air within the cavity of the head and the noise it makes from the narrowness of the thereby eflfused is in issuing, arises ; passage.^ * while we smile, here, we should recollect that there are manv physiological /hypotheses which are equally rational with this faneijfiil «upposition of the Coan Sage. This Aphorism to the peculiar doctrine of the ancients, seyueir^ as it ^th? body. were, of all who made the is conformable head a mere re the humours, distributed to various parta of 1B4! 52. HIPPOCRATIS APHORISMI. Quibus hepar circumcirca fbbris superveniens, dolorem dolet^ his solvit. Quibus sanguinem de venis auferre conducit, his vere venam secare oportet. 54. Quibus inter septum transversum et 53. dolorem exhineutrum ventrem habens transitum, ventrem bet, in Ills pituita cxcluditur, et per venas in vesicam pituita versa, mor- bi^solutio fit. * - Quibus hepar aqua repletum ad omentum emperit, his venter aqua impletur, et 55. moriuntur. ^^, Anxietatem, oseitationem, vlnum par 57. fit, pari aqua potum Quibus in horrorem., solvit, urinaria fistula tuberculum his suppurato eo et perrupto, soivitur dolor. 58. Quibus cerebrum concussum ab aliqua causa, necesse est eos statim fuerit mutos fieri. humidas cames habentibus, famem inducere oportet: fames enim 59. Corporibus siceat corpora. APHORISMS OF HIPPOCRATES. 155 52, Pain, about the region of the liver, ceases on the supervening of fever. 55, When bleeding be performed 54. When is beneficial, it should in the spring. a serous collection, attended with pain, takes place between the diaphragm, and abdomen, without either cavity, the — if its having an issue in the fluid be body by means of the drawn out of veins, the disorder ceases. 55. In dropsy discharge itself of the liver, if the water through the omentum, into abdomen, the disease proves fatal. 56. Anxiety, oscitation and horrors, are relieved by potations of wine and water, in the equal quantities. Aphor. 82. Sect. 57. See 58. iv. A concussion of the brain, soever cause, is from whatfollowed by an immediate deprivation of speech. 59. When much moisture abounds in we ought to have the body, stinence, too recourse to ab- which has a tendency to dry up the humours.* • Abstinence (by which we understand a spare diet,) was employ-» rd as one of the most potent means in the curative system of the an- HIPPOCRAnS APHORISMI. 156 60. Ubi in toto corpore mutationes, et corpus perfrigeratur, et rursus calefit, aut color alius ex alio permutatur, longitudinem morbi significat. Sudor multus, calidus, aut frigidus, semper fluens, humidi redundantiam adesse 61. significat. Educere quidem, superne 62. Febres : igitur oportet, robusto debili vero, inferne. non intermittens, urn diem vehementiores fiant, Quocumque autem modo ficat periculi esse 63. si per terti- periculosse. intermittant, signi- expertes. Quibus febres longae sunt, his aut tu- bercula, aut ad articulos dolores fiunt. 64. Quibus tubercula diutina, aut ad arti- culos dolores ex febribus fiunt, hi cibis utnn-. tur copiosioribus. 65. Si quis febricitante lescenti bus fit. quidem, robur ; cibum det, conva- a^grotanti vero, mor- APHOEISMS OF HIPPOCRATES. Aphor. 40, Sect. 60. See iv. 61. Excessive perspiration, continually going on, is dant moisture within : 157 cold or hot,, indicative of a redun- we ought, therefore, from the system, either by vomiting, if the patient be strong, or by purgation, if he be weak. to evacuate 62» See it Aphor, 43. Sect. iv. 63* See Aphor. 44. Sect. iv. 64. See 65, Aphor. 45. Sect. iv. That nourishment which is in the convalescent stage of fever, beneficial would be injurious during the prevalence highly of the disease. cients. In modern practice, Sydenham cha, and with the greatest success. diseases of his Nev/-York, it in Syno day to the non-observance of it ; and Dr. E. Miller, ©f in his Original Observations, observes " that the ap- proach of a febrile attack abstinence." rigidly prescribed Dr. Cheyne ascribes most of the is often prevented by a timely recourse te HIPPOCRATIS APHORISMI. 158 Per 66. vesicam prodeuntia inspicere QucC eo morbosiora sa- oportet, an sint qualia sanis prodeunt. igitur minime his similia, nis vero similia, eris, et et minime morbosa. Et quibus 67. ; egestiones, si stare permis- non moveris, subsident veluti ramen.si pauca fuerint, parvus fit morbus ta ; si vero muita, : magnus Si ferne purgari. ; his confert alvum in- autem non purgata alvo sorbitiones dederis, quanto plures dederis, eo magis 68. Isedes. Quae cruda deorsum secedunt, ab sunt bile : si atra plura, major; si pauciora, mi- nor est morbus. non 69. Exscreationes, in febribus mittentibus, lividae, et cruentae, et graveolentes, omnes malae secedentes, bonae. Sic inter- et biliossej sunt. At rite etiam per alvum. : APHORISMS OF HIPPOCRATES. 66. We 159 should attend to the urinary dis- charge, in order to ascertain, whether it be conformable to what takes place in health in proportion as departs from the healthy it state, is the severity of the disease, and vice versa, 67. on suffering the urine to remain^ If, without disturbing it, we observe a deposit resembling saw-dust, the greater or less quanof this deposit tity or mildness rity case, is it gatives is indicative of the seve- of the disease in either necessary to have recourse to pu?'- we in proportion as ; ; neglect these, for a nutritive regimen, will be the augmentation of the disease. 68. Crude dejections proceed from an atrabilious matter in the system, and in pro- portion as a greater or less quantity sent, will is pre=- be the severity of the disease. 69. In continued fever, the expectoration of a ter, livid, bloody, bilious or fcetid mat- isalike unfavourable; but, if the expec- toration be good, vourable : the and in due season, same <may be and urinary discharges : it is fa- said of the alvine furthermore, any excrementitious matter remaining in the sys- 14 HIPPOCRATIS APHORISMI. 160 et vesicam, et titerit ubicunque quid secedens non purgatum, malum. Corpora oportet, ubi quis purgare 70. vult, facile fluentia reddere. velit res- efficere facile fluentia sistere 71. Somnus, cedentia, quidem sursiim, alvum si vero deorsiim, humectare. si : Et vigilia, utraque modum ex- morbus. non inter mittentibus febribus, si externa quidem sint frigida, interna vero 72. In urantur, et sitim habeant, lethale. 73. In febre non intermittente, si labium, aut nasus, aut oculus, aut supercilium distorqueatur, si non debilis existens ; videat, si non audiat, quicquid horum fit, jam lethale. 74}. Leucophlegmasise hydrops supervenit. 75. Ab 76. A alvi profluvio dysenteria. dysenteria intestinorum lasvitas (su^ pervenit). 77. A sphacelo 78. A abscessus ossis. sanguinis vomitu tabes, et puris ^urgatio sursum. APHORISMS OF HIPPOCRATES. and not coming away with the evacua- tern, tions, proves injurious. When the 70. is 161 system requires purging, it necessary previously to prepare the body, by a laxative On regimen. w^e intend to vomit, the body the contrary, if is but purging requires a jied; to be forti- preparatory emollient course.* 71. See Aphor, 3. Sect. ii. 72. See Aphor. 48. Sect. iv. 73. See Aphor. 49. Sect. iv. 74. In leucophlegmasia, dropsy supervenes. 75. Diarrhoea induces dysentery. 76. Dysentery is often followed by lien- tery. 77. Sphacelus produces exfoliation of the bone. 78. Vomiting of blood is followed by tabes and purulent expectoration. » This is conformable to the French practice, and ;he term rafrakh'tr. is expressed by HIPPOCRATIS APHORISMI. 162 79. Qualia etiam in his quag per vesicam, et in his qu^ per alvum iiunt egestionibusj et in his quae per carnes, et sicubi alia naturae via corpus exeat bus : fit uiultunij : si multum, magnus hoc ipsum lethale. si SECTIO 1. parum, parvus mor: admodum si VIII. Qui supra quadraginta annos ci iiunt, phreneti- non admodum sanantur. Minas enim periclitantur, quorum nature, et astati, morbus similis fuerit. 2. Quibus m infirmitatibus occuli ex proQuibus verp posito lacrymantur, bonum. sine causa, malum. 3. Quibus, in febribus quartanis existent!- bus, sanguis ex naribus fiuxerit, malum. 4. Sudores vehementes in diebus criticis et veloces, periculosi oborientes, : pelluntur ex fronte, velut guttse, et et qui ex- aqu^ §a- APHORISMS OP HIPPOCRATES. 79. It alvine is essential to attend to the urinary, and cutaneous excretions, in order to ascertain whether it be by these or any other outlet of nature, that the body wastes itself: is 165 alarming ; the emaciation be small, so if the disease if ; but if gradually much, the disease is more extremely great, the disease proves fatal. -*««• ® -El SECTION 1. year, occurring after the fortieth Phrenitis, is VIII. incurable. The danger is less, in pro- portion as the disease accords with the constitution 2. and age of the With those labouring under disease- tears, either as luntarily, patient. they flow voluntarily or invo- give a favourable or unfavourable indication. 3. In those suffering under quartan fever, —haemorrhage from the nose is an unfavour- symptom. 4. Sudden and violent sweats which break forth on critical days, are dangerous ; as also those which come out on the forehead in 14^ able HIPPOCRATIS APKORISMI. 164 lientes, enim frigidi valde, est talem tia, et 5. et ac multi: necessc sudorem prodire cum violen- laboris excessu, et expressione diutur- Ex morbo diiiturno alvi defluxus, ma^ liim. 6. rum Qii88 medicamenta sanat. nis sanat. non sanant, ea Quae ferrum non sanat, ea Quae vero ignis non sanat, ea fer-. igin- sanabilia existini?ire oportet. Tabes maxinie fiunt ab anno octavo decimoj usque ad quintum ettricesimum. 7. Quse secundum naturam ad tabem disposita sunt, onmia quidem vehement] a quse8. ; dam vero etiam lethalia. Secundum autem, quidem in eo tempore aggrotet, cum tempus ipsum una cum morbo impugnat, velut si cum ems. febre ardente sestas, cum hydrope Natura enim longe superior vero plus afFert timoris. est : hylieni APHORISMS or HIPPOCRATES. large salient drops ; cold and abundant, 165 likewise those which are — such excretions are for the effect of long, repeated, and violent, inter, nal action. Diarrhoea, supervening in long continu- 5. ed dangerous. illness, is That which medicine does not 6. the knife frequently effects ; eifect, and what the knife does not effect, actual cautery often effects ; —but when all these fail, the disease is incurable. «The greatest predisposition to phthisis 7. exists from the eighteenth to the thirty-fifth year. 8. ists, Where the a predisposition to phthisis ex- symptoms aggravated, are greatly and generally end fatally the danger becomes greater when the disease continues beyond ; The proper period. its season of the year has a considerable influence oyer the disease, in the s?ane manner as summer gravate ardent fever, and toms of dropsy ally the symp^ If the spleen supervene, becomes more alarming. The dogmatic trious CcLsus, v»'inter, natural agents having gener- most influence.* the disease ^"^ : tends to ag- tiOn of this position. among whom may be numbered the illiismuch of their euraiive sysfem on the amplifica» sect, founded HlPPOCRATiS APHORISMI. 166 Lingua nigra atque cruenta, si quid horum signorum abest, non valde malum mor9. : bum enim minorem declarat. Haec igitur in febribus acutis notare 10. oportet, quando quis moriturus sit, et quando evasurus. 11. Testis dexter frigidus et convulsus, lethale. 12. Ungues dum frigidi, nigri et digiti manuum contracti, vel remissi, et pe- mortem in propinquo esse ostendunt. 13. Labia livida, aut etiam resoluta, et in- yersa, et frigida, lethalia. 14. Aures frigidse, pellucida?, contractae, lethales sunt. Et tenebricosa vertigine laborans, et lucem aversans, et somno ac ardere multo de15. tent us, desperatus. 16. et Et quiinrabiem actus non agnoscit, ligit, et neque jam moribundus est. fuerit intrepide, audit, neque intei- APHORISMS OF HIPPOCRATES. If the tongue 9. be neither black nor fio^ by no means unfathe absence of these symptoms indications are rid, the vourable ; for shows the mildness of the The 10. 167 disease. we following are what should pmiicularly notice in acute fevers^ in order to infer either a favourable or unfavourable re- sult : When 11. the right testicle is cold and spasmodically affected, the disease proves fa- tal. 12. Blackness of the nails, coldness, contraction, or relaxation of the fingers —foreshow the near approach of coldness, sion of the — The contracted — and toes, death. 13. Lividity, lips, 14. fatal.* ears, cold, parent, 1 5. paralysis, or inver^ and trans- fatal. The patient falling into vertigo, attend^ ed with an obscurity of vision, an aversion to light, and comatose sleep, fatal. — 16. Delirium, attended with transports of which the patient has neither a sense rage, in of hearing nor seeing ; nor a consciousness? of what takes place about toms of approaching him — are symp». dissolution. « • Vide CoacK PrseBotioncs, Cap. v.Aph.j. HIPPOCRATIS APHORISMI. 168 17. Morituris signa hsec magis nifesta, et ventres attolimtur, liunt ma- atque inflantur. Terminus vero mortis est, si animse calor supra umbilicum ad locum septo transverso superiorem ascendent, et omne humidum fuerit combustum. Postquam pulmo et corhumorem amiserint, calore in mortife18. ris locis coacervato, caloris spiritus confer- tim exhalat, unde totum in toto Rursiis constitit. partim quidem per carnes, partim vero per spiracula in capite, unde vivere di- cimusj relinquens anima corporis tabernacufrigidum, et mortate simulacrum, una lum, et cum bile, et sanguine, et pituita, et carne, deditione tradit. FINIS, APHORISMS OP HIPPOGRATES. 17. To these premonitory death, succeed an elevation 169 symptoms of and turgescence of the abdomen. 18. when The closing scene at length arrives, the heat of the soul, placed near the umbilicus, ascends above the diaphragm, and the humours of pated. the body It is then, that lose their humidity — the lungs and pulse that the heat locally con- centrates itself previous to and that the spirit consist, leaves its are entirely dissi« its final extinction^ of heat, of which tenement forever. all things Lastly, the soul, partly by the pores of the skin, partly by the orifices of the head, which have served the various purposes of earthly tabernacle of bile, leaves — now wholly made of blood, of serum, and of flesh. 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