[p. 189]
at the wrong time he was attacked by fever.
He began by having pains in the loins, with heaviness
in the head and tightness of the neck. From
the bowels on the first day there passed copious
discharges of bilious matter, unmixed, frothy, and
highly coloured. Urine black, with a black sediment ;
thirst ; tongue dry ; no sleep at night.
Second day. Acute fever, stools more copious,
thinner, frothy ; urine black ; uncomfortable night ;
slightly out of his mind.
Third day. General exacerbation ; oblong tightness The word
ὑπολάπαρος2 is often applied to σύντασισ2 or
ἔντασισ2 of the hypochondria. Galen (see Littré on
Epidemics
III, Case II, Vol. III, p. 34) says that it means "without
bulk," or "without swelling." This is possible if the word
is etymologically connected with λαπάζω. The translators
are not very precise. Littré has "sans beaucoup de rénitence,"
"sans tumeur," "sans gonflement," "sans grand
gonflement ;" Adams has "empty," "loose," "softish."
In Epidemics I, Case XII, occurs the phrase φλεγμονὴ
ὑπολάπαρος2
ἐκ τοῦ ἔς1ω μέρεοσ2, from which it seems that the prefix
ὑπο- means "underneath," not "rather." "Empty underneath"
seems the primary meaning, and suggests a tightness,
or inflammation, with nothing hard and bulky immediately
beneath the surface to cause the tightness or inflammation.
Perhaps the word also suggests the tenderness often found
in the hypochoudria of malaria patients. |
of the hypochondrium, soft underneath, extending
on both sides to the navel ; stools thin,
blackish ; urine turbid, blackish ; no sleep at night ;
much rambling, laughter, singing ; no power of
restraining himself.
Fourth day. Same symptoms.
Fifth day. Stools unmixed, bilious, smooth, greasy ;
urine thin, transparent ; lucid intervals.
Sixth day. Slight sweats about the head ; extremities
cold and livid ; much tossing ; nothing passed
from the bowels ; urine suppressed ; acute fever.
Seventh day. Speechless ; extremities would no
longer get warm ; no urine.
Eighth day. Cold sweat all over ; red spots with
sweat, round, small like acne, which persisted without
subsiding. From the bowels with slight stimulus
|