Hippocrates - The Book Of Prognostics

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The Book of Prognostics Hippocrates by Francis Adams—————————————

—————————————————————-1appears to me a most excellent

thing for the physician to cultivate; for by foreseeing and foretelling, in the presence of the,

the present, the past, and the future, and explaining the omissionspatients have been guilty

of, he will be the more readily believedbe acquainted with the circumstances of the sick; so

that men willconfidence to intrust themselves to such a physician. And hemanage the cure

best who has foreseen what is to happen frompresent state of matters. For it is impossible

to make all thewell; this, indeed, would have been better than to be able towhat is going to

happen; but since men die, some even beforethe physician, from the violence of the

disease, and someimmediately after calling him, having lived, perhaps, only oneor a little

longer, and before the physician could bring his artcounteract the disease; it therefore

becomes necessary to knownature of such affections, how far they are above the powers

ofconstitution; and, moreover, if there be anything divine in the, and to learn a

foreknowledge of this also. Thus a man willthe more esteemed to be a good physician, for

he will be the betterto treat those aright who can be saved, having long anticipated; and by

seeing and announcing beforehand those who willand those who will die, he will thus

escape censure.—————————————————————————————

—————-2should observe thus in acute diseases: first, the countenance ofpatient, if it

be like those of persons in health, and more so,like itself, for this is the best of all; whereas

the most oppositeit is the worst, such as the following; a sharp nose, hollow eyes,temples;

the ears cold, contracted, and their lobes turned: the skin about the forehead being rough,

distended, and parched;color of the whole face being green, black, livid, or lead-

colored.the countenance be such at the commencement of the disease, andthis cannot be

accounted for from the other symptoms, inquiry mustmade whether the patient has long

wanted sleep; whether his bowelsbeen very loose; and whether he has suffered from want

of food;if any of these causes be confessed to, the danger is to be reckonedfar less; and it

becomes obvious, in the course of a day and a, whether or not the appearance of the

countenance proceededthese causes. But if none of these be said to exist, if the

symptomsnot subside in the aforesaid time, it is to be known for certaindeath is at hand.

And, also, if the disease be in a more advancedeither on the third or fourth day, and the

countenance be such,same inquiries as formerly directed are to be made, and the otherare

to be noted, those in the whole countenance, those onbody, and those in the eyes; for if

they shun the light, or weep, or squint, or if the one be less than the other, orthe white of

them be red, livid, or has black veins in it; if therea gum upon the eyes, if they are restless,

protruding, or are becomehollow; and if the countenance be squalid and dark, or the

colorthe whole face be changed- all these are to be reckoned bad andsymptoms. The

physician should also observe the appearance ofeyes from below the eyelids in sleep; for

when a portion of theappears, owing to the eyelids not being closed together, andthis is

not connected with diarrhea or purgation from medicine,when the patient does not sleep

thus from habit, it is to be reckonedunfavorable and very deadly symptom; but if the eyelid

be contracted,, or pale, or also the lip, or nose, along with some of the other, one may

know for certain that death is close at hand. Ita mortal symptom, also, when the lips are

relaxed, pendent, cold,blanched. ——————————————————————

————————————-3is well when the patient is found by his physician reclining

uponhis right or his left side, having his hands, neck, and legsbent, and the whole body

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lying in a relaxed state, for thusmost of persons in health recline, and these are the best of

posturesmost resemble those of healthy persons. But to lie upon one's, with the hands,

neck, and the legs extended, is far less favorable.if the patient incline forward, and sink

down to the foot of the, it is a still more dangerous symptom; but if he be found withfeet

naked and not sufficiently warm, and the hands, neck, andtossed about in a disorderly

manner and naked, it is bad, forindicates aberration of intellect. It is a deadly symptom,

also,the patient sleeps constantly with his mouth open, having hisstrongly bent and plaited

together, while he lies upon his back;to lie upon one's belly, when not habitual to the

patient to sleepwhile in good health, indicates delirium, or pain in the abdominal. And for

the patient to wish to sit erect at the acme of ais a bad symptom in all acute diseases, but

particularly sopneumonia. To grind the teeth in fevers, when such has not beencustom of

the patient from childhood, indicates madness and death,which dangers are to be

announced beforehand as likely to happen;if a person in delirium do this it is a very deadly

symptom. Andthe patient had an ulcer previously, or if one has occurred incourse of the

disease, it is to be observed; for if the man beto die the sore will become livid and dry, or

yellow and drydeath. ———————————————————————————

———————-4the movement of the hands I have these observations to: When in

acute fevers, pneumonia, phrenitis, or headache, theare waved before the face, hunting

through empty space, as ifbits of straw, picking the nap from the coverlet, or tearingfrom

the wall- all such symptoms are bad and deadly.—————————————————

—————————————————-5, when frequent, indicates pain or

inflanunation in theabove the diaphragm: a large respiration performed at a

greatannounces delirium; but a cold respiration at nose or moutha very fatal symptom.

Free respiration is to be looked upon asmuch to the safety of the patient in all acute

diseases,as fevers, and those complaints which come to a crisis in forty. ———————

———————————————————————————-6sweats are the best

in all acute diseases which occur on thedays, and completely carry off the fever. Those are

favorable,, which taking place over the whole body, show that the man isthe disease

better. But those that do not produce this effectnot beneficial. The worst are cold sweats,

confined to the head,, and neck; these in an acute fever prognosticate death, or inmilder

one, a prolongation of the disease; and sweats which occurthe whole body, with the

characters of those confined to the, are in like manner bad. Sweats attended with a miliary

eruption,taking place about the neck, are bad; sweats in the form of dropsof vapour are

good. One ought to know the entire character of, for some are connected with prostration

of strength in the, and some with intensity of the inflammation. ——————————

————————————————————————-7state of the hypochondrium

is best when it is free from pain,, and of equal size on the right side and the left. But if

inflamed,painful, or distended; or when the right and left sides are ofsizes;- all these

appearances are to be dreaded.if there be also pulsation in the hypochondrium, it

indicatesor delirium; and the physician should examine the eyessuch persons; for if their

pupils be in rapid motion, such personsbe expected to go mad. A swelling in the

hypochondrium, that isand painful, is very bad, provided it occupy the whole

hypochondrium;if it be on either side, it is less dangerous when on the left.swellings at the

commencement of the disease prognosticate speedy; but if the fever has passed twenty

days, and the swelling hassubsided, it turns to a suppuration. A discharge of blood

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AUniversalDownloadEditionWWW.UDownloadBooks.Com1TheBookofPrognosticsHippocratesbyFrancisAdams——————————————22727—227———227—227—2722—27—22722727—-1appearstomeamostexcellentthingforthephysiciantocultivate;forbyforeseeingandforetelling,inthepresenceofthe,thepresent,thepast,andthefuture,andexplaini...

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