and other tubercles （phymata）； but especially the aforesaid。
27。 To persons of a more advanced age； and now on the verge of
manhood； the most of these diseases； and； moreover； more chronic
fevers； and epistaxis。
28。 Young people for the most part have a crisis in their
complaints； some in forty days； some in seven months； some in seven
years； some at the approach to puberty； and such complaints of
children as remain； and do not pass away about puberty； or in
females about the commencement of menstruation； usually become
chronic。
29。 To persons past boyhood； haemoptysis； phthisis； acute fevers；
epilepsy； and other diseases； but especially the aforementioned。
30。 To persons beyond that age； asthma； pleurisy； pneumonia；
lethargy； phrenitis； ardent fevers； chronic diarrhoea； cholera；
dysentery； lientery； hemorrhoids。
31。 To old people dyspnoea； catarrhs accompanied with coughs；
dysuria； pains of the joints； nephritis； vertigo； apoplexy；
cachexia； pruritus of the whole body； insomnolency； defluxions of
the bowels； of the eyes； and of the nose； dimness of sight； cataract
（glaucoma）； and dullness of hearing。
SECTION IV。
1。 We must purge pregnant women； if matters be turgid （in a state of
orgasm？）； from the fourth to the seventh month； but less freely in the
latter； in the first and last stages of pregnancy it should be
avoided。
2。 In purging we should bring away such matters from the body as
it would be advantageous had they come away spontaneously； but those
of an opposite character should be stopped。
3。 If the matters which are purged be such as should be purged； it
is beneficial and well borne； but if the contrary； with difficulty。
4。 We should rather purge upward in summer； and downward in winter。
5。 About the time of the dog…days； and before it； the administration
of purgatives is unsuitable。
6。 Lean persons who are easily made to vomit should be purged
upward； avoiding the winter season。
7。 Persons who are difficult to vomit； and are moderately fat；
should be purged downward； avoiding the summer season。
8。 We must be guarded in purging phthisical persons upward。
9。 And from the same mode of reasoning； applying the opposite rule
to melancholic persons； we must purge them freely downward。
10。 In very acute diseases； if matters be in a state of orgasm； we
may purge on the first day； for it is a bad thing to procrastinate
in such cases。
11。 Those cases in which there are tormina； pains about the
umbilicus； and pains about the loins； not removed either by
purgative medicines or otherwise； usually terminate in dry dropsy。
12。 It is a bad thing to purge upward in winter persons whose bowels
are in a state of lientery。
13。 Persons who are not easily purged upward by the hellebores；
should have their bodies moistened by plenty of food and rest before
taking the draught。
14。 When one takes a draught of hellebore； one should be made to
move more about； and indulge less in sleep and repose。 Sailing on
the sea shows that motion disorders the body。
15。 When you wish the hellebore to act more； move the body； and when
to stop； let the patient get sleep and rest。
16。 Hellebore is dangerous to persons whose flesh is sound； for it
induces convulsion。
17。 Anorexia； heartburn； vertigo； and a bitter taste of the mouth；
in a person free from fever； indicate the want of purging upward。
18。 Pains seated above the diaphragm indicate purging upward； and
those below it； downward。
19。 Persons who have no thirst while under the action of a purgative
medicine； do not cease from being purged until they become thirsty。
20。 If persons free from fever be seized with tormina； heaviness
of the knees； and pains of the loins； this indicates that purging
downward is required。
21。 Alvine dejections which are black； like blood； taking place
spontaneously； either with or without fever； are very bad； and the
more numerous and unfavorable the colors； so much the worse； when with
medicine it is better； and a variety of colors in this case is not
bad。
22。 When black bile is evacuated in the beginning of any disease
whatever； either upward or downward； it is a mortal symptom。
23。 In persons attenuated from any disease； whether acute or
chronic； or from wounds； or any other cause； if there be a discharge
either of black bile； or resembling black blood； they die on the
following day。
24。 Dysentery； if it commence with black bile； is mortal。
25。 Blood discharged upward； whatever be its character； is a bad
symptom； but downward it is （more？） favorable； and so also black
dejections。
26。 If in a person ill of dysentery； substances resembling flesh
be discharged from the bowels； it is a mortal symptom。
27。 In whatever cases of fever there is a copious hemorrhage from
whatever channel； the bowels are in a loose state during
convalescence。
28。 In all cases whatever； bilious discharges cease if deafness
supervenes； and in all cases deafness ceases when bilious discharges
supervene。
29。 Rigors which occur on the sixth day have a difficult crisis。
30。 Diseases attended with paroxysms； if at the same hour that the
fever leaves it return again next day； are of difficult crisis。
31。 In febrile diseases attended with a sense of lassitude； deposits
form about the joints； and especially those of the jaws。
32。 In convalescents from diseases； if any part be pained； there
deposits are formed。
33。 But if any part be in a painful state previous to the illness；
there the disease fixes。
34。 If a person laboring under a fever； without any swelling in
the fauces； be seized with a sense of suffocation suddenly； it is a
mortal symptom。
35。 If in a person with fever； the become suddenly distorted； and he
cannot swallow unless with difficulty； although no swelling be
present； it is a mortal symptom。
36。 Sweats； in febrile diseases； are favorable； if they set in on
the third； fifth； seventh； ninth； eleventh； fourteenth； seventeenth；
twenty…first； twenty…seventh； and thirty…fourth day； for these
sweats prove a crisis to the disease； but sweats not occurring thus；
indicate pain； a protracted disease； and relapses。
37。 Cold sweats occurring with an acute fever； indicate death； and
along with a milder one； a protracted disease。
38。 And in whatever part of the body there is a sweat； it shows that
the disease is seated there。
39。 And in whatever part of the body heat or cold is seated； there
is disease。
40。 And wherever there are changes in the whole body； and if the
body be alternately cold and hot； or if one color succeed another；
this indicates a protracted disease。
41。 A copious sweat after sleep occuring without any manifest cause；
indicates that the body is using too much food。 But if it occur when
one is not taking food； it indicates that evacuation is required。
42。 A copious sweat； whether hot or cold； flowing continuously；
indicates； the cold a greater； and the hot a lesser disease。
43。 Fevers； not of the intermittent type； which are exacerbated on
the third day； are dangerous； but if they intermit in any form； this
indicates that they are not dangerous。
44。 In cases attended with protracted fevers； tubercles （phymata） or
pains occur about the joints。
45。 When tubercles （phymata） or pains attack the joints after
fevers； such persons are using too much food。
46。 If in a fever not of the intermittent type a rigor seize a
person already much debilitated； it is mortal。
47。 In fevers not of the intermittent type； expectorations which are
livid bloody； fetid and bilious； are all bad； but if evacuated
properly； they are favorable。 So it is with the alvine evacuations and
the urine。 But if none of the proper excretions take place by these
channels； it is bad。
48。 In fevers not of the intermittent type； if the external parts be
cold； but the internal be burnt up； and if there be thirst； it is a
mortal symptom。
49。 In a fever not of the intermittent type； if a lip； an
eye…brow； an eye； or the nose； be distorted； or if there be loss of
sight or of hearing； and the patient be in a weak state…whatever of
these symptoms occur； death is at hand。
50。 Apostemes in fevers which are not resolved at the first
crisis； indicate a protracted disease。
51。 When in a fever not of the intermittent type dyspnoea and
delirium come on； the case is mortal。
52。 When persons in fevers； or in other illnesses； shed tears
voluntarily； it is nothing out of place； but when they shed tears
involuntarily； it is more so。
53。 In whatever cases of fever very viscid concretions form about
the teeth； the fevers turn out to be particularly strong。
54。 In whatever case of ardent fever dry coughs of a tickling nature
with slight expectoration are long protracted； there is usually not
much thirst。
55。 All fevers complicated with buboes are bad； except ephemerals。
56。 Sweat supervening in a case of the fever ceasing； is bad； for
the disease is protracted； and it indicates more copious humors。
57。 Fever supervening in a case of confirmed spasm； or of tetanus；
removes the disease。
58。 A rigor supervening in a case of ardent fever； produces
resolution of it。
59。 A true tertian comes to a crisis in seven periods at furthest。
60。 When in fevers there is deafness； if blood run from the
nostrils； or the bowels become disordered； it carries off the disease。
61。 In a febrile complaint； if the fever do not leave on the odd
days； it relapses。
62。 When jaundice supervenes in fevers before the seventh day； it
a bad symptom； unless there be watery discharges from the bowels。
63。 In whatever cases of fever rigors occur during the day； the
fevers come to a resolution during the day。
64。 When in cases of fever jaundice occurs on the seventh； the
ninth； the eleventh； or the fourteenth day； it is a