Death sometimes occurs from a cause that upsets the nature of the heart, or from a cause due to which the strength dissolves and fades away. Death from a cause that upsets the nature of the heart occurs either from severe pain, or from an excessive increase in one of the known qualities of the nature, or from some foreign poisonous quality of the drug, or from constipation of the matter of respiration. People with leopard often die from lack of breathing, so they should not be allowed to lie on their backs and their throats should not be allowed to become dry.
This includes death at the beginning of an attack of fever or a period of fever, and most often this occurs in fevers from internal tumors, when excess is poured out to the tumors at once, as well as in malignant diseases, from which nature flees as soon as they come into strong motion, especially if the nature is weak. But in general, such death is similar to the suffocation or extinction of wood burning with a great fire.
This also includes death, which occurs at the end of a febrile attack due to the flight of nature from the disease.
And the third type is death that occurs during a period of decline, but this is rare and infrequent and in most cases occurs during a particular, and not during a general, decline. The reason here is that the nature seems to feel safe and the heat spreads and divides, parting with the restraining force it needed at the first time of illness. Most of these patients die immediately, collapsing, but some die gradually.
Sometimes the decline is false and is caused by relaxation of forces and dissipation of innate warmth, and doctors think that this is a true decline. The pulse in both cases is uneven; with a true decline, strong, and with a false decline, relaxed; with a true decline it beats evenly, but with a false decline it is uneven and its harmony is disrupted.
In a general decline, the patient dies only as a result of sudden influences coming from outside when he is weak, for example, if he moves, gets up or gets angry. Something similar sometimes happens in the first case, and such death is preceded by a slight sticky perspiration. A person often dies during the decline of smallpox, and this is often preceded by uneven, cold sweat, which sometimes appears only on the head, or only on the neck, or on the chest alone. If the skin is dry and tense during agony, then death is not accompanied by perspiration, otherwise perspiration occurs. But be that as it may, death for the most part occurs at a time when, with a favorable turn of the disease, there could be a good crisis. So, for example, if a disease crisis occurs on even days, then death comes V an even day, and if on an odd day, then on an odd day.
Know that burning fever and similar diseases lead to death at the end of the attack. In this case, bad phenomena occur: confusion of mind, severe melancholy or hibernation, and the patient is too weak to bear the fever; then headache, darkening of the eyes, pain in the mouth of the stomach, and anxiety appear. And mucous fever leads to death at the beginning of the attack. Then the feeling of cold lasts a long time and the patient cannot be warmed up, the pulse is very small, not good, drowsiness and lethargy increase. In general, all this brings death at a time when such phenomena are strongest in the patient, be it at the beginning, during the onset or at the end of the attack; death during periods of apparent intensification of fever sometimes also occurs, but rarely.
If you begin to look for signs of death at certain hours we mention and do not find them, then do not be afraid that the patient will die; if you find them, you can assume that death will soon occur, and if, in addition, there are any of the mentioned bad signs, then consider it certain.
In most cases, if attacks occur on odd days, the patient dies on the seventh day, and if on even days, he dies on the sixth, especially when the disease progresses quickly.