Blood fever

Galen believed that blood fever does not arise from blood putrefaction, for blood, when it rots, becomes yellow bile, and it is no longer blood. Then the fever turns out to be yellow gall fever, and not bloody, and this is the mentioned burning fever, or three days, and it is treated with appropriate methods of treatment. Such a statement is at odds with the words of Hippocrates and at odds with what is obligatory, and the greatest error comes from the words: When it rots, it becomes yellow bile, for these words inspire two thoughts. One of them is that when the blood rots, it turns into yellow bile after rotting, just as they say that firewood, when burned, turns into ashes, and the second is that when the blood rots, it turns into the time of rotting into yellow bile, as they say that when a tree gets hot, it rots and turns into dust. Let us consider each of these two provisions.

The first proposition is fundamentally incorrect in three respects. First, when the blood rots, the liquid part of it turns into bad yellow bile, and the thick part into black bile, so that it does not all become yellow bile; secondly, this occurs after decay, and we are considering blood in a state of decay. Thirdly, the blood then turns into bile, but we do not know whether there is putrefaction in this bile or not. After all, many things rot and the liquid part of them is separated from the thick part, but neither the liquid nor the thick part is necessarily putrefactive, although it comes from something putrefactive, and from putrefactive substances sometimes comes something that is not putrefactive. If the origin of yellow bile from something putrefactive necessarily made it putrefactive, then the thick, incinerated part of it would also have to be putrefactive, and at the same time black bile fever would also arise. This is what the interpretation of the first position leads to.

As for the second position, this is a complete lie. The fact is that decay is the path to damage, and decay takes time, but the transformation of blood into yellow bile does not take time. On the contrary, putrefaction is a deterioration that occurs in the blood, which remains blood, just as it arises in mucus, which remains mucus and does not become either black or yellow bile, unless it undergoes a further transformation, after complete putrefaction. No, the real truth is in the words of Hippocrates: Fever sometimes arises from blood putrefaction.

And now we will say that blood fever is essentially two fevers - fever from putrefaction and fever from heating and fermentation; It is this, and not any other fever, that Hippocrates calls synochus, that is, continuous. Its boiling depends most of all on blockages that block the heat, but it often occurs due to other reasons that increase more than the causes of one-day fever. Sometimes it is also called burning, strong; it belongs to the number of fevers that stand between putrefactive fevers and one-day fevers, and differs from one-day fevers for the reason that the juices are the first to warm up, and it differs from putrefactive fevers in that there is no putrefaction with it. This is an acute fever that is not a one-day fever, a putrid fever or a putrefactive fever, but often develops into a putrid fever or a putrefactive fever. Galen often regards it as a one-day fever. According to Galen, blood fever is not combined with other fevers, for putrefaction, when it is in the blood, covers all juices. This contradicts some of the provisions of Galen himself, but we do not need to drag out the speech here, because this is of no benefit to the doctor.

The cause of such fever is congestion and blockage, and most often it occurs from physical work, especially unusual work, as well as from neglect of bowel movements and subsequent strenuous physical work. Sometimes putrefaction in such a fever is caused by great wateriness of the blood due to the consumption of watery fruits, as a result of which wateriness turns into putrefaction, or by an abundance of unripe juice in the blood, predisposing the blood to putrefaction; such, for example, is the blood generated from kissa, cucumbers, pears and the like.

Such a fever is persistent and does not subside until a crisis or the death of the patient, since the matter spreads and adheres to the entire body. There are three varieties of it, and the safest of them is waning fever, which begins severely and then continuously weakens, because the dissolution of matter exceeds decay. Then comes a fixed fever, remaining in one state, the manifestations of which are sometimes the same for seven days, and the worst fever is increasing. Dissolution with it is less than decay, and the crisis most often does not occur until the seventh day, and it ends with emptying, tangible or imperceptible. Sometimes it turns into a burning fever or sarsam, sometimes, from severe cold, into lithargus, and sometimes into smallpox or measles. When, with such a fever, hibernation sets in and the abdomen swells, which makes a drum-like sound and does not fall down after relaxation, and the patient rushes about in bed, and when relaxation does not help and then bluish plaques, especially wide ones, appear, then this is one of the signs of imminent death.

Signs. Signs of a blood fever are persistent fever, redness of the face and eyes, swelling of the veins in the neck and temples and general congestion without chills, with perspiration occurring only in times of crisis. Galen often regards this fever as a one-day fever. According to Galen, blood fever is accompanied by itching in the nose and eye sockets and difficulty breathing. Such patients often experience hibernation and difficulty speaking - this is a bad sign, as well as swelling of the throat, tonsils and uvula and lacrimation. The heat with it is strong, wet, steamy, bath, and not dry, as with a burning fever, the pulse is large, soft, strong, full, fast, very frequent and uneven, however, less uneven and fast than with a burning and three-day fever . The heat does not reach such a limit as with burning and with severe three-day fever, but with blood fever from putrefaction the heat and symptoms are stronger. This type of fever is more difficult to treat and is more like a burning fever; As for the liquid or thickness of the blood, it is recognized by the discharge.

At first, fermentative synochus is most similar to one-day fever, but the heat from it burns and irritates little. Synochus acts most strongly near the heart, and from it there is burning and shortness of breath, and putrefactive fever is smooth or, most often, similar to smooth.

As for the signs of the transition of such a fever into another, these are the signs of any fever into which it turns, that is, suffocation or swelling of the throat and tonsils, and you already know them. The signs of smallpox will still be taught, but the signs of sarsam - headache, confusion of mind, etc. - are already known to you. The signs of a prolonged fever are what you already know, for example, a delay in the signs of ripeness of the urine, a sharpening of the facial features and a change in the quality of the fever during its duration in relation to intensification, stopping and decreasing, so that it becomes as if intermittent; this indicates that the body is filled with immature juice. As for the timing of the crisis, it is indicated by the appearance of signs of maturity; if it is delayed beyond the third or fourth day, then there is no crisis even on the seventh day. And most often, the crisis with this fever occurs on the fourth day.

Treatment of blood fever. The goal in the treatment of blood fever is to remove copious amounts of blood, even to the point of fainting, to thicken the blood substance if it is very thin, watery or yellow-billed, to cool it, cleanse it, and also to liquefy it if it is thick, as in a person who has consumed foods that produce thick blood and forming raw juice. The physician also strives to bring the fever-producing matter to maturity and dissolve it.

As for evacuation, there is nothing better than bleeding from the arm, at whatever time the fever occurs, without waiting for a crisis or ripening, unless there is indigestion - in which case, let the juices down and drain them, and if the fever continues, open the blood . If the patient's body is strong, then do not stop bleeding until he approaches fainting or faints; fainting also cools a strong nature.

Know that bloodletting and drinking cold water often eliminate the need for other measures; It is better to release the blood in parts, if there is nothing that requires haste; sometimes the goal is achieved without approaching fainting. Often, after severe bloodletting, relief from bile and perspiration immediately follows, which must be wiped off all the time so that the sweat is gradually released; sometimes it heals. The onset of weakness or fainting is eliminated by light food and rest; one should constantly soften the nature with known means, for example, the juice of both pomegranates, that is, the juice of sweet and sour-sweet pomegranate, and other medicines, including manna, tamarind and light suppositories, which we mentioned. When the juices ripen, there is often a need for emptying, for example, with myrobalans, fumes, laxative cassia and similar drugs known to you.

When circumstances do not allow bleeding from the arm, then it is released from a vessel located on the forehead, or cups are placed, and if none of this succeeds, due to some obstructive phenomenon, then it is emptied by relaxation, as is done with a burning fever, and cool the blood with opening, detaching and calming fermentation medications. If fainting occurs due to bloodletting, feed the patient bread with the juice of unripe grapes, and if nosebleeds begin on their own, then interrupt it only when fainting approaches.

As for thickening the blood, it is thickened, for example, with thickly brewed jujube juice. Namely, one hundred jujube berries are boiled in five ritles of water until one third of the water remains, and the decoction is thickened with sugar; The less sugar, the better. Lentils belong to the same category of medicines, especially when cooked with sour, strong vinegar; Beware of giving thickly brewed jujube juice or the body of lentils when the matter is thick.

Cooling of the blood is carried out, for example, with cooled lentil broth or cooled lettuce juice, or with cold water, if there are no obstacles to this. Sometimes the patient is given water until he trembles and turns blue, and often he recovers because of this.

And sometimes a fever of the blood passes into the mucous membrane, and is treated with rose cakes and the like; This treatment was invented by one of the ancients, but one of the modern doctors took credit for it. As for drinking barley water, it is a useful treatment for such fever, but only when the nature is mild. Best time for. This is a time of strong fermentation of the blood, when the patient feels faint and burns, and has frequent heart failure. Know that if you limit yourself to cooling and neglect emptying and relaxation, this increases blockages and retention of juices, and, as a consequence of this, putrefaction and hotness increase.

Blood purification is carried out, for example, with drugs that remove yellow bile from the bottom, taking into account differences due to the strength and weakness of the patient, as well as substances that bring raw juice to maturity - it is this that is often the cause of blood putrefaction. At the end of the disease, they give, for example, camphor cakes and cakes made from bamboo nodules.

Good flatbreads. They take bamboo nodules - three dirhams, purslane seeds - five, kissa seeds - four, pumpkin seeds - six, gum, tragacanth, starch - three dirhams each, thickly brewed licorice juice - seven dirhams. Flatbreads are made from all this.

Another recipe, especially useful for liver weakness: take roses - three dirhams, squeezed barberry juice - two dirhams, kiss seeds, cucumber, melon, purslane, as well as bamboo nodules - each dirham, gum, tragacanth, starch - half a dirham each, Chinese rhubarb, saffron, camphor - each a quarter of a dirham and made into cakes.

As for the dishes, the sick are fed with a stew of jujube or acidified lentils, as well as a stew of pomegranate or sumac; when it is feared that any of these will cause constipation, the constrictive action is relieved with the help of manna or drains. They are also fed pumpkin and sorrel stews, Chinese pear fruits, pomegranates and Syrian apples. Vegetables include pumpkin, kissa, cucumbers, chicory, blessed vegetable, sorrel, coriander and the like. If a headache, heart failure, insomnia, hibernation or excessive, debilitating nosebleeds and other severe phenomena appear, then treat as we taught you in our place.