General discussion about putrid fevers

Putrefaction arises, for example, from bad nutrients, when what is born from them is predisposed to decay due to the poor quality of its substance or the ability to quickly spoil if the substance of the substance is good, as happens, for example, with milk. Either the nutrient is watery and robs the blood of its density, like that which is born from very fresh fruits, or it is one of those substances that is not converted into good blood and remains a bad cold juice, so that the innate warmth does not accept it, but extraneous fester; such is the substance generated by kissoi, cucumbers, pears and the like. Putrefaction also occurs due to poor preparation of food or violation of the time and order of their intake, as you have already learned, or the cause is a blockage that prevents the breathing of the pores and the ventilation of the heart due to the bad nature of the body, when the nature is incapable of digesting well, but still turns out to be stronger than such a nature, which has no effect on the nutrient or juice and leaves them raw. In this case, nature either generates malignant juices, or spoils the substance formed by food, insufficiently digesting it and insufficiently promoting it. All these reasons contribute to the occurrence of blockages that give rise to putrefaction.

Putrid fever can also be caused by external circumstances, in particular bad air, such as pestilent air, the air of lowlands and swamps; Sometimes several such circumstances are combined.

The most common cause of putrid fever is a blockage, and the blockage is formed due to the abundance of juice or its thickness or viscosity. The reasons for the abundance of juices, their thickness and viscosity are known, and the fact that they cause blockages is also known. When a blockage occurs, putrefaction also occurs due to the lack of ventilation of the vessels, especially if there are untimely movements after overflow and indigestion, or bathing in a bathhouse, or exposure to the sun, or eating strong foods when overflowing, and also, if the patient stops monitoring the digestion of food in the stomach and liver and compensates for its deficiency, if any, by warming both of these organs with ointments and poultices.

Putrefaction sometimes covers the entire body, and sometimes occurs in one organ due to its weakness or from the significance and sharpness of extraneous warmth, as well as from pain. The juice that undergoes decay is either yellow bile, and the steam coming from it should be smoky, rarefied and pungent, or blood, and what comes from it should be a rarefied steam, or mucus, and what comes from it , there should be thick steam, or black bile, and what comes from it should be smoky, thick and dusty.

The putrefaction of yellow bile causes a three-day fever and what is similar to it, the putrefaction of the blood causes a continuous fever, the putrefaction of mucus in most cases causes a fever that returns every day, and what is similar to it, and the putrefaction of black bile causes a four-day fever and that. which is similar to her. The place of blood is inside the vessels, and its decay also occurs inside the vessels; As for yellow bile, mucus and black bile, sometimes they rot inside the vessels, and sometimes they rot outside the vessels. When they rot outside the vessels, and there is no other reason for the rotting and the rotting does not take place in the internal tumor, which constantly sends putrefactive matter to the heart, then each of these juices determines the periodicity of attacks that we just mentioned. This kind of fever comes and goes, although the mucous fever is not completely eradicated and some remnant remains.

If the juices rot inside the vessels, then this determines the persistence of the fever, which then does not go away and is not close to passing, but is persistent and constant, but is distinguished by exacerbations, by which the attrition characteristic of it is recognized. When internal putrefaction covers all the vessels or most of the vessels located near the heart, then exacerbations and weakening of the fever almost do not appear; otherwise, such changes appear clearly.

Fever with external putrefaction passes and returns for the reason that the putrefying matter undergoes putrefaction during the attack itself, and the fluids to which the heat adheres are destroyed or dispersed and leave the body. They, after all, are not locked in vessels, and nothing prevents them from completely dissipating, so that only ashiness and earthiness remain from them, which are not conductors of fever and heat. We see the same thing with the rotting of manure and garbage in landfills, which rot little by little until everything turns to ash, so that there is no heat left. And so, when there is no heat left in the juice, burned from putrefaction, the fever stops until matter again accumulates in the place where the putrefaction occurs and where the remainder of the heat has been preserved from the previous putrefaction, although there is no matter left. Or heat is preserved due to the presence of the cause of initial putrefaction in the first matter and flares up in subsequent matter, giving rise to putrefaction; Thus, the process of decay occurs in a circular manner due to the presence of insignificant heat, causing decay, dissolution of juices and the formation of ash. The heat passes on to the neighboring matter until the boundary disappears and the matter runs out, so that the heat does not find other matter in the neighborhood, and not even a remnant of fever remains, waiting for new matter to seep into the given place. If putrefaction resides inside the vessels, then complete dissolution of the juices is sometimes difficult; then the putrefaction passes from one part of the matter to another, for the parts of what is in the vessels are connected with each other, and everything that rots causes the rotting of the neighboring matter, after which the decay passes to another neighboring matter. In addition, Imatter, closed in the vessels, is strongly connected with the heart.

With these fevers, the attacks of which sometimes stop and weaken, the order of the attacks is often disrupted due to differences in juices in terms of abundance, scarcity, thickness and liquid, as well as their dissimilarity in type. |The fact is that some juices sometimes change and pass into Matter of a different kind, differing from the first in variety, and not only in relation to abundance, scarcity, density and Liquid. Sometimes this happens due to poor treatment of the patient, his weakness or great sensitivity.

Attacks of intermittent fever in most cases begin with goose bumps or a feeling of cold or tremendous chills, and are resolved by perspiration. They most often begin with coldness and goose bumps, either due to the coldness of the juice, or because the juice stings the muscles with its sharpness, or because the warmth goes deep into the matter, or from the weakness of the natural force, or from the cold air . The sensation of pinching warmth is better attributed to goosebumps than to cold, and most often feels like a needle pricking every organ; As for the release of matter with perspiration, the point here is that festering heat dissipates moisture and leaves only ashes, and when this moisture is not locked in the vessels, it easily comes out through the pores in the form of sweat.

Attacks of persistent fever, which weakens but does not stop, begin with a feeling of cold only due to the weakness of natural strength or a withdrawal into the depths of the innate warmth, due to which the limbs become cold. This is not a good sign. In some fevers, both cold and goose bumps are combined due to the fact that rotting matter is combined with cold and pinching juices, and sometimes some putrefactive fevers give such a combination of manifestations that they take on the form of inseparable ones. This happens, for example, if the juice begins to rot somewhere, and as the rotting prevails, another juice, homogeneous or heterogeneous with the first, begins to rot. The decay of the second sap coincides with the time of cessation of the first fever, and then the matter continues in the same way. Sometimes putrefactive fevers are combined in combinations of another kind, which we will examine in detail in the appropriate paragraphs.

Periods of fever are sometimes long, and sometimes their duration is short. They are long because of the density of the matter or its viscosity or abundance or immobility, or because of the weakness of the patient’s strength and his low sensitivity, or because of the compaction of the pores, due to which the juice does not come out, and their shortness is due to reasons opposite to this. The attacks are coming! fast or slow. The reason for their slowness is that there is either little matter or it moves slowly towards the source of putrefaction due to its density, such as, for example, the matter of four-day fever, and the speed is explained by the fact that there is a lot of matter, such as mucus, but not glassy mucus - then the attacks are often delayed - or it is rarefied, like, say, yellow bile.

The worst fever is persistent, in which putrefaction of matter occurs inside the blood vessels, then intermittent, in which putrefaction occurs throughout the body or in the region of the heart. Old people, due to the coldness of their nature and the poverty of their meat, rarely have a strong fever.

As for the pulse, in putrefactive fevers its qualities vary depending on the difference in the type of fever or, according to the difference of the same type in strength and weakness, on the significance or insignificance of the manifestations. Sometimes the pulse becomes hard in fevers, either because of a hot tumor which greatly strains the vessels, or because of a hot tumor in an organ rich in nerves, or because of a hard tumor, or because of great dryness, or when cold overpowers the body at the beginning. seizures. And sometimes it is soft because of damp, soft matter, mucous or bloody, or because the tumor is in a soft organ, as in inflammation of the liver, inflammation of the lungs and lithargus, and also because of the expected moisture, when the doctor wants the patient to sweat . At the beginning of attacks, the pulse is weak and compressed, since all forces are directed against matter and are occupied with cleansing and ventilating the blood vessels.