Galen, Method of Medicine

LCL 517: 450-451

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Galen

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1. Τῶν ἐφημέρων πυρετῶν, ὦ Εὐγενιανέ, τὴν τῆς θεραπείας μέθοδον ἐν τῷ πρὸ τούτου γράμματι διῆλθον ὀγδόῳ τῆς ὅλης ὄντι πραγματείας. ἔστι δὲ τοῦ γένους τοῦδε τῶν πυρετῶν εἷς ὁ παροξυσμός, ἡμέρᾳ μιᾷ περιγραφόμενος ὡς τὸ πολὺ κατά γε τὴν ἑαυτοῦ φύσιν. ὅσα γὰρ ἢ διὰ τὴν τῶν ἰατρῶν ἀμαθίαν ἢ διὰ τὴν τῶν καμνόντων ἀκολασίαν ἢ διὰ τὴν τῶν ὑπηρετούντων πλημμέλειαν ἁμαρτανόμενα περὶ τοὺς τοιούτους πυρετοὺς εἰς ἕτερόν τι γένος αὐτοὺς μεθίστησιν, 600Kοὐ κατὰ τὴν οἰκείαν αὐτῶν ἀποβαίνουσι | φύσιν. οὐδὲν γὰρ δήπου θαυμαστὸν ἐκ τῶν ἁμαρτανομένων οὐ μηκύνεσθαι μόνον ἢ μεταπίπτειν εἰς ἕτερόν τι γένος ἡντινοῦν τῶν νόσων, ἀλλὰ καὶ γεννᾶσθαι νῦν ἔμπροσθεν οὐκ οὖσαν. ὅπου γὰρ οὐδὲ τοῖς ὑγιαίνουσιν ἁμαρτάνειν ἀσφαλές, σχολῇ γ᾿ ἀκίνδυνον ἄν ποτε τοῖς κάμνουσι γένοιτο. λοιπῶν δ᾿ ὑπαρχόντων δυοῖν γενῶν, ὡς ἐν τῷ Περὶ τῆς διαφορᾶς τῶν πυρετῶν ὑπομνήμασιν ἐπιδέδεικται, τὸ μὲν ἕτερον ἐπὶ χυμοῖς σηπομένοις ἐδείκνυτο γίνεσθαι, τὸ δ᾿ ἕτερον αὐτὰ τὰ στερεὰ τοῦ ζῴου μόρια κατειληφὸς ἑκτικὸν ὀνομάζεται. μεταπίπτουσι δ᾿ εἰς ἑκάτερα γένη πολλάκις οἱ

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Method of Medicine IX

BOOK IX

1. I have gone over the method of treatment of the ephemeral599K fevers, Eugenianus, in the book prior to this one, which is the eighth of the whole treatise. In this class of fevers there is a single paroxysm limited to one day for the most part by virtue of its own nature. All mistakes that are made with regard to fevers of this kind, whether due to the ignorance of doctors, the intemperance of patients, or the fault of those in attendance, change them to some other class and take them away from their own specific nature.600K There is, of course, nothing remarkable [about the fact] that, from these mistakes, not only do they last longer or change into some other class of diseases altogether, but they now also generate a nature that did not exist before. For where it is not safe to make mistakes in those who are healthy, it would hardly be without danger if this were to occur at any time in those who are ill. Of the remaining two classes [of fevers] that exist, one was shown to occur due to putrefying humors, and the other, called “hectic,” to involve the actual solid parts of the organism, as has been shown in the treatise On the Differentiae of Fevers.1 The ephemeral fevers often change to either one of the [other]

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DOI: 10.4159/DLCL.galen-method_medicine.2011