[Conspectus] medicinae theoreticae, cui adjiciuntur ordo

발행: 1832년

분량: 247페이지

출처: archive.org

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ciantur. Tunc dicitur homo

p0ris parti, tam fluidae quam solidae, unicuique functioni,

Sua accidere possunt vitia. Haec vero vel singula Oe-Currunt vel plura simul juncta. Hinc morbi simplices vel Compositi. 25. Simplicissimi exemplum erit, si quaelibet comporis partes ruptae, vel quivis alio modo laesae, propriis

muneribus miniis idoneae factae fuerint: aut Si, saluta omnino singularum Pa tium fabrica, ipsae, SiVe Solidae sive fluidae, a Statu Sano aberraverint: veluti si, propriis amissis vel co ruptis dotibus, alias et so lasse noxias sibi adeptae sint; vel denique si vires moventes, aut nimiae, autdflore -Homo tunc dicitur aegrotare. Sua Uitia possunt accidere unicuique parti

corporis, tam fluidae quam solidae, ceto unicuique iunctioni. Uero haec occurrunt

vel singula, vel plura simul juncta. Hinc sunto morbi

simplices vel compositi. 25. Erit ememplum Sim

plicissimi morbio si quaeli

bet partes corporis ruptos, vel laesae quovis alio modo fuerint factae minὐs idoneae propriis muneribus; aut si, fabrica partium singularum omnino salvo, ipsae porteso sive solidae sive suidae Merraverint a statu sano; veluti si, dotibus propriis amissis vel

corruptis, cillae puries θ adepti si sint sibi alias et fortasse nolias: vel denique si vires moventes fuerint nimiae dissiculty or pain. Man is in that statu said to be ili. Iis oWn peculiar injuries may happen to every part of thebody whether fluid or solid, and to every function. Theseagain Occur Singly or many united together. Henee thereare simple or compound diSenses. 25. There Will be a specimen os a most simple case os dis-

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nimis parvae fuerint, aut Contra Naturae normam di

rectae.

26. Hujusmodi vero morbos rarissimh spectamUS,sest sola mentis acie attingimus ; quippe nimirum simplicissimi etiam, alios

sive morbos, Sive morborum indicia seu symptomiata gignant, et his Solis dignoscantur. Symplomata vel morbi indicia sunt singulae quae in aegro praeter naturam Observantur res; illorum Vero PraeCiPUR, BVidentissima, eonStantisSima,

morbum faciunt, definiunt; alia alia producentia, prima ab ipsh morbi causa provenientia. 27. Varia prosecto et prope innumera in aegris Servantur morborum Signa, vel nimis parvae, aut directae

contra normam Naturam. 26. Vero rarissime Spectamus morbos hujusmodi, fere attingimus sola acie mentis; quippe nimirum etiam simplicissimi, sive giagnant alios morbos, Sive

gignunto indicia seu Symp-

tomata morborum, et dignoscantur ab his. Symptomata vel indicia morbi sunt singulae res quae Observantur in aegro praeter naturam;

pua, evidentissima, constan

tissima faciunt cet9 de finiunt

morbum; alia producentia alia, prima provenientia ab

ipsa causa morbi. 27. Profecto varia et prope innumera Signa morborum observantur in reris, or lastly, is the moving powers be toο great, or too seeble, or directed contrary to the rule of Nature. 26. We very rarely see diseases os this hind, we generalty reacti them by the acuteness of the mind alone ; forindeed, even the most simple diseases give rise either toother diseases or signS or symptoms of diseases, and aredistinguished by them. Symptoms or Signs os disease areali those circumstances whicli are observed in the si h man, as urinaturat; but the principat, most evident, and most Constant symptoms, sorm and define a disease ; Some givingrise to Others, and the first arise hom the cause os diseaseitsolf. 27. Indeed many and nearly numberless signs os diseases ure observed in Sich people ; a knowledge of them Will be

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quorum notitia, tum ad CognOSCendos, tum quoque ad sanandos vel levandos morbos, medicinam facientibus imprimis utilis erit. Immensa vero talium Si norum varietas haud inepte ad tria genera seu capita reserri solet; functiones, Seialicet, impeditas; senSus SiVeperceptiones molestas; et Speciem aliaSque corporis qualitates manifestas, vel quae sensibus percipiuntur, mutatas aut vitiatas. Om- Dis nimirum morbus in laesa aliqvst functione maXime

consistit 24 : harum verbnulla sere laedi vpi impediri

P0test, quin brevi molestiam quandam aegro faceS-Sat, qua Sciat se male ha-

erit utilis imprimis facientibus medicinam, tum ad cognoscendos yy cmorbosθ,

tum quoque ad sanandos,7υel levandos 7 morbos. Vero immensa varietas talium signorum solet referri haud inepte ad tria genera seu

cupitu; scilicet cud functiones impeditas; cudb sen

sus sive perceptiones mo

lestas ; et cud speciem que

alias quialitates corporis mutatas titit vitiatas manifestus, vel quae percipiuntur sensiabus. Nimirum Omnis morbus mazime consistit in aliqua laesu functione. Vero

nulla harum unctionumθfere potest laedi vel impediri, quin brevi clemporeo facessat quandam mole8tiam aegro, especially usesul to the medicat practitioner, both in disco vering diseases, and in curing or relieving them. The immense variety Os such symptoms is accustomed to bereserred, not improperly, to three genera Or headS, namely, impeded functions, troublesome Sensations or pereeptionS, change and disorder of appearance, and Other qualities of the body, whicli are evident or perceived by the senses. Every disease principalty consisis in injury of some lanction ; sor none os the functions can commonly be injured orimpeded, without in a Shori time producing SOme uneasi ness to the sich man, so that he knows that he is not weli; nor in common cases can any one be long ill, without

IT. Gerunds are sOmetimes converted into nouus adjective, as ad sanandos morbos, 4 c.

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bere. Nec quisquam sei hdiu aegrotare poteSt, quin

Species et forma corporiS, et vultus color decenS, quae ProSperae Valetudini contingere Solent, eandemque tam

miniisve eorrumpantur.

23. Medico, igitur, inter

adversae valetudinis indicia imprimis notanda Sunt lae-Sarum functionum animalium signa; SenSUS, SCilicet, motUSque voluntarii mathsse habentium indicia. Singuli enim sensus eXterni Variis possunt vitiari modis, et revera speph vitiantur; nemph aut deficiunt et torpent, aut nimis acuti fiunt, nec sine molestia eXercendi, aut abnormes fiunt et depravantur. SenSUS porro interni saeph a morbis usti Ciuntur. Hujusmodi vero qua sciat se male hubere

se . Nec quisquam ferediti potest Ggrotare, quiuspecies et forma corporis, et

color decens υultus, quae 3Olent contingere prosperg

pingere eandem tam pulchre, corrumpantur plus minus c. 28. Igitur signa ianimalium functionum laesurum imprimis notanda sunt inter indicia adversae valetudinis; scilicet, indicia sensus que motus υOluntarii habentium se male. Enim singuli sensus eaeterni possunt vitiari variis modis et revere sucvitiantur; nempe sensus aut desciunt et torpent, aut

sunt nimis acuti, nec ea fr-cendi sunto sine molestia, aut sunt abnormes et deprairantur. Porro Sensus

interni saepe assiciuntur is morbis. Vero assectiones

alteration In the appea rance and forin os his body, and in the comely colour of his face, Whicli are generalty the attend-ants upon good health, and which give it so fair an appearanee. 28. There re the character of impatred animal functionsare especialty to be observed amongst the sympionis of badhealth ; namely, indications of sensation and voluntarymotion being disordered. For ali the externat senses maybe disordered in various ways, and are in truth Often im patred ; they are either defective and torpid, or are toO neute, and do nut allow exercise without uneasineSs, Or bee Ome irregular and depraved. Desides, the internat senses areosten aflected by diseases. But os ali diseases of the SenSes,

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omnium sensuum assectiones medici attentionem Optimo jure sibi vindicant, quatenus non modo ipsae haud levis momenti morbi interdum fiant, Sed quan-tUm naturam et augmentum vel remissionem aliorum graviorumque morborum Saepe quam optime Ostendant. 29. Par ratio est cur ad conditionem et laesiones s Cultatis movendi semper sit

respiciendum; sive illa defecerit, ut in omnibus serhmOrbis solet, quod debilitas Vocatur; vel perdita fuerit, ut in paralysi; vel praeter

naturam intensa, quod in quibusdam cerebri assectionibus nonnunquam accidit; sive demum abnormis fuerit, veluti in convulsionibus aliisque similibus morbis.

hujusmodi omnium senSuum,

vindicant sibi optimo jure

attentionem medici, quatenus non modo cassectioneso ipsae sunt morbi haud levis

momenti, sed quantum S e, quam optime ostendant naturam, et augmentum, vel remissionem aliorum que graviorum morborum. 29. Est par ratis, cur Semper respiciendum sit ad conditionem et cado laesiones facultatis movendi; sive illa fucultusθ defecerit, ut solet

Iere in omnibus morbis, quod

vocatur debilitas vel cilla facultus o fuerit perdita tit in paralysi; vel csive illa sit)

intensa praeter Naturam,

quod nonnunquam accidit in quibusdam affectionibus cerebri ; sive demum cilluθfuerit abnormis, veluti in convulsionibus que cin9 ullis

morbis similibus. assections os this description by the greatest right claim theattention os the physician, inasmuch as they are not Onlydiseases in themselves of no light importance, but they also frequently potnt out in the best possibie manner the natureand progress and remission Os other and more severe diseases. 29. There is equat reason why we must always loOk to the condition and injuries of the faculty of motion, Whetherit be defective, as is usual in nearly ali discases, Riid is called debili ty, or whether it be lost, as in paralySis, orwhether it be unnaturalty powersul, as it occurs Some times in certain cerebrat affections , Or lastly, Whether it be irregular as in convulsions and other like dise ases.

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30. Neque sand aegri conditio quod ad somnum negligi debet: qui, sive ipSe

pro functione corporis, SiVetantum pro vacatione ab aliis functionibus habendus Sit, modum suum naturalem et sanitatis legibus conSentaneum habet, qui modus in plerisque morbis haud parum turbari solet; ita ut

somnus vel nullus sit vel nimius vel interruptus vel diris somniis terrificus; neque Somnus qui fuerit aegrum ut decet recreet. 31. Signa autem laesarum usi math se habentium fune-tionum vitalium majoris adhuc momenti sunt; scilicet quae non modo morbi naturum et aegri statum benhostendant, Sed Suo quoque periculo, vehementiora saltem si fuerint, non careant. 30. Neque sane conditio

aegri debet negligi quod crefert ad somnum; qui sive

ipse sit hcibendus pro functione corporis sive tantum

habendua esto pro UaCatione ab aliis junctioni bi/s,

habet suum modum naturalem et consentaneum legibus naturae, qui modus solet turbari haud partim in plerisque morbis; ita ut somnus sit vel nollus vel nimius vel interruptus vel terriscus diris somniis, neque Somnus qui fuerit, recreet aegrum ut

decet.

31. Autem signa functio num vitalium laesarum vel male habentium se, Sunt a huc majoris momenti; scia

litet sunt illuo quae non

modo bene ostendant naturam morbi et statum regri, sed quoque non careant Suo

pericul0, si saltem fuerint

30. Nor indeed should the state of the patient be neglectod in reserenoe to Sleep, Whicli, whether it be considored a function of the body, or an intermission os theother iunctions, ha S itS Own natural mode, according withtho laws of health : whicli mode is derangsed considerat, lyin many disseases. So that Sleep may be Wanting, or excessivo, or interrupted by frightfui dreamS, nor can Sleep so obtained be refreshing to the patient in a due degree. 31. The sigris of injured or dei anged vital functions areos stili greater importance ; for they are those whicli notonly wili potnt out the nature of the disease and stato os the patient, but are also not laee from danger them Selves,

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Hujusmodi sunt omnes pulsuum varietates, nimirum quae Ostendant aut deficere Sanguinis motum, aut nimium, aut abnormem OSSe,

veluti in febribus, inflammationibus, animi desectio

32. Proximum his locum tenent non immerito Spiritus aflectiones morbidae, veluti omnis spirandi velocitas aut tarditas insolita, aut disticultas quaevi S, RUt tuSSis, Sternutatio, Suspirium et similia; quibus sortasshadjicere licet varias vocis aflectiones, quamviS Prosecto hae potius ad primum 29) genus pertineant.

33. Porro signa laesarum uetionum naturalium 9 sedulo observanda sunt; f mis, scilicet, aut sitis de-27 vehementiora. Hujusmodi

sunt omnes varietates pulsuum, nimirum quae OStendant aut motum sanguinis dejicere, aut esse nimium aut

abnormem, veluti in febri

bus, cino insummationiabus, cet ino dejectionibus

animi.

32. Morbidae assectiones spiritus non immerito tenent prorimum locum his, veluti omnis velocitas vel insolitutarditas spirandi, aut quaevis discultas, aut tusSis, Sternutatio, suspirium et similia ;

tasse licet alicere varias ectiones vocis, quamvis

profecto, hoe potius pertineant ad primum genus. 29

33. Porro signa laesarum actionum naturalium 9 sunt observanda sedulo; scilicet, dejectus, ercessus, depraυα- provided they be os a rather more violent character. Os this description are the various kinds os puls*s ; for instance, Such as show that the circulation of the bl ood is languid, or too rapid, or irregular, as in severs, inflammations and faintingS. 32. Morbid assections os respiration properly claim attention in the nexi place, sucti as unusual velocity, Or retardation, or any dissiculty of breathing, or cough, SneeZing, Sighing and the like; to Whicli, perhaps, may be ad ded various aflections of the voice, although indeed these may rather beres erred to the sirst hind of assections. 29)33 Moreover the signs os injured natural lanctions arecaresully to be observed ; such as for instance, deficiency,

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sectus, eXCeSSus, depra tio, conditio quaevis insolita; actionis mandendi et devorandi et concoctionis Varia vitia; set alvi status vel astrictae praeter naturam vel nimis solutae; et Secretionum, et quae, magis Sub nostris SensibuS Cadunt, EX- Cretionum, praesertim urinae et sudoris EXCessus, deseC-tus, dissicultas, depraVatio. -Neque Sanh negligendae sunt laesiones functionum utrique sexui, muliebri imprimis, propriarum. 34. Quod ad sensus ingratos vel molestos 27 pertinet ; frequentissimi mo

borum comites et signa Ob- Servantur ; quorum pauci aliqua salthm molestia Carent. Non aliter enim aesanus Suis facith, nee sine

tio, velo quaevis insolitu

conditio famis aut sitis; scilicet varia vitia actionis mandendi et devorandi, et

concoctionis; et status alvi, vel astrictae proeter Naturam,

vel colvio nimis solutae ; etercessus, defectus, docuitos

depraviatio secretionum, et ercretionum praeSertim dirinet et sudoris, quae ceaecretioneso magis codunt sub nostris

Sensibus.-Neque Sane laesio

nes iunctionum propriarum utrique serui, imprimis muliebri, sunt negligendae. 34. Quod pertinet ad sensus ingratos vel molestos; sensus ingrati et molestiθObservantur frequentissimi

comites et signa morborum,

pauci quorum morborum θsaltem carent aliqua molestiti. Enim chomoθ non

aliter ac sanus iungitur suis

eXCeSs, depra Vation, or nny Unusual condition Os hunger orthirst; such as the various disorders of the action of mastication, deglution, and digestion ; the State of the boweis, whether confined more than natural or relaxed ; Such as theoxcess or deficiency, a dissicut ty or depravation of the secretions and excretions, particularly of the urine and sweat, whicli tali most under our observation. Nor indeed arethe injuries of the lanctions peculiar to each Sex, especiallytho semate, to be overtOOked. 34. As to troublesome and lineasy sensati0ns, they are very osten observed to be attendanis and symptoms os dis- cases, and indoed few of them are Deo hom some degree os uneaSiness. For man when healthy performS hiS numerous

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29 voluptate quadam, plerisque

fungitur muneribus; sic

aeger, his impeditis, dolet,

angitur variisque molestiis asticitur. Igitur ad hoe C put pertinent, dolor, anXie t S, PruritUS, senSUSque lassitudinis, torporis, StuporiS, caloris, frigoris, ponderiS, et alii forsitan benh multi sensus ingrati, nauSea, Vertigo, tinnitus, &c. quos medicis alio relegare PlaCUit: quorum Omnium tanta vis et molestia est, ut magnam

speph morbi partom efficiant,

et aegros miserrime agitent, fatigent, torqueant, terreant, tandem morte ipsa terribiliores evasuri. Neque Pro secto periculo aliquo Semper carent tales Sensus moleSti,

plerisque mulieribus facile, nec sine quadam voluptate ;sic aeger his cmuneribus impeditis, dolet, ungitur, queaspicitur variis molestiis.

Igitur chaeco pertinent ad hoc caput scilicet dolor

sus lassitudinis, torporis, stuporis, caloris, frig0ris,p0nderis, et forsitan bene multi ulli sensus ingrati sciliceto nausea ve/etigo, tinnitus, 4 c. quos placuit

medicis relegare alio; Omnium quorum sensuum θtanta est vis et molestia ut saepe ejiciant magnam p tem morbi et miserrime finitent aegros, fuligent, torqueant, terreant tandem evasuri terribilioresin ' morte

ipsa. Neque profecto tales

18. Co una ativeq, heri the Renqe is rendered complete by quam, require the ablative case aster them, as terribilior morte, i. e. quam mori.

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qualescunque fuerit eorum

35. Ad tertium genus Si norum morbidorum 27), Corporis nimirum qualitates

manifestas vitiatas, reseruntur res OmneS in aegro praeter naturam ObServandae,

neque ad alia genera pertinentes, de quibus nostris Sensibus, non aegri dictis aut querelis, certiores fimus. Cujusmodi sunt, Color CO poris et praesertim vultus Vitiatus, et praeter Solitum pallidus, ruber, flaVUS, 1 US-cus, lividus, VarianS; Peculiaris quoque VultuS RSPeC-tus, ab actione musculorum, aut motu Sanguinis, et Saepe a statu animi pendens, nullisque describendus verbiS, qui tamen aegri conditionem,

sensus molesti semper carent aliquo per iculo,' ' qualescunque fuerint causae eorum. 35. Ad tertium genus Si

norum morbidorum nimirum

cod qualitates manifestas

corporis vitiatus, referuntur Omnes res,observandae in regi oproeter naturam, Neque pertianentes ad alia genera de quibus iis δ' certiores ' nostris sensibus non dictis aut querelis aegri. Cujusmodi cgenerisθ sunt, color corporis et praesertim vultus, vitiatus, et pallidus praeter solitum, ruber,savus, fuscus, lividus, varians; quoque peculiaris aspectus vultus, pendens tibaci ione musculorum, aut ub)motu sanguinis, et saepe αstatu animi, que describendus nullis verbis, tamen qui δε- pingit melius et certius omni 35. To the stird kind os morbid signs, such as visibie vitiated qualities of the body, are reserred ali those circumstances observel in a Sich man as unnaturat, nor belongingto the other genera, but of which We are informed by ouroWn senses, and not by the words and lamentations of the patient. of this description are a vitiated colour of thebody, especialty of the countenance, paler than naturat, sor red. yellow, brown, livid Or change te; there is) also a peculiar appearance of the countenance, depending uponthe action of the muscies, or circulation of the blood, and Often upon a state of mind, whicli cannot be described by

I9. Verbs of abounding, and the reverse os them, govern the ablative case, agearent periculo. 20. Fio certior, to be informed, or made acquainted Mith.

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