BOOK 1

Charterian Edition Vol. 10 [348.] Basle Edition Vol. 4 (198. 199.)

...with exhaustion. Furthermore, the pulses are not the same in both cases. Those who have overexerted themselves to an extreme degree have small pulses, while others have large ones. Fevers that arise from the density original: "pyknosis" (πύκνωσις); a thickening or closing of the pores. of the skin occur when the skin becomes dense either from cold or from a sudden encounter with an astringent quality. This might happen, for example, to someone who bathed in water containing alum original: "styptēriōdei" (στυπτηριώδει); water with styptic or astringent mineral properties.. These are the only fevers among all types that are a condition of constriction original: "stegnon pathos" (στεγνὸν πάθος); a disease state characterized by the stoppage or closing of the body's passages..

It is possible to distinguish these by touch, just as one can distinguish fevers caused by parching dryness, (199) those caused by exhaustion, and those caused by sunburn. Indeed, the density of such skin cannot escape a trained sense of touch. Moreover, the movement of the heat reveals itself in a certain way: it feels mild when the hand is first applied, but becomes sharp original: "drimeia" (δριμεῖα); a biting or pungent heat that increases the longer the physician maintains contact. if you keep your hand there for a longer time.

In such cases, the urine does not appear reddish, nor has the body mass collapsed. Consequently, the eyes are neither hollow nor dry. In fact, in some people, the eyes will seem more moist and prominent than is natural. Nor are the pulses smaller, as they are in cases of grief, worry, sleeplessness, or excessive exercise. In ephemeral fevers caused by buboes bubo: "boubon" (βουβών); an inflammatory swelling of a lymph gland, often in the groin, which Galen uses here to categorize a specific type of one-day fever., the pulses...