De tabe et phthisi pronunciata

are pursued copiously by Celsus Aurelianus, book 2, Chronicles, chapter 14. He recounts that the sputum is bloody at the beginning, which afterwards becomes foul, then livid or greenish, and at the end becomes white and purulent, sweet or salty, with a hoarse and shrill voice, and difficulty in breathing. As the evil grows, the redness of the cheeks is changed into lividity, and the upper parts drip with sweat until the end of the chest: the pulse becomes weak and dense, and at the end, fluttering: some have a feeling of heaviness as if the lung were wounded, and they spit out certain fibers of it: some feel a stabbing as if in an ulcerated chest: swelling of the feet follows, the joints are now hot, now cold, the tip of the nose grows cold, the extremities turn pale.

XXXV.

Evils related to Phthisis are sōntēxis melting away and atrophia lack of nourishment. Both indeed consume and emaciate the body.

XXXVI.
But sōntēxis follows almost upon acute, or pestilential, or hectic fevers: atrophia also is nothing else than apotychia threpseōs failure of nourishment, by which the body gradually dries up and is consumed, with no evident preceding cause or acute disease, existing as a symptom of a weakened or extinguished natural or vital virtue due to a vice of the principal members, the heart, lungs, stomach, liver, or spleen: or due to a redundancy of much bile, both yellow and black, which humors wear out the spirit and natural heat, so that it can scarcely generate useful blood.

XXXVII.
To enter upon a cure rightly, that which is primarily to be observed is that one consumption is hē physei by nature and another is hē tychē by chance. That which has already long since invaded the solid parts, and thus besieges the heart as the hē zōēs akropolin citadel of life, rejects all remedy: but that which, excreting something purulent, attacks with a slight fever, although most difficult to cure, is yet not altogether incurable.

XXXVIII.
Furthermore, the cure is completed by two principal parts, one of which, prophylaktē protective/preventative, is owed to the antecedent cause, such as distillation from the brain, or preceding diseases which phthisis is accustomed to follow, such as angina, pleurisy, pneumonia, empyema, hemorrhage from the rupture of lung vessels: