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we affirm that the immediate and intrinsic cause is the cold intemperance of the innate heat existing in the liver.
XV.
This intemperance occurs either because of an induced intemperance contrary to the heat, such as by drinking cold water, the immoderate use of crude foods and cooling medicines, or any other occasion. Or it happens because of a shortage of vital spirits flowing from the heart, or through immoderate losses of blood from the nose, uterus, hemorrhoids, or other evacuations. Or through long-lasting fasting. Or because of a hot dyscrasia imbalance of the liver, the venous type, and other parts consenting to the liver through proximity and the communion of vessels. Or finally, through suffocation from plethora excess of bodily fluid, cacochymia bad state of the humors, or the suppression of some customary evacuation.
XVI.
Although a hot dyscrasia may heat by itself, it does not generate a hydropic habit, but rather a wasting body, directly opposing the hydropic one. Nevertheless, it produces dropsy indirectly, without hectic dyscrasia, which, just as it does to that species of wasting called sarkophryges flesh-withered, so too does a cold hectic intemperance, such as sometimes happens to children, and brings them the other species of wasting, which is called geras para physin premature old age, but it does not cause dropsy.
XVII.
Signs indicating dropsy are either common or peculiar to any one species.
XVIII.
Common signs are: they suffer from fever for the most part; they are very thirsty; they have an aversion to food; a color tending from green toward white appears; there is difficulty in breathing and heaviness of the body; and finally, swelling of the feet occurs.