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XXIII.
But generally, in any Hectic [fever], the earwax is dry. Distillations are sharp and salty. Sweats [occur] on almost every night. Feces are generally dry, in some [cases] even liquid.
XXIV.
A changed quality is observed either in a part or in the whole.
XXV.
Thus, in a part, one encounters dry lippitude inflammation of the eyelids of the eyes (such as [that of] those who have completed a long journey in the sun and dust), concave eyes, collapsed temples, sharp nostrils, rigid ears and eyebrows. The vivid color of the face has perished; finally, the face is Hippocratic a pinched, sunken, and pale facial expression indicative of impending death.
XXVI.
In the whole, however, [there is] dryness and squalor, so that one appears as if a skeleton. For although digestion is poorly performed and the nourishment is depraved, cachexia general physical wasting does not occur, because it is consumed by the heat and dryness of the limbs: with apologies to Celsus, who seems to have listed cachexia among the species of Hectic. Heat is more distinct after food.
XXVII.
But if the Hectic [fever] is joined with a putrid [fever], it will have the signs of the putrid [fever] attached.
XXVIII.
To recognize an incipient Hectic [fever] is difficult, to cure one established is arduous, to know [one at its end] is easy. Marasmodes is immedicable, since the fibrous substance of the part cannot be restored.