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OF ARETÆUS, THE CAPPADOCIAN, ON THE CAUSES AND SYMPTOMS OF ACUTE DISEASE
BOOK II.
CHAPTER II. ON THE BRINGING UP OF BLOOD
[p. 264]
or from the mouth, it is no longer called a bringing up, but
either the same, or a spitting, or a hemorrhage. But if it
ascend from the chest, and the viscera there, the lungs, aspera
arteria, the parts about the spine, the discharge from these is
not called a spitting, but a bringing up (in Greek, ἀναγωγή,
the name being expressive of its coming upwards).
Cælius Aurelianus, under the
head of "Sanguinis fluor," thus
explains the term:--"Improprium
est enim fluorem vocare id quod
ascensu quodam non lapsu fertur.
Sed hæc Græci versa vice posuerunt,
derivationem nominis intuentes.
Hi enim anagogen vocant
quod magis ex inferioribus ad superiora
fluorem significat.'--Tard.
pass. iii. 9. We are at a loss for a
proper vocable in English to express
this term. It is usually
translated rejectio in Latin, which,
however, is not sufficiently expressive.
The most suitable in
English, which I can think of, is
"a bringing up."
The symptoms of both are partly common, small and few in
number, such as the seat of them, in which there is a coincidence
between the bringing up and the spitting. But the peculiarities
of each are great, many, and of vital importance, by which it
is easy to distinguish either of them from the other. If,
therefore, it came from the head, with a large discharge of
blood, greater and more numerous symptoms will arise, but
scanty from a slight and small spitting; in these cases, there is
heaviness of the head, pain, noises of the ears, redness of
countenance, distension of the veins, vertigo; and these are
preceded by some obvious cause, such as a blow, exposure to
cold, or heat, or intoxication; for drinking of wine speedily fills
the head, and speedily empties it, by the bursting of a vessel;
but from a slight intoxication there may be spitting, proceeding
from rarefaction. Occasionally an habitual hemorrhage from the
nostrils is stopped, and being diverted to the palate, produces
the semblance of a bringing up of blood. If, therefore, it be
from the head, there is titillation of the palate, frequent hawking,
and with it a copious spitting takes place; a desire supervenes,
and they readily cough. But if it flow into the aspera
