And from the same mode of reasoning, applying the opposite rule
to melancholic persons, we must purge them freely downward.
In very acute diseases, if matters be in a state of orgasm, we
may purge on the first day, for it is a bad thing to procrastinate
in such cases.
Those cases in which there are tormina, pains about the umbilicus,
and pains about the loins, not removed either by purgative medicines
or otherwise, usually terminate in dry dropsy.
It is a bad thing to purge upward in winter persons whose bowels
are in a state of lientery.
Persons who are not easily purged upward by the hellebores, should
have their bodies moistened by plenty of food and rest before taking
When one takes a draught of hellebore, one should be made to move
more about, and indulge less in sleep and repose. Sailing on the sea
shows that motion disorders the body.
When you wish the hellebore to act more, move the body, and when
to stop, let the patient get sleep and rest.
Hellebore is dangerous to persons whose flesh is sound, for it
Anorexia, heartburn, vertigo, and a bitter taste of the mouth,
in a person free from fever, indicate the want of purging upward.
Pains seated above the diaphragm indicate purging upward, and
those below it, downward.
Persons who have no thirst while under the action of a purgative
medicine, do not cease from being purged until they become thirsty.
If persons free from fever be seized with tormina, heaviness of
the knees, and pains of the loins, this indicates that purging downward
Alvine dejections which are black, like blood, taking place spontaneously,
either with or without fever, are very bad; and the more numerous
and unfavorable the colors, so much the worse; when with medicine
it is better, and a variety of colors in this case is not bad.