The Signs and Causes of Impending Crisis
The night before the crisis is always harsh, with pains in the neck, the stomach and the head: with coma, breathlessness, the unwilled flow of tears, and dullness of the senses, and glittering visions and ringing in the ears and quivering of the lips and retention of the urine. Now the attack, redoubling in vigour, presages the crisis, terrifies the patient: he starts and lies awake, mind wandering, he is thirsty, gasps and cries. Nor has he any hope of health, although the doctor — when he has seen before the rigor the sputum, urine and stools confected in good state — knows that hence forward such a patient has the strength to discard the disease. But this great process derives solely from the two great heats, of which the one that is foreign retains these impure humours while the native heat is expelled without, either in the blood that sometimes streams from the nose, or in the faeces through the anal aperture, or from the kidneys or in the skin softened with much sweat.