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Of Medicine, in Eight Books

Chapter 66: CHAP. XVI. THE CURE OF A DOUBLE QUARTAN.
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About This Book

It gathers medical knowledge into eight concise books that combine clinical observation, diagnosis, prognosis, and practical treatment. Chapters cover diet and regimen, descriptions of internal diseases and external injuries, medicinal preparations, and operative techniques with instructions for wound care and minor surgery. The text emphasizes careful observation and clear symptom description, pairing theoretical causes with hands-on remedies and measurements. Explanatory notes and technical detail support immediate clinical use, making the collection a practical reference for assessing, managing, and treating a broad range of conditions.

CHAP. XVI. THE CURE OF A DOUBLE QUARTAN.

But if there are two quartans, and those exercises, which I have prescribed cannot be used, there is a necessity either entirely to rest, or if that is difficult, to walk gently, then sit down, with the feet and head carefully wrapped up; as often as the fit has come on, and gone off, to eat sparingly, and drink a little wine; at other times, unless the weakness be very great, to abstain. But if there is hardly any intermission between two fits, to take food after both are over: then in the interval both to move a little, and after unction to eat. Now since an inveterate quartan is very seldom cured unless in the spring, in that season especially attention must be given, that nothing be done, which may obstruct the recovery of health. And it is of service in an old quartan to alter now and then the manner of living, to change from wine to water, from water to wine, from mild food to such as is acrid, and on the contrary; to eat radish, then vomit, or open the belly by chicken broth; to add warming medicines to the oil for friction; before the fit to take two cyathi of vinegar, or one of mustard, with three of Greek salt wine; or pepper, castor, laser(13), and myrrh, mixed in equal proportions, and diluted with water; for by these, and such like the body must be agitated, that so a change may be made from its present state.

If the fever has disappeared, it is proper to be long mindful of its periodical day; and on that day to guard against cold, heat, crudity, and fatigue: for it easily returns, unless it be feared for some time after the recovery of health.