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About thirty miles southeast of Naples lay Salernum, which for centuries kept alight the lamp of the old learning, and became the centre of medical studies in the Middle Ages; well deserving its name of "Civitas Hippocratica."
But in this, as well as almost every instance, your new commonwealth is born and bred and fed in those corruptions which mark degenerated and worn-out republics. Your child comes into the world with the symptoms of death; the facies Hippocratica forms the character of its physiognomy and the prognostic of its fate.
At this time the condition of the patient was as follows: The face presented the appearance known as facies hippocratica: the eyeballs were prominent, the corneæ glassy, the pupils widely dilated, not acting to light, and there was no reflex action of the conjunctivæ; the lips were livid, the tongue tumefied, but pallid, the skin ashy pale, the cutaneous tissues apparently devoid of elasticity.
"the symptoms increased in severity, and changed during the collapse, his temperature 97.3 degree F., pulse 160, thready, uneven; conspicuous facies hippocratica; no pain; a slight comatose condition, moderate meteorism, no movement of the bowels.
But see you that man with the facies hippocratica?" said he, pointing out a thin peasant, with swelled legs, and a most cadaverous countenance; "that I call one of the worthiest men in the barony he breakfasts, luncheons, dines, and sups by my advice, and not without my medicine; and, for his own single part, will go farther to clear out a moderate stock of pharmaceutics, than half the country besides.
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