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timaeu-第18部分

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parted by the strain of existence; they in turn loosen the bonds of

the soul; and she; obtaining a natural release; flies away with joy。

For that which takes place according to nature is pleasant; but that

which is contrary to nature is painful。 And thus death; if caused by

disease or produced by wounds; is painful and violent; but that sort

of death which comes with old age and fulfils the debt of nature is

the easiest of deaths; and is accompanied with pleasure rather than

with pain。

  Now every one can see whence diseases arise。 There are four

natures out of which the body is compacted; earth and fire and water

and air; and the unnatural excess or defect of these; or the change of

any of them from its own natural place into another; or…since there

are more kinds than one of fire and of the other elements…the

assumption by any of these of a wrong kind; or any similar

irregularity; produces disorders and diseases; for when any of them is

produced or changed in a manner contrary to nature; the parts which

were previously cool grow warm; and those which were dry become moist;

and the light become heavy; and the heavy light; all sorts of

changes occur。 For; as we affirm; a thing can only remain the same

with itself; whole and sound; when the same is added to it; or

subtracted from it; in the same respect and in the same manner and

in due proportion; and whatever comes or goes away in violation of

these laws causes all manner of changes and infinite diseases and

corruptions。 Now there is a second class of structures which are

also natural; and this affords a second opportunity of observing

diseases to him who would understand them。 For whereas marrow and bone

and flesh and sinews are composed of the four elements; and the blood;

though after another manner; is likewise formed out of them; most

diseases originate in the way which I have described; but the worst of

all owe their severity to the fact that the generation of these

substances stances in a wrong order; they are then destroyed。 For

the natural order is that the flesh and sinews should be made of

blood; the sinews out of the fibres to which they are akin; and the

flesh out of the dots which are formed when the fibres are

separated。 And the glutinous and rich matter which comes away from the

sinews and the flesh; not only glues the flesh to the bones; but

nourishes and imparts growth to the bone which surrounds the marrow;

and by reason of the solidity of the bones; that which filters through

consists of the purest and smoothest and oiliest sort of triangles;

dropping like dew from the bones and watering the marrow。

  Now when each process takes place in this order; health commonly

results; when in the opposite order; disease。 For when the flesh

becomes decomposed and sends back the wasting substance into the

veins; then an over…supply of blood of diverse kinds; mingling with

air in the veins; having variegated colours and bitter properties;

as well as acid and saline qualities; contains all sorts of bile and

serum and phlegm。 For all things go the wrong way; and having become

corrupted; first they taint the blood itself; and then ceasing to give

nourishment the body they are carried along the veins in all

directions; no longer preserving the order of their natural courses;

but at war with themselves; because they receive no good from one

another; and are hostile to the abiding constitution of the body;

which they corrupt and dissolve。 The oldest part of the flesh which is

corrupted; being hard to decompose; from long burning grows black; and

from being everywhere corroded becomes bitter; and is injurious to

every part of the body which is still uncorrupted。 Sometimes; when the

bitter element is refined away; the black part assumes an acidity

which takes the place of the bitterness; at other times the bitterness

being tinged with blood has a redder colour; and this; when mixed with

black; takes the hue of grass; and again; an auburn colour mingles

with the bitter matter when new flesh is decomposed by the fire

which surrounds the internal flame…to all which symptoms some

physician perhaps; or rather some philosopher; who had the power of

seeing in many dissimilar things one nature deserving of a name; has

assigned the common name of bile。 But the other kinds of bile are

variously distinguished by their colours。 As for serum; that sort

which is the watery part of blood is innocent; but that which is a

secretion of black and acid bile is malignant when mingled by the

power of heat with any salt substance; and is then called acid phlegm。

 Again; the substance which is formed by the liquefaction of new and

tender flesh when air is present; if inflated and encased in liquid so

as to form bubbles; which separately are invisible owing to their

small size; but when collected are of a bulk which is visible; and

have a white colour arising out of the generation of foam…all this

decomposition of tender flesh when inter…mingled with air is termed by

us white phlegm。 And the whey or sediment of newly…formed phlegm is

sweat and tears; and includes the various daily discharges by which

the body is purified。 Now all these become causes of disease when

the blood is not replenished in a natural manner by food and drink but

gains bulk from opposite sources in violation of the laws of nature。

When the several parts of the flesh are separated by disease; if the

foundation remains; the power of the disorder is only half as great;

and there is still a prospect of an easy recovery; but when that which

binds the flesh to the bones is diseased; and no longer being

separated from the muscles and sinews; ceases to give nourishment to

the bone and to unite flesh and bone; and from being oily and smooth

and glutinous becomes rough and salt and dry; owing to bad regimen;

then all the substance thus corrupted crumbles away under the flesh

and the sinews; and separates from the bone; and the fleshy parts fall

away from their foundation and leave the sinews bare and full of

brine; and the flesh again gets into the circulation of the blood

and makes the previously…mentioned disorders still greater。 And if

these bodily affections be severe; still worse are the prior

disorders; as when the bone itself; by reason of the density of the

flesh; does not obtain sufficient air; but becomes mouldy and hot

and gangrened and receives no nutriment; and the natural process is

inverted; and the bone crumbling passes into the food; and the food

into the flesh; and the flesh again falling into the blood makes all

maladies that may occur more virulent than those already mentioned。

But the worst case of all is when the marrow is diseased; either

from excess or defect; and this is the cause of the very greatest

and most fatal disorders; in which the whole course of the body is

reversed。

  There is a third class of diseases which may be conceived of as

arising in three ways; for they are produced sometimes by wind; and

sometimes by phlegm; and sometimes by bile。 When the lung; which is

the dispenser of the air to the body; is obstructed by rheums and

its passages are not free; some of them not acting; while through

others too much air enters; then the parts which are unrefreshed by

air corrode; while in other parts the excess of air forcing its way

through the veins distorts them and decomposing the body is enclosed

in the midst of it and occupies the midriff thus numberless painful

diseases are produced; accompanied by copious sweats。 And oftentimes

when the flesh is dissolved in the body; wind; generated within and

unable to escape; is the source of quite as much pain as the air

coming in from without; but the greatest pain is felt when the wind

gets about the sinews and the veins of the shoulders; and swells

them up; so twists back the great tendons and the sinews which are

connected with them。 These disorders are called tetanus and

opisthotonus; by reason of the tension which accompanies them。 The

cure of them is difficult; relief is in most cases given by fever

supervening。 The white phlegm; though dangerous when detained within

by reason of the air…bubbles; yet if it can communicate with the

outside air; is less severe; and only discolours the body;

generating leprous eruptions and similar diseases。 When it is

mingled with black bile and dispersed about the courses of the head;

which are the divinest part of us; the attack if coming on in sleep;

is not so severe; but when assailing those who are awake it is hard to

be got rid of; and being an affection of a sacred part; is most justly

called sacred。 An acid and salt phlegm; again; is the source of all

those diseases which take the form of catarrh; but they have many

names because the places into which they flow are manifold。

  Inflammations of the body come from burnings and inflamings; and all

of them originate in bile。 When bile finds a means of discharge; it

boils up and sends forth all sorts of tumours; but when imprisoned

within; it generates many inflammatory diseases; above all when

mingled with pure blood; s
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