KELANCEY'S ALMANAC OF AFFLICTIONS

A SANTHARIAN GUIDE

 
The Art of Healing   
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Introduction. A five-year summation of exposure to different peoples across Southern Sarvonia, this work is a collection of illnesses and health conditions which the author has helped to treat. The intent is that this may help other healers in their ministrations of the healing arts.
 

ABOUT THIS WORK

his almanac of afflictions is an attempt to categorise various known illnesses by bodily constituents and remedy for these. I am a White Nehtorian, known as Kelancey the Green. I trained at the monastery in Voldar, did my apprenticeship at the sanitarium for the blind and deaf in Voldar, and achieved mastery of the healing arts through service to the Santhran's army in Nyermersys. I joined the Compendium in the month of Burning Heavens, 1672 a.S.

I would be remiss if i did not give acknowledgment to my major source of information for this work, esteemed chirurgeon Quixkvechotil the Venerable of the Serphelorian community. Much credit also goes to my longtime friend and colleague, renowned gnome doctor Hodgerick Glassblower, who reviewed these entries with me and offered invaluable knowledge and editorial comments.

I will not claim to have an exhaustive listing of every known malady, and as such this compendium should be added to over time. Where conditions or disease may be an excess, a deficiency or a corruption of a bodily constituent, I have attempted to note this with each entry. For those diseases where the cause of illness is not known to the general scholarly community, I have denoted what wisdom is known about each illness. I will begin the discourse with a few bits of general advice that I have come by and found useful in my travels.

 

PRINCIPLES PASSED ON AMONG HEALERS

"The chance for harm is great; the chance to do good is very small." And, as a corollary, "If, in your capacity as a healer, you cannot do good for someone, then do nothing at all."
--From Myrwodin the Wizened, resident healer in Nyermersys around the time of my military training.

A healer should either heal or not heal. A healer should not do harm. This is not always so obvious when applied to real-life crises. Whenever a healer is confronted with a choice, the best decision is always that which gains the most benefit for the person being healed, and at the same time minimizes the exposure to risk or harm. If this sounds complicated, it is complicated. This requires practice of years to master this skill.

"All bleeding stops."
--From Quixkvechotil the Venerable, Serphelorian scholar of healing arts and esteemed chirurgeon.

Time is the most precious commodity we healers have. Especially when in crisis or dealing with near-fatal illness, we must allow ourselves just enough time to think through the best course of action, and only then proceed to tender our healing skills to the infirmed. By the same token, a victim of near-fatal illness may have only minutes to live; thus, efficiency is devoutly desired with more grave wounds.

"It is nigh impossible to improve on the miracle the Aviaria have created in the intelligent races of this world."
--From Hjaghrin Jeppreth, Dalorin of Marcogg, lecturing her students on the immaculate design of the human body.

In essence, do not try to improve on an already immaculate design, that of the living human, dwarf, gnome, elf, et cetera. We can mend the body with our healing, but we never claim to improve on what was originally designed with minute precision and painstaking forethought.

"The learning you do today will be the foundation upon which future learning will stand."
--From Felina Esai of the Quaelhoirhim, sage and friend of the White Nehtorians of New Santhala.

Each body of knowledge that we absorb will support the next body of knowledge we take on. Knowledge of anatomy, for example, edifies our knowledge of herbalism, which in turn bolsters our studies in surgical procedures, and so on.

"Know your limitations. Do not give false hope. People need honesty first in their healers."
--From Yngve Solveig, Gnomish doctor and traveling lecturer on healing practices.

It comes as a comfort to me, knowing that there are healers who are more skilled and more intuitively brilliant than myself. I feel sorry for the healer with no superior and no equal, for then whom does she call on when confronted with some illness or malady that even she is not acquainted with? We of the healing arts are all peers--avail yourself of help from your peers often!

"Cold steel makes the truth."
--From Quixkvechotil the Venerable.

Chirurgeons and healers who perform surgical procedures must accept that they are changing a person's anatomy with every swipe of scalpel and every stitch of thread. Wise healers will remember this before haphazardly stitching up wounds half-heartedly, or cutting into a person's body simply for the sake of doing something.
 

AFFLICTIONS OF THE SANGUINE, COURSES, HEART AND WOMB

Sanguine is the coursing surge of life in the blood, heart, and veins. It is the boundless, youthful spirit of the body, the essence of love, romance, and passion. The afflictions described herein represent the excess, deficit or corruption of the sanguine constituent.

  • Women's Cramps
    A woman's courses represent the rejuvenation of her womb each month, preparing her if she should become great with child in the coming mooncycle.

  • Tumors
    Malign outcroppings of bodily organs, tumors often leech the sanguine component out of the affected body part until that part of the body withers and dies.

  • The Malefic Grip
    Human men, more than other races, of advanced age are prone to heart failure, which often manifests as crushing chest pain and difficulty breathing.

AFFLICTIONS OF THE PHLEGM

Phlegm's influence over the body is peaceful conviviality and awareness of one's surroundings. It encourages gentility, amicability, and serenity. The afflictions described herein represent the excess, deficit or corruption of the phlegmatic constituent.

  • Consumption ('Feyronn's Revenge')
    Named for the legend of Undead Feyronn, consumption is an assault of the phlegm upon the choleric constituent. Starting with the lungs, phlegm amasses to unsustainable levels, overwhelming and crowding out the choler from the lungs and eventually drowning the victim in their own fluids.

  • Phlegmon
    When someone is availed upon by the phlegm to an excessive degree, the phlegm pools and stagnates in the throat and lungs, causing harsh coughing spells and making it difficult to breathe.

  • Melancholy ('Savouring bitter Herbs', 'Veiled in Shadow')
    Someone who ruminates too deeply may be overcome by an excess of phlegm, as someone who savours bitter herbs is wont to linger on bitter thoughts and memories. Such a person's heart may be enshrouded with dark thoughts, as though 'veiled in shadow'.

AFFLICTIONS OF THE BILE

Bile gives us pause to reflect upon what we see, feel, hear, and touch. It is the gentle muse which stirs introspection and wonderment. The afflictions described herein represent the excess, deficit or corruption of the bilious constituent.

  • Forgelord's Stones
    When someone is swept up in retrospection and loses sight of the present, the bilewell may become engorged and pierced with stones of resentment, causing the sufferer to undergo wracking pains of the belly and back.

  • Seelie Rump
    A degeneration from 'sealed' meaning fast or secure, also referred to as bilestopped, the tights, the plugs, stopped up, congested bowels. The bile must flow, lest we become too overcome with resentment or rancor. When we are bilestopped, we lose sight of our present circumstances and give ourselves up to bilious excess.

  • Bileflow ('The Runs', 'Loose Bowels', 'The Shats', 'Arsefreed')
    The converse of 'the plugs' is bile flow: venting our bilious constituent to excess gives the bilewell too much sway over our actions and our bodies. However, this author believes that poor hygiene may also contribute to bileflow.

  • Firebelly ('Drake's Breath')
    Another manifestation of bile backing up inside of us is firebelly, wherein the bile actually transmutes into acid burning and churning inside the chest and belly.

AFFLICTIONS OF THE CHOLER AND CONSTITUTION

Choler is the forceful, willful influence of the body. Moreover, whereas Sanguine is the cheery and youthful component within us, Choler is the driven, stubborn, even spiteful spirit within us. The afflictions described herein represent the excess, deficit or corruption of the choleric constituent.

  • Armeros' Wrath ('Headache')
    The Swordlord detests imbalance, and an internal conflict may provoke the Wrath of the Lord of Balance, causing severe pain in one's head.

  • Boils ('Carbuncles', 'Skin Abscesses', 'Volcanoes', 'Waxpits', 'Greesebunts')
    An archaic spelling of 'grease bumps', we presume - Choler can be an unsightly constituent; in youth, or in those whose bodies are undergoing a change of composition, one outward appearance of this change may be the accumulation of chyle--milky coloured and viscous choler--on the skin, in various forms of pox or swellings.

  • Clout Rash ('Clout Burn', 'Tailburn', 'Rump Rash', 'Babe's Burn', 'Swaddleburn')
    Babes are swaddled to keep them warm and make them feel loved. Yet, we know that choler can burn the body, and as babies may be in contact with choler for periods of time, they are prone to developing swaddleburn on their bottoms.

  • Vestiges of Queprur ('Rashes')
    Although we know that choler builds the constitution of the body, when it is lacking or not distributed through the body correctly it may cause burns on the face or other parts of he body. Queprur herself may be to blame for some of these burns, yet unhealthy living may be to blame in other instances.

AFFLICTIONS OF THE ANIMA

Anima roils, bubbles, shifts and swirls with graceful yet inexorable vitality. It is the unpredictably captivating influence which ignites change and sparks our imagination. The spirit of anima is ever in flux, finding new, untried ways to explore and express beauty and mirth. The conditions and afflictions described herein represent the excess, deficit or corruption of the urinary or animated constituent.

  • Settling of Eyrenvase
    Females of advanced age are prone to sagging of the womb, which may cause problems with dispelling anima. This may be related to a woman having delivered many babies in her younger years. In some instances, a pessary may be inserted to keep the eyrenvase from collapsing downward.

  • Baveras' Curse ('Burnin' Urine', 'Bridesbane', 'Bridal Bladder')
    Deliberately similar names, which reflects local nomenclature--Females more than males seem prone to contracting foul, burning waters, which may often present after a woman has intercourse, or may happen simply because she holds her waters for too long a time.

  • Yelquartz Waters ('Crystalpiss', 'Steenpain', 'Bladderbane', 'Steens')
    People who engage in too many activities or who let their anima sway them too much may be prone to wracking pains from animated stones of wild fantasy coursing through their bladders.

  • Pregnancy
    Alternatively termed carrying, with child, increasing, growing great, in the family way, a loaf in the oven, a babe under the apron, a bird in the apron, blessed by Jeyriall--Jeyriall holds sway over all the body's constituents. When a woman is intimate with a man, if Jeyriall chooses to bless their union, She may make this woman great with child.

AFFLICTIONS OF THE ICHOR

Ichor leads us to discern evidence through isolated observation, and glean truths through disciplined analysis and insightful deduction. The extension of this influence is to distance oneself from preconceived notions and heated emotions, with the intent to conceive of the abstract, guiding design or principle underlying real, worldly instances of objects or conditions. The afflictions described herein represent the excess, deficit or corruption of the ichoric constituent.

  • E'plepsi ('Shakes', 'Falling Sickness')
    People who consort with demons run the risk of developing e'plepsi or Falling Sickness, a condition of losing one's sanity for a brief period, the mind being assailed by convulsions, falling to the ground with rigors, sometimes injuring themselves in the process.

  • Stiff Person Disease ('Rooted like a Drasil Tree')
    People of advanced age may develop Stiff Person Disease if they are too abstruse, losing sight of their present surroundings, the phlegm losing its sway over their actions. These people may have trembling shakes in their hands and head, stiffness of their legs, even losing the ability to walk, becoming warped and bent over like a sage but rooted Drasil Tree.

  • Foiros' Judgment
    Foiros does not tolerate excesses of lust, emotion nor greed. To correct sinners who lose their insight to blind avarice, He punishes them with fever, agonizing pain in the head and neck, stiffness of the neck and back, and sometimes even death.


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