pernecesse

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ἀσκέειν, περὶ τὰ νουσήματα, δύο, ὠφελέειν, ἢ μὴ βλάπτειν → strive, with regard to diseases, for two things — to do good, or to do no harm | as to diseases, make a habit of two things — to help, or at least, to do no harm

Source

Latin > English (Lewis & Short)

per-nĕcesse:
I adj. indecl., very necessary, indispensably necessary: cum pernecesse esset, Cic. Tull. 21, 49.

Latin > German (Georges)

per-necesse, Adv., unumgänglich notwendig, esse, Cic. pro Tull. 49.