his patients like a butcher during the first days of the disorder, he
afterwards indulged them so far as to give directions for making their
beds in the softest manner. He allowed them abundance of wine which he
gave freely in all fevers; he did not forbid it even to those afflicted
with phrenzy; nay, he ordered them to drink it till they were
intoxicated; for, said he, it is absolutely necessary that persons who
labour under phrenzy should sleep, and wine has a narcotic quality. To
lethargic patients he prescribed it with great freedom, but with the
opposite purpose of rousing them from their stupor. His great remedy in
dropsy was friction, which, of course, he employed to open the pores.
With the same view he enjoined active exercise to the sick; but what is
a little extraordinary, he denied it to those in health.
Erisistratus, who was a great speculator, and whose theories had the
most important influence on his practice, banished blood-letting
altogether from medicine, for the following notable reasons: because, he
says, we cannot always see the vein we intend to open; because we are
not sure we may not open an artery instead of a vein; because we cannot
ascertain the true quantity to be taken; because if we take too little,
the intention is not answered; if too much, we may destroy the patient:
and because the evacuation of the venous blood is succeeded by that of
the spirits, which thus pass from the arteries into the veins;
wherefore, blood-letting ought never to be used as a remedy in disease.
Yet, though he was thus cautious in abstracting blood, it must not be
supposed that he was not a sufficiently bold practitioner. In tumour of
the liver, he hesitated not to cut open the abdomen, and to apply his
medicines immediately to the diseased organ; but though he took such
liberties with the liver, he regarded with the greatest apprehension the
operation of tapping in dropsy of the abdomen: because, said he, the
waters being evacuated, the liver which is inflamed and become hard like
a stone, is more pressed by the adjacent parts, which the waters kept at
a distance from it, whence the patient dies.
Public-domain text, read in full here on John Shaqi.
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