I do not suppose that Asclepiades ever saw a stone which had been
passed by one of these sufferers, or observed that this was preceded
by a sharp pain in the region between kidneys and bladder as the stone
traversed the ureter, or that, when the stone was passed, both the
pain and the retention at once ceased. It is worth while, then,
learning how his theory accounts for the presence of urine in the
bladder, and one is forced to marvel at the ingenuity of a man who
puts aside these broad, clearly visible routes,[85] and postulates
others which are narrow, invisible--indeed, entirely imperceptible.
His view, in fact, is that the fluid which we drink passes into the
bladder by being resolved into vapours, and that, when these have been
again condensed, it thus regains its previous form, and turns from
vapour into fluid. He simply looks upon the bladder as a sponge or a
piece of wool, and not as the perfectly compact and impervious body
that it is, with two very strong coats. For if we say that the vapours
pass through these coats, why should they not pass through the
peritoneum[86] and the diaphragm, thus filling the whole abdominal
cavity and thorax with water? "But," says he, "of course the
peritoneal coat is more impervious than the bladder, and this is why
it keeps out the vapours, while the bladder admits them." Yet if he
had ever practised anatomy, he might have known that the outer coat of
the bladder springs from the peritoneum and is essentially the same as
it, and that the inner coat, which is peculiar to the bladder, is more
than twice as thick as the former.
Perhaps, however, it is not the thickness or thinness of the coats,
but the _situation_ of the bladder, which is the reason for the
vapours being carried into it? On the contrary, even if it were
probable for every other reason that the vapours accumulate there, yet
the situation of the bladder would be enough in itself to prevent
this. For the bladder is situated below, whereas vapours have a
natural tendency to rise upwards; thus they would fill all the region
of the thorax and lungs long before they came to the bladder.
But why do I mention the situation of the bladder, peritoneum, and
thorax? For surely, when the vapours have passed through the coats of
the stomach and intestines, it is in the space between these and the
peritoneum[87] that they will collect and become liquefied (just as in
dropsical subjects it is in this region that most of the water
gathers).[88] Otherwise the vapours must necessarily pass straight
forward through everything which in any way comes in contact with
them, and will never come to a standstill. But, if this be assumed,
then they will traverse not merely the peritoneum but also the
epigastrium, and will become dispersed into the surrounding air;
otherwise they will certainly collect under the skin.
Public-domain text, read in full here on John Shaqi.
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