Of Medicine, in Eight BooksCelsus, Aulus Cornelius
History
Of Medicine, in Eight Books
Celsus, Aulus Cornelius
Medicine, Greek and Roman
Asclepiades affirmed these things to be hurtful: because they often
change the distemper into a lethargy. His advice is, that the first day
the patient should abstain from meat, drink, and sleep; on the evening
water should be given him to drink; then friction should be used so
gentle, that even the hand that rubbed, should not press strongly; the
day after, all these things being repeated, on the evening gruel and
water should be allowed him, and the friction again repeated: for by
this we would procure sleep. This sometimes happens; insomuch that by
his own confession, too much friction may even endanger a lethargy.
But if by these means sleep is not obtained, then at last it must
be procured by the medicines above-mentioned: still with the same
moderation, which is also necessary in this case; lest it be not in our
power afterwards to wake the person, whom we desire to sleep. A fall of
water near is also some help to sleep; or gestation after meat, and in
the night time; especially the motion of a suspended bed.
Nor is it improper, if bleeding has not gone before, and the
understanding be still disturbed, and there be no sleep, to make an
incision in the occiput, and apply a cucurbital: because this, by
lessening the distemper, may bring on sleep. Moderation must also be
used as to his diet: for the patient must neither be full-fed, lest
he grow outrageous, nor must he be tormented with hunger, lest from
his weakness he fall into a cardiac disorder. He must use weak food,
and especially gruel, and drink hydromel, three cyathi of which are
sufficient in winter, and four in summer.
There is another kind of madness, which continues a longer time;
because generally it begins without a fever, afterwards excites slight
feverish fits; and goes no farther than a sadness, which seems to
proceed from atrabilis. In this bleeding is useful. If there be any
reason against that, the first remedy is abstinence; the second to
purge by white hellebore and vomiting: after either of these friction
is to be used twice a day; if the patient be pretty strong, frequent
exercise too, a vomit fasting, food of the middle kind is to be given
without wine. As often as I mention this kind of food, I would be
understood, that it may be given even of the weakest, provided one be
not confined to that alone: that only the strongest is to be refrained.
Besides, the belly is to be kept as soft as possible: terrors are to be
dispersed, and rather good hopes are to be given. Entertainment must be
sought in amusing stories and diversions, such as the person in health
used to be most pleased with. If there are any works of his performing,
they must be commended, and placed before his eyes. His groundless
sorrow is to be mildly reprimanded. Arguments must be offered now and
then to persuade him, that in those very things, which disturb him,
there is more matter for joy than anxiety. If a fever has also come on,
it must be cured in the same manner as other fevers.
Public-domain text, read in full here on John Shaqi.
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