Of Medicine, in Eight BooksCelsus, Aulus Cornelius
History
Of Medicine, in Eight Books
Celsus, Aulus Cornelius
Medicine, Greek and Roman
When the fistula by time becomes callous (and it is impossible to
be mistaken in a callosity, because it is hard, and either white or
pale) then there is a necessity for stronger medicines. Such as that
composition, which contains of poppy tears p. i. *. gum p. iii. *.
cadmia p. iv. *. copperas p. viii. *. these are incorporated with
water, and made into a collyrium. Or that, which consists of galls
p. i. *. verdigrease, sandarach, Egyptian allum, each p. i. *.
calcined copperas p. ii. *. Or that, which is composed of chalcitis
and stone-lime, to which is added of orpiment less by one half than
each of the other ingredients; and these are mixed up with boiled
honey. The most expeditious is the prescription of Meges: to reduce to
powder of rasile verdigrease p. ii. *. then to dissolve in vinegar, of
ammoniacum thymiama p. ii. *. and with this to bring the verdigrease to
a consistence: and this is one of the choicest medicines. But though
the foregoing compositions are the most efficacious, yet if these are
not to be had, it is easy to destroy the callosity by some caustic
medicines: and it is sufficient to arm with these a twisted paper reed,
or some part of a penecillum, formed after the manner of a collyrium.
Squills also boiled, and mixed with lime consume a callus.
If the fistula happen to be pretty long, and transverse, after
introducing a probe, it is very proper to make an incision over against
its origin, and to put in any collyrium you chuse.
But if we judge the fistula to have two or more sinuses, provided it
be short and confined to the flesh, we ought not to make use of a
collyrium, which may cure one part, and not touch the rest; but the
same medicines dry are to be put into a writing reed, which being
applied to the orifice, the medicines must be blown into the fistula.
Or the same things may be dissolved in wine; or if the fistula be
somewhat foul, in mulse; if somewhat, callous, in vinegar; and
whatever is injected, must be infused in this liquid form. Coolers
and repellents must be applied above; for generally the parts about a
fistula are a little inflamed. Neither is it improper, when one has
removed the dressings, before he make another injection, to wash the
fistula by means of a syringe; if there be much matter, with wine; if
the callosity be pretty hard, with vinegar; if it is already cleansing,
with mulse, or a decoction of vetches in water, with a little honey
added to it. It commonly happens that the membrane, which is betwixt
the orifice and the sound flesh, being overcome by so many medicines,
casts off, and the ulcer is clean below. Whenever this happens,
agglutinants are to be applied, and especially spunge armed with boiled
honey. I know it is a practice approved of by many in this case, to
have lint rolled up into the form of a collyrium, and dipt in honey,
introduced for incarning. But this method more quickly agglutinates,
than incarns. And there is no fear, that clean flesh brought into
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