Of Medicine, in Eight BooksCelsus, Aulus Cornelius
History
Of Medicine, in Eight Books
Celsus, Aulus Cornelius
Medicine, Greek and Roman
If the ulcer increases in breadth and deepness, it ought to be washed
in the same manner; and either verdigrease, or omphacium with honey,
applied; or Andron’s composition; or of horehound, myrrh, saffron,
scissile alum calcined, dry rose leaves, galls, each p. i. *. Sinopian
minium, p. ii. *. which are first powdered separately; then mixed and
rubbed together in honey, till they acquire the consistence of liquid
cerate; after which they are boiled in a copper vessel, gently, so as
not to boil over; when the drops of it grow hard, the vessel is taken
off the fire; and this medicine, as occasion requires, is softened,
either with honey or wine. The same composition, by itself, is also
good for fistulas.
Sometimes too, the ulcer penetrates to the nerves; and there is a
plentiful discharge of humour, and thin sanies and fetid, of no
consistence, but like water, in which recent flesh has been washed;
there are pains and prickings in the parts. Although this be of the
purulent kind, yet it must be cured by mild medicines; such as the
tetrapharmacum plaister, liquified with rose oil, and mixed with a
little frankincense; or that, which is made of butter, rose oil, resin,
and honey, already mentioned. Above all, this ulcer is to be fomented
with abundance of warm water, and covered, and not exposed to the cold.
Sometimes also, by these ulcers, the penis under the skin is so
consumed, that the glans falls off. In which case, the prepuce itself
must be taken off by circumcision. And it is a general rule, whenever
the glans, or any part of the penis falls off, or is cut off, that the
skin be kept from falling in contact and uniting with the ulcer(17),
so that it cannot be drawn back afterwards, and perhaps may even
obstruct the urinary passage.
Tubercles likewise, which the Greeks call phymata, arise about the
glans; which are cauterized either by medicines, or the actual cautery;
and when the sloughs cast off, copper scales are sprinkled upon them,
to prevent any thing growing there again.
[Sidenote: _Of a gangrene._]
In what we have hitherto described there is still no gangrene; to
which, as in the other parts, so more especially here, ulcers are
liable. It begins with a blackness. If this seizes the prepuce, a
probe must be immediately put under it, and an incision made; then the
extremities are to be laid hold of with a vulsella(18), and whatever
is corrupted must be cut away, and even some of the sound part taken
off, and the place cauterized. Whenever any part is burned, the next
step is to apply lentils; afterwards, when the sloughs have cast off,
the cure is the same with that of common ulcers.
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