Of Medicine, in Eight BooksCelsus, Aulus Cornelius
History
Of Medicine, in Eight Books
Celsus, Aulus Cornelius
Medicine, Greek and Roman
settle within, which by corroding the contiguous parts yet sound, may
make sinuses there. Cases also sometimes occur, in which the skin
must be taken off to a more considerable breadth. For when after long
distempers, the habit of the whole body has been vitiated, and the
sinus is enlarged to a great compass, and the skin is pale; we may
take it for granted that it is already mortified, and will be useless:
therefore it is more proper to cut it off: and especially if this
happen about the larger joints, and the patient has been troubled with
a purging while he was confined to his bed, and he gains no flesh by
the nourishment he takes. But the excision should be made in the form
of a myrtle leaf, that it may heal the more easily. And this rule must
constantly be observed, whenever a physician upon any account cuts away
the skin. After the pus is discharged, in the armpits and groin there
is no need of lint, but a sponge squeezed out of wine must be laid on.
In the other parts, if lint is equally needless, a little honey must
be infused to cleanse it; then agglutinants are to be applied: if lint
be necessary, over it also in like manner ought to be laid a sponge
squeezed out of wine in the same way. When lint is necessary, and when
not, has been determined elsewhere. The other directions are to be
observed when the suppurated tumour is cut, which I gave for one, that
has been broke by medicines.
CHAP. III.
OF THE GOOD OR BAD SYMPTOMS OF SUPPURATIONS.
It is soon known from the nature of the symptoms, how a cure advances,
and what event is to be hoped or feared: and these are commonly the
same with what have been laid down in wounds. For they are good signs
to sleep, to breathe easily, not to be troubled with thirst, not to
loathe food, if there has been a slight fever, to be free of it:
also that the pus be white, smooth, and not fetid. The bad signs are
wakefulness, difficulty in breathing, thirst, loathing of food, a
fever, and the pus black, or feculent, and fetid: also a hemorrhage
in the process of the cure; or if before the cavity is filled up
with flesh, the lips become callous, and the flesh there be dull of
sensation, and spongy. But for a person to faint either in the dressing
or afterwards, is worst of all. Moreover, if the fever cease suddenly,
before the suppuration is begun, or if it continue after the discharge
of the pus, these are just grounds for fear. There is room to fear
also, if the wound is not sensible of corrosive medicines. But whatever
symptoms shall happen to arise, it is the part of a physician to
endeavour the recovery of his patient. Therefore, as often as he shall
open a wound, he ought to wash it, if it seems necessary to repel the
humour, with a mixture of wine and rain water, or with a decoction of
lentils in water: if it needs cleansing, with mulse; and to apply the
same dressings again. When the humour shall appear to be stopt, and the
ulcer clean, it will be convenient to promote the growth of the flesh,
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