Outlines of Greek and Roman MedicineElliott, James, Sir
History
Outlines of Greek and Roman Medicine
Elliott, James, Sir
Medicine, Greek and Roman
_Paulus Ægineta_ was the last, and one of the most famous, of the Greek
physicians. He was born probably in the seventh century in the island of
Ægina, but there is some doubt as to the exact period in which he lived.
He quotes Alexander of Tralles and Ætius, and therefore lived at a later
period than they did, either in the sixth or seventh century. The works
of Paulus are compilations, but reveal the skill and learning of the
author. He wrote several books, but only one, and that the principal,
remains, and is known by the title of "De Re Medica Libri Septem." Dr.
Adams, of Banchory, translated this book for the Sydenham Society, and
the introduction shows the scope of the work: "In the first book you
will find everything that relates to hygiene, and to the preservation
from, and correction of, distempers peculiar to the various ages,
reasons, temperaments, and so forth; also the powers and use of the
different articles of food, as is set forth in the chapter of contents.
In the second is explained the whole doctrine of fevers, an account of
certain matters relating to them being premised, such as excrementitious
discharges, critical days, and other appearances, and concluding with
certain symptoms which are the concomitants of fevers. The third book
relates to topical affections, beginning from the crown of the head and
descending down to the nails of the feet, and so on. Briefly, the fourth
book treats of external diseases; the fifth, of wounds and bites from
venomous animals; the sixth book is the most important and is devoted to
surgery, and contains original observations, and the seventh book
contains an account of the properties of medicines." Paulus wrote a
famous book on obstetrics, which is now lost, but it gained for him
among the Arabs the title of "the accoucheur."
The sixth book on surgery, as has justly been observed by Adams,
"contains the most complete system of operative surgery which has come
down to us from ancient times." Many important surgical principles are
enunciated, such, for instance, as local depletion as against general,
and the merit of a free external incision. He first described varicose
aneurism, and performed the operation of bronchotomy as described by
Antyllus. He favoured the lateral operation for removal of stone from
the bladder, and amputated the cancerous breast by crucial incision. He
also had an operation, like that of Antyllus, for the cure of aneurism.
In brief, Paulus performed many of the operations that are practised at
the present day. He travelled in the practice of his calling, and not
only had great fame in the Byzantine Empire and in Arabia in his
lifetime, but exercised great influence for some centuries. His writings
inspired Albucassis, one of the few surgeons and teachers of the Middle
Ages.
Public-domain text, read in full here on John Shaqi.
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