The growth of medicine from the earliest times to about 1800Buck, Albert H. (Albert Henry)
History
The growth of medicine from the earliest times to about 1800
Buck, Albert H. (Albert Henry)
Medicine -- History
Le Clerc quotes Galen as authority for the statement that Asclepiades,
who never hesitated for an instant to criticise the different
therapeutic procedures of his predecessors, did not go so far as to
condemn wholly the practice of bloodletting. Indeed, he was quite ready
to employ it in the treatment of painful affections because, as he
claimed, the pain was caused “by the retention of the larger particles
or atoms in the pores or channels of the tissues, and hence--as
these particles were composed of blood--bloodletting was the only
remedy capable of setting them free.” Thus, he resorted to bleeding
in pleurisy, because this affection is characterized by pain; but he
abstained from employing the remedy in “peripneumonia” or “inflammation
of the lung,” because in most cases it is not accompanied by pain;
and he also did not approve of its employment in inflammation of the
brain (_phrenitis_). On the other hand, he advocated bleeding
in epilepsy and all forms of disease in which convulsions occurred,
and he also advocated it in cases of hemorrhage of every description.
Quinsy sore throat was another malady in which he drew blood freely
from the veins of the arm, of the temple and even of the tongue; and
in addition, when the disease was severe, he scarified the skin at
suitable spots and applied cups to the part. In all these measures
his purpose was “to open the pores”; and when this treatment failed
he incised the tonsils or the uvula, and even, as a last resort,
performed laryngotomy or tracheotomy. In cases of dropsy he employed
_paracentesis abdominis_,--that is, he made a very small opening
in the abdominal wall to serve as an outlet for the fluid contained in
the peritoneal cavity. From these facts it is evident that Asclepiades
did not always abide by his rule not to use any but very gentle
remedies.
Asclepiades showed, in his manner of treating still other pathological
conditions, how different was his practice from that of his
predecessors. In the first place, he was very partial, as has already
been stated, to such extremely mild forms of physical exercise in
the open air as one can obtain from driving or from being carried
in a litter or a boat. He prescribed these measures, not merely for
convalescents but also for those, for example, who were still in the
midst of an active fever. His idea was, that by means of such very
gentle forms of exercise the pores would become less clogged and
would permit the juices of the body to flow more freely. In cases of
dropsy, also, he was in the habit of employing friction for precisely
the same purpose. He even used this remedy in cases of inflammation
of the brain, in the expectation that he might thereby induce sleep
for these patients. Indeed, this subject of frictions was one on which
Asclepiades wrote at greater length than on any other remedial agent.
Public-domain text, read in full here on John Shaqi.
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