The Origin and Growth of the Healing Art: A Popular History of Medicine in All Ages and CountriesBerdoe, Edward
History
The Origin and Growth of the Healing Art: A Popular History of Medicine in All Ages and Countries
Berdoe, Edward
Medicine -- History
They appear to have been cases of remittent fever rather than
true inflammation of the brain. We may estimate the wonderful extent
of the medical science of Hippocrates by the fact that he vigorously
opposed the popular belief of the period, that epilepsy was due to
demoniacal influence. He explains that the lower animals are subject
to the same disorder, and that in them it is often associated with
water in the brain. There is really no doubt that the _morbus sacer_ of
the ancients and the cases of demoniacal possession of which we read
were cases of epilepsy (_Hippoc. de Morbo Sacro_). Concerning apoplexy
he says that a slight attack is difficult to cure, and a severe one
utterly incurable. The cause of the attack he considered was turgidity
of the veins. We know it to be often associated with cerebral
hæmorrhage or sanguineous apoplexy and sometimes with effusion of serum
= serous apoplexy. Hippocrates therefore came very near the truth. He
advised bleeding, which is still recommended but is not often practised
in England; and he very justly said that the malady occurs most
frequently between the age of forty and sixty (_Aphoris._, ii. 42). In
certain forms of ophthalmia he advises free purgation, bleeding, and
the use of wine; and this accords with the best modern practice, if for
venesection, we substitute vesication. His treatment of nasal polypus
by the ligature is not unlike our own; and nothing could be better
than his plan for dealing with quinsey and allied complaints, viz.,
hot fomentations, warm gargles and tinctures, with free purgation. He
disapproves of a practice too often followed by surgeons to-day, of
scarifying the tonsils when swollen and red. In cases of inflammation
of the lungs he advised bleeding, purging, and cooling drinks. Laënnec,
the great French physician, who invented the stethoscope, highly
praises Hippocrates for his knowledge of phthisis, and the diagnostic
value of his tests of the nature of the sputa in that disease. In cases
of empyema, or the formation and accumulation of pus in the chest, he
directs us to make an incision into the pleural cavity—an operation
which has been revived in modern times under the name of “paracentesis
thoracis.”
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