The Plague of Lust, Vol. 2 (of 2): Being a History of Venereal Disease in Classical AntiquityRosenbaum, Julius
History
The Plague of Lust, Vol. 2 (of 2): Being a History of Venereal Disease in Classical Antiquity
Rosenbaum, Julius
Sexually transmitted diseases -- History
According to Leonidas[374] fissures and cracks in the prepuce
frequently occurred, in all cases of the latter being too tight and
being forcibly drawn back. On these supervened pain and phlegmonous
inflammation; and then if a cure were not speedily effected, the
edges assumed a condition of callosity, necessitating the use of the
knife for its removal. However, more often than not the wound broke
out again, because as was noted as early as by _Hippocrates_,[375]
wounds of the prepuce are as a rule obstinate in healing. To meet this
eventuality _Galen_[376] provides an entirely suitable procedure. While
ulcers of the glans penis demand desiccative remedies, those of the
prepuce rather call for _epilotics_,[377] especially anise. Supposing
the prepuce to become gangrenous, it must be cut away circularly,
and the bleeding stopped by cauterization; if this treatment is not
needful, a mixture of verdigris with honey, or pomegranate and vetch is
applied.[378] Ulcers on the inner fold of the prepuce, as also on the
skin of the penis generally, are mentioned by _Celsus_ (VI. 18.), the
latter likewise by _Galen_.[379] Such ulcers on the inner fold of the
prepuce, Celsus states, not unfrequently give occasion to the setting
up of phimosis and paraphimosis; and yet another consequence, a morbid
growing together of glans and prepuce was observed by _Oribasius_ (loco
citato, 5.) and _Paulus Aegineta_ (VI. 56.), for which these authors
prescribe appropriate medical and surgical treatment. Under the name of
_cancer_ (eating ulcer) of the prepuce Celsus, it would seem, describes
the νομὴ (spreading ulcer) of the Greek physicians, which commences by
the ulcer turning black. Occasionally too the ulcers developed out of
themselves morbid growths, excrescences or condylomata, particularly
the form known as _thymion_ (warty excrescence).
b. _Ulcers of the Glans Penis._
These are, as pointed out by _Celsus_ (VI. 18.), best described by
taking their pathological and therapeutic aspects together; but it
would serve no useful purpose to quote once more in this place the
passages dealing with this part of the subject, which have been so
often printed already. He makes a distinction, as does _Galen_,[380]
between dry and clean, moist and suppurative, ulcers, the latter of
which readily lead to phimosis and paraphimosis. The discharge is
sometimes thin and watery, sometimes purulent, and on occasion becomes
evil-smelling; the ulcerations both spread superficially and penetrate
inwards, and may actually destroy the glans underneath the prepuce,
so that it perishes altogether. When this happens, _Paulus Aegineta_
(VI. 57.) has a leaden pipette inserted in the orifice of the urethra,
to enable the patient to pass water. In other cases the prepuce grows
into one with the ulcerated glans penis (_Celsus_, _Paulus Aegineta_,
_Oribasius_). Ulcers _circa coronam glandis_ (round the crown of the
glans penis) are mentioned by _Aëtius_.[381]
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