The seven books of Paulus Ægineta, volume 1 (of 3) : $b translated from the Greek: with a commentary embracing a complete view of the knowledge possessed by the Greeks, Romans, and Arabians on all subjects connected with medicine and surgeryPaulus, Aegineta
History
The seven books of Paulus Ægineta, volume 1 (of 3) : $b translated from the Greek: with a commentary embracing a complete view of the knowledge possessed by the Greeks, Romans, and Arabians on all subjects connected with medicine and surgery
Paulus, Aegineta
Medicine; Medicine, Arab; Medicine, Greek and Roman
opposites, namely, when the necessity is at an end, the first character
of the pulse is not the first that leaves it, but it loses first that
which it last acquired, becoming first rare, then slow and last small.
But if the slowness and smallness should go on increasing, the rarity
will again change to density, in order that the necessary want may be
supplied. Such are the causes of greatness, quickness, density, and
their opposite pulses. To these we shall connect the alteration of the
pulse in regard to one dimension only. Breadth alone then is increased,
principally by a redundancy of humidity, either natural, or from external
causes, as loftiness is occasioned by the softness of the instrument,
assisted by the vital power; but length is rendered apparent by the
dryness and melting of the surrounding flesh, the other dimensions being
contracted. For an artery cannot, in fact, become longer than natural;
and this ought more properly to be called _the lean_ pulse, as the
opposite one, namely, that which is increased only in breadth and depth,
should be called _the fat_. The pulse sometimes falls under the opposite
characters to this, when it is restrained as to any of its dimensions,
and appears low, narrow, and short, when it is not so in reality, but
seems so, owing to the thickness of the fat, flesh, or membranes which
press upon it. Sometimes, too, the whole seems small, when it is not so
in reality; and feeble in like manner. And what do I say? Sometimes an
asphyxy, or complete loss of pulsation, hath seemed to take place over
the whole arteries, when there is no such thing in reality; and this
has happened, more especially to those who have felt them carelessly,
when the motion, being really indistinct, escapes notice, owing to the
quantity of flesh; for it is impossible that a complete asphyxy could
take place while the man is alive. In like manner again in the emaciated,
small pulses appear great. When, therefore, the body is greatly wasted,
the artery which runs along the spine has often been felt by persons
touching the abdomen, and also the pulses in members which before used
not to be felt. Wherefore we must attend to all circumstances, that we
may not be mistaken in our diagnosis. A strong pulse is occasioned by
the force of the natural faculty, when not counteracted by any other
cause, such as the want failing, or from hardness of the instrument.
But a feeble pulse may arise from weakness of the natural powers alone,
although no other causes contribute. For a strong pulse stands in need
of all the other causes for its formation; but the feeble is produced
by weakness alone. The originally strong pulse accompanies moderate
ages, seasons, places, and temperaments; but the feeble the immoderate.
A pulse changing from feebleness to strength is formed by the vital
faculty growing strong, from a preceding state of debility. It is
strengthened either by things within the body, such as concoction of the
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