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
The intermittent and intercurrent pulses take place when the powers are
oppressed, and, as it were, borne down; but the intercurrent indicates
a lesser, and the intermittent a greater injury. And, in general, that
state in which the powers are oppressed and borne down, changes the
pulses to inequality and irregularity in every other respect, and also in
regard to strength and greatness. The pulses called myuri, being shown
to be of two kinds, (for they are found either in that inequality called
systematic, or in regard to one pulsation), the _failing_ or _fainting_
evince the last prostration of the powers; but, when they return, or are
_recurrent_, they indicate that the powers are weak, but that they are
struggling, contending, and have not yet submitted. As to the myuri, in
regard to one pulsation, called _the failing_, and _the failing on both
hands_ (innuentes et circumnuentes), these happen to persons who are
gradually wasted by inflammations not yet resolved, and to those who are
wasted from whatever cause, the bodies around the arteries being melted
down. Pulses of unequal velocity, and those called _dorcadissantes_ or
_goat-leap_, principally accompany febrile heat. But if the pulse render
the commencement of the diastole feeble, and increase in velocity towards
the end and beginning of the systole, this indicates that putrefaction
is prevailing, nature hastening on the discharge of the fuliginous
superfluities. But if, on the other hand, it render the commencement
of the systole feeble, and rather make speed towards the diastole, you
may be sure that the heat is prevailing, and longing for refrigeration.
These in fever are, for the most part, accompanied by density, and
sometimes greatness, if the powers be not restrained by the hardness of
the instrument. When the hardness of the artery increases, and the powers
are not weakened, the _double_ or _reverberating_ pulse is formed. The
_undulatory_ pulse most commonly attends the more humid affections, such
in particular as anasarcous swellings, lethargy, and peripneumony. When
the powers of life are beginning to fail, but are still making a faint
struggle, the undulatory pulse sinks into the _vermicular_; but when
they decline to their lowest ebb, this last passes into the _ant-like_
or _formicans_. The hectic particularly attends those in consumption and
marasmus. The spasmodic pulse takes place when the origin of the nerves
is suffering from some inflammatory affection, as in frenzy and acute
attacks of epilepsy, when those affected with them die while they are
yet warm, contrariwise to those in syncope, for they are alive after
they have become cold. The _clonodic_ or _vibratory_ pulse takes place
when the wants of the system require a great diastole, and the vital
powers are sufficient for that purpose, but are opposed by the body of
the artery; which, from its hardness, cannot be expanded to a large
diastole, as happens in great inflammations and chronic obstructions.
Public-domain text, read in full here on John Shaqi.
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