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
Hippocrates, although Galen affirms that he was not entirely unacquainted
with the pulse, does not appear to have attached much importance to the
observation of it, for he generally neglects to mention its characters,
where we would most expect to find them stated, as, for example, when he
is detailing the symptoms of epidemical fevers. Celsus, too, expresses
himself in doubtful terms respecting the indications furnished by the
pulse: “Venis enim maxime credimus, fallacissimæ rei; quia sæpe istæ
leniores, celerioresve sunt, et ætate, et sexu, et corporum naturâ; et
plerumque satis sano corpore, si stomachus infirmus est, nonnunquam
etiam incipiente febre, subeunt et quiescunt; ut imbecillus is videri
possit, cui facile laturo gravis instat accessio. Contra sæpe eas
concitat et resolvit sol, et balneum, et exercitatio, et metus, et ira,
et quilibet alius animi affectus.” Aretæus and Cælius Aurelianus are
indeed sufficiently minute and accurate in detailing the characters
of the pulse, while describing the symptoms of various diseases,
but neither of them has written expressly on the subject; and, as
the works of Herophilus, Agathinus, Magnus, Athenæus, and Archigenes
are entirely lost, Galen must be considered as our first and great
authority on the pulse—we might almost have said our sole authority,
for all subsequent writers were content to adopt his system, without
the slightest alteration. As our author’s account of the subject is
professedly taken from the elaborate treatises of Galen, it may, perhaps,
appear unnecessary to attempt any further exposition of the system; but
the importance of the subject, and, we may add, its novelty to modern
readers, have induced us to make some detached observations upon it, in
order to explain some parts of it which are confessedly obscure, and to
answer certain objections which have been stated against it, by modern
writers who have not properly understood its principles.
We shall first notice the objection stated to Galen’s Theory of
Respiration by Van Helmont, who, although compelled to admit the
ingenuity of Galen’s system, pretends to differ from him respecting the
final cause of arterial action and respiration, which, he maintains, is
not refrigeration, but the maintenance of animal heat. (Opera, p. 112.)
But if he had read Galen’s work ‘de Usu Respirationis’ carefully, he
would have found that this is the very sense which Galen attaches to
the terms refrigeration and ventilation. Van Helmont states, as a new
discovery, that a sort of concoction of the blood takes place in the left
ventricle of the heart. But he might have found this doctrine also in the
works of Galen.
According to Galen, the pulse consists of four parts: of a diastole and
a systole with two intervals of rest, one after the diastole before
the systole, and the other after the systole before the diastole.
He maintains that by practice and attention all these parts can be
distinguished. (De Dignos. Puls. iii, 3.)
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