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 causes which produce all these varieties of pulse, and the changes
of the system which they indicate, are, upon the whole, pretty clearly
explained by our author; and the reader who wishes to consult other
abridgments of the doctrines of Galen, may find them in the works of
Rhases, Haly Abbas, and Actuarius. We shall merely make a few more
remarks upon some of the more obscure and least understood parts of the
system.
Respecting the myuri, Galen states that they all indicate a prostration
of the vital powers, but differing in degree, according to circumstances.
When the pulse gradually becomes smaller, and in like manner recovers its
magnitude gradually, and so on alternately, so as to form the _recurrent
myuri_, it indicates an inferior degree of prostration; and, when the
diminished state of pulsation continues permanent, a greater degree of
oppression is indicated. In the former case the powers of the system seem
able to struggle against the load, but in the latter they are completely
overcome. This state is next in danger to that of complete asphyxia.
These three are the worst kinds of pulse. The _intermitting_ is said
by him to be allied to these, being indicative of great danger, though
inferior to that of those we have mentioned. Next to the intermitting
is the _intercurrent_, which indicates that the powers of the system
are strong, but oppressed, and contending against some great load.
Galen was particularly apprehensive of the _intermitting_ pulse, which
he held to indicate that the system is struggling against some urgent
cause. He remarks, however, that, when the pulse is otherwise strong and
frequent, it indicates less danger than when it is weak and slow. But,
upon the whole, he considered this kind of pulse so full of danger, that
he affirms he had never known a person recover whose pulse intermitted
during the interval of two pulsations. When the pulse intermits during
the space of only one pulsation or a little more, he says he had often
seen the patient recover. He also states that an intermitting pulse
is less dangerous in old persons than in adults or children. Some,
he says, affirm that they have seen cases of intermission which did
not prove dangerous, but he believes that they had confounded rarity
with intermission. The intermitting is to be distinguished from the
rare by the length of the time of rest, and by the latter being often
equable, whereas the former is always unequable. He says it is generally
occasioned by frigidity of the heart. These doctrines may be traced
through all the subsequent authorities, both Greek and Arabian, down to
Actuarius.
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