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
Galen, Rhases, and Haly Abbas repeatedly inculcate that the undulatory
pulse indicates an approaching crisis by a sweat. They describe it as
being strong, full, soft, bounding, and unequable. According to Galen it
is most commonly met with in lethargic affections, quotidian, marsh, and
typhoid fevers. (De Præs. ii, 9.) It is also said to be common in sudden
attacks of dropsy. (Ib.) In some instances, however, it is the precursor
of some critical evacuation, such as that by the hemorrhoids, or by the
bowels. (Synops. 22.) Actuarius particularly states that critical sweats
are indicated by the undulatory pulse. (Meth. Med. ii, 2.)
The _dicrotos_ is distinguished by a smaller pulsation suddenly
succeeding to a larger one. Galen compares it to a hammer, which, when
forcibly struck against the anvil, rebounds, and strikes it again. The
artery in such cases is always strong and vibratory. Philaretus describes
the pulsation as being hard, vehement, and rebounding. Galen says it can
only occur when the powers of the system are strong, the artery hard, and
the body oppressed with a redundance of humours. He repeatedly inculcates
that it indicates an approaching crisis.
The singular pulse called _dorcadissans_, which we have translated
_goat-leap_, is said by Galen to occur most frequently in affections of
the heart and inflammations of the parts within the chest. (De Prognos.
ii, 8.) It is the same as the pulse now called _jerking_, which the best
authorities agree to be characteristic of pericarditis. In such cases,
Hope says, the pulse is “full, hard, _jerking_, and often with a thrill.”
(Diseases of the Heart, p. 99.) We suspect the modern term _jerking_,
although perfectly intelligible to one experienced in the art of feeling
pulses with discrimination, will be found fully as difficult to define as
the _dorcadissans_ of the ancients.
The _vermicular_ appears to have been the same as that which is now
sometimes denominated _creeping_. In fact, Galen derives its name from
its resemblance to the motion of a creature _creeping_. (Synops. 22.)
It is said by the ancient authorities to occur in cases of sudden
prostration of the vital powers, produced by inordinate evacuations, such
as hemorrhage, cholera, diarrhœa, and the like. (De Prognos. Puls. ii.)
The pulse called _innuens et circumnuens_, is said to occur only in cases
of extreme debility and danger, more especially when attended with a
great chill. It is connected, says Galen, with idiosyncrasy. (De Præs.
ii, 11.) Is it the same as the pulse now named _flickering_?
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