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
Of no disease has Galen treated so frequently and fully as of fever. (See
de Diff. Febrium, Meth. Med. viii and ix; Therap. ad Glauc., de Crisibus
ii, 13, et alibi.) He everywhere inculcates that ephemeral fevers are
affections of the _spirits_, by which he seems to have understood the
heat and gases contained in the blood. The exciting or remote causes of
them, according to him, are want of sleep, indigestion, sorrow, fear,
anger, anxiety, the application of heat and cold, excessive fatigue,
tumour of the groin, and the like. He remarks, that the heat in these
fevers is not offensive on the first application of the fingers, but
conveys an acrid sensation after a short time. He has particularly
stated constriction as a proximate cause of fever; and this, by the
way, is agreeable to what is stated by Cælius Aurelianus: “quidam vero
conclusioni viarum causam febrium ascribentes.” (Acut. Morb. ii, 33.)
In this variety, he approves of venesection, unless the patient be a
child or a very old man. In the other cases, his most approved remedy
is the bath; but his treatment is judiciously varied, according to
circumstances. For example, when the fever arises from the depressing
passions, he forbids hard friction and frequent baths, and merely directs
us to pour tepid oil over the patient’s body. When it is produced by
exposure to heat, he forbids us to use much oil, or to have recourse
to hard friction, and directs us to pour upon the head water which has
been cooled by means of ice, and to put the patient into a cold bath.
Alexander, however, finds fault with him for giving heating medicines,
such as pepper, and using hot applications over the stomach in such
cases. Alexander’s account of the nature and treatment of these fevers
cannot be perused with too much attention. He mentions as characteristics
of ephemerals, that the urine is properly concocted from the first;
and that the pulses have a quick and elevated diastole, with a shorter
systole; the vessels, he adds, requiring refrigeration, rather than
purification. They arise, he says, from many and various causes, such
as repletion, want, watchfulness, fatigue, disorder of the belly,
apostemes; and, in a word, from all the procatarctic causes. When the
fever is occasioned by excessive fatigue, the indication, he states,
is to supply moisture to the body, rather than to take from it. Hence,
all friction with discutient oils ought to be avoided; and what is used
for rubbing the body should be mixed with much water. But the principal
dependence is to be put upon the tepid bath. Here, again, he thinks
that Galen erred, in not directing that the oil used for rubbing the
body should be diluted with water. He adds, that it will often have an
excellent effect after the patient has come out of the tepid bath, and
been anointed as directed, to make him take a warm bath and remain in
it for a considerable time. When ephemerals arise from indigestion, he
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