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
COMMENTARY. All subsequent writers on this subject are indebted to
Galen for laying down, in the most satisfactory terms, the principles
upon which the treatment of putrid fevers ought to be conducted. He
particularly recommends bleeding _ad deliquium_. When this evacuation
is neglected, the patient’s only chance of safety is from a spontaneous
hemorrhage or profuse perspiration. He is so confident in the remedial
powers of venesection, that he directs it to be performed as late as the
seventh day, and even later, if the strength of the patient permit. He
particularly directs us likewise to allow the patient to drink as much
as he chooses of the coldest water, which, he says, when seasonably
administered, is most efficacious in extinguishing the febrile heat.
This remedy, however, he says, is to be used with becoming caution. But,
upon the whole, he strenuously inculcates that the safety of the patient
depends upon the free use of phlebotomy and cold drink. When the fever
abates, he allows wine. Alexander, although sufficiently disposed to
differ from Galen, entirely concurs with him in opinion respecting the
treatment of putrid fevers, for which he particularly commends bleeding
and cold drink. When venesection is contraindicated by the weakness of
the patient, he is to be treated by a refrigerant and diluent regimen.
Aëtius and Oribasius follow Galen, and their treatment, therefore, agrees
perfectly with our author’s. Synesius and Constantinus Africanus agree in
recommending bleeding and cold drink. But when the patient is very weak,
they forbid us to have recourse to the former, and, in that case, direct
us to use gentle aperients, and medicines of a refrigerant and diluent
nature, such as prunes, jujubes, purslain, and the like.
Public-domain text, read in full here on John Shaqi.
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