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
Aëtius conducts the treatment upon the same principles as Galen, and the
directions which he gives for the application of the different remedies
are most important. He states most decidedly, that unless venesection
is had recourse to, the patient will be in the utmost danger, and can
only be saved by the strength of his constitution, or some critical
evacuation. When the stomach is loaded, however, he forbids depletion,
because, by emptying the veins, the distribution of the crudities in
the _primæ viæ_ will be accelerated. When the menstrual or hemorrhodial
discharge is expected, he directs us to bleed less profusely than
otherwise. Persons of a hard, sanguine, and compact habit of body are
said to bear bleeding best. In practising venesection, he directs the
physician to pay more attention to the strength of the patient than to
the period of the fever. He is particularly earnest in recommending the
use of cold drink: he directs it to be given at the acme of the disease,
but not at the commencement. He forbids us to administer it freely when
there is obstruction or inflammation of an internal viscus; and states
many serious evils which may arise from the unseasonable administration
of cold water, although it be an excellent remedy when given at the
proper time. With regard to diet, he directs nothing but ptisan to be
given for the first three days. On the fourth he recommends the bath.
Through the whole course of the fever the food is to be light, unless the
powers of the patient be very feeble.
As the other Greek authorities differ in no material respect from the
principles of treatment laid down by Galen and Aëtius, we need not enter
upon any minute exposition of their views of practice. As a specimen,
however, of the practice of the later authors, we shall briefly mention
that of Synesius and Constantinus Africanus. They approve of bleeding,
unless the stomach be loaded with crudities; in which case they forbid
the operation until these are concocted or discharged. They recommend
diluents; and, if the belly is constipated, clysters, with decoctions,
containing tamarinds, damascenes, manna, and the like. To remove the
remains of the febrile excitement in the decline of the fever, they
direct medicines of a refrigerant nature to be given, such as camphor,
the seeds of melons, cucumbers, gourds, and the like.
Public-domain text, read in full here on John Shaqi.
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