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. This section is taken from Oribasius (Synops. vi, 22.) It
will be remarked that our author’s treatment consists of diluents and
refrigerants internally, with cold applications and baths. It is entirely
derived from Galen. Galen defends, in very strong terms, the use of the
cold bath, which had been condemned by a celebrated physician of the name
of Philip. (Meth. Med. x.) He admits, indeed, that an inflammatory or
erysipelatous affection of a vital organ, and a redundance of crude and
putrid humours in the body, may compel us to abstain from the bath; but,
in all other circumstances of hectic fever, he insists that it is the
_remedium unicum_. He also recommends cold drink and cold applications
to the part primarily affected. He speaks favorably also of the internal
administration of refrigerants, such as lettuces, which may also be
applied externally. (De Marasmo.) For diet, he recommends articles of a
diluent and cooling nature, such as ptisan, bread steeped in cold water,
and the milk of asses. (Meth. Med. l. c.)
Aëtius, in like manner, recommends the bath, unless the use of it be
contraindicated by the inflammation of some vital organ, or a fever
enkindled by the putrescency of the humours. He gives minute directions
for the application of the bath, the amount of which is this, that,
under certain circumstances, it will be most prudent to use the tepid
bath before the cold. In all cases he directs the body to be rubbed with
oil before going into the bath, and to be gently rubbed with towels
after coming out of it. He greatly praises the milk of asses, which he
recommends to be drunk warm.
Alexander also forbids the use of the bath, when inflammation of any
vital part is present. He approves greatly of the milk of asses for food.
He allows wine only when the patient is of a cold and dry intemperament.
He inculcates the necessity of ascertaining whether the hectic fever and
marasmus be connected with chronic inflammation of any internal organ,
such as the stomach, mesentery, colon, liver, kidneys, womb, lungs, or
diaphragm, in order that the remedies may be applied to the seat of
the disease. We need not go over the practice of the subsequent Greek
authors, as they follow servilely the doctrines of Galen.
According to Avicenna, the great indications of cure are dilution
and refrigeration. To the class of refrigerant remedies he refers
barley-water, the milk of asses, and trochisks of camphor, with cooling
epithemes and ointments. To the class of diluents he refers the bath,
about the administration of which he is very particular. He directs us
to use the tepid bath at first, and gradually bring the patient to bear
the cold. When it can be borne, he says, the cold bath should be taken
immediately after the hot. He also speaks favorably of the affusion of
tepid water.
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