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
Before proceeding to the Arabian authorities, we shall give a brief
abstract of Procopius’ description of the dreadful plague which desolated
the Roman empire in the reign of Justinian. Its usual precursors were
certain delirious fantasies and disturbed dreams, after which the fever
made its attack suddenly. The early symptoms, however, were not well
marked, for there was neither increased heat nor discoloration of the
skin, nor did the patient apprehend danger. Generally on the first or
second day, but in a few instances somewhat later, buboes appeared not
only in the groin, but also in the armpits and below the ears. Some were
affected with deep coma, and others with wild delirium. Some died from
sphacelus of the buboes, which, when inspected by the physicians after
death, presented the appearance of a _coal_ or _carbuncle_ (anthrax).
Some died at the commencement, and others after the lapse of several
days. In certain cases the skin was covered over with black phlyctænæ
of the size of a lentil, which were usually succeeded by sudden death.
Others were unexpectedly cut off by a discharge of blood. To women in the
puerperal state it proved particularly fatal. When the buboes came to a
proper suppuration, they generally proved a favorable crisis; but when
they did not suppurate, they were commonly followed by a wasting of the
thigh. One of the common consequences of the fever was an affection of
the organs of speech. All the usual prognostics proved fallacious, and
the effects of the common remedies were uncertain. In some cases the bath
proved beneficial, and in others it had a contrary effect. At one time
the amount of deaths in Constantinople ranged from five to ten thousand
each day. (De Bello Pers. 22, 23.) This pestilence is described likewise
by Agathias (v), and by Evagrius (Hist. Eccles. iv, 29.) It resembled the
plague of Avignon, described by Guy of Cauliac.
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