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
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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
upon the part be the cause of the pain, it must be removed; but, if it
proceed from a pungent humour, attenuant and calefacient things are most
improper. Dill boiled in oil is anodyne and soporific, and the green more
than the dry.
* * * * *
COMMENTARY. This Section is taken from Oribasius (Synops. vi, 29), or
Aëtius (v, 100.) All these authors, however, merely abridge the account
given by Galen. (Meth. Med. xii, 8, and de Locis Affect. ii.) In the
latter work he gives a most ingenious dissertation on the different kinds
of pain, and the states of the body in which they occur; but, as our
author has given a summary of his observations, we think it unnecessary
to go over the same ground. We shall, therefore, merely notice some
of his remarks on the treatment, as delivered in the other work. When
the pain is connected with flatulence, it is to be removed by food,
drink, cataplasms, and fomentations of an attenuant nature. When pungent
humours are the cause of the pain, they are to be treated by evacuants,
diluents, or narcotics. When occasioned by thick and viscid humours,
he forbids narcotics, the action of which, being frigorific, renders
them thicker, and the containing parts more compact. In all such cases,
therefore, he holds that opium and hyoscyamus, although they afford a
temporary relief from pain, act prejudicially. He also proscribes things
of a very hot nature, both internally and externally, and recommends
to give attenuants, or things of an incisive nature. He in particular
commends garlic, which he calls the theriac of rustics. As to external
applications, he directs, in febrile cases, first a dry fomentation of
millet-seeds, and, if it is not successful, friction with subtile or
attenuant oils, and the fat of fowls.
Aëtius defines pain to be a sensation produced by a sudden change
of temperament, or a solution of continuity. In illustration of the
former cause, he remarks that all sudden changes from heat to cold, or
_vice versa_, occasion severe pains. To the latter he refers rupture,
contusion, and erosion of the parts. Rupture is produced by tension,
contusion by weight, and erosion by some pungent quality. These causes
of pain ought to be particularly attended to, and the treatment modified
accordingly. His subsequent account is exactly the same as our author’s.
The different kinds of pain are fully treated of by Avicenna (i, 2,
3, 20), and by Haly Abbas (Theor. vi, 16.) Averrhoes has delivered
the treatment of this complication of fever in nearly the same terms
as Galen. When the pain is occasioned by warm air or flatulence, he
particularly commends cupping applied with great heat. He agrees with
Galen in condemning narcotics, when the exciting cause is of a cold
nature. He also joins him in condemning hot fomentations and clysters,
when the pain of the bowels is occasioned by a hot humour. (Collig. vii,
18.) See Rhases (Cont. xxxiii.)
SECT. XLI.—ON COLLIQUATIVE DIARRHŒA OR MELTING.
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