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
should get for food two or three hours before the paroxysm either the
juice of chondrus, or bread out of water, along with the kernels of the
pomegranate, or apples, or pears. But if great danger be anticipated, we
must also give wine. Those who have sudden attacks of fainting are to
be thus treated. And in all cases we are to find out the cause of the
deliquium, and direct our attention to it. And sometimes the greatest
care must be bestowed upon this symptom, which threatens danger, or death
itself.
* * * * *
COMMENTARY. Nearly the same account of deliquium animi in fevers is given
by Aëtius (v, 101 et seq.), and by Oribasius (de Morb. Curat. iii, 7.)
But all these authors are, in fact, indebted to Galen. (Therap. ad Glauc.
i.) Aëtius thus states the distinction between syncope and deliquium:
“Deliquium makes its attack suddenly, depriving the person of sense and
motion, but is not necessarily accompanied with sweats; but syncope
seizes upon persons both when asleep and when awake, and is necessarily
attended with sweats, called syncoptic.”
Alexander delivers a full account of the subject; but his principles of
treatment scarcely differ in any respect from those of Galen. (xii, 13.)
Haly Abbas directs us, when the deliquium proceeds from a defluxion of
humours upon the stomach, to apply ligatures to the extremities, to
dash water on the face, to fan it, and to give vinegar and pepper. He
recommends us to prevent sleep, which has a tendency to extinguish the
powers of the primary viscera, by occasioning a determination inwardly.
When it proceeds from dryness, he directs us to give wine, the decoction
of quinces, of apples, and the like. If it happen at the commencement,
he recommends a piece of bread soaked in wine to be given. (Pract. iii,
25.)
The Arabians in general do not acknowledge the distinction between
syncope and deliquium. See Averrhoes (Colliget. vii, 16); Serapion (vi,
19); Rhases (ad Mansor. x, 13.)
Avicenna seems to point at the distinction, but it is not perceived by
his translator. Rhases recommends the same treatment as Haly Abbas. He
approves of hot wine, food of easy digestion, sprinkling of the face with
cold water, and the application of ligatures to the extremities. (Contin.
xxxi.)
SECT. LXI.—ON THE TREATMENT OF ULCERATION UPON THE OS SACRUM.
This affection occurs most frequently in protracted fevers, owing to the
patients having been long confined to bed. When, therefore, the part
begins to appear red, we make a circular piece of wool, of the proper
magnitude, and lay it below the part, and afterwards prepare a rose or
myrtle cerate, containing litharge or ceruse, and apply it. When there
is inflammation, we may use a cataplasm of bread, with nightshade, or
knot-grass, or plantain, or tender cabbage. But if the ulceration be
spreading, we are to use a cataplasm of dried lentils, along with the
inner rind of the pomegranate.
* * * * *
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