The seven books of Paulus Ægineta, volume 2 (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 2 (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
For a variety of applications suitable to this class of ulcers, we refer
the reader to Galen’s 4th book of ‘De Med. sec. gen.’ The ingredients
of them are powerfully desiccative, astringent, and escharotic. Many of
our author’s prescriptions will be recognized in it. For an account of
the isis, and the other compound medicines mentioned towards the end of
this section, we refer the reader to Galen (l. c.) and to the Seventh
Book of this work. Galen, in another place, and after him Aëtius, give
the following important directions for the use of these applications. The
ulcers to which this mode of treatment is applicable, being very foul
and filled with a vitiated discharge, are first to be wiped clean with
a soft linen cloth, and then the cavity of them is to be filled with
the medicine, and a splenium (oblong compress) applied externally. Then
having put a piece of linen above the splenium and bound it on, we are to
place over it a sponge squeezed out of cold water or wine, endeavouring
to keep the sponge cold during the whole time of the treatment, which
may easily be done by pouring cold water upon it without loosing the
bandages. They are not be removed until the third day. Galen states
that the articles which answer best in such applications are galls,
pomegranate-rind, alum, chalcitis, misy, and the like.
A similar mode of treatment, without any material alteration, is
described by the Arabians. Haly Abbas remarks, that cicatrizing medicines
are powerfully desiccative with some astringency, such as galls, alum,
and the like.
SECT. XLVI.—ON THE MALIGNANT ULCERS CALLED CHIRONIAN AND TELEPHIAN.
Old ulcers which are difficult to get cicatrized are called chironian, as
if requiring Chiron himself to cure them; and telephian, from Telephus
having long laboured under such a sore. We must attend then whether
the whole body being in a state of cacochymy, sends such defluxions to
the ulcer, and the prevailing humour is to be evacuated by appropriate
remedies. Or if it is a varix which sends these humours to the legs, the
ulcer being in it, it is to be cured as will be described in the Surgical
part of this work; or the humours are to be evacuated by venesection,
taking away blood frequently, and then using topical applications which
have the property of extirpating the disease without being pungent. These
therefore are simple applications; those from pumice and diphryges, and
flakes of copper, verdigris, and lime moderately washed; sprinkle fissile
alum levigated, or of unwashed wool, dr. iv; of dried grapes, dr. iv; of
natron, dr. ij; having previously anointed with honey, sprinkle of flakes
of copper, dr. x; of alum, dr. ij; and having softened in the sun with
dr. x of wax, apply.
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