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
Galen furnishes us with an account of the manner in which Thessalus the
Methodist proposed to cure all chironian and malignant ulcers. Thessalus
lays it down as a rule for the treatment of all sores which are difficult
to cure, or which break out again when healed, to remove the exciting
cause, whether local or constitutional, by means of proper alteratives.
He adds: “In cases of chronic ulcers which cannot be got healed, we
must remove the parts which prevent adhesion, and convert the sore into
the state of a recent ulcer; and then having allayed the inflammation
proceed accordingly. Those sores which heal up and break out again during
their exacerbations, and when ulcerated, are to be cured like recent
inflammations by soothing applications until the irritation subside,
after which cicatrizing applications are to be used, and then the
surrounding parts are to be covered with a malagma of mustard, or some
other rubefacient and alterative, to remove the indolence. If this is not
sufficient, we must attend to the general health, attempting to effect a
change of the system by repeated exercise, gestation, a diet increased
or diminished according to circumstances, and at the commencement by
administering an emetic of radishes, or even the white hellebore.”
(Galen, Meth. Med. iv.) Although Galen, who all along displays a strong
hostility to the _Thessalian asses_, (so he calls the Methodists,) has
animadverted in severe terms upon the rules here laid down, they would
appear to be highly proper and ingenious. Galen in another place (Med.
sec. gen. iv) gives from Asclepiades, Andromachus, and others, a great
collection of applications for chironian, malignant, and indolent ulcers.
One by Asclepiades consists of the scales of copper, scraped verdigris,
wax, and larch rosin. Others by Andromachus contain sori, misy,
chalcitis, verdigris, alum, turpentine-rosin, and the like, mixed with
wax. Hippocrates directs us to treat a callous ulcer by applying to it
septic medicines to make the hard parts slough off, after which the edges
are to be brought together. (De locis in homine.)
The directions of Aëtius, more especially respecting the constitutional
treatment, are highly important. In cases where there is a redundance of
blood he recommends venesection, in others both purging and bleeding; and
in certain cases he directs us to pay attention to the state of the liver
and spleen. He relates a case of an ulcer on the hand, which he cured by
opening a vein leading to it. He also directs us to scarify or cut off
the callous edges of the ulcer. He gives various prescriptions for sores
of this description, containing verdigris, sori, chalcitis, burnt copper,
alum, &c.
Octavius Horatianus recommends a plaster consisting of equal parts of
chalcitis, wax, and alum. For phagedænæ Pliny mentions an old shad-fish
triturated with sandarach. (H. N. xxxii, 44.)
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