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
has adhered, from observing if the matter be small and well concocted,
or if there be no discharge at all; and moreover if there be no sensible
pain along the sinus nor swelling, but the whole part is contracted,
dry, and free from pain. But if you see a little well concocted pus at
the orifice, you may still more confidently entertain good hopes. If on
the second or third day a thin ichor be discharged from the sinus, you
need not despair that adhesion has taken place, for often the strength of
the medicine squeezes out from the parts below a thin fluid, which being
discharged the parts become dry and adhere. But if on the third or fourth
day from the commencement the matter appear unconcocted as it runs from
the opening, you may be sure that the sinus has not adhered, and you must
persevere with the same application. When owing to the moisture of the
part it falls off, as is not unlikely, it will not be improper to make
some change in the medicine itself.
_On sinuous ulcers with a thin covering of skin._ When the abscess is too
long opened, owing either to the unskilfulness of the surgeon, or the
timidity of the patient, the skin which lies over it becomes thin and
ragged, and it cannot be removed, then after the syringing which has
been described, we must have recourse to an agglutinating application of
a humid consistence, but of desiccative properties, such as that from
chalcitis called phœnicinum, diluted with old oil, so as neither to be
very hard nor of such a consistence as not to stain the finger; and
afterwards it is to be mixed with moderately old wine, and applied in a
circular form with corresponding bandaging. To skin in this ragged state
honey, as was said, is not one of the least proper applications when
boiled to the consistence of a plaster and applied. It will be better,
however, if after spreading it on the rag you sprinkle over it from a
sieve some myrrh finely pulverized, or aloes, or frankincense, or all
of these together. I have also found the lesser centaury a wonderful
application for the same purpose; next to it is comfrey, after which is
the root of the Illyrian iris, and after these is the flour of tares.
Sometimes during the process of boiling we sprinkle these upon the honey
when the vessel is about to be taken off from the fire. It is better,
however, to do so after it is taken off, and then it is to be stirred
about, and when it becomes tepid applied to the sinus, and bandaged as
aforesaid.
* * * * *
COMMENTARY. Similar directions are given by Galen and Aëtius, but upon
the whole those of our author are superior; and as those of the other
two supply no additional information, it will be unnecessary to multiply
extracts from them. (See Galen, Therap. ad Glauc. ii.)
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