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
In the ‘Euporista’ of the Pseudo-Dioscorides, it is recommended first to
dilate the fistula with a piece of sponge, and then to use a stimulant
application containing verdigris, ammoniac, &c.
Aëtius gives an excellent account of fistula, but it is mostly borrowed
from Galen. We can afford room only for a few extracts. When a fistula
extends obliquely, nothing can be done without making a free incision,
for which purpose he directs us to introduce a sound and cut along it.
His directions for examining into the nature of a fistula are such as
ample experience alone could have dictated. He seems to be decidedly of
opinion that, except in cases of a recent fistula, or when it is not
deep-seated, an incision ought always to be made at first; after which
applications for removing the callus may be used. When, however, the
patient refuses to submit to an operation, and the case is recent, the
cure may be attempted by means of escharotics and incarnants, such as
verdigris, misy, alum, &c., mixed with frankincense, aloes, and myrrh.
Oribasius briefly recommends white hellebore, a mixture of equal parts of
verdigris and ammoniac, and a few other such articles, as applications
for fistulæ.
Scribonius Largus mentions several compound applications containing misy,
chalcitis, verdigris, alum, &c.
Marcellus gives one consisting of ceruse, ammoniac, and oil.
Actuarius gives a brief but distinct account of the nature and treatment
of fistula, but it is taken almost entire from our author.
Avicenna inculcates that a fistula is only to be cured by a free
incision, or by removing the callous sides of it by burning with fire
or caustic medicines, such as arsenic, ammoniac, sulphur, the flour of
copper, or mercury. This in fact is the sum of the medical practice in
such cases. There is nothing particularly interesting in Haly Abbas.
Alsaharavius truly states that a diseased bone is the common cause of
fistulous ulcers not healing, and inculcates that in this case there can
be no hope of recovery until the carious portion be removed. Rhases, upon
the authority of the celebrated Antyllus, directs us to use corrosive
applications when a fistula cannot be operated upon with the scalpel. He
intimates that this is particularly the case when the disease is seated
in the groins.
The earlier modern surgeons, such as Gulielmus de Saliceto, Arnoldus,
Rogerius, Rolandus, and Guy of Cauliac, in imitation of the Arabians,
direct fistula to be treated by the application of septics, the actual
cautery, or incision. Rogerius recommends a tent spread with quicklime
and soap, or with arsenic. Guy of Cauliac, like Avicenna, speaks
favorably of sublimed quicksilver or corrosive sublimate.
SECT. L.—FOR SORES WHICH BREAK OUT AGAIN.
Public-domain text, read in full here on John Shaqi.
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