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 has treated of this subject at great length in the Fifth Book of
the ‘Meth. Med.’ When blood is discharged from a wounded artery, he
directs us to apply a finger to the orifice of the vessel firmly, yet so
as not to occasion pain, and thus a thrombus will be formed that will
stop the flow of blood. When the vessel is deep-seated he advises us to
examine accurately into its situation and size, and to ascertain whether
it be an artery or vein; after which it is to be seized with a hook
and twisted moderately. If the flow of blood is not stopped thereby,
he recommends us, if the vessel is a vein, to endeavour to restrain
it without a ligature by means of styptics, or things of an obstruent
nature, such as roasted rosin, the fine down of wheaten flour, gypsum,
and the like. But if the vessel is an artery, he says, one of two things
must be done,—either a ligature must be applied to it, or it must be cut
across. He adds, we are even obliged sometimes to apply a ligature to
large veins and cut them across. From this extract of Galen’s practice,
it will be readily perceived how much our author is indebted to him. He
makes mention of the ligature in many other parts of his works. He also
recommends the actual cautery.
To stop bleeding, Oribasius directs, in the first place, cooling and
astringent applications to be used, and if these do not succeed,
caustics, such as misy, chalcitis, copperas, or the actual cautery. Upon
the whole, his account of hemorrhage is nearly the same as our author’s,
only he says nothing of the ligature.
Aëtius treats of this subject in the same terms as Galen, recommending
the ligature under the circumstances mentioned by him. Some of his
styptics are powerful escharotics and astringents, such as copperas,
chalcitis, alum, galls, quicklime, rosin, and frankincense. He informs us
that Ammonius, the famous Alexandrian lithomist, used a composition of
arsenic, sandarach, chalcitis, and quicklime.
Actuarius recommends a composition containing burnt copper, chalcitis,
galls, frankincense, &c.
Palladius, in his Commentary on the ‘Epidemics’ of Hippocrates, treating
of hemorrhage says, we often stop the bleeding by applying a ligature to
the divided vessel.
Albucasis mentions four methods of stopping the discharge of blood from
an artery: 1, by the cautery; 2, by dividing the artery across; 3, by
using the ligature; 4, by styptics applied upon a bolster or compress,
and tightly bandaged.
Averrhoes recommends to stop bleeding by styptics, the cautery, or the
ligature. He says distinctly, that when the bleeding cannot be stopped,
the artery or vein is to be secured with a thread.
Public-domain text, read in full here on John Shaqi.
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