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
COMMENTARY. Galen has devoted a whole book of his work ‘De Med. sec.
genera’ to the consideration of wounds of tendons, membranes, ligaments,
and nerves properly called, and he also treats of them more generally
in the sixth book of his work ‘Meth. Med.’ He professes to have had
ample experience in the treatment of these cases while attending wounded
gladiators. As our author has given a very comprehensive abstract of
Galen’s principles of cure, it will be unnecessary for us to enter
into any minute detail of them. He states very decidedly that cold
applications, especially cold water, are highly dangerous, and inculcates
that calefacient oils are the most proper applications. He particularly
praises oils medicated with spurge, or sagapene, or turpentine-rosin.
They are to be applied upon soft wool. In certain cases, he says, I have
mixed the powerfully desiccant substances, such as quicklime, misy,
chalcitis, pompholyx, arsenic, and sandarach, with the oils or cerates.
When tendons are cut across he directs us to unite the ends together
by sutures. Wounds of membranes and ligaments are said to be less
dangerous than those of tendons. In general he further recommends either
bloodletting or purging.
Oribasius, Aëtius, and, in short, all the subsequent authorities, like
our author, copy everything from Galen. As a specimen we shall give an
abstract of the method of treatment recommended by Octavius Horatianus,
who, it is probable, belonged to the Methodical sect. He commences with
stating that wounds of nervous parts are in general very dangerous,
and recommends applications of a digestive nature to avert the violent
symptoms and pains. In such cases he directs us to bleed and purge,
forbids all fomentations of warm water, but approves of those made with
tepid oil, after which dressings composed of turpentine-rosin, either by
itself or with some sponge, are to be applied. But for women and children
of a delicate frame he recommends turpentine alone; for others, however,
he recommends turpentine with spurge and oil, to which occasionally may
be added bee-glue, sagapene, assafœtida, and opoponax. He also from
personal experience speaks favorably of an application prepared from lime
washed in water, spurge, sulphur, turpentine, wax, and pitch. He mentions
other preparations from rosin, spurge, with oil and sea water.
The Arabians copy from Galen very closely. Thus Avicenna condemns cold
applications, and recommends calefacient ones. He approves of sutures
when the tendons are cut asunder. Haly Abbas cautions against cold
water, and particularly commends wool dipped in hot oil of violets. When
spasm (tetanus) supervenes owing to the wound of a nerve, he directs us
to divide it asunder lest the affection of it spread to the brain and
prove fatal. Rhases also forbids all relaxing applications. He commends
hot stimulant oils, and basilicon mixed with spurge, natron, lime,
assafœtida, castor, &c.
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