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
The most grievous symptoms follow the administration of cantharides,
for almost from the mouth to the bladder the parts are tormented with
a gnawing pain. The taste resembles pitch or cedar rosin, and the
patients have inflammation of the right hypochondrium, with dysuria, and
frequently they pass blood by urine, and sometimes it is discharged by
the intestines, as in dysentery: they fall into deliquium animi, nausea,
and vertigo, and at last they become delirious. The proper remedies
are vomiting with water and oil, drinking milk, taking four drachms of
Cimolian earth with honied water, pine kernels, the seeds of cucumber,
fat beef soup, or soup of geese or of mutton; the flesh of fowls, lambs,
sheep, or pigs, being tender and fat, when boiled with linseed; much
must; dr. iv of the bark of rosemary; and after the food inject by
clyster the juice of rice, or of chondrus, or of spelt, or of ptisan,
or of mallows, or of linseed, or of marshmallows, or of fenugreek. And
sometimes having cleared out the intestine with honied water and nitre,
we may then inject these things, and afterwards allay the inflammation
with cataplasms of linseed and barley; for at first these things are
pernicious. Then we may have recourse to baths of sweet water, and give
the ointments of iris and of roses in a draught.
* * * * *
COMMENTARY. The symptoms occasioned by taking cantharides, according
to Nicander, are erosion of the whole intestinal canal, ulceration of
the bladder, affection of the chest, and wild delirium. His remedies
are emetics, such as fat, the oil of iris with rue, or Samian aster,
laxatives, milk in clysters or taken by the mouth, and the decoction
of vine-shoots with honey. Dioscorides describes the symptoms in the
same terms as our author, and like him recommends emetics of oil and
emollient clysters, such as the decoction of linseed or of mallows. Like
our author, he disapproves of warm applications, such as cataplasms and
the hot bath at the commencement, because by their heat they promote the
distribution of the poison over the system; but after a time they are
useful, he says, by allaying the pains and promoting the discharge of
the poison by the cutaneous perspiration. His other remedies being the
same as our author’s, we need not enumerate them. Galen states that the
wings and feet of cantharides prove useful for removing the deleterious
effects occasioned by taking their bodies. His treatment otherwise, which
is borrowed from Asclepiades, is very similar to that of Dioscorides. He
in particular recommends the Lemnian earth, or terra sigillata, as an
emetic in this case. (De simpl. ix.) He also speaks favorably of milk.
(Ib. and de antidot. ii.) He approves very much of animal and vegetable
oils given in sweet wine or tepid water to produce vomiting. Galen
states decidedly that the viscus upon which the action of cantharides
is exerted is the bladder. (Ad Pison.) The treatment recommended by
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