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
Aëtius mentions, among the symptoms, violent pruritus and convulsions.
None of the other Greek writers mention convulsions, but, among the
Arabians, Avicenna, Rhases, and Alsaharavius, have mentioned them. Modern
experience has determined that they are an occasional, but not a frequent
symptom produced by the immoderate administration of opium.
Scribonius Largus directs us, after repeated vomiting, to apply
embrocations of vinegar and roses to the head, to rub the feet, and to
put sinapisms to them and the thighs. Simeon Seth strongly recommends
vinegar.
Haly Abbas and Alsaharavius, and, in short, all the Arabians recommend
nearly the same treatment; namely, emetics of oil and water, or oil and
wine, hot clysters, acrid and strong-scented things, such as castor,
assafœtida, savin, &c., and the warm bath, friction, sternutatories, and
every means calculated to arouse, and to prevent sleep.
Serapion, Rhases, Avicenna, Haly Abbas, and Alsaharavius, agree in
stating that the smallest dose of opium which will prove destructive
to human life is two drachms. Modern authors are not agreed as to the
smallest quantity which may prove fatal, but surely, as Dr. Christison
remarks, Dr. Paris has fixed the minimum dose too low, when he affirms
that four grains may be sufficient to produce this effect. On the other
hand, we should think that a smaller dose than that mentioned by the
Arabians might be sufficient to destroy life. Perhaps the ancient opium
may have been weaker than that now in use.
It is worthy of remark, that most of the ancient authorities recommend
vinegar in cases of poisoning by opium, but we are inclined to think that
none of them administered it at the commencement, nor until the poison
had been removed from the bowels. This practice agrees very well with the
rule of treatment laid down by Orfila, Paris, and Christison, who state
that vinegar is prejudicial, if given at first, by favouring the solution
of the poison, but proves useful afterwards by acting as a restorative to
the system.
None of the ancient authorities recommend venesection.
Public-domain text, read in full here on John Shaqi.
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