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
Dioscorides, Aëtius, and Actuarius concur in recommending the same mode
of treatment as our author. The Arabians, however, treat those who
have taken a draught of cold water unseasonably in a very different
manner from the Greeks. Thus Rhases and Avicenna recommend undiluted
wine internally, and the application of a plaster over the liver. The
difference between the practice of the Greeks and Arabians may be thus
accounted for. A large draught of cold drink may either threaten to
prove fatal at once by producing a violent impression upon the nerves
of the stomach, or it may superinduce symptoms resembling those of
gastritis. In the former case the practice of the Arabians may seem most
proper in order to support the heat and powers of the system, whereas
that of the Greeks will be indicated when inflammatory symptoms have
come on; and, indeed, even the Arabians bled under these circumstances.
(Avicenna, iv, 61, 31.) For an immoderate draught of pure wine which has
been taken unseasonably, the Arabian authorities concur with the Greek
in recommending immediate evacuation of the stomach and venesection,
to which they add cold water or whey, with troches of camphor. See in
particular Avicenna (iv, 6, 1, 31.)
APPENDIX TO BOOK V.
As no better opportunity is likely to occur, we shall in this place give
a short notice of two subjects connected with medical practice, which are
entirely omitted by our author.
ON FEIGNED DISEASES, AND THE DETECTION OF THEM.
Galen, we believe, is the only ancient author who has treated professedly
of the detection of simulated diseases. He begins his short treatise
on this head with remarking, that persons feign diseases from various
motives, and that it is expected the physicians should detect such
impostures. That, for example, inflammation, erysipelas, and œdema,
when produced artificially, ought to be distinguished from the same
diseases when they originate in constitutional causes. He adds, that
hæmoptysis, hæmatemesis, and bloody discharges from the bowels, are often
simulated. Hæmoptysis is simulated by opening a vein in the gums, and
sucking blood from it while one affects to cough. Others, he says, affect
dementia, fatuity, and insanity, all which cases the vulgar expect that
the physician should detect. Inward pain, such as that of colic, he had
often known to be simulated, and relates briefly an interesting case in
point. He remarks, that experience and natural sagacity will enable a man
to expose all impositions of this nature. He gives a very interesting
account of the manner in which he detected the nature of a swelling at
the knee, that had been produced intentionally by the juice of thapsia
(_thapsia garganica_, deadly carrot?) Feigned inward pains, he remarks,
may often be distinguished from the real by the aversion which the
_malingerer_ discovers to swallow medicines, which he would be anxious
to have given him if he were actually in acute pain; and adds, that the
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