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
Cælius Aurelianus, however, disapproves of this practice in cases of
cephalæa and epilepsy.
The Arabians were even more partial than the Greeks to burning the
head in these and other complaints. See in particular Albucasis, whose
description is very minute. In cases of cephalæa he recommends the
cautery to be applied to the occiput, but cautions against touching the
bone lest it produce violent pain. He directs us to be careful to avoid
muscles, nerves, and arteries. Avicenna, Rhases, Mesue, and Haly Abbas
recommend the operation, in the most unqualified terms, as a powerful
remedy in the cases mentioned by our author. Avenzoar, however, condemns
the unguarded application of the burning iron to the head.
Guido de Cauliaco recommends the cautery in cases of hydrocephalus (ii,
2, 10). Brunus also applied it for hydrocephalus, (ii, 17.) But see in
particular Lanfrancus (III, iii, 18.)
Fabricius ab Aquapendente states that from the most ample experience he
had ascertained the good effects of applying the cautery over the sutures
of the skull in various complaints, especially asthma, consumption, and
all cold defluxions from the head to the chest. He gives a full account
of the operation. (Œuvres Chirurg. ii, 1.) But see De Haën. (Rat. Méd. t.
iii, p. vi, c. 6.)
SECT. III.—ON HYDROCEPHALUS.
The hydrocephalic affection is so named from the peculiarity of the
fluid, it being of a watery consistence. It occurs in infants, owing to
their heads being improperly squeezed by midwives during parturition,
or from some other obscure cause; or from the rupture of a vessel or
vessels, and the extravasated blood being converted into an inert fluid;
or from rarefaction, the matter exuding and lodging between the skin and
the pericranium. For the fluid is formed either between the pericranium
and the skin, or between the pericranium and the bone, or between the
bone and the meninx. In those cases, therefore, in which the fluid is
formed between the skin and the pericranium, there is a soft tumour, all
of one colour, and without pain, accompanied with an elevated swelling,
having only a thin substance intervening between it and the fingers,
readily yielding and again resuming its form. When it is seated between
the pericranium and the bone, all the other appearances are the same,
but the swelling is harder, yields more slowly, seems to be felt through
thicker substances, and is more painful. When the fluid is seated between
the meninx and the bone, there will still be a swelling, but not of so
yielding a nature, nor so easily felt, only it yields to the application
of strong pressure; for the bones of infants, being recently formed, are
of a more yielding nature; and this is more especially the case when,
owing to enlargement of the sutures, the fluid escapes outwards. This
is readily ascertained from the circumstance, that by pressure of the
fluid it retreats to the deep-seated parts. In such cases the pain is
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