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. None of the other authorities describe this method of cure
so minutely as our author, except Haly Abbas, who evidently copies
from him. (Pract. ix, 71.) Rhases and Albucasis, however, also mention
the operation. They direct us to burn the part with a preparation of
quicklime and soap, with the addition of some caustic lixivia, _or_
leys. These ancient leys, _or_ lixivian ashes, appear to have been
preparations of potass more or less pure. We need scarcely remark that
these applications must have resembled the caustic paste, now used for
forming issues. The method of treatment here described is, in principle,
much the same as that performed by Quadri with sulphuric acid. A caustic
paste very similar to that now used is described by Guy of Caulico. (vii,
1.)
The strained ley, of which mention is made by Paulus, was probably the
same as the calx colata of Cælius Aurelianus. (Tard. Pass, v, 1.) It
appears to have been an impure preparation of potass with the addition
of some lime. It is the same, we suppose, as the πρωτόστακτον mentioned
in the Third Book of this work. The calx colata would seem to have been
identical with the Vienna paste now used in the treatment of varix. A
composition for burning the eyelids, mentioned by Jesu Hali, contains
lime, prepared beans, nitre, and sal ammoniac, formed into a paste with
the water of soap and pure myrrh. Jesu, however, does not much approve of
this method of treatment.
SECT. X.—ON LAGOPHTHALMOS OR HARE-EYE.
Those persons are said to have hare-eyes who have the eyelids drawn
upwards. This complaint arises either naturally or from the cicatrix of a
wound, and this may have occurred spontaneously, or from the operations
of the suture or burning (as just mentioned) having been improperly
performed; in which case even a moderate relief can only be accomplished
when the eyelid is sufficiently thick. For we must divide the cicatrix,
and having separated the lips with a tent, use bandages until the cure
is completed, avoiding such things as are very desiccative, and having
recourse to those which are fatty and relaxing, such as the juice of
fenugreek poured on the part, and the ointment prepared with four
ingredients called basilicon, applied on a tent.
* * * * *
COMMENTARY. See Celsus (vii, 7); Aëtius (vii, 71); Albucasis (Chirurg.
ii, 13); Avicenna (iii, 3, 3, 12); Haly Abbas (Pract. ix, 20); Rhases
(Cont. ii, 4.)
Celsus directs us to make a lunated incision below the eyebrows, the
horns of the incision being turned downwards, and care being taken not
to wound the muscles. A tent or pledget of lint is to be put into this
incision to prevent the edges of it from uniting. This simple operation
is described in nearly the same terms by Aëtius, Albucasis, Avicenna,
Haly Abbas, and Rhases.
Fabricius ab Aquapendente informs us that the operation had fallen into
disuse in his time. It is now sometimes practised. See Scultet, (Arsen.
de Chirurg. Tab. xxxiv, 8.)
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