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
it we soak a double compress in oxycrate, and bind it on the part. Some
apply levigated salts, upon the knob of a specillum, to the incision, in
order that if any part of the hydatid remain it may be dissolved. After
the removal, should there be no inflammation, we accomplish the cure
with collyria in the form of liniments, or with lycium, horned poppy,
or saffron. But when there is inflammation we treat it with suitable
cataplasms and the other remedies.
* * * * *
COMMENTARY. Celsus describes them by the name of vesicæ pingues
gravesque. It is clear that they are different from the tumours to
which modern surgeons apply the name. They appear to have been encysted
tumours, or perhaps enlargements of the sebaceous glands. Celsus directs
us to apply pressure with two fingers, and the skin being stretched to
make a transverse incision, taking care not to wound the bladder or
cyst. The tumour is then to be seized with the fingers and pulled out.
He remarks that when the cyst is opened, and its contents evacuated,
it renders the operation more difficult. When such a thing happens he
recommends us to encourage suppuration.
To this class of tumours we may perhaps refer the white rough bodies
resembling chalk-stones, on the inner surface of the eyelid, which are
described by Aëtius. He directs us to evert the eyelid, and, making an
incision along the vertex of the tumour, to scoop it out with an earpick,
and apply burnt copper, finely triturated, to the part. When extracted
outwardly he recommends a dressing with tetrapharmacum. (vii, 82.)
See Albucasis (Chirurg. ii, 10); Avicenna (iii, 3, 3, 18); and Haly Abbas
(Pract. ix, 21.) They evidently copy from our author. Rhases professes to
borrow his description of the operation from Antyllus and Paulus. (Cont.
ii, 3, 2.)
Fabricius ab Aquapendente, describes under the name of hydatid, two kinds
of encysted tumours, the contents of the one being of a thick and heavy
nature, and the other, an atheroma. He approves of the ancient modes
of operating. (O. L. ii, 9.) Heister incorrectly calls them vesiculæ
aquâ plenæ. (Ch. ii, 2, 9.) Tumours similar to those which we have here
treated of are described by Scarpa, in the third chapter of his work on
the Eye, and every practical surgeon must be familiar with them.
SECT. XV.—ON ADHESION OF THE EYELIDS.
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