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 directs us to introduce the cross threads, as recommended by our
author, and then to cut out the apex of the tumour. He is at great pains
in directing us to introduce the threads obliquely, and not at right
angles to one another. He also recommends general bleeding and emollient
fomentations, (vii, 37.)
The operation with the ligatures is briefly described in the ‘Isagoge,’
generally ascribed to Galen.
Haly Abbas and Albucasis describe the operation with the cross threads
in nearly the same terms as our author. The latter, however, makes
mention of puncturing the apex of the tumour after the application of the
ligatures. Jesu Hali gives nearly the same account of the operation.
Although Scarpa condemns in strong terms the use of the needle and
ligatures, this method of treatment is sanctioned by the authority of Mr.
Travers. This operation was approved of by William of Saliceto.
Scultet explains the descriptions given by Celsus and Paulus, but they
are sufficiently plain of themselves. (Arsen. de Chirurg. tab. 32.)
It will be perceived that the ancients applied the name staphyloma to
two distinct, or at least considerably different diseases, namely, to
enlargement with protrusion of the cornea, and to prolapsus of the iris
connected with ulceration of the cornea. Heister, Wenzel, and other
continental writers, use it in the same sense as the ancients. Scarpa and
our English oculists apply it only to protrusion of the cornea, without
ulceration.
SECT. XX.—ON HYPOPYON OF THE EYE.
Regarding hypopyon of the eyes it will be sufficient to deliver Galen’s
account, which is to this effect:—“A certain oculist of our time, named
Justus, cured many cases of hypopyon by shaking the head. Placing them,
therefore, erect upon a chair, and grasping their head on both sides
obliquely, he shook them so that we could see clearly the pus descending
downwards; and, owing to the weight of the substance, it remained below,
although cataracts will not remain unless fixed carefully.” And again, he
says below, “oftentimes we evacuate the pus freely by dividing the cornea
a little above the place where all the coats of the eye unite. This place
is called by some the iris, and by others the corona.” These are the
words of Galen in his work, ‘On the Method of Cure.’ After the discharge
of the pus, we clean the ulcer with injections of honied water, or of the
juice of fenugreek with the addition of some honey, and then apply the
other treatment conformably.
* * * * *
COMMENTARY. Galen recommends three methods of treatment for the cure of
hypopyon; namely, by discutients, shaking, and incision. (Meth. Méd. xiv.)
Aëtius, Albucasis, and Haly Abbas, like our author, are advocates for
shaking and incision. Neither of these methods is now much in use, but
both have had their advocates in modern times.
SECT. XXI.—ON CATARACTS.
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