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
Avicenna’s description is evidently copied from our author. He also
mentions that some surgeons open the lower part of the cornea, and
extract by it. However, he does not approve much of this procedure.
Canamusali briefly mentions that cataract must sometimes be removed by
a surgical operation. When convulsions come on after the operation he
directs us to apply castor to the nose.
Rhases describes accurately the operations of couching, extracting,
and sucking out the cataract. He is the only ancient author, except
Celsus, who recommends the cataract to be torn in pieces when it cannot
be got properly depressed. He mentions that the famous surgeon Antyllus
practised extraction by opening the lower part of the cornea. He also
speaks of a certain surgeon who sucked it out through a glass tube.
Haly Abbas describes distinctly the operation of couching, but evidently
copies from Paulus. He makes no mention, however, of extraction, as far
as we can discover, in any part of his works. The operation of couching
the cataract is minutely described by Jesu Haly, but he makes no mention
of extraction. He was the son of Haly Abbas.
Sprengel, in his ‘History of Medicine,’ refers to Haly Abbas as one of
the ancient authorities who make mention of the operation of extracting
the cataract; but if this be the case the edition from which they quote
(Venetiis, 1492) must be considerably different from the one with which
we are acquainted. (Lyon, 1523.) Haly forbids examinations of the
eye after the operation, to ascertain whether or not the patient has
recovered his sight.
We will give the description of Vegetius in his own language: “Jumentum
igitur pridie temperabis a cibo vel potu maximè prohibebis, in loco
molli elides caputque ejus et cervicem aptè collocabis: ita patentem
oculum facies ut claudere non possit: deinde ab ipsâ fronte paracenterium
inter tunicas oculares subjicito, ne pupillam tangas, aut aliquid lædas
interius. sed ipsum album de superiori parte ubi hypochysis posita
est, capitello paracenterii deorsum deprimis ad palpebram inferiorem
subtiliter. Quod si depositum fuerit, non prius paracenterium eximas,
nisi clausum oculum penicello calido diutissime vaporaveris. solet
enim resilire. Quod si evenerit, reprimito, donec ita componatur ut
resilire non possit. Cum itaque intellexeris claritatem pupillæ sine illo
obstaculo hypochysis, tunc eximes ferrum, et invenies animal videre.”
Sprengel affirms, but not quite correctly, as will be perceived from
the account of the ancient opinions given above, that it was towards
the beginning of the 18th century that it was first discovered that the
crystalline lens is the seat of the cataract. Otherwise he gives an
admirable history of the operation, in which he does ample justice to the
ingenuity and inventive genius of the ancients. (Hist. de la Méd. xviii.
2.)
Public-domain text, read in full here on John Shaqi.
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