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
The author of one of the Hippocratic treatises, according to
circumstances, recommends sawing it out, consuming it with septics, tying
it with a ligature, and burning it with a red-hot iron. (De Morbis, ii.)
In the ‘Isagoge’ of Galen, it is merely recommended to cut out the
tumour, and to scrape its roots.
Celsus, like our author, recommends excision with a sharp instrument of
iron, and directs us to apply afterwards to the part a tent smeared with
some styptic. A proper dressing is then to be applied for cleansing the
sore. (vii, 10.)
Oribasius briefly mentions excision as a proper remedy when medicines
fail.
Albucasis describes minutely the operations of excision and sawing out
the tumour. Like our author, he directs us to seize the tumour with a
hook, to pull it down, and cut it out. If any part remain, he recommends
us to scrape it out with a slender instrument, and then to apply
styptics, such as vinegar, water, or snow. The operation of sawing it out
with a thick knotted thread is minutely described by him. He also speaks
of cauterizing the part from which the tumour has been removed.
Mesue describes the process of sawing out the tumour, with some slight
differences. He recommends us to use three horse-hairs, which, being tied
together with knots, are to be introduced into the nose with a leaden
needle, and one end conveyed out by the openings of the palate; and then,
by pulling at both ends, the tumour is to be sawed out.
Avicenna, Haly Abbas, and Rhases make mention of excision and the process
of sawing out the tumour. Rhases relates the history of a case of
polypus, unusually large, which he had seen extracted in an hospital. He
and Albucasis recommend the part to be dressed with green ointment.
The veterinary surgeons appear to have depended principally upon the
actual cautery. See Vegetius (Mulom. ii, 38.)
The method of curing polypi of the nose, by sawing them out, seems
to have now fallen completely into disuse, whether deservedly or not
we cannot, from our own experience, venture to decide. Fabricius ab
Aquapendente disapproved of it; but he was evidently much prejudiced in
favour of the operation with a new forceps of his own invention. (Œuv.
Chir. ii, 24.) Sprengel informs us that this method was practised by the
surgeons of the middle ages. It is described by Brunus (Chir. Mag. ii.)
Sprengel thus explains the other operation described by our author:
“Il se servait d’un instrument particulier auquel il donnait le nom de
σπάθιον πολυπικὸν et qui était garni à l’une de ses extrémités d’un
ciseau, κυκλίσκος” (Hist. de la Méd. viii, 4.) Why does he substitute
κυκλίσκος for κυαθίσκος? That the instrument had a chisel (ciseau) at its
extremity is altogether improbable, and this supposition is unwarranted
by the context. Κυαθίσκος means the cup-like or concave end of the
instrument.
SECT. XXVI.—ON MAIMED PARTS.
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