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
Rhases, upon the authority of a surgeon called Ancilisius, in the
barbarous translation of his works, which probably is a corruption of
Antyllus, briefly describes this operation. He directs us to open the
mouth and take hold of the tonsils, the fourth part of which may be cut
off. He recommends us to make the patient gargle with vinegar. He forbids
the operation when the tonsils are enlarged and red. (Contin. vii, 2.)
Haly Abbas (Pract. ix, 36,) and Mesue (de Ægr. Gutturis, 4,) describe the
operation, but not so minutely as Albucasis.
Guido de Cauliaco copies the descriptions of Albucasis and Haly Abbas.
(c. vi, 2.)
SECT. XXXI.—ON THE UVA.
The uvula being, as it were, the quill or plectrum of the organ of
speech is often the seat of defluxion from the head, and becoming
preternaturally enlarged, of a lengthened form and slender shape, it
is called columella; but when thick below and round it is named uva,
from its resemblance to a grape, as the other is so called from its
resemblance to a column. If, therefore, it cannot be made to yield to
general treatment,—I mean evacuations by bleeding and purging,—nor to
topical, such as astringents, repellents, and discutients,—we must
proceed to the operation, lest, by its constant irritation, it bring
on coughs, sleeplessness, and even suffocation. Such, therefore, as
are contracted, round, not of a lengthened shape, bloody, or somewhat
black, we must decline operating upon; but those that are slender,
long, small at the extremity, loose, not very bloody, but whitish, we
must operate upon; for the inflammation of them soon subsides. We must
only take away as much of the uva as exceeded its natural size; for the
complete extirpation of it proves greatly injurious to the parts about
the chest, and occasions the loss of voice. Wherefore, having placed
the patient on a seat in the rays of the sun, and directed him to gape
wide, we seize with the forceps adapted for this purpose, or a common
tenaculum, upon the redundant part and drag it downward, and cut it out
with the instrument called staphylotomus, or the scalpel used in the
operation for the suture of the upper eyelid. After the operation the
same things are to be done as are recommended for angiology. But since
often, from the timidity of the patient, or the fear of the hemorrhage,
or the success attending the treatment by medicines, he declines the
operation by instruments, we may rather consume it by means of a caustic
medicine. Wherefore, taking the caustic used for burning the eyelids,
or some such, we are to fill with it the hollows of the instrument
called staphylocaustos, and directing the patient to gape wide, and
getting the tongue pressed down with a tongue spatula, we open the
instrument sufficiently and grasp with it as much of the uva as we cut
off in the other operation. The medicine must neither be of too liquid
a consistence, lest it run down from the uva improperly, and burn the
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