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
That the abscess is a corruption and transmutation of the flesh or
fleshy parts, and what are its modes of formation, and how many kinds
of abcesses there are, we have sufficiently explained in the Fourth
Book. Now we have only to treat of the operation upon it. If it be
completely changed to pus, which we ascertain from the pains, fever (if
any was formerly present), redness, pulsation, and the other symptoms
of inflammation being diminished, from the swelling assuming a sharp
point, and from pus being felt under the fingers upon pressure, more
especially if the abscess be superficial, in that case we may proceed
to the operation. But if it is not felt to the touch, nor is elevated
to a point, owing to its being deep-seated, we must attend to the other
symptoms before operating. It is to be understood, however, that before
the conversion to pus is completed, we sometimes open abscesses when
they are unripe, on account of their being near joints or vital parts,
lest, by their continued putrefaction, a ligament or some necessary part
should be corrupted by it. And Hippocrates directs us to open abscesses
about the anus before they are completely ripened, for fear of their
perforating the intestine. In opening them we must not, in all cases,
make the incisions in the same manner, but observe the natural lines—as
on the face; and the growth of the hairs—as on the head, and taking as
much care as possible not to occasion deformity. Straight incisions
are to be made in the legs, as in the muscles and tendons; and nerves,
arteries, and vital parts are to be avoided, taking care of their safety
by sometimes making a straight incision and sometimes a transverse one
into the abscess, according to the circumstances of each case. When the
abscesses are small we make one incision, but when they are larger we
make more, always dividing the thinner parts, and those which are most
convenient for the escape of the matter. When the swelling is much raised
up to a point, unconcocted, thin, and devoid of vitality, we must cut out
a piece either like a triangle, or like a myrtle leaf, or of some other
angular figure, because the circular is unfavorable to cicatrization.
Those which are not pointed we open by a simple incision, and when we
find a sinus, if the part is fleshy and the skin proper for uniting,
we only make such incisions into the part as will allow the matter to
be discharged; but if it be thin and very devoid of flesh we make a
simple incision along its whole length; and after this simple incision,
if the parts on each side appear thin and not fleshy we must pare them
off. After the operation, having first sponged the part, if the abscess
be small, and if only one incision has been made, we may use a simple
pledget, but if it be large, and there be many incisions, we draw through
them a fillet which can be easily extracted; and when the part has been
cut out we fill it in like manner with lint. If a hemorrhage take place
Public-domain text, read in full here on John Shaqi.
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