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
we must use cold water or oxycrate, and if the bleeding continue we may
sprinkle upon the part finely powdered chalcitis, which we may also have
recourse to often when the part is gangrenous and flaccid. In winter,
and when the parts are nervous, we may soak oblong pledgets in wine and
oil and apply them; and in summer, when the parts are fleshy, we may
soak these applications in water and oil, or in the same cold wine and
oil, and binding them, on the following day we may bathe with the same
fluids; but on the third day, having loosed the dressings and sponged the
parts, we may use the application called tetrapharmacon on a pledget, and
if there be no inflammation present we may apply the same wash for the
preservation of the pledget; but if there be inflammation, we must apply
a digestive cataplasm, having first poured water on the parts. When the
inflammation abates we may effect the cure by promoting suppuration and
incarnation. Sinuses are to be cured by agglutinative remedies, as has
been said, in the Fourth Book, on sinuses.
* * * * *
COMMENTARY. All the authors quoted under this head in the Fourth Book may
be consulted.
Celsus is more than usually prolix in laying down the rules for the
surgical treatment of abcesses. Before the abscess harden, he directs us
to make incisions in the skin, and apply a cupping instrument, in order
to remove any symptoms of inflammation which may have been present,
or, in other words, to procure resolution. Sometimes, however, as he
explains, the matter is collected in a cyst (tunica), in which case it
is not to be supposed that the contents of the abscess can be removed
by a cupping instrument. When the pus ripens it is seldom proper to let
it out if seated in the armpits, or groins; nor when the collection is
superficial, or in the flesh; and it is better, as he prudently directs,
to apply cataplasms until the pus make an opening for itself. When it is
judged necessary to open an abscess, he recommends us, if not seated in
a nervous part, to perform the operation with a red-hot iron, because a
small opening made in this manner will remain longer open. Abscesses in
nervous parts are to be opened with a scalpel. In making an incision,
the form and size of it are to be considered. In general the openings
are to be made as small as possible; but large sinuses require larger
incisions, and sometimes two or three are necessary: when the skin is
livid or diseased it sometimes must be cut off to further the cure. In
this case an opening is to be made of the shape of a myrtle-leaf. When
the pus is evacuated, if in the armpit or groins, no pledget is to be
used, but a sponge out of wine is to be applied. In other places, a
little honey is first to be used; then agglutinative medicines; and above
these likewise, if necessary, a sponge squeezed out of wine. (vii, 2.)
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Elsewhere in the archive