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 treatment of abscesses is fully explained by Galen. (Therap. ad
Glauc. ii.) He directs us, when an abscess is slow of ripening, to make
superficial scarifications in it, and afterwards to apply a cataplasm of
barley-meal.
Aëtius’s directions are, upon the whole, similar to our author’s, but
not quite so minute and precise. Like our author, he directs us to make
the incision long and narrow, like a myrtle-leaf. The ancients were well
aware that circular sores are slow of healing; and the causes of this
fact are fully explained by Cassius and Alexander Aphrodisiensis.
Little additional information is to be obtained from the other
authorities. Albucasis directs us, when the abscess is large, not to
evacuate all its contents at once, lest it produce dangerous prostration,
especially if the patient be weak; for, he remarks, the animal spirits
will escape along with the pus. Like our author, he forbids us to open
abscesses until they are ripe, unless seated near the anus, or some vital
part. (Chirurg. ii, 40.)
Haly Abbas justly remarks that if an abscess be opened prematurely,
the lips of it remain in an indurated state, and prevent the sore from
healing. But when seated near nerves or ligaments, he advises not to wait
until it is ripe. His treatment upon the whole does not differ from our
author’s. (Pract. ix, 8.)
The method of opening abscesses, by means of caustic applications, is
described in the Fourth Book, 18.
SECT. XXXV.—ON STRUMÆ, OR SCROFULOUS GLANDS.
The chœras, or scrofula, is an indurated gland, mostly forming in the
neck, armpits, and groins, deriving its name either from a Greek word,
signifying a species of rock, or from swine, because they are fruitful
animals, or because swine have swellings of the neck. The strumæ are
formed either on the anterior part of the neck, or on either side of
it, or on both, and they consist of one, two, or more, all contained
in their proper membranes, like the steatoma, atheroma, and meliceris.
Those, therefore, which are painful to the touch, and on the application
of medicine, are of a malignant nature, are to be considered as
carcinomatous and it is obvious that they do not readily yield to a
surgical operation. But such as are mild to the touch and the seasonable
application of medicines, may be operated upon in this manner. To such as
are superficial and incline towards the skin we use a simple section, and
free them from the surrounding bodies, and stretching the skin with hooks
we flay the lips of the incision, as we said in describing the operation
of angiology, and by degrees remove them entirely. But such as are
larger, having transfixed them with hooks, we raise up, and dissecting
away the skin from them in like manner, we must free them entirely from
the surrounding bodies, avoiding in particular the carotid arteries and
recurrent nerves. If any divided vessel obscure the operation, we may
include it in a ligature, or cut it asunder, if not large. And when
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