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
These also belong to the class of abscesses, but differ from them in
this respect, that those which are properly called abscesses are of an
inflammatory nature, painful, and contain an acrid and corroding fluid;
neither are they surrounded by a proper membrane or tunic. They differ
from one another, in as much as that which is contained in the steatoma
is, as its name implies, like suet; that which is in the atheroma is
like pap made from corn; while the fluid in the meliceris is like honey.
You may distinguish them from one another thus. The steatoma is harder
than the others, is unyielding to the touch, and has a narrower base.
The meliceris conveys to the touch the sensation of a soft body, is
slowly diffused, and soon returns again to its shape. We operate upon
them as upon scrofulous tumours, by incision, dissection, sutures, and
the rest of the treatment, only avoiding to wound the membrane, lest
its fluid contents be poured out and obstruct the operation, and lest a
part of it should be left behind, which often occasions a renewal of the
complaint at the wrists, ankles, and the moveable parts about joints, as
a scrofulous tumour does in like manner, if the whole or a part of it be
left behind. If any such thing be left it will be better not to sew up
the wound, but to consume the remainder with septic applications.
* * * * *
COMMENTARY. We have given an explanation of the nature of these tumours
in the Fourth Book.
Galen states that the indications of cure in all these cases are to
discuss their contents, produce putrefaction of them, or to cut them out.
The steatoma, he remarks, being of a solid nature, can be remedied only
by an operation. (Meth. Méd. xiv.)
Celsus directs us, in extirpating steatomatous tumours, to open the cyst
and evacuate its contents; but recommends not to wound the cyst of the
others. Should the whole or part of the cyst be unavoidably left behind,
he directs suppurative applications to be used. After the operation he
directs us to unite the lips of the wound by a clasp (fibula) and an
agglutinative medicine. (vii, 6.)
The surgical treatment of these tumours is very fully laid down by
Aëtius, in an extract from Leonidas; but his description is so long that
we cannot do justice to it within our narrow limits. Like Celsus, he
directs us to avoid wounding the tunics which surround the atheroma and
meliceris; but states that this may be done in the case of the steatoma.
He judiciously directs the skin to be cut in the form of a myrtle-leaf.
(xv, 7, 8.)
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