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
Avicenna with his customary accuracy collects everything of importance
which had previously been written on the subject, but makes hardly
any addition to the ancient stock of information. We can scarcely
venture upon an abstract of his important chapter on phlebotomy. We may
just mention that as a general rule he approves of bleeding after any
accident. He disapproves of bleeding both at the onset and the crisis of
a disease. In constitutions requiring bloodletting he holds that spring
is the best season for it. Even in cases in which there is a deficiency
of blood, but there is congestion in some particular part, he permits
blood to be abstracted, in order to produce revulsion, the patient’s
strength being recruited afterwards by a nourishing diet. When the colour
of the blood is dark, and it is thick in consistence, a larger amount is
to be abstracted than when it is thin and of a light colour. He makes
the important remark, that bleeding sometimes kindles up a fever. He
forbids the bath immediately before the operation, and food or exercise
immediately afterwards. When a piece of fat obstructs the flow of blood,
he directs that it should be gently pushed aside, but not cut out. (i, 4,
20.)
No author, ancient or modern, has described the modes of performing
venesection in all parts of the body more accurately than Albucasis.
Bleeding from the jugular vein he describes in much the same way that
it is now practised by veterinary surgeons, namely, by placing a sort
of scalpel, bent at the point, which he calls fossorium, upon the vein,
and striking the instrument with a hammer, or some such body. He gives
drawings of variously-shaped lancets for opening the veins of the arm.
(Chirurg. ii, 97.)
The reader is also referred to Haly Abbas for a copious account of the
operation, and the circumstances under which it may be performed. It
is contra-indicated, he says, when the bowels are loaded with vitiated
fæces. He allows it to be performed even after seventy years of age,
provided the patient be of a vigorous constitution. (Pract. ix, 2.)
Public-domain text, read in full here on John Shaqi.
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