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
Celsus describes, we fear but too truly, the general result of
every known method of treating cancer. He says, some use corrosive
applications, some burning irons, and others cut it out with the scalpel;
but medicines are of no avail, burning only exasperates the disease, and
excision only removes the part affected, for the disease immediately
returns, (v, 28.)
Galen’s sentiments are partly explained by our author. He states, that
the disease is curable only at its commencement. When it has attained
any considerable magnitude, he says, it admits of no remedy without a
surgical operation; and when the tumour is cut out all around there is
danger of hemorrhage, which, if restrained by ligatures, may give rise to
the disease in the neighbouring parts, whereas, if cauteries be used to
burn the roots of the vessels no inconsiderable danger may result from
their application so near to the vital parts. (Therap. ad Glauc. ii;
Meth. Med. xiv; Isagoge.)
Aëtius gives from Leonidas the following description of the operation
on cancerous mammæ. Laying the patient in a supine position, he says, I
make an incision into the mammæ above the cancer, and immediately apply
a cautery until an eschar be produced to stop the bleeding. I then make
another incision deep into the substance of the mamma, and again burn
the parts, and so proceed—first cutting and then burning alternately,
in order to restrain the bleeding. In this way there is no danger of
hemorrhage. After the amputation is completed I again burn the parts
until they are quite dry. The first burnings are for the sake of the
bleedings, and the last with the intention of eradicating the disease.
(xvi, 45.) This operation, described in nearly the same words, occurs in
Soranus. (61.) He says, when the disease is scrofulous the burning may be
omitted. (Ibid.)
Avicenna mentions that after the excision of a cancerous part the actual
cautery may be required. And yet, he adds, there may be danger from the
burning provided the part affected be near any vital organ. (iv, 3, 2.)
Rhases says, that they who make an incision into a cancerous part merely
produce ulceration thereof, unless it be so seated that the disease can
be completely removed and the parts afterwards burned. (Ad Mansor. vii,
9.) In another work he expresses himself rather favorably of excision
and burning. (Contin. xiii.)
Haly Abbas approves of the operation when the cancer is seated in the
mammæ or extremities. He recommends us to allow the part to bleed until
all the melancholic humour is evacuated, and says nothing of the cautery
or ligature. (Pract. ix, 12.)
Albucasis says that he never saw a case of cancer cured unless the tumour
was small and recently formed. He directs us, when the operation is
attempted, to cut out the tumour by the roots, and if the hemorrhage from
any vein be profuse to stop it by the cautery. (Chirurg. ii, 53.)
Serapion expresses himself rather diffidently of excision. (v, 24.)
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