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
Rhases gives from preceding authors several descriptions of lithotomy,
but as they closely resemble our author’s, we shall treat of them only
in a cursory manner. In his first description he directs the surgeon to
place the patient with his hands fastened to his ankles so as to press
down the bladder. When the stone does not descend properly, so as to
be felt externally, he recommends him to introduce one or more fingers
into the rectum and push it outwards; and then while an assistant
draws up the testicles the operator is to make a transverse (oblique?)
incision, larger externally, but internally only of such a size as to
allow the stone to pass out. If the stone does not come out readily it
is to be extracted with an instrument, and the hemorrhage checked with
a composition of aloes, frankincense, and vitriol. When the patient is
a child he recommends the operator to place him upon the knees of an
assistant, and to make pressure on the abdomen so as to force down the
bladder. He forbids the operation when the stone cannot be brought down
to the neck of the bladder. When the stone is large he directs it to
be broken into pieces before extraction. His next description is taken
from the celebrated Antyllus, but as it scarcely differs at all from the
preceding one, we shall merely select a few remarks. When the stone is
smooth, round, and small, he directs the surgeon to push it down to the
neck of the bladder by means of a finger introduced into the rectum, and
to make an incision down upon it; after which the stone is to be forced
out. When pain supervenes after the operation, he recommends him to
place the patient in a bath medicated with camomile, linseed, mallows,
&c.; or if it be summer, and there be any disposition to hemorrhage, to
place him in a vessel filled with strong vinegar. When it is ascertained
that there are clots of blood in the bladder obstructing the urine, he
directs the surgeon to introduce a finger by the incision, and extract
them gradually. His next description is from an author named Sarad, whom
he frequently quotes in other parts of his works. He directs the operator
to introduce a finger into the rectum and push the stone outwards to the
left side of the perineum, removed about the size of a grain of barley
from the raphe (_daram_), and then to make an incision into the neck of
the bladder. He afterwards gives a very circumstantial account of the
operation from another author called Athuriscus. He particularly directs
the operator to make an incision in the left side of the perineum and
to open the neck of the bladder, as a wound of the body of the bladder
seldom unites. When the stone is large he recommends him to seize it
with strong pincers and break it into pieces. When a stone sticks in
the urethra he directs him to tie one ligature behind it and to secure
the prepuce before the glans with another, and then to cut down upon
the stone. He gives very minute directions about the after treatment,
Public-domain text, read in full here on John Shaqi.
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