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 for recent wounds; but the moderns have recourse to what
is called the incarnative mode of treatment. If the testicle is found in
a state of putrefaction, or otherwise diseased, the vessels which pass
along with the cremaster are to be separately inclosed in a ligature,
the cremaster cut, and the testicle removed. And when there are two
hernias we may operate in the same manner twice, directing the incisions
on both sides at the parts of the scrotum about the loins. After these
things, having introduced the head of a probe through the incision below
at the extremity of the scrotum, and elevating the scrotum upon it, we
make an incision with a sharp-pointed scalpel in a convenient situation
for the discharge of the coagulated blood and pus. By means then of
the head of the probe we introduce an oblong pledget into the upper
incision, and having sponged away the clotted blood, we introduce wool
dipped in oil through the incision down to the testicle; and externally
we may apply other pieces of wool dipped in wine and oil to the scrotum,
hypogastrium, groins, perineum, and loins; and applying a compress three
times folded upon them, and binding them with a six-legged bandage, and
other proper bandages, we place the man in a reclining posture, putting
wool under the scrotum for the sake of ease, and spreading the soft skin
under him to receive the embrocations. We bathe with warm oil until
the third day, after which having loosed the bandages we must use the
ointment tetrapharmacon on a pledget, having changed the oblong one.
Afterwards we may again apply the embrocations proper for inflammation
until the seventh day, after which we have recourse to the medicine
called motophylacion. After the ulcer has been cleaned and moderately
incarnated, and the parts have been bathed, we must remove the oblong
pledget, and have recourse to the subsequent treatment as formerly
described. But if inflammation, hemorrhage, or any such disagreeable
consequence come on, we must, in a word, treat each of these in a
suitable manner, that I may not have occasion to make repetitions. But if
we would rather have recourse to the cautery in cases of hydrocele (as
is the practice of the moderns), we must follow all the directions given
as to what is to be done before and after the operation, and also those
given with regard to the operation itself, omitting only the incision
with a scalpel, and the division for allowing the discharge of its
contents. Wherefore having heated ten or twelve cauteries, shaped like
the Greek letter Γ, and two sword-shaped ones, we must first burn the
scrotum through the middle with the gamma-shaped, and having dissected
away the membranes with a scalpel or blunt hook, we must burn with the
sword-shaped as if cutting. Having laid bare the tunica vaginalis (which
is easily recognized by its whiteness and density) with the extremity of
a gamma-shaped cautery, we evacuate the fluid. Afterwards, when the whole
Public-domain text, read in full here on John Shaqi.
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