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 operations of the suture and burning are described by Albucasis
(Chirurg. ii, 67, and i, 47); by Rhases (Cont. xxiv); and by Haly Abbas
(Pract. ix, 52, and ix, 80.) They all evidently copy from our author.
Garengoit affirms that Paulus has made mention of crural hernia, but we
agree with Heister that this is a mistake.
SECT. LXVII.—ON RHACOSIS, OR RELAXATION OF THE SCROTUM.
When the skin about the scrotum is relaxed without the bodies within
being affected, rhacosis is formed, being a most unseemly complaint.
Wherefore Leonides, having placed the man in a recumbent posture, cut off
the redundant skin with a scalpel direct upon some board or some hard
skin, and united the lips of the wound with sutures. But Antyllus, having
first transfixed the redundant skin with three or four ligatures, cut
off what was external to them with a sharp-pointed pair of scissors or
scalpel, and having secured the parts with sutures, effected the cure by
the treatment for recent wounds.
* * * * *
COMMENTARY. Our author’s description of the two modes of performing the
operation is copied by Albucasis. (Chirurg. ii, 68); and by Haly Abbas
(Pract. ix, 53.)
SECT. LXVIII.—ON CASTRATION.
The object of our art being to restore those parts which are in a
preternatural state to their natural, the operation of castration
professes just the reverse. But since we are sometimes compelled
against our will by persons of high rank to perform the operation, we
shall briefly describe the mode of doing it. There are two ways of
performing it, the one by compression, and the other by excision. That
by compression is thus performed: children, still of a tender age, are
placed in a vessel of hot water, and then when the parts are softened in
the bath, the testicles are to be squeezed with the fingers until they
disappear, and, being dissolved, can no longer be felt. The method by
excision is as follows: let the person to be castrated be placed upon a
bench, and the scrotum with the testicles grasped by the fingers of the
left hand, and stretched; two straight incisions are then to be made with
a scalpel, one in each testicle; and when the testicles start up they are
to be dissected around and cut out, having merely left the very thin bond
of connexion between the vessels in their natural state. This method is
preferred to that by compression; for those who have had them squeezed
sometimes have venereal desires, a certain part, as it would appear, of
the testicles having escaped the compression.
* * * * *
COMMENTARY. We have given Celsus’s description of the operation in
the 64th section of this Book. Albucasis describes the operations by
compression and by excision. In the former the testicle is squeezed by
the operator while the patient is seated in hot water. In the other
the spermatic cord is to be first secured with a ligature and then the
testicle cut out. (Chirurg. ii, 69.)
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