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
Hippocrates points out the danger of opening these tumours
indiscriminately. They consist, as Galen remarks, of a viscid and mucous
fluid. Galen and Oribasius agree with our author in directing a piece of
lead to be bound upon the ganglion. Nearly the same plan of treatment is
recommended by Aëtius, who directs us to bind a piece of lead upon the
tumour, and after some days to remove it, when the ganglion will be found
much softened; it is then to be squeezed firmly between the thumb and the
fingers, by which means it will be speedily dissolved. Albucasis approves
of extirpating the tumour, unless it be seated near a joint. Rhases as
usual collects the opinions of all preceding authorities. Antyllus, he
says, directed the surgeon to break the sack, or to bind a heavy plate
over it, or to extract it by the knife. When an operation is attempted,
he recommends that the surgeon be sure that he has removed the whole sac.
He relates a case in which the swelling was dissolved by an application
containing mustard.
SECT. XVII.—ON PHLEGMON.
In general, we call all those swellings phlegmons which are red and
painful, and accompanied with heat; some diversity of their nature
arising from the cause which occasions them. For when good blood and
of moderate consistence rushes abundantly to a part and from its
quantity becomes seated in it, the disease is that which is properly
called phlegmon; but when yellow bile is seated in a part, it is called
herpes; and when blood and yellow bile together are collected in a part,
erysipelas is formed; but when in this case the blood is hot and thick,
it usually gives rise to carbuncle. Wherefore, we shall begin with
what is properly called phlegmon, which occurs in many cases, being a
swelling which is red, painful, elastic, and hot, deriving its origin,
as I said, from good blood which is sometimes collected from the whole
body, and sometimes is formed abundantly in the part itself, so that it
cannot be contained in the vessels, but escapes from them in the form of
vapour into the surrounding cavities. And this affection supervenes upon
wounds, fractures, ulcers, and many other causes. When therefore a part
becomes inflamed without any obvious cause preceding it, the whole body
sending a defluxion to the part, we must evacuate the general system by
venesection, and apply to the part embrocations and cataplasms, not such
as are of a heating and moistening nature, but such as are calculated to
repel the fluid, which is flowing to the part, and evacuate that which
is already contained in it. Apply, therefore, a cataplasm of house-leek,
and of the bark of the pomegranate tree boiled in wine, with sumach and
polenta: when the pain is not violent, this or such like applications are
to be used; but when there is a defluxion to the part with greater pain,
then cataplasms of hot water and oil, or of polenta, must not be applied
(for all these are inimical to such defluxions); but the vehemence of the
Public-domain text, read in full here on John Shaqi.
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