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
Paulus copies freely from Oribasius (Synops. vii, 27.) Upon comparing
Oribasius with our author we have ventured to give an interpretation of
the last sentence not justified by the text as it now stands, and at
variance with the translation of Cornarius. Oribasius does not say that
the flour of darnel will scarify the parts (how could he?) but that it
will be a proper application after the parts are scarified.
Galen (ad Glauc. and Comment. in Hippocr. App. vii. 50,) is the great
ancient authority on mortification, and from him Oribasius, Aëtius,
Paulus, and all the subsequent writers on this subject have copied. He
lays it down as the great rule of treatment, to evacuate the blood which
is impacted in the part and prevents the diastole of the arteries. To
accomplish this end he directs free incisions to be made, after which the
actual cautery is to be applied, at the line of separation between the
sound and diseased parts.
Celsus is a strong advocate for this practice, which has been revived
lately and is much used in France. (See Encyclopédie Méthiodique, art.
Gangrène, and Cross’s Sketches of the Medical Schools in Paris.) He
states, however, that when the disease goes on spreading, amputation
of the mortified limb is the “auxilium unicum.” At the commencement he
approves of venesection, if the strength permit, and of a restricted
diet; and, afterwards, astringent food and drink are to be given. He also
recommends, for gangrene, applications containing arsenic, quicklime,
chalcitis, and the like (v, 22.)
The practice of the Arabians is little or nothing different from that
of the Greeks. Avicenna at the commencement approves of Armenian bole
and terra sigillata with vinegar; but if these have not the effect he
directs us to empty the part by scarifications, leeches, or opening the
veins which lead to it. He then recommends us to apply the flour of
beans and the other remedies mentioned by the Greeks. When the disease
proceeds, free incisions and the actual cautery must be had recourse to.
Alsaharavius recommends us to bleed at first, if the strength permit;
then to use powerful caustics and escharotics such as arsenic, quicklime,
and sublimed quicksilver; or if these do not succeed, the actual cautery.
He approves of early incisions, and of amputation, if the mortification
spread. He describes a species of gangrene which seizes the hand and
spreads upwards; and relates a case of it in which he refused to amputate
for fear of hemorrhage. The same case is related by Albucasis, which
certainly amounts to a strong presumptive proof that Alsaharavius was the
same person as Albucasis. Rhases inculcates in the strongest terms that
when an inflammation threatens to terminate in mortification, it is to be
treated by scarifications, stimulant applications, and the cautery.
The earlier modern surgeons followed the ancient practice of applying the
cautery in cases of gangrene.
SECT. XX.—ON HERPES.
Public-domain text, read in full here on John Shaqi.
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