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
Octavius Horatianus approves of bleeding (unless contra-indicated by
the want of strength), and of cholagogues, with free incisions and
fomentations.
Avicenna states that bleeding in general does no good, unless the humour
be seated between the two skins. He approves most of cholagogues and of
applications strongly refrigerant; only he cautions us not to carry this
plan too far, lest the disease be determined to an internal part, or
terminate in gangrene.
Serapion treats of the disease very accurately by the name of _al
massire_, but in nearly the same terms as Galen. He approves decidedly
of cooling and repellent applications at the commencement. Serapion and
Avicenna notice the eruption of bullæ in erysipelas.
Haly Abbas directs us, when erysipelas is not attended with swelling, to
use cooling and repellent applications to the part, and to administer
gentle cholagogues, such as myrobalans, tamarinds, and prunes. But
if swelling be present, and if there is nothing to contra-indicate
venesection, he recommends us to bleed and apply cataplasms.
Alsaharavius describes three varieties of erysipelas; namely, the
erysipelas properly so called, the ignis Persicus, and the erysipelas
inflativa. The first variety, he says, is attended solely with redness
of the cuticle. It is to be treated by bleeding, purging, and local
applications of a cooling and humid nature. In the ignis Persicus, the
heat and redness are strong, and black blisters rise on the part. It is
to be treated by bleeding at the commencement, and scarifications. The
erysipelas inflativa arises with a sudden swelling, and blisters, like
those produced by fire. It is to be treated by bleeding and cooling
applications, containing ceruse, litharge, &c. The _ignis Persicus_ would
appear to have been some variety of anthrax, or the malignant pustule.
None of the ancient authorities express themselves so decidedly favorable
to bleeding as Rhases. Like the others, he attributes it to heated bile.
He, and most of the authors quoted by him in his ‘Continens,’ approve of
cooling applications, but he cautions against carrying this practice too
far. He remarks that vesicles like those from burning often arise on the
part.
Fabricius ab Aquapendente is a strong advocate for the ancient theory,
of which he gives a full explanation. The system, he says, being loaded
with vitiated bile, the more important organs cast it off: it is,
therefore, sent outwardly, and is detained by the cuticle when its pores
are obstructed. He attempts to reconcile the contrary opinions of the
ancients with regard to venesection. He himself approves decidedly of
bleeding when the disease is seated in the head or neck.
Public-domain text, read in full here on John Shaqi.
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