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
decoction of camomile, or of dill, or of some such; but the materials
of the other applications may be transferred from our account, in the
Third Book, concerning parotis, and from what has been lately delivered,
more especially respecting phlegmons. And in like manner the cure of
phygethlon may be learned from what has been stated respecting them and
erysipelas. But the herb aster atticus, which, on this account, they call
bubonium, not only in the form of a cataplasm, but also when bound round
the part as an amulet, is believed to be of use for buboes. Phymata may
be discussed by the following applications in particular: maiden-hair;
orache; pellitory of the wall; the root of marsh-mallows, boiled in wine;
ammoniac, softened with honey, and applied; birdlime, with the rosin
cerate. But bee-glue, bitter lupins applied with vinegar, the root of the
wild cucumber added to turpentine, and in like manner root of capers, and
nitre with leaven, or figs, promote the rupture of these tumours.
* * * * *
COMMENTARY. The account here given of these glandular inflammations is
taken from Galen (ad Glauc. ii.) See also ‘de Tumoribus’ and ‘Comment. in
Hippocrat. Epid.’ vi.
Celsus describes phyma as resembling furunculus, but as being larger,
and turning to pus. According to Rayer, his description of phyma applies
better to the boil than his account of anthrax. (Malad. de la Peau, p.
229.) The phygethlon, he says, is a tumour not high, but broad, and
containing something resembling a pustule. It occurs mostly in the
armpits, neck, or groins. He proposes applications of a repellent and
refrigerant nature; but if the swelling is hard, digestives must be
had recourse to, such as dried figs bruised, &c. He also recommends a
composition of sal ammoniac, galbanum, bee-glue, and mistletoe, with a
small proportion of myrrh. His treatment is considerably different from
our author’s. When matter is formed, he directs us to let it out by
medicines or the lancet, but he decidedly forbids the use of cerates. In
another place, however, he recommends an application containing lime,
spuma nitri, round pepper, galbanum, and salt mixed with rose cerate.
Scribonius Largus recommends a malagma containing pitch, aphronitum,
pine-rosin, wax, bay-berries, axunge, ammoniac, Illyrian iris, galbanum,
and white pepper, for discussing phygethlon.
Oribasius and Actuarius mark the distinction between these affections
in the same terms as Galen, and direct us to treat them with emollient,
concoctive, and discutient applications. For concocting phymata, the
Pseudo-Dioscorides recommends southernwood, boiled with raw barley
flour; figs, boiled with yeast, &c.; and for breaking them, the juice of
thapsia, with sulphur; cantharides, mixed with turpentine, &c. (Euporist,
i, 156.)
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