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
Furunculus, says Celsus, is an acute tubercle, attended with inflammation
and pain, more especially when converted into pus. After it has been
opened, and the pus discharged, there appears part of the flesh below
converted into pus and part corrupted, of a whitish or reddish colour,
which they call the ventricle or belly of the furunculus. He says that
the disease is not attended with danger, and that medicines are necessary
solely for removing it the more expeditiously. For this purpose he
particularly commends galbanum. If repellent applications do not succeed,
suppurative ones may be used; and, failing these, rosin or leaven. When
pus is formed, no further treatment is required. According to Rayer,
Celsus’ description of furunculus applies to the malignant pustule and
not to the boil. (Malad. de la Peau, 233.)
The simple remedies recommended by our author are borrowed from Oribasius.
It is to be remarked that Galen, Celsus, Pliny (Nat. Hist. xxiii, 7),
Octavius Horatianus, and Avicenna concur in recommending figs for
furunculus or the boil. It was with a lump of figs that the prophet
Isaiah cured Hezekiah’s boil.
Avicenna and Rhases treat furunculus judiciously by bleeding and purging,
which prevent the formation of a large abscess. When there is throbbing
in the tumour, they direct us to use maturative applications. When it
is ripe, and does not break readily, they recommend us to open it. Haly
Abbas says, that boils arise from gross and depraved humours. (Theor.
viii, 11.) Alsaharavius also ascribes them to a full and unwholesome
diet. He mentions that he often succeeded in stopping the formation of
the furunculus by cauterizing it with a piece of myrtle or any other
wood. When the pain is violent, he recommends an application of the
leaves of henbane and poppies with the yelk of an egg. When the boil is
indolent, he approves of a stimulant plaster. (Pract. xxix, 4.)
SECT. XXIV.—ON TERMINTHUS.
Oribasius says, that terminthus is a species of phyma, but that a dark
bulla lies over it, which having burst, the part below appears as if
excoriated, and when it is divided, the pus is found. But Dioscorides of
Alexandria says, “Terminthi are eminences formed in the skin, round, of
a dark green colour, like the fruit of turpentine.” These, therefore,
are to be cured like other phymatous swellings, by applying the remedies
there described.
* * * * *
COMMENTARY. Aëtius gives the same account of terminthus, which is a
species of phyma. See Hippocrat. (Epidem. ii, 11; de Humor. xi, 1); Galen
(Comment. in Epidem.); Oribasius (Synops. vii, 136.) Avicenna describes
these affections by the name of _albothin_ (iv, 7, 3, 1.) He says that
they are ulcers produced by black bile; that they appear upon the leg,
and are of the same nature as varices.
The terminthus would appear to have been the cutaneous disease to which
Willan applied the name of ecthyma.
SECT. XXV.—ON CARBUNCLE OR ANTHRAX.
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