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
When dried, let them be moistened with vinegar.
The carbuncle is made to suppurate and burst, by the inner part of old
walnuts, or even of that which is not old, and by the leaves and shoots
of cypress, or by its young and tender balls (pilulæ), with barley-flour;
by raisins deprived of their stones; by dried figs boiled in wine; by the
flowers of horned poppy; by the juice of laserwort, with rue and some
honey; by liquid pitch with raisins and axunge.
_An excellent application for carbuncles._ Of litharge, lb. j; of old
oil, lb. j; of arsenic, oz. j; boil the oil and litharge until they do
not stain, and taking them off the fire, add the arsenic, and then boil
it until it become black, and having levigated it in a mortar, use upon
pledgets.
_For gangrene, old ulcers, those called chironia, strumous ulcers, and
the gout: it is a most admirable application for carbuncle, particularly
in the eyelids._ Of opium, of acacia, of toasted misy, of flakes of
copper, of each, dr. ij; of copperas, dr. j; of the seed of henbane, dr.
j; triturate in water, and use. They say also that the ointment called
tetrapharmacon, having a fifth part of frankincense, is an excellent
application. But for carbuncles in the pudenda, take of chalcitis, of
copperas, of each, dr. viij; of aphronitrum, dr. ij; triturate with
water, and use. Sheep’s dung roasted with honey is also a good remedy. In
Alexandria they use the green serapias, which is also called orchis and
triorchis, with crumbs of bread, as a cataplasm for carbuncles and all
sloughy ulcers; and when the eschar falls off, they cure them as a common
ulcer.
* * * * *
COMMENTARY. The carbuncle is briefly treated of by Hippocrates (Epidem.
ii, 1), and is frequently mentioned by him as a symptom of the
pestilential fever. (Epidem. iii.)
Celsus gives a very minute description of carbuncle. With regard to
the treatment, nothing, he says, answers so well as immediate burning,
which produces no pain, as the flesh is dead. The sore is to be treated
like other burnt parts. Under the use of eroding applications a crust
is formed, which, being removed from the living flesh, carries all the
corrupted parts along with it, and leaves a clean cavity, which is to
be filled up by incarnants. When the disease is superficial, corrosive
or caustic substances may be substituted, of such a degree of strength
as to produce a separation between the dead and sound flesh. But if
these applications fail, recourse must be had to burning. He recommends
abstinence from food and wine at the commencement, and directs water to
be given freely, especially if fever be present.
Pliny gives an indistinct account of an epidemical anthrax, which, he
says, prevailed in the province of Narbonne. (Nat. Hist. xxvi, 4.)
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