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
In applying the bandage, Aëtius directs us to begin above the sore if
only one simple bandage is to be used, but if two are necessary, as in
fractures, he recommends us to begin at the ulcer and proceed upwards,
and in like manner to begin again at the ulcer and roll downwards. He
forbids us to loose the bandages oftener than every alternate day; and
directs us not to apply water to the ulcer, but to remove the sanies with
a soft, dry linen cloth.
Celsus describes very accurately the treatment of a recent wound or
simple ulcer. He approves, according to circumstances, of bandages,
clasps, or sutures, and his directions respecting the application of them
are highly important, but too long for our limits. After the sore is
dressed he directs us to apply over it a sponge soaked in vinegar, or, if
that cannot be borne, in wine or cold water. This practice is deserving
of imitation. He says afterwards: “Optimum etiam medicamentum quies est:
moveri et ambulare nisi sanis alienum.”
Octavius Horatianus directs us to avoid the bath, the fire, the sun, cold
air, loud cries, intoxication, venery, and passion, lest these should
occasion a rupture of the parts which had adhered.
Avicenna with his usual good sense gives judicious directions for the
treatment of simple ulcers, but his principles are nearly the same as
those laid down by Galen. He defines an ulcer to be “a solution of
continuity, attended with a discharge of sanies or pus.” This seems
to be an unexceptionable definition. He forbids all oily and watery
applications, and recommends us to observe that no body intervene
between the lips of the wound when the bandage is applied. Rhases gives
similar directions. He condemns the practice of those who put oil
into a wound, and who allow the patient to take wine and heating food.
Averrhoes lays down similar rules with considerable precision. Haly Abbas
and Alsaharavius follow the practice of Galen without the slightest
alteration.
Considerable difference of opinion has prevailed respecting the nature
of the clasps (Fibulæ ἄγκτηρες) recommended by Celsus and other ancient
authorities. Rhodius and Le Clerc maintain that no more was meant than
a _simple interrupted suture_, but to this opinion we cannot subscribe.
(See Le Clerc, Hist. de la Méd. iv, 2, 5, and Fabricius of Aquapendente
Œuvres Chirurg. ii, 108.) They would appear to have been metallic clasps
of a peculiar construction.
SECT. XXXVII.—ON AGGLUTINANTS.
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