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ON AFFECTIONS. a - Hippocrates, The Writings of Hippocrates and Galen [1846]

Edition used:

The Writings of Hippocrates and Galen. Epitomised from the Original Latin translations, by John Redman Coxe (Philadelphia: Lindsay and Blakiston, 1846).

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ON AFFECTIONS.a

DE AFFECTIONIBUS,FŒSIUS, Treat. ii. p. 516.
DE AFFECTIONIBUS,HALLER, ii. p. 366.
TRAITÉ DES AFFECTIONS,GARDEIL, iii. p. 328.

In his preface to this treatise, Haller speaks favourably of it, as having in it little reasoning, but much good observation. It is, he adds, commonly ascribed to Polybius, but this is mere conjecture. The arguments are of a mixed character, a fault, by the by, common to the Hippocratic authors. It begins with some histories of diseases, which differ from those in the books “De Morbis.” Scarcely does the author notice any remedies, but he refers to a book now lost, περι φαρμαϰων. The conclusion relates to things appertaining to diet; and what is here given differs from that which appears in the books “De Dieta,” and seems to me very useful, especially in what relates to the qualities and powers of aliment. Some short and by no means absurd things are stated as to the reason of causes. Man is stated to consist of four humours,—blood, pituita, bile, and melancholy or black bile.

The argument of this book, divided into two sections and sixteen chapters, is, that it consists of many diseases of different parts; fevers, ulcers; their causes, signs, and treatment; of food, both for the sick and convalescent; and an explanation of the powers and differences of several kinds of aliment.

Sec. I. Chap. I. Of what is requisite to be known in consulting for the treatment of diseases. The beginning and source of all diseases are bile and pituita; elucidation of.

Chap. II. Of diseases arising from pituita of the head; pains of head and ears; inflammation of the fauces and uvula; toothache, polypus, and the cure of these.

Chap. III. Of acute diseases of the belly; most violent in winter. Of pleurisy, peripneumony, ardent fever, phrenitis, with others of a lighter description, but becoming acute in winter; their changes, causes, signs, and cure.

Chap. IV. Of summer complaints; pains, fevers, ardent fevers, tertian, quartan; their symptoms, causes, signs, crises, and cure.

Chap. V. Of white pituita, with large, hard, and suppurated spleen; their causes, conversion to dropsy, symptoms, and cure.

Chap. VI. Of volvulus, dropsy; their causes, prognosis, and cure; surgical treatment of dropsy; inflating the intestines in volvulus.a

Chap. VII. Of dysentery, lientery, diarrhœa, tenesmus, cholera; their causes, signs, and treatment.

Sec. II. Chap. VIII. Of strangury, sciatica, arthritis, podagra; causes, signs, and cure; flax.b

Chap. IX. Of icterus and tubercles (φυματα); their causes and cure; of some unsightly affections; lepra, prurigo, itch, impetigo, vitiligo, alopecia, favo, panis, furunculus, and carbuncle.

Chap. X. Of what the physician must inquire, when visiting his patient; and of the proper remedies in wounds, both dietetic and pharmaceutic.

Chap. XI. The food proper in health, is to be changed in sickness; drinks are chiefly to be employed, (sorbitiones, ptisana, &c.) What food and drinks loosen or bind the belly, and renew the strength; what kinds are proper when purgatives are given; in fever, which foods moisten, or dry the body.

Chap. XII. Treatment of convalescents. In disease, attention requisite as to what dries or moistens. Articles desired by the sick to be allowed if not injurious; food is to be slowly added or abstracted; more solid food to be given as convalescence advances, and liquids to be diminished. Aliments and medicines, that are employed in practice, should be well understood; and which are appropriate in debility.

Chap. XIII. How to appreciate the powers of different food; which are light, which heavy. What food and drinks most conducive to health, and strength of body; which cause acid eructations, tormina, and flatulence; which promote evacuation by stool or urine.

Chap. XIV. Of the proper and improper use of food and drinks; of such as are drying, moistening, strengthening, &c.; of weak and strong, light and heavy food; and of the diversity of bread, flesh, and fish.

Chap. XV. Of baths; of some pot-herbs, as to their hot, cold, moist, and dry powers; and exciting the urine, stools, and menses; of astringent, stomachic, drying, and attenuating herbs.

Chap. XVI. Of the various grains and wines; of strong and weak food; the bread most proper in disease; vomition from food or drink; apples and nuts after food; what wine is useful in obviating the ill effects of food and drinks; why the belly is disordered, bound, or loosened; what food is weakening; when food is to be given to febrile patients; when wine and honey are most appropriate; food adapted to health is more powerful in sickness.

This treatise, says Gardeil, is merely an abridged domestic medicine, the conclusion of which is particularly devoted to regimen, both in health and sickness. As it treats only of diseases generally known, practitioners will there find the means of recognising those that are elsewhere spoken of under numerous different denominations. He divides it into sixty-four paragraphs.

I. Of the importance of domestic medicine, and the means of attaining a knowledge of it.

II. to XIII. Of diseases of the head, ear, throat, gums, palate, teeth; of nasal polypi; of diseases of the trunk of the body; pleurisy, peripneumony, phrenitis, ardent fever; (in x. is defined the meaning of judicatus, as applied to diseases, and in xi. a treatise on pharmacy is referred to, which seems to be lost;) change of the two last to peripneumony.

XIV. These four diseases are called acute; great care required in acute diseases; the slightest fault is hazardous; febrile diseases of winter, their treatment.

XV. Of fevers in the summer.

XVI. General remarks on fever and their treatment.

XVII., XVIII. Evidence of presence of bile. Of pains in the belly, and erratic throughout.

XIX. General remarks on summer diseases.

XX., XXI. Of tertians and quartans.

XXI.bis. Leucophlegmasia.

XXII. Enlarged spleen.

XXIII. Iliac passion.

XXIV. Œdematous affections.

XXV. Dysentery.

XXVI. Lientery.

XXVII. Chronic diarrhœa.

XXVIII. Tenesmus.

XXIX. Cholera morbus.

XXX. Strangury.

XXXI. Sciatica. Flax used as moxa.

XXXII. Gout.

XXXIII. Icterus.

XXXIV. Of regimen in the preceding diseases. Cautions as to remedies.

XXXV. Of tumours.

XXXVI. Cutaneous affections, &c.

XXXVII. Purgatives, not indifferent remedies; opiates.

XXXVIII. Precepts for conduct, previous to prescribing for the sick.

XXXIX. How to act in case of wounds.

XL. Of the nourishment of the sick.

XLI. Substitution of oil and wine as frictions, for baths.

XLII. Regimen in certain cases.

XLII.bis. Of the means of attaining a knowledge of the most expedient remedies.

XLIII. Of the preparation and quality of food. Of good and bad digestion.

XLIV. Of drinks, &c.

XLV. Of a drying regimen.

XLVI. Effects of bread and cakes.

XLVII. to LV. Of wines and various foods, &c.

LVI. Influence of soils on, &c.

LVII. General observations on regimen continued, and use of vomits in its improper employment.

LXII. Rules for diet in intermittents.

LXIII. Of wine and honey.

LXIV. Of the necessary modification of regimen on account of the state of disease.

[a ]This treatise seems a kind of brief of the preceding, and of the nature of a treatise on Domestic Medicine for general use.—Ed.

[a ]“Quod si clysterem non admittat, fistula propendulo utriculi petiolo alligata et inflata, multus flatus immittendus; quumque intestinum et venter a flatu elevata fuerint, exempta fistula, statim clyster injiciendus.”—Haller, ii. p. 379.

[b ]Used as moxa. “Ustio autem per linum crudum fiat.”—Haller, ii. 385.