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ON THE HEMORRHOIDS OR PILES. - Hippocrates, The Writings of Hippocrates and Galen [1846]

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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 THE HEMORRHOIDS OR PILES.

a “Hoc est, de Venis in ano sanguinem fundere solitis.”—Fœsius.
DE HEMORRHOIDIBUS,aFŒSIUS, Treat. vii. p. 891.
DE HEMORRHOIDIBUS,HALLER, iv. p. 122.
TRAITÉ DES HÉMORROÏDES,GARDEIL, iv. p. 358.

Although, says Haller, this is a spurious book, it is by no means a bad one. It cannot be a writing from the author of the Aphorisms, since there, one of the tumours is directed to be kept open; whilst here, the whole are cured. Pituita and bile are the foundation of the author’s theory. Various means of cure recommended; acrid applications, and even the cautery.

Of the formation of hemorrhoids,b and of their treatment by incision, ligature, cautery; how to distinguish hemorrhoidal tumours. A styptic composed of urine, mixed with calcined copper-filings in a copper vessel, and exposed to the sun, frequently stirring it, until dry, then powder it finely, and sprinkle slightly on each incision. Mulberry tubercles, external and internal; treatment; speculum ani (ϰατοπτηρος);—here, reference is made (in order to explain why so little discharge of blood follows the falling off of the tumours) to amputation of the legs or arms at the joints, when compared with the operation either above or below; the particular analogy would be difficult to apprehend, even with the accompanying explanation! Cauterization seems to have been employed internally, through the medium of a canula of some kind introduced. The tumours, when burning or cutting were deemed improper, were sometimes made to extrude, and were then sprinkled with a mixture of myrrh, galls, and alum, calcined. Some other analogous preparations are given.

[b ]See different meanings among the ancients, of this term; it was used often to imply hemorrhagies of different kinds.