Hippocrates - On Fistulae

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On Fistulae Hippocratesby Francis Adams———————————————————

———————————————-1are produced by contusions and tubercles, and

they are alsoby rowing, on horseback, when blood accumulates in thenear the anus. For,

having become putrid, it spreads to theparts (the breech being of a humid nature, and the

flesh in whichspreads being soft), until the tubercle break and corrupt belowthe anus.

When this happens, a fistula is formed, having an ichorous, and faeces pass by it, with

flatus and much and abomination.is produced, then, by contusions when any of the parts

about theare bruised by a blow, or a fall, or a wound, or by riding, or, or any such cause.

For blood is collected, and it, becoming, suppurates; and the from the the same accidents

happen,have been described in the case of tubercles. ———————————————

———————————————————-2the first place, then, when you see any

such tubercle formed, youcut it open while still unripe, before it suppurate and burstthe

rectum. But if a fistula be already formed when you undertakecase, take a stalk of fresh

garlic, and having laid the man onback, and separated his thighs on both sides, push down

the stalkfar as it will go, and thereby measure the depth of the fistula., having bruised the

root of seseli to a very fine powder, andin some water, let it macerate for four days, and,

mixing thewith honey, let the patient drink it, fasting, to the amountthree cyathi, and at the

same time purge away the ascarides. Thoseare left without treatment die. ——————

————————————————————————————-3the next place,

having moistened the strip of cotton cloth, withjuice of the great tithymallus, and

sprinkling on it the flos, roasted and triturated, and having made it into a tent equallength

to the fistula, and having passed a thread through the endsthe tent again through the stalk,

and having placed the patienta reclining position, and having examined the ulcerated parts

ofrectum with a speculum, pass the stalk by it, and when it reachesrectum, take hold of it

and draw it out until the tent be pushed, and be brought on a level above and below. When

it (the tent?)been pushed inward, introduce a ball of horn into the rectum (thehaving been

previously smeared with Cimolian chalk), and leavethere, and when the patient wants to

go to stool, let it be takenand again replaced, and let this practice be continued for five.

On the sixth day let it be removed, and drawing the tent outthe flesh, and afterwards

pounding alum and filling the ball (pessary)introducing it into the rectum, leave it until the

alum melts.the rectum with myrrh until the parts appear to be united.————————

——————————————————————————-4method of cure:-

Taking a very slender thread of raw lint,uniting it into five folds of the length of a span,

and wrappinground with a horse hair; then having made a director (specillum)tin, with an

eye at its extremity, and having passed through itend of raw lint wrapped round as above

described, introduce theinto the fistula, and, at the same time, introduce the indexof the

left hand per anum; and when the director touches the, bring it out with the finger, bending

the extremity of theand the end of the threads in it, and the director is towithdrawn, but

the ends of the threads are to be knotted twicethrice, and the rest of the raw threads is to

be twisted aroundfastened into a knot. Then the patient is to be told that he mayand attend

to his matters. The rest of the treatment:-Wheneverpart of the thread gets loose owing to

the fistula becoming putrid,is to be tightened and twisted every day; and should the raw

threadbefore the fistula is eaten through, you must attach another pieceraw thread to the

hair, pass it through, and tie it, for it wasthis purpose that the hair was rolled round the

raw lint, as itnot liable to rot. When the fistula has sloughed through, a softis to be cut into

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AUniversalDownloadEditionWWW.UDownloadBooks.Com1OnFistulaeHippocratesbyFrancisAdams————————————————22727——22722—2722—27—27—227—227—-1areproducedbycontusionsandtubercles,andtheyarealsobyrowing,onhorseback,whenbloodaccumulatesintheneartheanus.For,havingbecomeputrid,itspreadstotheparts(thebreechb...

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