Commentary. This Section is entirely taken from Oribasius. (Synops. i, 20.) See a fuller account in his ‘Med. Collect.’ (viii, 39), and Aëtius (iii, 160.) Aëtius, after mentioning the composition of certain suppositories similar to those of our author, speaks also of using for this purpose, figs mixed with nitre (soda?) and grapes deprived of their stones, with the addition of nitre and cumin.
Actuarius states that it is when the obstruction is seated in the rectum that suppositories are particularly applicable. (Meth. Med. iii, 5.)
See also Avicenna (iii, 20, 1), and Rhases (Contin. xxiv.)
The use of suppositories in the practice of medicine might be traced back to the earliest times. Mention of them occurs frequently in the works of Hippocrates.
SECT. XLVI.—ON MEDICINES WHICH EVACUATE PHLEGM FROM THE HEAD, MASTICATORIES, ERRHINES AND LINIMENTS TO THE NOSE.
We evacuate humours fixed in the head, with the saliva, by mixing some pepper with mastich, if a small discharge only be required; or, if a greater evacuation be wanted, by giving directions to chew pellitory or stavesacre. The root of every species of anemone, when chewed, also excites the secretion of saliva, and the rind of the root of cappers. Serous superfluities may be thus evacuated; but, for thicker phlegm, we must gargle with mustard in vinegar and honey, or with sodden wine, having marjoram and hyssop boiled in it. I also mix this with the gargle formed of mustard in vinegar and honey. When we want to clear the brain of mucus, we must stimulate it by means of acrid substances, of which kind some are sternutatories. The juice of either pimpernel, of the anemones, and of beet purge by the nose. The juice also of the leaves of the wild cucumber may be applied to the nostrils, either alone or with the decoction or juice of the beet. But sneezing is not at all applicable for crude humours contained in the chest, lungs, and head. The following ointment may be rubbed into the mouth: Anoint the roof of the mouth and uvula with a soap containing the juice of the beet. The same application may be used as an errhine. I have also often used the following composition, which is easily prepared: Macerate gith in strong vinegar for a day, then next day rub it with the vinegar, and pour it into the nose. Sometimes the gith may be rubbed with old oil; and I apply it in this manner. Archigenes used it in the same manner for obstruction of the nostrils. Crito used the former cure, along with vinegar, for jaundice.
Commentary. This Section is taken from Oribasius. (Synops. i, 21.)
Hippocrates makes frequent mention of the caput-purgia, or medicines which purge the head. On the composition of these medicines, see in particular Aëtius (iii, 140-1); Nonnus (Epit. 17); and Serapion (de Antidotis, vii, 31.) They contain such articles as these: pepper, nitre, white hellebore, spurge, gith, pellitory, mastich, turpentine, mustard, chalcitis, alum, and the like. The errhines were used principally in obstructions of the nose, and when the sense of smell was impaired. The apophlegmatismi were supposed to prove useful in chronic affections of the head, impairment of the senses of smell and sight, and also when the tongue and throat were affected.
Prosper Alpinus gives a full account of the errhines, masticatories, and cough medicines of the ancients. (Med. Meth. iii, 11.) He makes the caput-purgia to be the same as the errhines, and the apophlegmatismi the same as the masticatories of the moderns.