Our author’s list is copied from Oribasius. Aëtius has a long chapter on the composition of applications for agglutinating fresh wounds. The ingredients of them are most various: sumach, litharge, wax, galbanum, bee-glue, turpentine, alum, chalcitis, &c. Actuarius merely extracts a few articles from our author’s list.
Avicenna’s list scarcely differs in any one particular from our author’s, and nearly the same may be said of Haly’s. Isaac (ap. Rhasis Contin. xxviii) particularly commends bdellium and myrrh, with honey and wine.
Galen has explained at considerable length the principles upon which these applications should be used. Agglutinants, he remarks, are austere and astringent medicines, being such as occasion a contraction and condensation of the fleshy fibres; and they must not possess detergent properties. They are principally applicable in the case of plane ulcers, that is to say, ulcers without loss of substance. (See Meth. Med. iii.)
SECT. XXXVIII.—ON PAINFUL AND INFLAMMATORY SORES.
To painful and inflamed wounds desiccant and anti-inflammatory remedies must be applied. Of liquid remedies the best is wine, but oxycrate is also a good remedy. But if the ulcer is foul as well as inflamed, much diluted hydromel may be used. Of dry medicines, those in general will apply which are mentioned for phlegmons, except such as are oily and acrid. This is a particularly excellent one: Having boiled the sweet pomegranate in wine and pounded, apply it. This is an admirable application and much used, for it applies to ulcers of the head, and those of the privy parts, and to very painful sores on all parts of the body, and to inflammations of the eyes. But if the erysipelas or the like attack an ulcer, we must have recourse to the remedies described for them.
Commentary. Hippocrates gives a long list of applications for inflamed sores. We have mentioned above that wine was one of his favorite remedies. If erysipelas come on, he directs us to purge either upwards or downwards.
Galen explains general principles. Our author copies closely from Oribasius.
Avicenna and Rhases agree with Paulus in approving of cooling or desiccative applications, such as a decoction of sweet pomegranate in Pontic wine. This application is recommended by Haly Abbas, who also mentions a cataplasm containing opium.
SECT. XXXIX.—ON UNCONCOCTED ULCERS, AND SUCH AS HAVE NOT SUPPURATED.
Recent ulcers, and such as being in an inflammatory state have not suppurated, may be digested and made to suppurate by these things: of simple things, tepid water poured on them, wheat flour, or chondrus, or bread, or glue for books, applied with turpentine, wax, saffron, frankincense, pitch, rose oil, axunge, or the fat of calves; but the compound application called tetrapharmacon may be applied upon a pledget mixed with rose oil. Old and callous ulcers are concocted by these simple medicines: the dried grape, storax, galbanum, myrrh, Cretan cistus, pitch, rosin, butter, Egyptian mastich and unwashed wool; and by these compound ones: Galen’s plaster without wax, dissolved in oil of ricinus, and applied upon a pledget with old oil, or oleum ricini; and in like manner those called dichromos and basilicon, and the like.