Part 22

In the 4th book of Xenophon’s ‘Anabasis,’ there is an interesting description of the effects resulting from the exposure of the Grecian army to extreme cold, and the means which they took to preserve themselves from being injured by it. The historian relates that they rubbed themselves before the fire with an ointment composed of swines’ seam, and oils of sesame, of bitter almonds, and of turpentine. The Carthaginian soldiers of Hannibal, in like manner, when exposed to great cold among the mountains of Italy, rubbed their bodies with oil as a protection from its effects, and with great success, if we may believe Florus the historian: he says, “tunc callidissimi hostes frigidum et nivalem nacti diem, quam se ignibus prius, oleoque fovissent, (horribile dictu!) homines a meridie, et sole venientes, nostra nos hieme vicerunt.” (Hist. Rom. ii, 6.) It is worthy of remark, by the way, that Baron Larrey, in his account of the retreat of the French army from Moscow, states that the inhabitants of southern climates endured the cold better than those of the north. The fact that the Carthaginian soldiers rubbed their bodies with oil on the occasion we have mentioned is stated also by Polybius (Hist. iii, 72), and by Livy (Hist. Roman, xxi, 55.)

Quintus Curtius relates that the soldiers of Alexander the Great rubbed their bodies with the juice of sesame, instead of oil, when exposed to intense cold while crossing the Bactrian mountains. (vii, 15.)

Pliny, with his usual terseness, thus states the powers of oil in protecting the body both from cold and heat: “Oleo natura tepefacere corpus, et contra algores munire; eidemque fervores capitis refrigerare.” (Hist. Nat. xv, 6.)

SECT. XL.—FOR PERSONS SCORCHED BY THE SUN.

Persons who have been scorched by the sun should be laid in an airy place, and have their face, hands, and legs bathed with cold water. If thirsty, they may drink cold water, if in the practice so to do; this, however, ought to be done considerately, and not much at a time. Let them also take some food of easy distribution, rather of a fluid than of a solid nature.

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COMMENTARY. This Section is taken from Oribasius. (Synops. v, 37.)

When a person has suffered from exposure to great heat, Rhases recommends rest, the tepid bath, and fruits and food of a cooling and moistening nature. When there is headach, he directs the head to be anointed with oil of roses and vinegar. (Ad Mansor. vi, i.)

Averrhoes recommends a person who has suffered from exposure to the sun to be put into a tepid bath, and rubbed afterwards with refrigerant oils. (Collect. iii, 9.)

SECT. XLI.—ON COLLECTIONS OF PHLEGM IN THE STOMACH.

If you should meet with a person who loathes any wholesome food which is offered him, who abstains from food, or, if compelled to take it, becomes sick, who longs after only such things as are acrid, and has no pleasure even in them, but has his belly swelled up with flatulence, is seized with nausea, and enjoys only a short respite by eructations, and on whose stomach everything spoils and becomes acid,—know for certain that the remedies which will afford him relief are such as will clear the stomach of phlegm. I have known one of those so affected, after taking an emetic, consisting of radishes out of oxymel, bring up an incredible quantity of very thick phlegm, by which he has been straightway completely restored to health.

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COMMENTARY. This chapter is taken from Oribasius, who, in his turn, is indebted to Galen.

A similar account is given by Rhases. (Contin. xi, 1.) He recommends emetics. (Ad Mansor. iv, 16.)

SECT. XLII.—HOW TO PRODUCE EASY VOMITING.

Since to those who vomit with difficulty many disagreeable consequences are apt to happen, it will be proper to explain by what methods one may be made to vomit readily; for this operation evacuates phlegm and lightens the head, and prevents a person who may have eaten immoderately from suffering indigestion, and one who has taken too much wine from being hurt thereby. Let the substances which are taken be neither sour nor dry, but part of a sweetish and liquid nature, and part acrid. Among these the radish is deserving of praise, and also the rocket, and old pickle, green marjoram, and a small quantity of onion and leek. Vomiting is likewise promoted by ptisans of pulse containing some honey; by soup of bruised beans and the fat of flesh; but one must not only take the juice, but swallow whole lumps of it; and one must not spend much time upon mastication; but these things ought to be soft from boiling. It is clear, also, that it is the sweetish kinds of wine which ought to be preferred, for such are aptest to swim upon the stomach; and tepid drink ought to be used. It is proper also to eat almonds dipped in honey, also sweet cakes, and the moistened seed of the pompion and cucumber pounded with honey. The root likewise of the cucumber rubbed with honey has some effect. Those who wish to use more powerful medicines, mix some wine with a decoction of the bulb of the narcissus. Vomiting is also produced by the ointment of iris, if one will smear one’s fingers in it and tickle one’s throat. It is also to be attended to in vomiting not to intermit after vomiting is once begun; and to bathe the face and wash the mouth with sour wine or water, for this is beneficial to the teeth, and relieves the head.

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COMMENTARY. This Section is abridged from Oribasius. (Med. Collect. viii, 21.) The opinions of Galen, Diocles, and Archigenes, on this subject, may likewise be learned from Oribasius. Galen recommends vomiting for collections of yellow bile, and when the stomach is loaded with viscid matters, but forbids it when the stomach is weak. The opinions of Celsus are very similar: “Vomitus ut in secunda quoque valetudine sæpe necessarius biliosis est, sic etiam in iis morbis quos bilis concitavit. Vomitus utilior est hieme quam æstate; nam tum est pituitæ plus, et capitis gravitas major subest. Inutilis est gracilibus et imbecillum stomachum habentibus: utilis est plenis et biliosis omnibus si vel nimium se replerunt, vel parum concoxerunt.” The directions given by Celsus for producing vomiting are very simple: “Qui vomere post cibum volet, si ex facili facit, aquam tantum tepidam antè debet assumere: si difficiliùs, aquæ, vel salis, vel mellis paulum adjicere. At qui mane vomiturus est, antè bibere mulsum, vel hyssopum, aut esse radiculam debet, deinde aquam tepidam (ut supra scriptum est) bibere.” Galen commends the bulb of the narcissus as an emetic. He forbids those who have contracted chests to take emetics frequently. (De Purgantibus Medicinis.)

Aëtius gives an interesting account of this subject in an extract from the works of Ruffus. He forbids vomiting when the eyes are affected, or when hæmoptysis is apprehended. He commends it for the cure of arthritic diseases, dropsy, and jaundice. One of his simplest emetics consists of the decoction of radishes, with the strained infusion of dried figs. He mentions the oil of privet as a most effectual emetic. (iii, 19.)

Avicenna’s information on this subject is very ample; but, upon the whole, his directions are mostly the same as our author’s. He properly states that the too frequent repetition of emetics hurts the stomach, is prejudicial to the chest, the sight, the teeth, in chronic pains of the head, unless arising from sympathy with the stomach: and in epilepsy, when the cause of it is seated in the head, (i, 4.) According to Avicenna and Averrhoes, the proper season for emetics is the summer. (Cant. I. 1.)

Rhases says that much vomiting hurts the liver, breast, eyes, and lungs, occasioning hæmoptysis. He directs the person to bind a compress on the forehead before taking an emetic; and to wash the mouth and face with hydromel after its operation. He adds that persons who have long necks, prominent chests, and who are lean, ought to abstain altogether from emetics. (Ad Mansor. iv, 16.)

Haly Abbas forbids emetics in chronic complaints of the head and chest, especially if the person be threatened with phthisis. He says that the repetition of them weakens the stomach, and may induce hæmoptysis. (Pract. i, 12, 13.) Alsaharavius delivers exactly the same detail of the cases in which emetics prove hurtful or beneficial. (Theor. x, 2.)

Serapion gives a full account of these gentle emetics. (De Antidotis, c. 36.)

On the simpler methods which the ancients had recourse to in order to produce vomiting, see Prosper Alpinus. (Med. Meth. iii, 10.)

We would here remark that the predilection of the ancients for vomits has appeared very extraordinary to some of our modern writers on dietetics, the more especially as it was supposed that the ancients made use of violent emetics, as for example, the white hellebore, in such cases. It is certain, however, that the ancients were acquainted with gentler means of unloading the stomach on ordinary occasions, and that they seldom made use of such medicines as the hellebore, except in cases of disease; and, as we shall see afterwards, were well aware of the danger of giving strong emetics unseasonably.

SECT. XLIII.—ON LAXATIVES AND DIURETICS TO THOSE IN HEALTH.

Some of the ancients thought it sufficient for health that the bowels and urine should be evacuated once a day freely and fully, according to the quantity of food and drink which had been taken; and when the evacuations were agreeable to this rule, they were satisfied, or, if otherwise, they assisted them by taking, in order to increase the urinary discharge, shepherd’s needle, parsley, asparagus, Macedonian parsley, anise, calamint, marjoram, wormwood, the roots of couch-grass and of golden thistle, tree-medic, and of maiden-hair; all these being boiled in water, so that the decoction might be drunk with wine. For these things purify the blood by the mine, and are of no small efficacy. Alvine discharges are to be assisted by giving turpentine to the quantity of an olive when going to rest, or, when it is wished to purge more effectually, by adding a little rhubarb. Soft eggs, of pot-herbs the beet and mallows, and the soup of shell-fish are also laxative, and these probably will be sufficient. But if more powerful remedies be required, the herb mercury, boiled in water with salt, may be eaten, or the decoction drunk; and, in like manner, the leaves of the elder tree (sambucus), or the root of the oak-fern (polypodium) to the amount of two drachms, may be sprinkled upon pickle, or swallowed in a ptisan; or milk-whey, with salt; or honey, to the amount of three or four heminæ; or the broth of an old cock, by itself or with two drachms of bastard saffron, or aloes, to the amount of about three chick-peas, may be taken at supper-time. But the best remedy is dodder of thyme, taken in wine after a moderate supper. But he that wishes to purge more strongly must take, in the morning, a drachm of this medicine infused in vinegar and honey, if in the spring season.

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