Gilbertus Anglicus - Medicine of the Thirteenth Century by Henry Ebenezer Handerson
page 45 of 105 (42%)
page 45 of 105 (42%)
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remedies for so alarming a condition.
Chapters on satyriasis, gomorrhea (gonorrhea in its etymological sense, seminal emissions), with a third entitled "_De pustulis et_ *_apostematibus virgae_" complete this department of medical art. The last chapter recognizes the venereal origin of the pustules and ulcers discussed, but furnishes no direct evidence of Gilbert's belief in the existence of a specific venereal poison. While Gilbert is very scrupulous in his examination of the gross appearances of the urine in most diseases, his discussion of the diseases of the kidneys and bladder includes only pain in the kidneys, abscess of the kidneys, renal and vesical calculus, hematuria, incontinence of urine, dysuria and strangury. The chapter on hematuria presents a very curious specimen of medieval pathology. Gilbert says: "The escape of blood in the urine is due sometimes to the liver, sometimes to the bile,[7] sometimes to the kidneys and loins, sometimes to the bladder. If the blood is pure and clear, in large quantity, mixed perfectly with the urine and accompanied by pain in the right hypochondrium, it comes from the liver. Such urine presents scarcely any sediment. If the blood comes from the lrili vein, it is also rather pure, but less pure than in the former case, nor is the quantity so great, while pain is felt over the region of the seventh vertebra, counting from below. If it comes from the kidneys, it is scanty and pure as it leaves the bladder, but soon coagulates and forms a dark deposit in the vessel, while pain is felt in the pubes and peritoneum.... If pus, blood and epithelium (_squamae_) are passed, and the odor is strong, it signifies ulceration of the bladder" (f. 275b). |
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