De Medicina

Celsus, Aulus Cornelius

Celsus, Aulus Cornelius. De Medicina. Spencer, Walter George, translator. Cambridge, MA: Harvard University; London, England: W. Heinemann Ltd, 1935-1938.

5 Nor indeed is it only those who are troubled by a weakness of the head that find the use of cold water beneficial, but also those who suffer with persistent running from the eyes, choked nostrils and running from the nose, and tonsillar maladies. In these cases, not only is the head to be douched every day, but also the face bathed with abundance of cold water; especially should this be carried out by all those benefited by it, whenever the south wind renders the weather more oppressive. And whereas

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after dinner either wrangling or mental worry is injurious to everybody, it is especially so to those who are disposed to pains in the head or windpipe, or to other forms of oral affections. Choked nostrils and running from the nose can be also avoided, or minimized, if one who is liable to these makes as little change as possible in respect to residence and water; if he protects the head, that it may not be scorched by the sun, or be chilled by a passing cloud; if the head be shaved after digestion and the stomach empty; if there be no reading or writing after a meal.

6 But one who is often troubled by an urgent motion should exercise his upper parts at handball and the like; walk on an empty stomach, avoid the sun and continual bathing; undergo anointing even without sweating, not make use of multifarious foods, least of all stews or pulse or greens, and of those things which pass through quickly; in a word, to avoid all things which are digested slowly. Especially advantageous are: venison and hard fish and meat of domestic animals roasted. It is never expedient to drink wine treated with sea-water, nor indeed thin or sweet wine, but that which is dry and fuller-bodied, and not too old. If one desires to use honeyed wine, it should be made from boiled honey. Cold drinks are to be used whenever possible, so long as they do not disturb the bowels. When anything in the dinner is felt to disagree, he should provoke a vomit, repeating it the next day; on the third day should be eaten a small quantity of bread soaked in wine with the addition of grapes preserved in a jar or in must which has been boiled down and such like; then he should return to his accustomed habit; but he must always rest after the meal,

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there must be no tension of mind, no moving about in a walk however short.

7 When the more lax intestine, which they name colon, tends to be painful, and when it is nothing more than an inflation of a sort, the aim should be to promote digestion; to practise reading aloud and other exercises; to use a hot bath, also hot food and drink, and in short, to avoid all manner of cold, all sweets and pulse, and whatever else tends to flatulence.

8 But if anyone suffers from his stomach, he should read out loud, and after the reading take a walk, then exercise himself at handball and at drill or at anything else which brings the upper part of the body into play; on an empty stomach he should not drink water but hot wine; if he digests readily he should take two meals a day; drink light and dry wine, and after a meal drinks should preferably be cold. Weakness of the stomach is indicated by pallor, wasting, pain over the heart, nausea, and involuntary vomiting, headache when the stomach is empty; where these symptoms are absent, the stomach is sound. Nor must one absolutely trust those of our patients who when very unwell have conceived a longing for wine or cold water, and in backing up their desires, lay the blame on their perfectly innocent stomach. But those who digest slowly, and whose parts below the ribs on that account become inflated, or who on account of heat of some kind become thirsty at night, may drink before going to bed three or four cupfuls of wine through a fine reed. Also, to counter slow digestion, it is well to read aloud, next to take a walk, then to be either anointed or laved, taking care to

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drink wine cold, a large drink after dinner, but as I have said through a tube, ending all by drinking cold water. He whose food tends to turn sour should beforehand take a draught of tepid water and vomit; but if as a consequence he has frequent motions, he should, whenever possible after each stool, take a draught of cold water.

9 When sinews tend to become painful, as is common in foot or hand ache, the affected part should be exercised as far as possible, even exposing it to work or to cold, unless when pain is increasing. Rest in the open air is best. Venery is always inimical; an in all other bodily affections, digestion is a necessity, for indigestion is most harmful, and whenever the body is attacked, the faulty part feels it most.

But just as digestion has to do with all sorts of troubles, so has cold with some, heat with others; each person should be guided by his own bodily habit. Cold is inimical to the aged, and to the thin; to wounds, to the parts below the ribs, intestines, bladder, ears, hips, bladebones, genitals, bones, teeth, sinews, womb, brain. It renders the skin pale, dry, hard, black; from it are developed shiverings and tremors. But cold is beneficial to the young and to stout people; in cold weather, with due precautions, the mind is more vigorous and the digestion better. Cold water affusion is of service, not only to the head, but also to the stomach, and to painful joints not accompanied by ulcerations, also for those who are too rubicund, when pain is absent. But heat benefits all that cold harms, such as dimness of eyesight when there is neither pain nor lacrimation, also contracted sinews, and particularly

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those ulcerations which are due to cold. It gives the surface of the body a good colour; it promotes diuresis. If excessive it weakens the body, mollifies sinews, relaxes the stomach. Yet cold and heat are both least safe when applied suddenly to persons unaccustomed to them; for cold gives rise to pain in the side and other diseases, cold water excites swelling in the neck. Heat hinders concoction, prevents sleep, exhausts by sweating, renders liable the body to pestilential illnesses.