SECT. XXXVIII.—OF THOSE WHO HAVE FALLEN INTO SYNCOPE FROM THIN HUMOURS.

Those who have fallen into a state of syncope from thin humours, must be

treated quite oppositely to the manner described, for you will find the

diagnostic symptoms quite different. They must be supported by taking a

little food frequently. And their case is to be thought hopeless when the

liver or stomach is inflamed at the same time that the powers are gone.

In these affections, the expression of the countenance speedily becomes

death-like. It is necessary to support their strength with food, but

their skin must be condensed instead of being rarefied as in the former

case. The air must be cooled, and they must be rubbed with astringent

ointments. They must be furnished with food not very laxative, also bread

and gruels from chondrus, with autumnal fruits that are austere, and not

apt to spoil; these, either by themselves or with bread. A watery wine

taken from the beginning with the food will be beneficial.

* * * * *

COMMENTARY. This is taken from Galen. (Meth. Med. xii, 6.) See also

Oribasius (Synops. vi, 27); Aëtius (v, 98.) In this case Alexander

recommends nearly the same plan of treatment as Galen. He recommends for

food things which are incrassant and anti-discutient, such as the juice

of halica, succory, lettuces, apples, pomegranates, pears, &c. They must

be administered, however, in small quantities. He approves of giving a

weak watery wine, not very old. He recommends friction with tonic and

incrassant oils, such as the oil of apples, and other applications of a

like nature.

Avicenna, Averrhoes, and Rhases treat the case exactly as our author.

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