Galen, Method of Medicine

LCL 516: 352-353

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1. Ἕν τι γένος ἦν νόσου καὶ ἡ τῆς συνεχείας λύσις, ἐν ἅπασι μὲν τοῦ ζῴου τοῖς μέρεσι γινομένη, προσαγορευομένη δ᾿ οὐχ ὡσαύτως ἐν ἅπασιν. ἕλκος μὲν γὰρ ἐν σαρκώδει μορίῳ, κάταγμα δ᾿ ἐν ὀστῷ, σπάσμα δ᾿ ἐν νεύρῳ καλεῖται. τούτου δὲ τοῦ γένους ἐστὶ καὶ τὸ ἀπόσπασμα καὶ τὸ ῥῆγμα καὶ τὸ θλάσμα, τὸ μὲν ἐν συνδέσμῳ γινόμενον, τὰ δ᾿ ἐν ἀγγείοις τε καὶ μυσὶν ἐκ βιαίας πληγῆς ἢ καταπτώσεως ἤ τινος ἑτέρας ἰσχυρᾶς κινήσεως. ἡ δ᾿ ἐκχύμωσις ὡς τὰ πολλὰ μὲν ἅμα τῷ θλασθῆναί τε καὶ ῥαγῆναι γίνεται, συμπίπτει δέ | 233Kποτε καὶ κατὰ ἀναστόμωσιν ἀγγείων καὶ τὴν καλουμένην ὑπό τινων διαπήδησιν, ἕτερόν τι γένος συνεχείας λύσεως ὑπάρχουσαν τηνικαῦτα. καὶ μὴν καὶ κατὰ ἀνάβρωσιν ἐνίοτε διαφθείρεται τὸ συνεχὲς ἐν τοῖς τοῦ ζῴου μέρεσιν· ἀλλ᾿ ἤδη μικτὴ διάθεσις τοῦτο· συνεφάπτεται γὰρ ἑτέρου γένους νοσήματος, ὑπὸ τὸ ποσὸν τῶν μορίων πεπτωκότος· ὥσπερ ἐπὶ τῶν κοίλων


Method of Medicine IV


1. There is one particular class of diseases, dissolution of232K continuity, which, although it occurs in all parts of the organism, is not similarly named in them all. Thus, it is called helkos (wound, ulcer, sore) in a fleshy part, katagma (fracture) in a bone and rupture in a neuron (nerve, sinew, tendon). Apospasma (avulsion), rhēgma (laceration) and thlasma (bruising)1 are also of this class, the former occurring in tendons and the latter two in vessels and muscles from a violent blow, or a falling down, or some other strong movement. Ecchymosis occurs along with bruising and rupture in many instances. However this happens, whether from anastomosis of vessels or from what is called233K diapedesis by some, it is another class of dissolution of continuity under these circumstances.2 And further, sometimes the continuity in the parts of the organism is destroyed by erosion, but this is already a mixed condition, being connected with another class of disease since it falls under the quantity of the parts, as I showed previously in

DOI: 10.4159/DLCL.galen-method_medicine.2011