Hippocrates of Cos, Haemorrhoids

LCL 482: 376-377

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ΠΕΡΙ ΑΙΜΟΡΡΟΙΔΩΝ

ΠΕΡΙ ΑΙΜΟΡΡΟΙΔΩΝ

VI 436 Littré1. Αἱμορροΐδων τὸ μὲν νόσημα ὧδε γίνεται· ἐπὴν χολὴ ἢ φλέγμα ἐς τὰς φλέβας τὰς ἐν τῷ ἀρχῷ καταστηρίξῃ, θερμαίνει τὸ αἷμα τὸ ἐν τοῖσι φλεβίοισι· θερμαινόμενα δὲ τὰ φλέβια ἐπισπᾶται ἐκ τῶν ἔγγιστα φλεβίων τὸ αἷμα, καὶ πληρούμενα ἐξογκέει τὸ ἐντὸς τοῦ ἀρχοῦ, καὶ ὑπερίσχουσιν αἱ κεφαλαὶ τῶν φλεβίων, καὶ ἅμα μὲν ὑπὸ τῆς κόπρου ἐξιούσης φλώμεναι, ἅμα δὲ ὑπὸ τοῦ αἵματος ἀθροιζομένου βιαζόμεναι, ἐξακοντίζουσιν αἷμα, μάλιστα μὲν ξὺν τῷ ἀποπάτῳ, ἐνίοτε δὲ χωρὶς τοῦ ἀποπάτου.

2.Θεραπεύειν δὲ δεῖ ὧδε· πρῶτον μὲν ὑπαρχέτω εἰδέναι ἐν οἵῳ χωρίῳ γίνονται. Ἀρχὸν γὰρ καὶ τάμνων, καὶ ἀποτάμνων, καὶ ἀναρράπτων, καὶ καίων,1 καὶ ἀποσήπων, ταῦτα γὰρ δοκέει δεινότατα εἶναι, οὐδὲν ἂν σίνοιο. παρασκευάσασθαι δὲ κελεύω ἑπτὰ ἢ ὀκτὼ σιδήρια, σπιθαμιαῖα τὸ μέγεθος, πάχος δὲ ὡσεὶ μήλης παχείης· ἐξ ἄκρου δὲ κατακάμψαι· καὶ ἐπὶ τῷ ἄκρῳ πλατὺ ἔστω ὡς ἐπὶ ὀβολοῦ2 μικροῦ. προκαθήρας δὴ φαρμάκῳ τῇ πρότερον, αὐτῇ δὲ ᾗ ἂν ἐπιχειρέῃς καῦσαι, ἀνακλίνας τὸν ἄνθρωπον ὕπτιον, καὶ προσκεφάλαιον

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Haemorrhoids

Haemorrhoids

1. The condition of haemorrhoids arises as follows. When bile or phlegm becomes fixed in the vessels of the anus, it heats the blood in them so that, being heated, they attract blood from their nearest neighbours. As the vessels fill up, the interior of the anus becomes prominent and the heads of the vessels are raised above its surface, where they are partly abraded by the faeces passing out, and partly overcome by the blood collected inside them, and so spurt out blood, usually during defecation, but occasionally at other times as well.

2. You must treat as follows. First, undertake to find out where the haemorrhoids are; for to incise the anus, to amputate from it, to lift it by sewing, to cauterize it, or to remove something from it by putrefaction—these seem to be dangerous, but in fact will do no harm. I bid you to prepare seven or eight irons, a span in length, and with the width of a wide probe; bend these at the end, and also make them flat at the end like a small obol.1 Clean the site you are attempting to cauterize beforehand with a medication, have the person lie on his back, and place a pillow

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DOI: 10.4159/DLCL.hippocrates_cos-haemorrhoids.1995