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Of Medicine, in Eight Books

Chapter 124: CHAP. XX. OF TROCHES.
By Aulus Cornelius Celsus
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About This Book

It gathers medical knowledge into eight concise books that combine clinical observation, diagnosis, prognosis, and practical treatment. Chapters cover diet and regimen, descriptions of internal diseases and external injuries, medicinal preparations, and operative techniques with instructions for wound care and minor surgery. The text emphasizes careful observation and clear symptom description, pairing theoretical causes with hands-on remedies and measurements. Explanatory notes and technical detail support immediate clinical use, making the collection a practical reference for assessing, managing, and treating a broad range of conditions.

CHAP. XX. OF TROCHES.

1.
Troche for ag­glu­tin­at­ing.

Troches also have different virtues. For there are some adapted to agglutinate and heal recent wounds: such is that, which contains chalcitis, misy, aphro-nitre, flower of copper, galls, scissile alum moderately burnt, of each p. i. *. calcined copper, the heads of pomegranates, each p. iii. *. This should be diluted with vinegar, and so laid on, when a wound is to be agglutinated. But if it be a nervous or muscular part, it is better to mix it with cerate, so as to have a ninth part of the latter with eight of the other.

2.
Another.

Another for the same purpose. It consists of the following materials: bitumen, scissile alum, of each p. i. *. calcined copper p. iv. *. litharge p. xi. *. and a sextarius of oil.

3.
The sphragis of Polybus.

But that of Polybus(51) is by far the most celebrated: it is called sphragis[ EJ ]. Which contains of scissile alum p. iv. *. copperas p. ii. *. myrrh p. v. *. aloes a like quantity; the heads of pomegranates, ox gall, each p. vi. *. which being rubbed together, are incorporated with austere wine.

4.
Troche for foul ulcers.

For foul ulcers, and blackness in the ears, nose, obscene parts, and inflammation in any of these places: of chrysocolla p. i. *. copperas, scissile alum, each p. ii. *. bark of winter cherry p. iv. *. minium p. vi. *. litharge p. xii. *. ceruss p. xvi. *. these are compounded with vinegar, and diluted when used.

5.
Andro’s troche.

Andro’s is for an inflamed uvula, for foulness in the obscene parts, or gangrenes in the same; of galls, copperas, myrrh, each p. i. *. birthwort, scissile alum, each p. ii. *. heads of pomegranates p. xxv. *. compounded with passum, and when they are to be used, diluted with vinegar or wine, according as the disorder, which is to be cured, is more or less violent.

6.
A troche for fissures of the anus, &c.

For fissures in the anus, or an effusion of blood from the hæmorrhoidal veins, or a gangrene, the following is of peculiar efficacy; of verdigrease p. ii. *. myrrh p. iv. *. gum p. viii. *. frankincense p. xii. *. antimony, poppy tears, acacia, each p. xvi. *. which are both rubbed down with wine, and when used, diluted with the same liquor.

7.
Troche for ex­pel­ling a stone from the bladder.

This composition seems proper to expel a stone out of the bladder along with the urine: equal parts of cassia, saffron, myrrh, costus, nard, cinnamon, liquorice root, balsam, hypericum are powdered; then mild wine is dropped in, and the troches are formed. Each may contain p. i. *. and one of these may be swallowed every day in the morning fasting.