Propositiones de lithiasi tōn nephrōn

XLII.
Mental affections should be moderate: anger, however, is conceded by some.

XLIII.
The bowels should be slippery laxative and responsive daily, and when this fails, it must be promoted by art.

XLIV.
With natural things thus established, one must approach evacuation: which will be completed by the opening of a vein bloodletting, unless there is something that prevents it, and this is done so that inflammation is not excited on account of the pain, or, if already present, is not increased. Hippocrates, book 6, On Popular Diseases, commentary 1, text 5. Aetius, book 11, chapter 5.

XLV.
Some open the vein of the elbow, as Aetius says in the cited place: others rather cut the popliteal vein or that of the ankles, as Hippocrates, book 6, On Popular Diseases.

XLVI.
Galen reconciles these diverse opinions in his book On the Diagnosis and Cure of Renal Affections when he says: for those with valid strength, the popliteal vein or that of the ankles should be opened; for the weak, the vein of the elbow should be opened.

XLVII.
We shall cut the vein of the elbow in the case of incipient and developing inflammation, but in the case of established inflammation, we shall rather cut the popliteal vein, following Galen, book 18 of Method of Healing by Phlebotomy.

XLIIX.
If the opening of a vein is prevented because of languid strength, then in its place scarified cupping glasses should be applied to the lower parts.

XLIX.
They are applied sometimes for the sake of drawing out a stone impacted in the kidneys; but without scarification: first above the kidney, so that some agitation is made, then by descending more and more, following