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aim, since evacuation is the first scope, seeing as the disease arises from repletion, so that the internal causes may be amputated and the whole disease excised; it will be necessary that we digress to the other two aids.
L.
Therefore, as far as phlebotomy bloodletting is concerned, which is performed by surgical operation, with no physicians objecting, it is deservedly undertaken if repletion is present or if humors are flowing to the part; for thus the repletion is diminished and the preceding cause is removed; something is also taken away from the connected cause, and furthermore, the humor that would have flowed to the affected part is drawn elsewhere and inhibited.
LI.
Regarding the administration, however, these two things come to be noted: namely, the place and the measure.
LII.
All physicians do not agree equally on the place where the vein is to be wounded and blood is to be drawn. Galen thinks it should be sent from the inner part of the right elbow so that both evacuation and revulsion may be made simultaneously, if the inflammation does not have its origin from a suppressed evacuation. But if the source of the evil is the suppression of the menses or the retention of hemorrhoids, he orders the vein of the ham or the ankle to be cut.
LIII.
Concerning the measure and the mode of evacuation, we have this excellent [passage] from Galen, 7 and 13 Methods, who performs a great evacuation, but indeed divides it when others do not agree.
LIV.
If patients do not tolerate phlebotomy due to the weakness of their strength, it is the opinion of some that the cure should not be entirely abandoned, but rather that it should be dealt with by milder revulsions, such as painful ligatures of the limbs, frictions, and cupping glasses,