At the Court of the Amîr: A NarrativeGray, John Alfred
History
At the Court of the Amîr: A Narrative
Gray, John Alfred
'Abd al-Rahman Khan, Amir of Afghanistan, -1901; Afghanistan -- History
The “dressers” of wounds in Afghanistan are a body of
men--natives--whose duty it is to dress wounds and ulcers, set broken
limbs, and probe for bullets. They have no knowledge of even the
groundwork of their profession. Never having dissected, nor studied
anatomy, they are quite ignorant of the position and shape of the
bones, to say nothing of the course and distribution of the larger
arteries of the human body, so that the abscess knife and the scalpel
put into the hands of one of these men work grievous harm. They carry
about with them a flat tin box, with partitions inside, something
like a paint box; and in it is a collection of most filthy looking
ointments of different colours. These they plaster on indiscriminately;
if one does not cure an ulcer perhaps another will. For dislocation
of joints a mixture of flour and yolk of eggs smeared on is a certain
specific; they have no idea of reducing the dislocation. For a broken
bone, flour and yolk of eggs again comes in. Say the bone of one arm
is broken between the shoulder and elbow, the following treatment is
adopted. Some narrow strips of calico, smeared with the flour and egg
mixture, are bound tightly round the limb at the seat of injury; thus
breaking the first law of surgery, that no bandage be put on under
a splint. Over this bandage are arranged longitudinally four or five
narrow pieces of wood about five inches long, very like those you buy
in a bundle for firewood, and utterly useless as splints, and another
bandage is wound firmly over these; there is no padding with cotton
wool. The patient is then left. The result is, of course, that the limb
below the bandages becomes exceedingly swollen and painful.
When the pain has reached such a pitch that it is no longer bearable,
the patient releases his arm from the bandages, and the dresser is
sent for to readjust them, so that the unfortunate limb is relieved
for a time before it is tortured afresh. In spite of the dresser the
bone sometimes unites, usually at a more or less obtuse angle; but
not uncommonly, especially in compound or comminuted fractures, the
pressure is taken off too late, and the whole limb mortifies. The
patient, after months of suffering, may or may not recover. I have had
them brought to me with the broken end of the bone protruding from a
hanging mass of stringy and sloughing muscle and tendon, the rest of
the limb being hidden from sight by unclean rags.
Public-domain text, read in full here on John Shaqi.
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