The effect of the foul odors of the ship may be combatted by the use
of aromatic electuaries, "which comfort the heart, the brain and the
stomach." The patient should be removed to some quiet portion of the
ship, as distant as possible from the channels for the discharge of
the bilge-water, and short walks upon the upper deck will contribute
to convalescence. Frequent changes of clothing will palliate the
annoyance of fleas and pediculi. Drinking water may be purified by
aeration, or by straining, boiling and subsequent sedimentation and
removal of the sediment by filtration through fresh and clean sand.
For the wealthy, the water may be distilled in an alembic, if such an
apparatus is obtainable. Avicenna says that bad water may be corrected
by the addition of vinegar. Exposure to the midday sun and to the
nocturnal cold, constipation and diarrhoea should be avoided, and
prompt attention should be given to all disorders of the health.
To these wise counsels Gilbert courteously adds a medieval _bon
voyage_ in these words:
"_Dominus autem omnia dirigat in tranquilitate. Amen._"
It has been already remarked upon a preceding page that Gilbert of
England was not a surgeon. Nevertheless it is only fair to say that
the surgical chapters of the Compendium present a more scientific and
complete view of surgical art, as then known, than any contemporaneous
writings of the Christian West, outside of Italy.
It is well known that during the Middle Ages the practice of surgery
in western Europe was generally regarded as disreputable, and
operative surgery was for the most part relegated to butchers,
barbers, bath-keepers, executioners, itinerant herniotomists and
oculists, _et id omne genus_, whose pernicious activity continued to
make life precarious far down into the modern period.
Public-domain text, read in full here on John Shaqi.
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