In Italy alone did surgery vindicate for itself an equality with
medicine, and the pioneer of this advance was Roger of Parma, who, as
we have seen, flourished early in the thirteenth century. Roger and
his pupil Roland, with the somewhat mythical "Four Masters" (_Quatuor
Magistri_), were the surgical representatives of the School of
Salernum, while Hugo (Borgognoni) di Lucca and his more famous son
Theodorius represented the rival school of Bologna. Equally famous
Italian surgeons of this century were Bruno of Logoburgo (in Calabria)
and Gulielmus of Saliceto (1275), the master of Lanfranchi (1296).
Gilbert of England, as a pupil of Salernum, naturally followed the
surgical teachings of that school, and we have already noticed that
his chapters on surgery are taken chiefly from the writings of Roger
of Parma, though the name of neither Roger, nor indeed of any other
distinctly surgical writer, is mentioned in the Compendium. How
closely in some cases Gilbert followed his masters may best be seen
by a comparison of their respective chapters upon the same subject.
I accordingly introduce here for such comparison Roger's chapter on
wounds of the neck, and the corresponding chapter of Gilbert. Roger
says:
"_De vulnere quod fit in cervice._
"_Si vero cum ense vel alio simili in cervice vulnus fiat, ita quod
vena organica incidatur, sic est subveniendum. Vena tota sumatur
(suatur) cum acu, ita quod vena non perforetur, et ex alia parte
acus cum filo ei inhaerente ducatur, et cum ipso filo nectatur atque
stringatur, quod sanguinem non emittat: et ita facias ex superiori
parte et inferiori. In vulnere autem pannus infusus mittatur, non
tamen de ipso vulnus multum impleatur. Embrocha, si fuerit in myeme,
superponatur quosque (quousque) vulnus faciat saniem. Si vero fuerit
in aestate vitellus avi semper superponatur. Quum autem saniem
fecerit, cum panno sicco, unguento fusco et caeteris bonam carnem
generantibus, adhibeatur cura, ut in caeteris vulneribus. Quum vero
extremitatem venae superioris partis putruisse cognoveris, fila
praedicta dissolvas, et a loco illo removeas: et deinde procedas ut
dictum est superius. A. Si vero nervus incidatur in longum aut ex
obliquo, sed non ex toto, hac cura potest consolidari. Terrestres
enim vermes, idest qui sub terra nascuntur, qui in longitudine
et rotunditate lumbricis assimilantur, et apud quondam terrestres
lumbrici dicuntur, accipiantur et aliquantulum conterantur et in oleo
infusi ad ignem calefiant: et nullo alio mediante, ter vel quater, vel
etiam pluries, si opportunum videbis, plagae impone. Si vero incidatur
ex obliquo totus, minime consolidatur: praedicto tamen remedio non
coadjuvante saepe conglutinatur. Potest etiam cuticula, quae supra
nervum est, sui, pulvisque rubens, qui jam dictus est, superaspergi,
quae cura non est inutilis, aliquos enim non solum conglutinatas,
sed etiam consolidatas, nostra cura prospeximus. Si vero locus tumet,
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