Biology -- Greece -- History; Medicine, Greek and Roman
These four sentences all concern wounds. The first two refer to the
disease _tetanus_, which is very liable to supervene on wounds fouled
with earth, especially in hot and moist localities. The disease is
characterized by a series of painful muscular contractions which in
the more severe and fatal form may become a continuous spasm, a type
that is referred to in the first sentence. It is true of tetanus that
the later the onset after the wound is sustained the better the chance
of recovery. This is brought out by the second sentence. The third and
fourth sentences record untoward symptoms following a severe wound,
now well recognized and watched for by every surgeon. There were, of
course, innumerable illustrations of the truth of these Aphorisms in
extensive wounds, especially those involving crushed limbs, in the late
war.
‘Phthisis occurs most commonly between the ages of eighteen and
thirty-five.’
‘Diarrhœa supervening on phthisis is mortal.’
The period given by the _Aphorisms_ for the maximum frequency of onset
of the disease is closely borne out by modern observations. The second
Aphorism is equally valid; continued diarrhœa is a very frequent
antecedent of the fatal event in chronic phthisis, and post-mortem
examination has shown that secondary involvement of the bowel is an
exceedingly common condition in this disease.
No less remarkable is the following saying: ‘In jaundice it is a grave
matter if the liver becomes indurated.’ Jaundice is a common and
comparatively trivial symptom following or accompanying a large variety
of diseases. In and by itself it is of little importance and almost
always disappears spontaneously. There is a small group of pathological
conditions, however, in which this is not the case. The commonest and
most important of these are the fatal affections of cirrhosis and
cancer of the liver in which that organ may be felt to be enlarged and
hardened. If therefore the liver can be so felt in a case of jaundice,
it is, as the Aphorism says, of gravest import. Representations of
such cases have actually come down to us from Greek times. Thus on
a monument erected at Athens to the memory of a physician who died
in the second century of the Christian era we may see the process of
clinical examination (fig. 7). The physician is palpating the liver of
a dwarfish figure whose swollen belly, wasted limbs, and anxious look
tell of some such condition as that described in the Aphorism. The
ridge caused by the enlarged liver can even be detected on the statue.
Public-domain text, read in full here on John Shaqi.
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