Lanfranc the great French surgeon's description of the treatment of the
bite of a rabid dog is interesting. He suggests that a large cupping-glass
should be applied over the wound, so as to draw out as much blood as
possible. After this the wound should be dilated and thoroughly cauterized
to its depths with a hot iron. It should then be covered with various
substances that were supposed "to draw," in order as far as possible to
remove the poison. His description of how one may recognize a rabid animal
is rather striking in the light of our present knowledge, for he seems to
have realized that the main diagnostic element is a change in the
disposition of the animal, but above all a definite tendency to lack
playfulness. Lanfranc had manifestly seen a number of cases of true
rabies, and describes and suggests treatment for them, though evidently
without very much confidence in the success of the treatment.
The treatment of snake-bites and the bites of other animals supposed to be
poisonous, or at least suspicious, followed the principles laid down for
handling the bite of a mad dog. This was the case particularly as to the
encouragement of free bleeding and the use of the cautery.
A characteristic example of the power of clinical observation of the
medieval physicians, and one which illustrates much better than many of
the absurd tales told as typical of their superstitious tendencies, but
really representing that tendency always present in mankind to believe
wonders, is to be found in how much they learned of rabies. Even in our
own time there are many absurd beliefs with regard to this disease, with
some denials of its existence and many grossly exaggerated tales, widely
believed; yet the medieval people seem to have reached some quite rational
notions with regard to it. Bartholomæus Anglicus is the author of a
popular encyclopedia which was very widely read in the medieval period. He
was an English Franciscan of the thirteenth century, who gathered together
a lot of information and wrote a volume that for centuries after his
time, even down to Shakespeare's boyhood, was popular in England.
Here is his description of rabies as he knew it. The most important
element is his recognition of the uncertainty of the length of the
incubation period, but it contains two other ideas that are very
interesting, because medicine in subsequent centuries has come back to
them over and over again. One is that free bleeding may remove the virus,
and the other that the cautery may help in preventing the infection.
Public-domain text, read in full here on John Shaqi.
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