"They washed the wound with wine, scrupulously removing every foreign
particle; then they brought the edges together, not allowing wine nor
anything else to remain within--dry adhesive surfaces were their
desire. Nature, they said, produces the means of union in a viscous
exudation--or natural balm, as it was afterwards called by Paracelsus,
Paré, and Wurtz. In older wounds they did their best to obtain union
by cleansing, desiccation, and refreshing of the edges. Upon the outer
surface they laid only lint steeped in wine. Powder they regarded as
too desiccating, for powder shuts in decomposing matters; wine, after
washing, purifying, and drying the raw surfaces, evaporates."
Theodoric wrote in 1266 on that question that so much disturbed the
surgeons of the generations before ours, as to whether pus was a natural
development in the healing of wounds or not. While laudable pus was for
centuries after his time supposedly a scientific doctrine, Theodoric did
not think so, and emphatically insisted that such teaching represented a
great error. He said: "For it is not necessary, as Roger and Roland have
written, as many of their disciples teach, and as all _modern_ surgeons
profess, that pus should be generated in wounds. No error can be greater
than this. Such a practice is indeed to hinder nature, to prolong the
disease, and to prevent the conglutination and consolidation of the
wound." The italics in the word modern are mine, but the whole expression
might well have been used by some early advocate of antisepsis, or even by
Lord Lister himself. Just six centuries almost to the year would separate
the two declarations, yet they would be just as true at one time as at
another. When we learn that Theodoric was proud of the beautiful
cicatrices which his father had obtained without the use of any
ointment--_pulcherrimas cicatrices sine unguento inducebat_--then,
further, that he impugned the use of poultices and of oils in wounds,
while powders were too drying, and besides had a tendency to prevent
drainage (the literal meaning of the Latin words he employs, _saniem
incarcerare_, is to "incarcerate sanious material"), it is easy to
understand that the claim that antiseptic surgery was anticipated six
centuries ago is no exaggeration and no far-fetched explanation, with
modern ideas in mind, of certain clever modes of dressing hit upon
accidentally by medieval surgeons.
Public-domain text, read in full here on John Shaqi.
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