Of Medicine, in Eight BooksCelsus, Aulus Cornelius
History
Of Medicine, in Eight Books
Celsus, Aulus Cornelius
Medicine, Greek and Roman
Now a physician should above all things know, what are incurable, what
difficult to cure, and what more easy. For it is the part of a prudent
man first, not to undertake one, whose case is desperate, lest he
appear to have killed him, whom his own destiny has destroyed. Next,
in a case of great danger, but not quite desperate, to discover to the
friends of the patient, that it is a matter of difficulty: that if the
malady should prevail against the art, he may neither seem to have
been ignorant himself, nor to have deceived them. But as this is the
proper conduct for a prudent person, so on the contrary it is the part
of a quack to exaggerate a small matter, that he may appear to have
performed the greater cure. Where a case is easy, it is reasonable that
the physician by a free declaration of its easiness be obliged to the
greater diligence and circumspection; that what is in itself small may
not by his negligence become more considerable.
[Sidenote: _Incurable wounds._]
A person cannot be preserved, when the basis of the brain, or the
heart, or the gullet, or the portæ of the liver, or the spinal marrow
is wounded; or when the middle of the lungs, or the jejunum, or smaller
intestine, or stomach, or kidneys are wounded; or when the large veins
or arteries about the throat are cut through.
[Sidenote: _Wounds difficult to cure._]
The cure is difficult in such as are wounded either in any part of the
lungs, or the thick part of the liver, or the membrane that contains
the brain, or in the spleen, or womb, or bladder, or any intestine, or
the diaphragm. Such also are in a very dangerous situation, in whom the
point of a weapon has penetrated as far as the large blood vessels,
that lie deep in the arm-pits and hams. And all wounds are dangerous,
wherever there are large blood-vessels, because they may exhaust a
person by the profusion of blood. And this happens not only in the
arm-pits and hams, but likewise in the veins, which go to the anus and
testicles. Besides these, any wound in the arm-pits, or the inside
of the thighs, or in any cavity, or between the fingers(15)is bad.
Also by which a muscle, or nerve, or artery, or membrane, or bone, or
cartilage, is hurt.
[Sidenote: _Safe wounds._]
A wound in the flesh is safest of all, and these again from their
situation are either worse or better. But a wound when large is
dangerous from its size.
[Sidenote: _The nature and figure of wounds._]
Public-domain text, read in full here on John Shaqi.
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