Of Medicine, in Eight BooksCelsus, Aulus Cornelius
History
Of Medicine, in Eight Books
Celsus, Aulus Cornelius
Medicine, Greek and Roman
It will be necessary to take up with the needle, or the fibula, not
only the skin, but also some of the flesh below it, that it may adhere
the more strongly, and not break away the skin. Both of them are best
done with soft thread(65), not too much twisted, that it may be the
less uneasy to the part. Neither of them are to be applied at too great
distances, nor too frequently: if at too great distances they will not
hold; if too frequently they are very hurtful; because the oftener
the needle has passed, and the more places are gauled by the fibula,
so much the greater will the inflammation be; and especially in the
summer-time. Neither of them requires any force; but the operation is
only so far useful, as the skin follows the hand as it were of its
own accord. Now the fibula commonly allows a wound to be broader: a
suture joins its lips, but these should not touch one another in every
part; that if any humour be collected within, there may be a passage
for it to escape. But if a wound admits of neither of these, it ought
nevertheless to be cleansed.
In the next place, upon every wound should be applied first a sponge
squeezed out of vinegar: if any patient is not able to bear the
strength of vinegar, wine must be made use of: a slight wound is helped
by laying on a sponge squeezed even out of cold water. But in whatever
way it is put on, it does good no longer than it is moist: therefore
it must not be suffered to dry. A wound may be cured without foreign,
scarce, and compound medicines. But if one has not confidence in that
method, he ought to apply a medicine, that is composed, without suet,
of those things, which I mentioned to be proper for bloody wounds; and
particularly if it be in the flesh, the barbarum: if it be a nerve,
or cartilage, or any of the prominent parts, as the ears, or lips, the
sphragis of Polybus. The green Alexandrian also is fit for the nerves;
and for the prominent parts that, which the Greeks call rhuptousa[ES].
[ES] ῥύπτουσα.--Our author has not mentioned this plaister before, at
least not under the same name.
It is common also, where there is a contusion, for the skin to be
a little broken. When this happens, it is not improper to make a
larger opening with a knife; unless there be muscles and nerves near
to it, which it is not fit to cut. When it is sufficiently opened, a
medicine must be applied. But if the bruised part cannot admit the
opening, though too small, to be enlarged, upon account of nerves or
muscles, such applications are to be used, as may draw out the humour
gently; and of that kind the fittest for the present purpose is the
composition, which I said was called rhypodes. It is not improper
also, wherever there is a severe wound, after applying(66) what is
agreeable to it; to cover the whole with sordid wool moistened with
vinegar and oil; or if the part be soft, a mild restringent cataplasm;
if nervous, or muscular, an emollient.
[Sidenote: _The proper bandages for wounds._]
Public-domain text, read in full here on John Shaqi.
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