Old-Time Makers of Medicine: The Story of The Students And Teachers of the Sciences Related to Medicine During the Middle AgesWalsh, James J. (James Joseph)
History
Old-Time Makers of Medicine: The Story of The Students And Teachers of the Sciences Related to Medicine During the Middle Ages
Walsh, James J. (James Joseph)
Medicine, Medieval; Physicians
William devotes six chapters to the diseases of the eyes and the
eyelids. Then there are two chapters on affections of the ears. Foreign
bodies and an accumulation of ear wax are removed by means of
instruments. A polyp is either cut off or its pedicle bound with a
ligature, and it is allowed to shrivel. The next chapter is on the nose.
Nasal polyps were to be grasped with a sharp tenaculum, _cum tenacillis
acutis_, and either wholly or partially extracted. Ranula was treated by
being lifted well forward by means of a sharp iron hook and then split
with a razor. It is evident that the tendency of these to fill up again
was recognized, and accordingly it was recommended that vitriol powder,
or alum with salt, be placed in the cavity for a time after evacuation
in order to produce adhesive inflammation.
In the same chapter on the mouth one finds that William did not hesitate
to perform what cannot but be considered rather extensive operations
within the oral cavity. For instance, he tells of removing a large
epulis and gives an account in detail of the case. To quote his own
words: "I cured a certain woman from Piacenza who was suffering from
fleshy tumor on the gums of the upper jaw, the tumor having grown to
such a size above the teeth and the gums that it was as large or perhaps
larger than a hen's egg. I removed it at four operations by means of
heated iron instruments. At the last operation I removed the teeth that
were loose with certain parts of the jawbone."
In the next chapter there is an account of the treatment of a remarkable
case of abscess of the uvula. In the following chapter the swelling of
cervical glands is taken up. In his experience expectant treatment of
these was best. He advises internal medication with the building up of
the general health, or suggests allowing the inflamed glands to empty
themselves after pustulation. After much meddlesome surgery we are
almost back to his methods again. He did not hesitate to treat goitre
surgically, though he considered there were certain internal remedies
that would benefit it. In obstinate cases he suggests the complete
extirpation of cystic goitre, but if the sac is allowed to remain it
should be thoroughly rubbed over on the inside with green ointment. He
warns about the necessity for avoiding the veins and arteries in this
operation, and says that "in this affection many large veins make their
appearance and they find their way everywhere through the fleshy mass."
Public-domain text, read in full here on John Shaqi.
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