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
Chauliac's book is confessedly a compilation. He has taken the good
wherever he found it, though he adds, modestly enough, that his work
also contains whatever his own measure of intelligence enabled him to
find useful (_quae juxta modicitatem mei ingenii utilia reputavi_).
Indeed it is the critical judgment displayed by Chauliac in selecting
from his predecessors that best illustrates at once the practical
character of his intellect and his discerning spirit. What the men of
his time are said to have lacked is the critical faculty. They were
encyclopedic in intellect and gathered all kinds of information without
discrimination, is a very common criticism of medieval writers. No one
can say this of Chauliac, however, and, above all, he was no respecter
of authority, merely for the sake of authority. His criticism of John of
Gaddesden's book shows that the blind following of those who had gone
before was his special _bete noir_. His bitterest reproach for many of
his predecessors was that "they follow one another like cranes, whether
for love or fear, I cannot say."
Chauliac's right to the title of father of surgery will perhaps be best
appreciated from the brief account of his recommendations as to the
value of surgical intervention for conditions in the three most
important cavities of the body, the skull, the thorax, and the abdomen.
These cavities have usually been the dread of surgeons. Chauliac not
only used the trephine, but laid down very exact indications for its
application. Expectant treatment was to be the rule in wounds of the
head, yet when necessary, interference was counselled as of great value.
His prognosis of brain injuries was much better than that of his
predecessors. He says that he had seen injuries of the brain followed by
some loss of brain substance, yet with complete recovery of the patient.
In one case that he notes a considerable amount of brain substance was
lost, yet the patient recovered with only a slight defect of memory,
and even this disappeared after a time. He lays down exact indications
for the opening of the thorax, that _noli me tangere_ of surgeons at all
times, even our own, and points out the relations of the ribs and the
diaphragm, so as to show just where the opening should be made in order
to remove fluid of any kind.
In abdominal conditions, however, Chauliac's anticipation of modern
views is most surprising. He recognized that wounds of the intestines
were surely fatal unless leakage could be prevented. Accordingly he
suggested the opening of the abdomen and the sewing up of such
intestinal wounds as could be located. He describes a method of suture
for these cases and seems, like many another abdominal surgeon, even to
have invented a special needleholder.
Public-domain text, read in full here on John Shaqi.
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