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
Alexander was a strong opponent of drastic remedies of all kinds. He did
not believe in strong purgatives, nor in profuse and sudden
blood-lettings. He opposed arteriotomy for this reason, and refused to
employ extensive cauterization. His diagnosis is thorough and careful.
He insisted particularly on inspection and palpation of the whole body;
on careful examination of the urine, of the feces, and the sputum; on
study of the pulse and the breathing. He thought that a great deal might
be learned from the patient's history. The general constitution is also
of importance. His therapeutics is, above all, individual. Remedies must
be administered with careful reference to the constitution, the age, the
sex, and the condition of the patient's strength. Special attention must
always be paid to nature's efforts to cure, and these must be
encouraged as far as possible. Alexander had no sympathy at all with
the idea that remedies must work against nature. His position in this
matter places him among the dozen men whose name and writings have given
them an enduring place in the favor of the profession at all times, when
we were not being carried away by some therapeutic fad or imagining that
some new theory solved the whole problem of the causation and cure of
disease.
Gurlt, in his "History of Surgery," has abstracted from Alexander
particularly certain phases of what the Germans call external pathology
and therapeutics. For instance, Alexander's treatment of troubles
connected with the ear is very interesting. Gurlt declares that this
chapter alone provides striking evidence for Alexander's practical
experience and power of observation, as well as for his knowledge of the
literature of medicine. He considers that only a short abstract is
needed to show that.
For water that has found its way into the external ear, Alexander
suggests a mode of treatment that is still popularly used. The patient
should stand upon the leg corresponding to the side on which there is
water in his ear, and then, with head leaning to that side, should hop
or kick out with the other leg. The water may be drawn out by means of
suction through a reed. In order to get foreign bodies out of the
external auditory canal, an ear spoon or other small instrument should
be wrapped in wool and dipped in turpentine, or some other sticky
material. Occasionally he has seen sneezing, especially if the mouth and
nose are covered with a cloth, and the head leant toward the affected
side, bring about a dislodgment of the foreign body. If these means do
not succeed, gentle injections of warm oil or washing out of the canal
with honey water should be tried. Foreign bodies may also be removed by
means of suction. Insects or worms that find their way into the ear may
be killed by injections of acid and oil, or other substances.
Public-domain text, read in full here on John Shaqi.
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