Sir James Young Simpson and Chloroform (1811-1870): Masters of MedicineGordon, H. Laing (Henry Laing)
History
Sir James Young Simpson and Chloroform (1811-1870): Masters of Medicine
Gordon, H. Laing (Henry Laing)
Anesthetics; Chloroform; Simpson, James Young, 1811-1870
of the ordinary organic ones; that only "adhesive inflammation," not
ulcerative suppurative inflammation, was excited. This success,
however, was probably due to the superior cleanliness of the metal,
but this he did not recognise; had he done so he might have been led
to strive after surgical cleanliness, and have partly anticipated the
great work done subsequently by others. He went off, however, on a
different line, and searched for some readier method of using
metallic means of closing the blood vessels, being stimulated by
the desire to abolish ligatures altogether. Thus he was led, after
ten years' careful research, to the introduction of a method entirely
original--that of _Acupressure_. This consisted in the introduction
of a fine needle through the tissues across the course of the
artery, so that while the needle pressed upon one side of the artery
the resisting tissues of the body exerted counter-pressure on the
opposite side. He claimed for his method the merits of simplicity,
elegance, and cleanliness, and urged that not only did the tissues
tolerate the needle as they did not tolerate silk or hemp, but that
unlike the ligature the needle could be withdrawn as soon as
nature had closed the blood vessel by the process of coagulation of
the blood within it set up by the pressure; thus the prolonged
irritating presence of a body within the wound which delayed
healing until it had ulcerated its way out was rendered unnecessary,
and a better and more rapid result was attained. He verified his
theoretical considerations by experiments on animals and in one or
two operations on the human subject, and in 1859 read a communication
on the subject to the Royal Society of Edinburgh.
The paper was written under great pressure of work, indeed he stated
that at that time he was hardly ever able to write except when himself
"confined"; it was hastily prepared to take the place of that of
another Fellow which had failed to be forthcoming a few days before
the appointed meeting. It was composed at a country house where he had
to sleep for two or three nights watching a case of diphtheria. It was
headed as usual by a Shakspearian quotation, this time briefly in
Justice Shallow's words, thus:--"Tut, a pin!" On the evening of its
delivery an abstract of the paper was forwarded to the leading
surgeons in England, Europe, and America, and diverse were the
opinions expressed.
In Scotland the new method met with the greatest favour and the
strongest opposition at one and the same time. Throughout Europe and
America it was everywhere received with applause and support.
Excellent results were obtained when the method was properly applied,
but technical considerations, particularly the difficulty of using it
upon blood vessels far removed from the surface, rendered it
unsuitable for universal application.
Public-domain text, read in full here on John Shaqi.
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