The Compleat Surgeon: or, the whole Art of Surgery explain'd in a most familiar Method.Le Clerc, M. (Charles Gabriel)
Science
The Compleat Surgeon: or, the whole Art of Surgery explain'd in a most familiar Method.
Le Clerc, M. (Charles Gabriel)
Surgery -- Early works to 1800
They are these, _viz._ to make choice of a proper Vessel; not to open any
at all Adventures; not to let Blood without necessity, nor {205} without
the Advice of a Physician; whose Office it is to determine the Seasons or
Times convenient for that purpose; as that of Intermission in an
Intermitting Fever; that of Cooling in the Summer; and that of Noon-tide in
the Winter; and lastly, to take away different quantities of Blood; for in
the Heat of Summer they ought to be lesser, and greater in the Winter.
_What are the Accidents of Phlebotomy?_
They are an Impostume, a _Rhombus_, an _Echymosis_, an _Aneurism_,
Lipothymy, Swooning, and a Convulsion.
_What is a _Rhombus_?_
It is a small Tumour of the Blood which happens in the place where the
Operation is perform'd either by making the Orifice too small, or larger
than the Capaciousness of the Vessel will admit. The _Rhombus_ is cur'd by
laying upon it a Bolster dipt in fair Water, between the Folds of which
must be put a little Salt, to dissolve and prevent the Suppuration.
_How may it be perceiv'd that an Artery hath been prickt or open'd in
letting Blood?_
The Puncture of an Artery produceth an Aneurism; and the Opening of it
causeth a Flux of Vermilion Colour'd Blood, which issueth forth in
abundance, and by Leaps.
_Are the Leaps which the Blood makes in running, a certain Sign that it
comes from an Artery?_
No, because it may so happen, that the _Basilick_ Vein lies directly upon
an Artery, the beating of which may cause the Blood of the {206} _Basilica_
to run out leaping: Therefore these three Circumstances ought to be
consider'd jointly, that is to say, the Vermilion Colour, the great
quantity and the Leaps, in order to be assur'd that the Blood proceeds from
an Artery.
_How may it be discover'd that a Tendon hath been hurt in letting Blood?_
It is known when in opening the _Median_ Vein, the end of the Lancet hath
met with some Resistance; when the Patient hath felt great Pain, and
afterward when the Tendon apparently begins to be puff'd up, and the Arm to
swell. A Remedy may be apply'd to this Accident thus; after having finish'd
the Operation, a Bolster steep'd in _Oxycratum_ is to be laid upon the
Vessel, a proper Bandage is to be made, and the Arm must be wrapt up in a
Scarf: If the Inflammation that ariseth in the Part be follow'd with
Suppuration, it must be dress'd with a small Tent; and if the Suppuration
be considerable, it is necessary to dilate the Wound, and to make use of
Oil of Eggs and Brandy, or _Arcæus_'s Liniment, with a good Digestive; as
also to apply _Emplastrum Ceratum_; to make an Embrocation on the Arm with
Oil of Roses; and to dip the Bolsters in _Oxycratum_ to cover the whole
Part.
_Is it not to be fear'd that some Nerve may be wounded in letting Blood?_
No, they lie so deep that they cannot be touch'd.
_Under what Vein is the Artery of the Arm?_
It is usually situated under the _Basilica_. {207}
Public-domain text, read in full here on John Shaqi.
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