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 Blood, Choler, Phlegm, and Melancholy, every one whereof produceth
its particular Tumour: Thus the Blood produces the _Phlegmon_, Choler the
_Erysipelas_, Phlegm the _Oedema_, and Melancholy the _Scirrhus._ The
Mixture of these is in like manner the Cause of the _Erysipelatous
Phlegmon_, the _Oedomatous Phlegmon_ or _Phlegmonous Erysipelas_, and the
_Phlegmonous Oedema_, according to the quality of the Humours which are
predominant, from whence the several Tumours take their Names.
_What are the _Encysted_ Tumours?_
They are those the Matter whereof is contain'd in certain _Cystes_, or
Membranous Bags; as the _Meliceris_, and the _Struma_ or Kings-Evil.
_What are Critical Tumours?_
They are those that appear all at once in acute Diseases, and terminate
them with good or bad Success.
_What are Malignant Tumours?_
They are those that are always accompany'd with extraordinary and dreadful
Symptoms, and whose Consequences are also very dangerous; as the Carbuncle
in the Plague. {100}
_What are Impostumes or Abcesses, Breakings out and Pustules?_
Indeed, it may be affirm'd, that all these kinds of Tumours scarce differ
one from another, except in their size or bigness; nevertheless, to speak
properly, by the Names of Impostumes or Abcesses are understood gross
Tumours that are suppurable, or may be dissolv'd, and by those of Breakings
out and Pustules, only simple Pusteal Wheals, or small Tumours, that appear
in great Numbers, and which frequently do not continue to Suppuration; some
of them consisting of very few Humours, and others altogether of dry
Matter.
_What difference is there between a Tumour and an Impostume or Abcess?_
They differ in this particular, that all Tumours are not Impostumes nor
Abcesses; but there is no Impostume nor Abcess that is not a Tumour: As for
Example, Wens and _Ganglions_ are Tumours, yet are not Abcesses nor
Impostumes; whereas these last are always Tumours in regard that they cause
Bunches and Elevations.
* * * * *
CHAP. II.
_Of the general Method to be observ'd in the curing of Tumours_.
_What ought a Surgeon chiefly to observe in Tumours, before he undertake
their Cure?_
He ought to know three things, _viz._ 1. The Nature or Quality of the
Tumour. 2. The {101} time of its formation and 3. Its situation: The
Quality of the Tumour is to be known, because the Natural one is otherwise
handl'd than that which is Encysted, Critical or Malignant. As for the time
of its Formation, it is four-fold, _viz._ the Beginning, Increase, State,
and Declination, wherein altogether different Remedies are to be apply'd.
The Situation of the Tumour must be also observ'd, because the dressing and
opening of it ought to be as exact as is possible, to avoid the meeting
with an Artery or neighbouring Tendon.
_How many ways are all the Tumours that are curable, terminated?_
They are terminated after two manners, _viz._ either by dissolving 'em, or
by Suppuration.
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