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
_Are not the_ Scirrhus _and the_ Esthiomenus _or Gangrene, two means that
sometimes serve to terminate and cure Impostumes?_
Yes, but it is done imperfectly, in regard that a Tumour or Impostume
cannot be said to be absolutely cur'd, as long as there remains any thing
of the Original Malady, as it happens in the _Scirrhus_, where the Matter
is harden'd by an imperfect dissolving of it, or when the Impostume
degenerates into a greater and more dangerous Distemper, as it appears in
the _Esthiomenus_ or Gangrene that succeeds it.
_Which is the most effectual means of curing Impostumes, that of
dissolving, or that of bringing them to Suppuration?_
That of dissolving 'em is without doubt the most successful, and that which
ought to be us'd as much as is possible; nevertheless some Cases are to be
excepted, wherein the Tumours {102} or Abcesses are Critical and Malignant;
for then the way of Suppuration is not only preferable, but must also be
procur'd by all sorts of means, even by opening; which may be done upon
this occasion, without waiting for their perfect Maturity.
_What are the Precautions whereto a Surgeon ought to have regard before he
undertake the opening of Tumours?_
He must take care to avoid cutting the Fibres of the Muscles, and in great
Abcesses, to cause all the corrupt Matter to be discharg'd at once, to
prevent the Patient's falling into a Swoon.
_Ought the opening of Tumours always to be made longitudinally, and
according to the direct Course of the Fibres?_
No, it is sometimes necessary to open 'em with a Crucial Incision, when
they are large, or when a _Cystis_ or Membranous Vehicle is to be
extirpated.
_How many sorts of Matter are there that issue forth in the Suppuration of
Tumours?_
There are four sorts, _viz._ the _Pus_, _Ichor_, _Sanies_, and _Virus_.
_What is_Pus_?_
It is a thick Matter, and white as Milk.
_What is _Ichor_?_
It is a thick Matter like the _Pus_, but of divers Colours.
_What is _Sanies_?_
It is a watery Matter that riseth up in Ulcers, almost after the same
manner as the Sap in Trees.
_What is _Virus_?_ {103}
It is a kind of watry Matter, being whitish, yellowish, and greenish at the
same time; which issueth out of Ulcers, very much stinking, and is endu'd
with corrosive and malignant Qualities.
_How many general Causes are there of Tumours?_
There are three, _viz._ the Primitive, the Antecedent, and the Conjunct:
The Primitive is that which gives occasion to the Tumours; as for Example,
a Fall or a Blow receiv'd. The Antecedent is that which supplies it with
Matter, such is the Mass of Blood that thickens and maintains the
_Phlegmon_. Lastly, the Conjunct Cause is the overflowing Blood or Matter,
which immediately forms the Tumor.
_What regard ought to be had to these three sorts of Causes in the Cure?_
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Elsewhere in the archive
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account