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
For the better curing of these sorts of Wounds, it is requisite to be
inform'd of the Quality of the Fire-Arms by which the Wounds were made, in
regard that a Musquet is more dangerous than a Pistol, and a Cannon much
more than a Musquet; as also to examine their situation and concomitant
Accidents; for by how much the more complicated they are, so much the
greater is the danger. Then the Patient must be set (as near as can be) in
the very same Situation and Posture wherein he remain'd when the Wound was
receiv'd, in order to discover the direct Passage of the Wound by the help
of the Probe, with which a search is to be made, whether a Bullet, or any
other extraneous Bodies, as Wood, Flocks, Linnen, or Stuff as yet stick in
the Wound; so that Endeavours may be us'd to take 'em out thro' the same
Hole where they enter'd, care being more especially had to avoid making
{156} Dilacerations in drawing 'em out: But if the Operator hath
endeavour'd to no purpose to remove these extraneous Bodies, let him make a
Counter-Opening in the opposite Part, where he shall perceive any hardness,
nevertheless without touching the Vessels; thus the Incision being made, he
may readily draw 'em out with his Fingers, or some other Instrument.
If the Bullet sticks so far in a Bone that it cannot be taken away without
breaking the same Bone, it is more expedient to let it lie therein; but if
the Leg or Arm-Bones are very much split or shattered, then the Amputation
of 'em becomes absolutely necessary. The Pain and Inflammation of the Part
may be asswag'd by letting Blood, topical Anodyns, cooling Clysters and
Purgations; but in case much Blood hath been already lost, Phlebotomy must
be omitted. The Clysters may be made with Decoctions of Mercury, Mallows,
Beets, a Handful of Barley and Honey of Roses.
Some Surgeons are of Opinion that the Patient ought to be purg'd every
other Day, and even on the very same Day that he receiv'd the Wound, if his
Strength will permit; however very gentle Purges are to be us'd upon this
occasion, such as Cassia, Manna, Tamarins, Syrrup of Violets, and that of
White Roses.
In the mean while Anodyns may be compounded to mitigate the Pain; as
Cataplasms or Pultisses made with the Crum of white Bread, Milk, Saffron,
the Yolk of an Egg, and Oil of Roses us'd hot; which last Ingredient is of
it self a very good Anodyn. But to asswage great Inflammations, Oil of
{157} Roses, the White of an Egg and Vinegar beaten all together, may be
laid on the neighbouring Parts.
At first it is necessary to apply spirituous Medicines to the Wound, and
Pledgets steep'd in camphirated Brandy, are admirable for that purpose; but
if there be a Flux of Blood, styptick Waters, or other astringent Remedies
may be us'd, still remembring that all these Medicaments must be apply'd
hot.
To promote the Suppuration of these contused Wounds, a Digestive may be
made of _Oleum Rosatum_, the Yolk of an Egg, and _Venice_ Turpentine.
Public-domain text, read in full here on John Shaqi.
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