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
No, but the Symptoms of the Wound, which hinder the Operation, must be
taken away, as the Swelling, Inflammation, and others of the like Nature;
and then it may be reduc'd, and the Wound may be dress'd according to the
usual Method.
_If the Dislocation be complicated with the Fracture, what is to be done
then?_
It is necessary to begin with reducing of the Dislocation, and afterward to
perform that of the Fracture, by reason of the Extension which must be made
to reduce the Dislocation, which would absolutely hinder the Setling of the
Fracture.
_How is the Inflammation and Swelling to be asswag'd?_
With Linnen Cloaths dipt in Brandy and common Water, which must be often
renew'd; or else with the Tops of Wormwood and Camomile, with Sage and
Rosemary boil'd in the Lees of Wine, wherein the Bolsters and Bands are to
be steep'd. But all Repercussives and Astringents must be avoided.
_How doth it appear that the Reduction is well perform'd?_ {185}
By the Re-establishment of the Part in its natural State; by its being free
from Pain; by its regular Motion; and by its conformity to the opposite
Part which is found.
_What Dislocations of Parts are most difficult to be reduc'd?_
They are those of the Thighs with the Huckle-Bones, which are almost never
perfectly set; that of the first _Vertebra's_ is extremely difficult to be
reduc'd; and those of the Lower-Jaw and Soles of the Feet are mortal.
The reducing of Dislocations is perform'd with greater facility in Infants
than in Persons advanc'd in Years; but it becomes most difficult when it is
deferr'd for many Days, by reason of the overflowing of the _Lympha_ and
nutritious Juice.
If an Inflammation shou'd happen before the Member is reduc'd, nothing can
be done till it be allay'd, as we have already intimated; but to prevent
and mitigate it, the dislocated Joynt, and the neighbouring Parts, may be
bath'd with luke-warm Wine, in which hath been boil'd the Tops of St.
_John_'s-Wort, Camomile, Rosemary, _Stoecas Arabica_, and other Ingredients
of the like Nature; the Bands must be also steept in the same Liquor.
If an _Oedematous_ Tumour arise in the luxated Member after the Joint hath
been set, it is requisite to take internal Sudorificks, and to apply
Liniments made with the destill'd Oil of Tartar, and of Human Bones, which
may be rectify'd with burnt Hart's Horn, or some other part of Animals, to
take away its stink: Or else take yellow-Wax, and very white Rosin, {186}
melt the whole Mass, and put into it white Amber and Gum _Elemi_, a
sufficient quantity of each to make a Composition to be incorporated with
Balsam of _Peru_; a Plaister of which may be prepar'd, and apply'd to the
dislocated Member; but the Plaister must not be laid a cross, lest it
shou'd contract the Part too much. The whole Member may be also anointed
with Oil of St. _John_'s-Wort, or with the destill'd Oil of Turpentine; or
rather with a simple Decoction of Nervous Plants in Wine.
Public-domain text, read in full here on John Shaqi.
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