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
If the Bone be put out of its place by a coagulated sort of Matter like
Mortar or Plaister, Resolutives and Attenuants are to be us'd, such as the
volatile Spirit of Tartar prepar'd with the Lees of Wine, volatile Spirit
of Tartar destill'd with Nitre in a Retort with a long Neck, or Spirit of
Tartar prepar'd by Fermentation with Tartar, and its proper _Alkali_: This
last is the best of all, and the use thereof ought to be continu'd. The
volatile Salt of Human Bones is also very efficacious; but it is necessary
to begin first with the taking of Laxative and Sudorifick Medicines,
appropriated according to the respective Circumstances. The Spirit of
Earth-Worms may be also apply'd outwardly, which is made by Fermentation,
and may be often laid on the Part either alone, or with the Spirit of _Sal
Ammoniack_.
If a dislocated Bone be not set in good time, a _Coagulum_ or kind of
curdled Substance is form'd in the Cavity, which hinders the reducing of it
to its place; but this _Coagulum_ may be dissolv'd with the following
Medicament, before you attempt to set the Bone. Take one {187} part of the
destill'd Oil of Human Bones, two parts of foetid Oil of Tartar; mingle the
whole, and add quick Lime to be destill'd in a Retort: Let the Parts be
fomented with this Oil.
If the Dislocation happen'd by the Relaxation of the Ligaments, recourse
may be had to universal Sudorificks taken inwardly; as also to such
Medicines as are full of an unctuous and volatile Salt, particularly
Aromatick Oils, and Spirit of _Sal Ammoniack_. In the mean while
Aromaticks, Resolutives, and moderate Astringents may be apply'd outwardly.
* * * * *
CHAP. II.
_Of the Fractures of Bones._
_What is the Fracture of a Bone?_
It is the Division of the Continuity of its Parts.
_After how many different manners may a Bone be broken?_
Three several ways, _viz._ cross-wise, side-wise, in its length, and
perhaps in Shatters or Splinters.
_By what means may a Bone be fractured?_
It may happen to be done by three sorts of Instruments, _viz._ such as are
fit for bruising, cutting, or wresting; that is to say, a Bone may be
divided in the Continuity of its proper Parts, by Contusion, Incision, or
Contorsion.
_How is the Fracture of a Bone discover'd?_ {188}
Divers ways, _viz._ by the ill Disposition of the Part, which becomes
shorter; by its want of Motion; by its flexibility or pliantness elsewhere
than in its Articulations; by the unevenness that may be perceiv'd in its
Continuity; by the cracking which is heard; sometimes also by the shooting
forth of one of its ends thro' the Flesh which it hath open'd; and lastly
by a Comparison made thereof with the sound Part on the other side, as that
of the Right Arm with the Left.
_What kind of Fracture is most difficult to be discern'd?_
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