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
When the Pain ceaseth; when the Part hath resum'd its natural Shape; when
no Unevenness is any longer perceiv'd therein; and when it is conformable
to the sound Part on the other side.
_What are the Signs which shew that the Splints remain in the Fracture
after it hath been reduc'd?_
They are the secret and continual Workings of the Fibres, or twitchings,
that are felt by Intervals in the Part, with great Pains, which are the
Indications of an Abcess arising therein; and when a Wound is join'd to the
Fracture, the Lips of it are puff'd up, and become more soft and pale, the
purulent Matter abounding also more than ordinary.
_When the Splints appear, must they be drawn out by force?_ {191}
By no means; for great care ought to be taken to avoid all manner of
violent Operations; it being requisite to wait for their going out with the
purulent Matter; or at most to facilitate their Passage by the use of
Injections of the Tincture of Myrrh and Aloes; by the application of
_Emplastrum Andreæ Crucii_, and by the help of the _Forceps_.
_How is a simple Fracture to be dress'd, after it hath been reduc'd?_
The Parts are to be strengthen'd and consolidated with Liniments of _Oleum
Lumbricorum_, or of Oil of St. _John_'s-Wort mingled with Wine, Brandy, or
_Aqua-Vitæ;_ with Fomentations of Red Roses, Rosemary, and St.
_John_'s-Wort boil'd in Wine; and with _Emplastrum contra Rupturam_, or _de
Betonica_, carefully wrapping up the broken Member, but after such a manner
that the two Extremities may not cross one another; and that a small Space
may remain open between both. Afterward the Splints and Bands are to be
apply'd, taking care to avoid binding 'em too hard, and to take 'em off
every three Days, in order to refit 'em, to abate troublesome Itchings, and
to give Air to the Part; by these means preventing the Gangrene, which
might happen by the Suffocation of the natural Heat. If the Thighs or Legs
are broken, Scarves are to be us'd to support and stay 'em in the Bed.
_What space of time may there be allow'd for curing the Fracture of a
Bone?_
The Cure will take up more or less time, according to the variety of the
Parts, or the different thickness of the Bones: Thus to form {192} the
_Callus_ of the broken Jaw-Bone, twenty Days may well be allotted; for that
of the Clavicle, or that of the Shoulder-Bone, twenty four; for that of the
Bones of the Elbow, thirty; for that of the Arm-Bone, forty; for that of
the Wrist-Bone, and those of the Fingers, twenty; for that of the Ribs,
twenty; for that of the Thigh-Bone, fifty; for that of the Leg-Bone, forty;
for that of the Bones of the _Tarsus_ and Toes, twenty.
_What ought to be done in particular to promote the formation of the
_Callus_?_
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