The Gallery of Portraits: with Memoirs. Volume 5 (of 7)Malkin, Arthur Thomas
Religion
The Gallery of Portraits: with Memoirs. Volume 5 (of 7)
Malkin, Arthur Thomas
Biography
From this time is to be dated the commencement of his acquaintance with
military surgery, for which he afterwards did so much. “I was then,” he
says, “very raw and inexperienced, having never seen the treatment of
gunshot wounds. It is true that I had read in the Treatise of Jean de
Vigo on wounds in general, that those inflicted by fire-arms partake of
a poisonous nature on account of the powder, and that they should be
treated with hot oil of elder mixed with a little theriacum. Seeing,
therefore, that such an application must needs put the patient to
extreme pain, to assure myself before I should make use of this boiling
oil, I desired to see how it was employed by the other surgeons. I found
their method was to apply it, at the first dressing, as hot as possible,
within the wound with tents and setons: and this I made bold to do
likewise. At length my oil failed me, and I was fain to substitute a
digestive, made of the yolks of eggs, rose-oil, and turpentine. At night
I could not rest in my bed in peace, fearing that I should find the
wounded, in whose cases I had been compelled to abstain from using this
cautery, dead of poison: this apprehension made me rise very early in
the morning to visit them; but beyond all my hopes, I found those to
whom I had applied the digestive suffering little pain, and their wounds
free from inflammation; and they had been refreshed by sleep in the
night. On the contrary, I found those to whom the aforesaid oil had been
applied, feverish, in great pain, and with swelling and inflammation
round their wounds. I resolved, therefore, that I would never burn
unfortunate sufferers from gunshot in that cruel manner again.”
Such was the casual origin of one of Paré’s greatest improvements in
surgery,—the substitution of a mild treatment for the cautery in gunshot
wounds; a principle which he afterwards successfully extended to other
injuries at that time deemed poisonous. The improvement seems as obvious
as it was important: yet the adherents of the old practice gave him much
trouble, and even made it necessary for him to defend his wholesome
innovation long afterwards before Charles IX. in person.
Public-domain text, read in full here on John Shaqi.
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