The growth of medicine from the earliest times to about 1800Buck, Albert H. (Albert Henry)
History
The growth of medicine from the earliest times to about 1800
Buck, Albert H. (Albert Henry)
Medicine -- History
Thessalus, notwithstanding his declaration that medicine might readily
be taught in six months, wrote a larger number of treatises on
professional topics than any student of medicine could possibly read
and digest in the course of two or three years. They filled several
large volumes, but not one of them is known to exist to-day. He wrote
at great length, as we are assured, on the subject of surgery, a
subject in which he took an active interest. He taught that ulcers, no
matter in what part of the body they may be located, require the same
kind of treatment.
If an ulcer is excavated, it is necessary to bring about a
filling-up of the excavation; if its surface is on a level with
the surrounding skin, the aim should be to make it cicatrize;
if the growth of new tissue is excessive, the redundant portion
should be destroyed by burning with caustic; and, finally, if
the ulcer is of recent development and bleeds readily, the
attempt should be made, by approximating the edges, to effect an
immediate healing.
In the treatment of chronic ulcers which show little or no disposition
to heal, and which, when they do finally heal, are very prone to break
open afresh, Thessalus urges the great importance of ascertaining, if
possible, the cause or causes of this behavior. If it be found that
the trouble is due to some weakness or abnormal predisposition of
the part in which the ulcer is located, or that the condition of the
entire body is probably the real cause of the trouble, he recommends
the employment of “metasyncritic remedies”--that is, remedial measures
which effect a marked change in the individual’s vital processes
throughout the body, and also such as exert an alterative effect upon
the ulcer itself. Among the measures of the first class he enumerates
the following: Various forms of physical exercise; alternately
increasing and diminishing the amount of nourishment taken; and perhaps
the taking of an emetic at the very commencement of the treatment.
As to the second class of measures--those needed to bring about a
change in the ulcer itself--he makes the following recommendations:
Remove from the diseased tissues as much as will restore the parts,
as nearly as possible, to the condition of a healthy wound, and then
adopt the treatment suited for the latter condition. In cases in which
the ulcer heals and then subsequently breaks open again, it will
sometimes be found beneficial to apply in the neighborhood a plaster
containing an irritating substance like mustard, the effect of which
is often to change the disposition of the parts. In actual practice he
recommends that the local measures should be employed first, and then,
if they fail to accomplish the desired purpose, the physician should
have recourse to those enumerated in the first class--the strictly
metasyncritic remedies.
Public-domain text, read in full here on John Shaqi.
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