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
Venesection is an easy operation for a physician who has already
familiarized himself with the manner of performing it, but
for one who is ignorant of these details it may prove very
difficult. It is necessary, for example, to bear in mind that
the artery and vein are united and that they are accompanied
by nerves; and, further, that the injuring of the latter
will induce spasms and violent pains. On the other hand, it
must also not be forgotten that an artery once opened has no
disposition to close, nor does it heal, and that sometimes the
blood escapes in an impetuous manner. If, perchance, the vein
is cut transversely, the edges of the opening contract and no
more blood escapes. Again, if the scalpel is plunged into the
parts timidly, the skin alone will be divided and the vein will
not be opened. In some cases this vessel is so hidden from
sight that the physician may experience difficulty in bringing
it into view. Thus it will be seen that there are several
circumstances which may render this operation difficult for an
ignorant or inexperienced physician. The vein should be incised
in a longitudinal direction, midway between its two sides. The
moment the blood gushes from the opening its color and general
appearance should be carefully noted, etc.
_Book V., Chapter XXVI._--_The Proper Manner of Arresting
Hemorrhage from a Wound._--If there is fear that there
may be bleeding, one should fill the wound with dry lint,
place over it a sponge wrung out of cold water, and press
upon it with the hand. If the bleeding still continues, it is
advisable to change the stuffing of lint somewhat frequently;
and, if this step proves ineffective, then lint moistened with
vinegar may be tried, for this liquid acts energetically in
arresting hemorrhage. Some physicians, indeed, actually pour
it into the wound. There is a strong objection, however, to
the use of an agent which, like vinegar, arrests the bleeding
too completely--viz., that it is apt to set up afterwards an
intense inflammation of the parts. The same reasoning applies
with even greater force to the employment of corrosives and
caustics, which produce an eschar. Despite the effectiveness
of most of these in arresting hemorrhage, their use should be
discouraged.... Finally, if the bleeding continues it will be
necessary to grasp the vessel from which the blood is escaping,
to ligature it in two places close to the wound, and then to
divide the vessel between the two ligatures, in order that
it may retract (both of the new orifices having already been
closed by the ligatures). If the circumstances are such that the
plan just recommended cannot be carried out, it will then be
advisable to apply the red-hot cautery to the bleeding vessel.
When a rather free hemorrhage occurs at a part of the body where
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