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
Part I. of the _Chirurgia Parva_ mentions some of the
characteristics which a surgeon should possess. He should, for example,
have well-formed hands, with fingers that are long and slender; his
body should be strong and firm in its movements; his hands and fingers
should respond quickly to the workings of the mind; his mind should
be of a subtle type; in character he should not be over-bold, but
self-reliant and yet modest; he should have a good supply of common
sense; he should be well-informed not only in medicine, but also in all
the branches of philosophy; he should be a good logician; he should be
familiar with the writings of medical authors; he should be virtuous
and ethical; he should be trustworthy; he should not be avaricious nor
envious; ... and, finally, he should be thoroughly familiar with all
the diseases to which the human body is liable. In one place Lanfranchi
refers to the fact that exposure to the air favors the production of
pus in a wound. Among the methods which may be employed for arresting
hemorrhage he mentions digital compression and ligaturing of the
bleeding vessels. He recommends that a wounded individual should
abstain from wine and from an over-nutritious diet. No attempt, he
says, should be made to extirpate, with the knife or by means of the
actual cautery, an ulcerated cancer, unless it appears probable that
by such means complete destruction of the tumor may be effected. In
traumatic tetanus dependent upon an injury of a tendon or nerve trunk
he recommends complete division of the wounded structure.
Part II. is devoted to the consideration of wounds of the different
parts of the body, taken in regular order from the head to the feet.
The descriptions, in each instance, are preceded by an adequate account
of the region affected. In his discussion of fractures of the skull he
speaks of the diagnostic value of the rough and jarring sound perceived
by the patient when the physician taps with a rod upon the injured
skull; and he also states that an aid to diagnosis may be derived from
the fact that a person whose skull is fractured experiences pain at the
seat of the injury when somebody passes the ends of his finger-nails
along a string which the patient holds suspended between his teeth.[67]
According to Neuburger the description which Lanfranchi gives of
the various symptoms observed in cases of fracture of the skull is
admirable. In the section relating to the treatment of such fractures
he warns against the tendency to resort too readily to the use of the
trephine, and expresses the belief that this instrument should be
employed only when the fractured bone is depressed or when there is
evidence of irritation of the dura mater.
Public-domain text, read in full here on John Shaqi.
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