The Origin and Growth of the Healing Art: A Popular History of Medicine in All Ages and CountriesBerdoe, Edward
History
The Origin and Growth of the Healing Art: A Popular History of Medicine in All Ages and Countries
Berdoe, Edward
Medicine -- History
Hippocrates treats of fractures in his books _De Fracturis_ (_De
Articulis_; _De Vulner. Capit._; _Officina Medici_). He insists that
no injuries to the head are to be considered as trifling; even wounds
of the scalp may prove dangerous if neglected. Fissures, contusions,
and fractures of the cranium are minutely explained and appropriate
treatment suggested. He describes the trephine under the name of
τρύπανον, _i.e._ the trepan. He says that convulsions are the frequent
consequence of head injuries, and that they occur on the opposite
side of the body to that in which the brain injury is seated. One of
the most valuable legacies of the ancients is this profoundly learned
treatise of the Father of Medicine, and it proves to us how high a
point the surgery of ancient Greece had reached. He noticed a certain
movement of the brain during respiration, a swelling up in expiration
and a falling down during inspiration; and although several great
authorities of the past denied the accuracy of this observation, it has
since been shown to be perfectly correct. (See _Paulus Ægineta_, Dr. F.
Adams’ edit., vol. ii. p. 442.) In cases of fracture of the lower jaw,
our author directs that the teeth separated at the broken part are to
be fastened together and bound with gold wire. So accurately does he
describe this fracture that Paulus Ægineta transcribes it almost word
for word from the _De Articulus_. His method of treating fracture of
the clavicle is admirable; in fracture of the ribs he observes that
when the broken ends of the bone are not pushed inwards, it seldom
happens that any unpleasant symptoms supervene. In fractures of the arm
he minutely and precisely indicates the correct principles on which
they are to be treated, and insists strongly on the necessity of having
the arm and wrist carefully suspended in a broad soft sling, and that
the hand be placed neither too high nor too low. Hippocrates could
learn very little from our modern surgeons in the treatment of such
injuries. In cases of broken thigh he has indicated all the dangers and
difficulties attending the management of this accident; his splints and
bandages are applied much as we apply them at the present time, and his
suggestions for ensuring a well-united bone without deformity of the
limb are invaluable. In fractures of the thigh and leg-bones he lays
great stress on the attention necessary to the state of the heel. In
those of the foot he warns against the danger of attempting to walk too
soon. In compound fractures compresses of wine and oil are to be used,
and splints are not to be applied till the wound puts on a healthy
appearance. He is fully aware of the peculiarly dangerous character
of such injuries, and his observations read like extracts from a
modern text-book of surgery. “No author,” says Dr. Francis Adams,
the learned translator of the works of Paulus Ægineta, “has given so
complete a view of the accidents to which the elbow joint is subject as
Hippocrates.”
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Elsewhere in the archive
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account