The Seaman's Medical Instructor: In a Course of Lectures on Accidents and Diseases Incident to SeamenFalck, N. D. (Nikolai Detlef)
Science
The Seaman's Medical Instructor: In a Course of Lectures on Accidents and Diseases Incident to Seamen
Falck, N. D. (Nikolai Detlef)
First aid in illness and injury -- Early works to 1800; Medicine, Popular -- Early works to 1800
Take the powder of burn’d _Allum_ (17), and with a little lint dab it
all over the fungous part, then spread a pledget of the salve mentioned
in gun-shot wounds, No. I. and over which apply a good warm poultice
there also mentioned. Let this dressing be repeated twice or thrice a
day, till the inflammation ceases, and the fungous substance becomes
reduced; when then, the washing, the allum and poultice may be left off,
but the mentioned salve continued till the sore looks of a pale red, and
begins all round the edge to heal up.
Cleanliness is very commendable; but in this case, when a sore looks
well, the matter becomes of a pale yellow; wiping should be very
sparingly; and then, dressing once a day (the morning) is full
sufficient; for by wiping, and often meddling with it, the small
granulations of the flesh is hindered from growing, and healing is
retarded.
A sore leg is very troublesome, and very often attended with pain and
expence, to no purpose. It generally swells, is inflamed and troublesome
at night. Let the leg be bathed every night, (with the open sore) in
some good warm soap suds; or instead of that, take what you can have
plenty of, namely, sea water. If you can have it warm, it is well, if
not, make use of it cold, rather half a dozen times of the day, than
omitting it altogether; and by dressing the leg as before directed
you’ll have reason to thank me for my good advice.
Sometimes the bone is affected; in which case, the cure with the best
dressing in the world will frequently be tedious. A sore of this kind
will not heal till the bone has discharged a scale, (termed
_exfoliation_.) But tedious as it is, very often it is made more so, by
unnecessary trouble. Without intending to give offence to my brother
surgeons, I have frequently seen bad consequences attending methods
taught with diligence in hospitals; take my word for it, you will do no
good with your scraping tools, throw them over board, and you’ll succeed
better than using them in this case.
The bones, though the hardest, are the most delicate parts in the whole
body; but when it is affected, nature forms a new periosteum over the
sound part, and gradually pushes forward the decayed scale. This
wonderful work is performed by nature only, and must not be disturbed.
By scraping, and boring of it, the tender periosteum will only be
molested, the sound bone will become foul again, and so you may go on
for ever; and I never saw a sore of that kind healed up by this improper
method, till nature over-powered art, or the surgeon was tired with
scraping, perforating, &c. but I have known many amputations in
consequence of it, and many lives lost in consequence of that again; yet
there is no rule without exception. There are cases where operations of
that kind on the bones is required; but that ought to be referred to a
judicious and experienced surgeon.
Public-domain text, read in full here on John Shaqi.
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