Hippocrates - On The Surgery

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On the Surgery Hippocrates by Francis Adams—————————————————

—————————————————-1is the business of the physician to know, in

the first place,similar and things dissimilar; those connected with thingsimportant, most

easily known, and in anywise known; which arebe seen, touched, and heard; which are to

be perceived in the sight,the touch, and the hearing, and the nose, and the tongue,

andunderstanding; which are to be known by all the means we knowthings. ——————

————————————————————————————-2things relating to

surgery, are- the patient; the operator; the; the instruments; the light, where and how; how

many things,how; where the body, and the instruments; the time; the manner;place. ——

————————————————————————————————-

3operator is either sitting or standing, conveniently for himself,the person operated upon,

for the light. There are two kinds of, the common and the artificial; the common is not at

our disposal,artificial is at our disposal. There are two modes of using each,to the light, or

from the light (to the side?). There is littleof that which is from (or oblique to the light),

and the degreeit is obvious. As to opposite the light, we must turn the partbe operated

upon to that which is most brilliant of present andlights, unless those parts which should

be concealed, andit is a shame to look upon; thus the part that is operated uponbe

opposite the light, and the operator opposite the part operated, except in so far as he does

not stand in his own light; forthis case the operator will indeed see, but the thing

operatedwill not be seen. With regard to himself when sitting, his feetbe raised to a direct

line with his knees, and nearly in contactone another; the knees a little higher than the

groins, and atdistance from one another, for the elbows to rest upon them.robe, in a neat

and orderly manner, is to be thrown over the elbowsshoulders equally and proportionally.

With regard to the partupon; we have to consider how far distant, and how near,, below,

on this side on that side, or in the middle. The measureto distance and proximity is, that

the elbows do not press thebefore, nor the sides behind; that the hands be not raised

higherthe breasts, nor lower than so as that when the breast reposesthe knees he may have

the hands at right angles with the arm: thusis as regards the medium; but as concerns this

side or that, themust not be beyond his be beyond his seat, but in proportionhe may

require turning he must shift the body, or part of the body,is operated upon. When

standing, he must make his inspection,firmly and equally on both feet; but he must operate

whilehimself upon either leg, and not the one on the same sidethe hand which he makes

use of; the knee being raised to theof the groins as while sitting; and the other measures in

like. The person operated upon should accommodate the operator withto the other parts

of his body, either standing, sitting, or; so as that he may continue to preserve his figure,

avoid sinking, shrinking from, turning away; and may maintain the figure andof the part

operated upon, during the act of presentation,the operation, and in the subsequent

position. ————————————————————————————————

——-4nails should be neither longer nor shorter than the points offingers; and the surgeon

should practice with the extremitiesthe fingers, the index-finger being usually turned to the

thumb;using the entire hand, it should be prone; when both hands, theybe opposed to one

another. It greatly promotes a dexterousof the fingers when the space between them is

large, and whenthumb is opposed to the index. But it is clearly a disease whenthumb is

impaired from birth, or when, from a habit contractedthe time of nursing, it is impeded in

its motions by the fingers.should practice all sorts of work with either of with either of,

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and with both together (for they are both alike), endeavouringdo them well, elegantly,

quickly, without trouble, neatly, and. —————————————————————

—————————————-5instruments, and when and how they should be

prepared, will beof afterwards; so that they may not impede the work, and thatmay be no

difficulty in taking hold of them, with the part ofbody which operates. But if another gives

them, he must be readylittle beforehand, and do as you direct. ———————————

———————————————————————-6about the patient must present

the part to be operated uponmay seem proper, and they must hold the rest of the body

steady,silence, and listening to the commands of the operator.———————————

———————————————————————-7are two views of bandaging:

that which regards it while doing,that which regards it when done. It should be done

quickly, without, with ease, and with elegance; quickly, by despatching the without, by

being readily done; with ease, by being prepared for everything;with elegance, so that it

may be agreeable to the sight. By whatof training these accomplishments are to be

acquired has been. When done, it should fit well and neatly; it is neatly donewith

judgment, and when it is equal and unequal, according asparts are equal or unequal. The

forms of it (the bandage?) aresimple, the slightly winding (called ascia), the sloping

(sima),monoculus, the rhombus, and the semi-rhombus. The form of bandagebe suitable to

the form and the affection of the part to whichis applied. —————————————

—————————————————————-8are two useful purposes to be

fulfilled by bandaging: (first,), which is imparted by the compression and the number of

folds.one case the bandage effects the cure, and in another it contributesthe cure. For

these purposes this is the rule- that the force ofconstriction be such as to prevent the

adjoining parts from separating,compressing them much, and so that the parts may be

adjustednot forced together; and that the constriction be small at the, and least of all in the

middle. The knot and the threadis passed through should not be in a downward but in an

upward, regard being had to the circumstances under which the casepresented; to position,

to the bandaging, and to the compression.commencement of the ligatures is not to be

placed at the wound,where the kriot is situated. The knot should not be placed wherewill

be exposed to friction, nor where it will be in the way, norit will be useless. The knot and

the thread should be soft,not large. —————————————————————

—————————————-9(Second.) One ought to be well aware that every

bandage has a tendencyfall off towards the part that declines or becomes smaller;

as,example, upwards, in the case of the head, and downwards, in theof the leg. The turns

of the bandage should be made from rightleft, and from left to right, except on the head,

where it shouldin a straight direction. When opposite parts are to be bandaged, we must

use a bandage with two heads; or if we make usea bandage with one head, we must attach

it in like manner at somepoint: such, for example, as the middle of the head; and soother

cases. Those parts which are much exposed to motion, suchthe joints, where there is a

flexion, should have few and slightapplied to them, as at the ham; but where there is much

extension,bandage should be single and broad, as at the kneepan; and formaintenance of

the bandage in its proper place, some turns shouldcarried to those parts which are not

much moved, and are lank,as the parts above and below the knee. In the case of the

shoulder;fold should be carried round by the other armpit; in that of the, by the flanks of

the opposite side; and of the leg, to abovecalf of the leg. When the bandage has a tendency

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AUniversalDownloadEditionWWW.UDownloadBooks.Com1OntheSurgeryHippocratesbyFrancisAdams————————————————227—22722—2722—27—227—227—27—227227-1isthebusinessofthephysiciantoknow,inthefirstplace,similarandthingsdissimilar;thoseconnectedwiththingsimportant,mosteasilyknown,andinanywiseknown;whicharebese...

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Hippocrates - On The Surgery

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