General discussion on the treatment of discontinuity, various ulcers, sprains, consequences of blows and falls

Disruption of continuity in the bone organs is treated by straightening and fusion bandage - this is discussed in the section on the art of setting bones, and you will find this in its place.

Next, rest and the intake of enveloping food are prescribed, from which, one can hope, the cartilaginous nutrient necessary to bind the edges of the fracture and fuse them together as if with “solder” will be born.

It is impossible to set a bone except in this way, especially in the body of mature people. We will talk about this exhaustively in the Book on Private Diseases.

As for the disruption of continuity that has occurred in soft organs, the goal in their treatment is to observe three basic rules: if the cause is stable, then first of all you should stop the flow and stop the release of matter if there is matter in the nearby organ.

The second is to heal the edges of the wound with the help of appropriate medicines and food, and the third is to prevent decay as much as possible. When one of these three conditions can be achieved, attention is focused on the others.

As for stopping the flow, you already know the way to achieve this. Fusion is achieved by connecting the edges of the wound, if they are connected, as well as by drying; At the same time, they take enveloping food.

You should know that the doctor's goal when treating wounds is to dry them. If the wounds are clean, then they limit themselves to just drying, but for rotten ulcers they use sharp, corrosive medicines, such as yellow and green vitriol, arsenic sulphide, lime; If this does not help, then cauterization with fire cannot be avoided.

Medicines made from verdigris, wax and oil are cleansed with verdigris and prevent excessive burning thanks to the wax and oil. This medicine is moderate. It is mentioned in the Pharmacopoeia.

We say: every wound cannot but be either simple or complex. If a simple wound is small and nothing is corroding it from the inside, then it is necessary to connect its edges and bandage it, having first taken measures so that no oil or dust gets between the edges. After this, the wound heals. The same applies to a large wound, if nothing is missing from the substance of the organ and one edge of the wound can be applied to the other. As for a large ulcer that cannot be closed, whether it is a rupture or a space filled with pus, or if part of the organ substance has disappeared, then the method of treating it is drying. If only the skin has disappeared, then medicines are needed that close the wound, either by their inherent properties - such as astringents - or by accident - such as acute drugs, for example, green and yellow vitriol: they best promote drying and the formation of jarab; but if their dose is large, they corrode and enlarge the ulcer.

When the missing part of the organ is meat, as with deep wounds, then one should not rush to close them; on the contrary, you must first take care to grow the meat.

Meat grows on wounds that have not dried far beyond the first stage, but there are certain conditions that must be observed. For example, the state of nature of the main organ and the nature of the wound must be taken into account. If the organ is by nature very moist, and the wound is not very moist, then light drying of the first degree is sufficient, since the disease has not significantly departed from the nature of the organ. When the organ is dry and the wound is very wet, then means are needed that dry out to the second or third degree in order to return the organ to its natural nature.

In people with a balanced nature, the condition of the ulcer should be improved by means of moderate strength.

This also includes taking into account the nature of the whole body. If the body is very dry, then the more humid organ is balanced in moisture compared to the body balanced in nature, and should be dried with the average medicine. It is the same if the body is by nature more moist, and the organ is dry, or if both the body and the organ both deviate towards increasing these qualities. If the deviation is towards moisture, then they dry more vigorously, and if there is a deviation towards dryness, they dry less strongly.

This also includes taking into account the strength of drying agents. The fact is that the means that dry the wound and at the same time increase the meat do not require strong drying, which delays the matter pouring into the organ, which contributes to the growth of meat, as is required from the drying agents used not for the purpose of increasing the meat, but for closing wounds. These drugs should clear away pus and wash it away to a greater extent than drugs that dry and close the wound, with which they only want to close the wound, heal it and cause healing.

All medicines that are dried by burning have beneficial properties regarding the growth of meat.

Any wound located in a place where there is no meat is not capable of rapid healing, just like round organs.

As for internal ulcers, drying and astringent drugs used in their treatment should be mixed with conductive agents, such as honey, or drugs that are especially suitable for a given place, such as, say, diuretics - with drugs that treat ulcers of the urinary organs. When we want to cause healing in these places, we make the medicines, if they have compressive properties, viscous, like, say, printing clay.

Know that there are obstacles to healing the ulcer. These are, for example, the bad state of the organ, that is, the nature of the organ, which you should take care to organize in accordance with what you already know, as well as the bad state of the nature of the blood, which goes to the ulcer and moisturizes it; you must correct this with food that produces good chyme.

This also includes the abundance of blood that flows to the ulcer and moisturizes it; this should be corrected by emptying, reducing the amount of food and, if possible, using exercise.

An obstacle to the healing of an ulcer is also the deterioration of the underlying bone and the flow of pus from it. There is no other remedy for this except fixing the bone itself and scraping it out, if scraping can deal with the damage, or the bone has to be removed and cut.

It is often necessary for doctors who treat wounds to have plasters to pull up bone fragments and sharp fragments to remove them, otherwise they will interfere with the healing of the wound. With ulcers, sometimes nutrition is necessary to strengthen strength, and sometimes a decrease in nutrition is necessary to stop the formation of pus substance. There is a contradiction between these two requirements, because pus weakens, and there is a need for reinforcement, but at the same time it increases, so it is necessary to prohibit increased nutrition. The doctor should act thoughtfully in this case.

When the ulcer is in the initial stage and in the period of enlargement, you should not go to the bathhouse and allow hot water to come into contact with the ulcer. This will attract juices to it, which increase the swelling. When the ulcer calms down and festeres, then a bath can perhaps be allowed. Any ulcer that quickly opens again after it has healed easily forms a fistula. The color of the pus and the color of the wound edges should be constantly observed; if the amount of pus increases without increasing the amount of food, then this is due to ripening.

Let's now talk about the treatment of ruptures. We say: since a rupture is a disturbance of continuity lying under the skin, it is obvious that the remedies for it must be stronger than those for open lesions, and since the flow of blood to the site of the rupture is significant, dissolving agents are of necessity required. These solvents should not dry too much, so that the liquid does not dissolve and the dense solid hardens.

When the desired result of the dissolving agent has been achieved, meat-building and drying drugs should be used, so that dirt does not get stuck in the space between the separated parts, which will harden and then fester from the slightest cause or be pushed out, and again there will be a violation of continuity.

If the gap is deeper, then an incision is made at the site of the gap so that the medicine penetrates further into the depths.

As for a rupture with a slight bruise, sometimes bloodletting is sufficient for treatment.

If the rupture is accompanied by a crack, then the crack is treated with medication until it becomes possible to treat the rupture itself. If the crack is large, it is treated with drying agents, and if it is small, like a needle prick, this matter is left to nature itself, unless the crack is caused by something poisonous, is not tortuous, is not very painful and has not touched a nerve, for which reason it can be there would be a fear of swelling and throbbing pain.

As for sprains, the treatment for it is a thin, non-painful bandage and the application of sprain medications. And in case of blows and bruises from a fall, bloodletting is required on the opposite side and light food, abstinence from meat and the like, as well as the use of ointments and drinks prescribed for this case in the Book of Private Diseases. As for the disruption of continuity in organs rich in nerves and in bones, we will postpone discussion of this.