Rule of treatment for disruption of continuity in nerves

For nerve injuries, hot and dry medicine helps, the particles of which are rarefied and the heat is moderate, so that it does not burn. Its drying power is very great, and at the same time it attracts juices, but does not bind at all. Any medicine that has a slight warmth and is very drying due to the rarefaction of its substance is not without the ability to attract. Beware of astringency in medicines, especially at the beginning of treatment, unless it is accompanied by tearing properties, such as burnt copper or copper scale. If the substance of the medicine is heavy, make it lighter by rubbing it in vinegar, which does not have an astringent property. Sometimes it can be expected that vinegar, with its ability to cut, will cause the light warmth contained in the thick medicine to be released.

If sometimes a very hot medicine is necessary, then this is necessary so that it penetrates deeply, but its warmth is weakened and directed towards balance by mixing other medicines, and then it warms to a certain extent and strongly dries. If the nerve is exposed, then it cannot tolerate anything sharp at all, and the harm from acute medicines is very great for it; the same thing happens if medicines or rags that are used for wounds touch the nerve while they are still cold, in fact it suffers great harm from this.

If there is a wound on a nerve, then you should not rush to heal it. On the contrary, the pain must first be soothed by steaming the nerve with hot rags, as well as with the help of warming oils and especially the oil of unripe olives, for it has some astringent properties and warmth. The hotness of the oils should be higher than warm, since warm oil is similar to cold oil.

The same is the case with calming tumors, and in this case they also use medicinal dressings prepared with shikanjubin, with golden water and different types of flour and oatmeal, for example, with faba bean flour, lenticular vetch, chickpeas or bitter lupine, as well as oatmeal - barley or some other - all this is used even before the wound swells, and sometimes they benefit from taking a light medicine. When you have done all this with the wound and eliminated the danger of excess flow by bleeding and emptying, then heal the wound.

Never soothe a wound with hot water and use only oil whose particles are rare, have no astringent properties and are not extremely hot, because excessively hot or cold oil is not suitable for such wounds. Often the wound is already close to healing, but the cold damages it, the pain intensifies and the suffering returns, then it is necessary to immediately take action and soothe the pain with warming oils, pouring them on the wound. If the nerve is exposed and the cut goes along, then try to cover it with meat, and on top put the medicines for perforation, which we mentioned above, and tie the wound with wide rags so that the bandage connects the edges of the wound and covers a fair part of the healthy area. When the wound goes transversely, it is impossible to do without suturing, because otherwise it will not heal.

If healing has been rushed and you are afraid that the transverse wound will rot, then open the wound and, as soon as you can, try to protect it from swelling and rotting, because swelling or damage to the wound by cold causes spasms, and rotting makes the organ chronically ill. Therefore, the mouth of the wound should not heal and close until it becomes healthy. If the wound is narrow, then it is widened, because narrowness leads to decay of the wound, in which ichor and other matter then accumulate, and the pain intensifies. Therefore, the wound should not be healed before it is thoroughly dry and protected from any swelling and decay, and the bandage should be removed from the medicine more often than in other cases, the bandage is often untied two or three times a day or at night, and sometimes it has to be removed for the night following the day, or for the day following the night, if they are long, especially when a burning sensation is felt; if there is no burning, then there is less need for this, and it is enough to bandage it twice - in the morning and in the evening.

It is appropriate to ensure that the medicine is heated no more than necessary and no less than necessary; the same applies to tearing, drying and the opposite effects, and if you see that the medicine is too warm, cool it enough to reduce the excess that exceeds what is necessary.

Sometimes a wax ointment with furbiyun is tested on the shin of a healthy person, similar in nature and appearance to the given patient, and they see whether it warms excessively or does not warm to any significant extent, or warms moderately; this is determined and then they make a bandage for the patient and test it on The second time, if you test the bandage first on another person similar to the patient, it will be better, since when testing on the patient, then no big changes will be required.

With all this, if the nerve is exposed and the wound is very wide, it cannot tolerate anything very hot, such as furbiyun, sulfur and the like, but requires a medicine such as tutia, or medicine prepared from nura, well washed in one once. The oil used in this case for wax ointments and mud cakes should be, for example, rose oil and myrtle oil, which has not been touched by salt, and the resin included in such medicines should be washed, and tutia should also be washed, and in them is by no means There should be no sharpness or burning.

If medicines have a slight astringent effect, then for the treatment of exposed nerves this is acceptable if there is the ability to dissolve without burning, especially if the patient has a weak nature. Most of all, cold, watery, oily and similar substances should be kept away from the nerves; if the nerves are exposed, touching the exposed nerve and contaminating it, they harm, however, less than if they touch the nerve only lightly, but touch the surrounding nerves and adjacent fabrics to it. And since it is already necessary to apply them, then act as we said above.

If in a given place there is some kind of cover by nature, then it is not harmful to use the cakes of Bulidas, cakes with kalkatar or Andron's cakes, as well as horehound with maybukhtaj or with oil, in winter - with rarefied olive oil, and in summer - with rose oil, or incense, turpentine tree resin and galbanum - all this in smaller quantities than medicines for exposed nerves. Whatever the wound, it is good to apply soft sheep's wool dipped in olive oil to it on top of the medicines.

Just as an exposed nerve, more than any other, requires gentle treatment, so the ligaments that grow between the bones are best, according to their structure, to apply medication; the strong ligaments adjacent to the muscles stand in the middle in this regard.

The wound from which you should keep water the farthest is a wound on the nerve; cold, even if small, is also the most harmful thing for it, and olive oil is also harmful, and it is needed hot only to soothe the pain. Do not wash the wound with water or oil; try to wipe the moisture from it with the softest cloth or piece of wool. You should also not use maybukhtaj without protecting the patient from harm caused by its moisturizing effect.

If for any reason it is necessary to apply oil to a nerve, and especially to an exposed nerve, then you should first lubricate the wound with maybukhtaj, and then with olive oil. Galen says: One man was stabbed with a piece of iron with a sharp end, and it broke through the skin and reached one of the nerves in his arm. The doctor applied to the wound a healing plaster, which he tested when healing large wounds in meat, and the sore spot became swollen, and when it was swollen, the doctor applied to it such loosening medicines as a bandage with wheat flour, water and olive oil, and the man's hand rotted and he died. Here

When spasms occur from ulcers on a nerve, then if the hole in the wound has already filled, it is necessary to open it and use the medicines that help with ulcers and dry them out very thinly, trying to ensure that they penetrate into the depths. If the wound is a perforation and there is no tumor, then local treatment is used, and the medicine should be hot and dry more strongly than the means used during the incision, because it penetrates more easily to the sore spot. Let the diet for a wounded nerve be light and, moreover, light to the extreme; when pain and swelling occur, it is a good idea to take a little food, especially if the wound is transverse, because here it is also necessary to let blood from the damaged vessel, without fear or fear, for example, of fainting . The patient's bed should be soft, and the organs close to the wound should be protected by lubricating them with oil; he should also anoint the head, neck,   especially if the wound is in the upper parts of the body, as well as the pubis and groin, especially if the wound is in the lower parts of the body and in the area legs