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ON WOUNDS OF THE HEAD. - Hippocrates, The Writings of Hippocrates and Galen [1846]

Edition used:

The Writings of Hippocrates and Galen. Epitomised from the Original Latin translations, by John Redman Coxe (Philadelphia: Lindsay and Blakiston, 1846).

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ON WOUNDS OF THE HEAD.

DE CAPITIS VULNERIBUS,FŒSIUS, Treat. viii. p. 895.
DE CAPITIS VULNERIBUS,HALLER, i. p. 430.
TRAITÉ DES PLAIES DE LA TÊTE,GARDEIL, ii. p. 38.

This, says Haller, is one of the genuine writings of Hippocrates, and, with his other surgical works, amongst his best. His treatises on practice and on semeiotics, have many parts that require explanation and restriction. Here, all are clear and true; you perceive at once that the author is conscious of this being the case. Some anatomical observations precede, and also somewhat paradoxical in relation to the sutures. In one part we find him noticing his having been deceived by them, and taking them for fissures; thus having a manifest connexion with the case of Autonomus in the fifth Epidemics.—Affections of the head induce bad symptoms on the opposite side. The trepan noticed, and directions for.

This treatise commences with general remarks on the sutures and on the bones of the cranium. The danger of wounds of the head depends very greatly on the bones concerned therein. Of the various ways in which the bones of the head are affected by wounds. Contusion with fissure. Simple contusion. Depression, &c. Contre-coup. Cases in which perforation is required. Regard to be had in the treatment to the mode in which the blow has been given, as also to the nature of the body inflicting it. Difficulties arising from the sutures, in the diagnostics of the real state of the wound, and of its treatment. Lotions and bandages prohibited in wounds of the head. Advantages of incising the scalp, especially when the bone is denuded. Certain reservations as to this, and remarks. Of the time for perforating the bone, and cautions thereon. Indications to be derived from the state of the surrounding flesh. Requisites for a good exfoliation in certain cases. Cautions as to the diagnosis and prognosis. Prognosis in desperate cases. Necessity of hastening the operation in certain cases. Mode of trepanning; hazard of wounding the meninges; precautions in and during the operation.