Volume 3

The commentaries upon the aphorisms of Dr. Herman Boerhaave ... : concerning the knowledge and cure of the several diseases incident to human bodies / by Gerard Van Swieten ; translated into English.

  • Swieten, Gerard, Freiherr van, 1700-1772.
Date:
1765-1773
Catalogue details

Licence: Public Domain Mark

Credit: The commentaries upon the aphorisms of Dr. Herman Boerhaave ... : concerning the knowledge and cure of the several diseases incident to human bodies / by Gerard Van Swieten ; translated into English. Source: Wellcome Collection.

    101/524 (page 95)
    A folution of continuity with laceration.] A lace¬ ration is when the foft parts of the body are ruptured by diftrafting^ and this diftradion being prefent in all ^ cpntufions diilinguilhes them from wounds, in which there is alfo a folution of the continuity, but without that laceration, fince a wound is inflidted by a lharp inftrument. A wound may indeed be joined with contuhon, but then it is a compound diforder. A deftruftive cnilhing, df?r.] A wound being at¬ tended with a iimple divifion only of the parts, which before cohered, gives an opportunity frequent¬ ly for a happy cure, even in the larged wounds, by a concretion of the divided parts brought again into contadl. But in a contufion the parts are fo ground to pieces, that their vital fabrick being deftroyed, ,it is impofTible for them to unite, again with the parts adjacent; and this makes a feparadon of them ail necelTary in order to a cure; becaufe being deprived of all the vital influx of their juices, they are now dead, and are to be confldered as foreign bodies in^ terpofed betwixt the living parts, which are thereby prevented from uniting with each other. Hence Hippocrates * juftiy pronounces. Games contufas nec£f- fario in fus verfas tahefcere\ That contufed flefk being converted into matter, mud necedarily be dedroyed or waded.” Therefore he. would have a fuppuration to be fpeedily procured in this cafe. An extravafation of the juices into the adjacent va¬ cuities, &c.~\ The velTels being ruptured, their con¬ tained juices are then extravafated and depofited im foreign parts. Even Hippocrates has, been, bold- enough to pronounce, that the whole body is full of cavities, Omne enim non concretum^ Jive cute^ five earns, tegatur^ cavum eji. Impletur autem fanum quidem fpi- ritUy ^egrotum. vero ichore\ “ For all that is not con- ‘‘ creted or folid is hollow, whether it be covereci with flelh or Ikin, The cavity is indeed filled with- ® De ulceribus, cap. 2. Charter. Tom. XII. pag. 131. ** De arte, cap, 8. Charter. Tom, II. pag. 150.