Front matter
JUo'
'wiOEOPATH/c - ARMACY.
I
Contents
General History of Sukgkry:
A brief historical sketch of surgery'- from the earliest period to the
present time 25
Section 1.— Outlines of the normal nutritive process 42 CHAPTER n
SURGICAL SEMEIOLOGY.
Section I.— Siorns manifested on the exterior of the body 40
g 1. Carriage or posture of a patient 4G
i 2. Physiognomy 47
i 3. Shape and size of a part 48
1 4. Color 49
g o. Temperature 49
? 6- Excretions and secretions 50
Section II.— Examination of the internal organs 51
? 1. Circulation CI
2 2. Respiration 52
1 3. Digestion 53
2 4. Nervous function 55
(ix)
X TABLE OF CONTENTS.
T»AOE
Section III.— Uses of the senses hi forming a diagnosis 56
2 1. Sight 5G
'i 2, Touch 57
I 3. Hearing 58
I 4. Taste and smell 59
PART II. Bandaging, and Other Points of Minor Surgery
OHAPTEK I.
APPARATUS OF DRESSING.
Sectiox I.— Instruments 61
Porceps, scissors, prohes 62
Directors, spatula, bistouries ; 63
Scalpels, lancets, catheters 64
Porte-caustic, tenaculum, needles 65
Ligatures, razor 66
Dressings—lint, charpie 67
Cotton, tow, ointments 69
liiniments, compresses... '. 70
Maltese cross, shields for amputations 71
Adhesive strips, collodion 73
Plasters, poultices, application of water 75
APPLICATION OF DRESSINGS.
Section II. — Preparation and application of the bandage 78
g 1. Simple bandage or roller 79
J 2. Circular bandage 81
2 3. Oblique bandage SI
g 4. Spiral bandage 82
Varieties of the spiral 84
1. Spiral of the chest 85
2. Spiral of the abdomen 80
3. Spiral of the upper extremitj' 86
4. Spiral of the finger 86
6. Spiral of the fingers, or gauntlet 87
6. Spiral of the penis 87
7. Spiral of the palm, or demi-gauntlet S8
8. Spiral of the lower extremity ■, 89
9. French spiral 90
J 5. The crossed, or figure-of-8 bandage, varieties of—
1. The crossed of one eye 90
2. The crossed of both eyes 91
TABLE OF CONTENTS. XI
PAQB
3. The crossed of the angle of the jaw 02
4. Barton's bandao:e for the jaw 93
5. Prof. Gibson's bandao^e 94
G. Posterior figure of 8 of the chest 94
7. Anterior figure of S of the chest 95
S. Spica of the shoulder „ 95
9. Fig-ure of 8 of the neck and axilla 97
10. Fi*2:ure of 8 of one breast 97
U. Figure of 8 of both breasts 98
12. Spica of the groin 99
13. Spica of both groins 100
14. Figure of S of the elbow 101
15. Figure ot 8 of the wrist , 102
16. Spica of the thumb 102
17. Figure of 8 of both thighs 102
IS. Figure of 8 of the knee 103
19. Spica of the instep 103
2 G. Recurrent bandages, varieties of—
1. Recurrent of the head, single 104
2. Recurrent of the bead, double 105
3. Recurrent of amputations 105
SiscTiox III. — The compound bandage, varieties of—
g 1. The T-bandages 106
1. Single T, or crucial 107
2. T-bandage of the head 107
3. T-bandage of the ear ?. 107
4. Double T of the nose 108
5. Double Tof the chest 109
G. Double T of the abdomen 109
7. Compound T of the groin 110
8. Double T of the buttock m
9. Perforated T of the h*'\nd 112
10. T-bandage of the hand 112
g 2. The invaginated bandages— varieties of. 113
1. Invao;inated bandage of the lip 113.
2. Invaginated bandage of the body 113
3. Invaginated bandage of the body for lojigitudiual wounds of
the extremities •• 114
4. Invaginated bandage of the body, for transverse wounds of
the extremities 115:
5. Uniting bandage for transverse wounds of the neck 115
g 3. Slings— varieties of. 116
1. Six-tailed sling of the head 116
2. Four-tailed sling of the head 117
3. Sliugof the chin ^ 118
4. Sling of the face, or mosk "119
5. Sling of the mamma 119
i 4. Suspensories — varieties of. 120
1, Suspensory of the nose 120
2. Suspensory of the scrotum 121
XU TABLE OF CO^s^TENTS.
PAGE
? 5. Sheaths 121
I C. Traced or buckled bandages, varietjos of 122
1. Ijaced bandage of the knee 122
2. Laced stocking 122
3. Laced gaiter of the foot 123
CHAPTEH II.
THE XIANDKERCHIEF SYSTEM OF M. MAYOR.
Preparation of the bandage 124
Varieties of the bandage— Cravat, triangle, cord 124
Section l.~The handkerchief ns applied to the head 125
1. Fronto-occipital triangle 125
2. Fronto-occipito-labialis cravat 135
Z, Vertico-mental triangle 126
4. Aui'iculo-occipital triangle 126
i5E<m0N II- — Handkerchief as applied to the trunk , 127
1. Cen'ical cravat , 127
2. Simple bis-axillary cravat 128
3. Compound bis-axillary cravat 12S
4. Triangular cap of the breast 129
5. Simple spica of the groin 130
6. Double spica of the groin 130
Section III. —Handkerchief as applied to the extremities 131
1. Ccrvico-brachial sling 131
2. Ante-brachial trough 132
3. Mctatarso-raalleolar cravat 132
4. Cap of the foot , 132
5. Tarso-pelvien cravat 133
6. Tiblo-cervical cravat , 133
CHAPTER HI.
CONSIDERATION OF ELEMENTARY OPERATIONS.
Section III.— Anaesthesia : Chloroform.. 13S Ether— Manner of administration 141
Other anaesthetic agents — Kerosolcne, opium, nitrous oxide 142
Resuscitation of patient Avhen overdosed .' 142
I 1. Local AiKtsthesia 143
Preparations nsed to produce local aniosthesia 14S
Electricity .! 149
Section 1Y.— Preparation and manipulation of instruments 150
Acupuncturation 155
Hypodermic injections 155
Section V.— Incisions— Simple, compound, and subcutaneous.... 156 TABLE OP CONTENTS. xiii
CHAPTER IV.
MEANS OF ARRESXmG HEMORRHAGE.
PositioD, cold, compression, torsion, ligature, acupressure 1C3
Styptics, caute^)^ tourniquet 164
Sectiox I.— Closing of wounds 1C7
Sutures , 1(53
The interrupted, continued, quilled, and twisted or hare-lip 169
CHAPTER Y.
DISIXFECTING AGENTS.
Disinfecting agents 170
CHAPTER VI.
CATHETERISJSI.
Catheterism 172
Method of introduction 175
Catheterism of the lachrymal passages 175
Catheterism of the oesophagus 17G
Catheterism of the larynx and trachea 177
Catheterism of the eustachian tube..... 178
CHAPTER Vn.
INJECTIONS.
Injections by the urethra isq
Injections by the vagina IgO
CHAPTER VIII.
VACCINATION.
CHAPTER IX.
REMOVAL OF FOREIGN BODIES.
Prom the skin, from the eye 184
Prom the nostril, from the ear 135
Prom the pharynx and oesophagus ,..; 180
Prom the larynx and trachea I37
Prom the urethra, from the vagina. iss
XIV TABLE OF CONTENTS.
CHAPTER X.
POST- MORTEM EX AJUNATIOKS .
PAGE
The instruments required, order to be observed 190
Brain, spinal cord, thoracic and abdominal viscera 192
PAET III.
Inf 1 ammation.
CHAPTER, J.
THE INFJ^AMMATORY PROCESS.
Section III.— True inflammation 199 Symptoms of Inflammation 203
Kcdness, pain, heat, swellinor 205
Alteration of structure 212
Effects and terminations— Hemorrhage 213
Excessive deposit — Suppuration 213
Ulceration— Mortification — Gangrene 214
Causes of inflammation— Predisposing 217
Exciting causes.... 220
Theory' of inflammation 220
Microscopical observations 221
CHAPTER 11.
INFLAMMATORY PRODUCTS AND CONSEQUENCES.
Section III.— Anthrax, or carbuncle 368 Malignant pustule, or charbon 371
Ero-otism 371
PART lY.
Disorders from Perverted Nutrition.
CHAPTER 1.
Scrofulous diathesis 372
h^crofulous temperament 373
General symptoms 374
Anatomy of tubercle 375
Microscopical character 376
Chemical character 376
Diagnosis, prognosis, and treatment 377
CHAPTER ir.
VENEREAL DISEASES.
Section I.— Gonorrhcea 382 Definition 382
Histoi-y ; 383
Complications 384
Injections 395
Section II.— Complications of gonorrhoea 297
J 1. Gleet 397
Bougies, use of 401
§ 2. Epididymitis 402
TABLE OF CONTENTS. XVU
PAGE
2 5. Stricture of the urethra 420
Spasmodic stricture 420
Inflammatory stricture 421
Permanent stricture 421
Instruments for dilatation 424
Pervious;5tricture 438
- Impermeable stricture 441
Retention of urine 443
Puncture of bladder i 446
2 7. Extravasation of urine 447
Urinary abscess 443 g 8, Fistula in perinaeo •» 450
? 9. Prostatitis 451
J 10. Chronic prostatitis 453
2 11. Gonorrhoeal opthalmia 455
Treatment 45G
g 12. Venereal warts..- 4C0 gl3. Phymosis 462
Operative procedure 464
Circumcising the prepuce 466
J 14. Paraphymosis 467
XVlll TABLE QF CONTENTS.
PAGE
Keduction by taxis 4GS
Calculi in the prepuce........ 468
Section IV.— Chancroid 473 Definition 473
History 473
Chancroid and syphilis distinct 474
Peculiarities of chancroid 475
Sj^mptoms 476
Differential diagnosis of chancroid and chancre 478
Complications of chancroid 4S3
Phagedenic chancroid 4S4
Mild chancroid 484
Serpiginous chancroid 484
Sloughing chancroid 484
Mixed chancre 487
Section V. — Bubo '. 489 Sympathetic buho 489
Virulent bubo 490
Indolent bubo 490
Section VI.— Sn^hilis 493 Definition 493
History ; 494
General characteristics 495
Syphilitic virus 496
Syphilis i^eculiar to man 496
Incubation of syjDhilis 497
Kegularity of symptoms in syphilis 498
Primary syphilis 499
g 1. Chancre 499
Form of chancre 500
Induration of chancre 501
Phagedenic chancre 502
Urethral chancre , 503
Treatment of chancre , 504
General treatment 507
Constitutional treatment 508
Inunction treatment 515
I 2. Induration of the ganglia 518
TABLE OF CONTENTS. XIX
PAGE
Constitutional syphilis .' 510
Secondary syiDhilis „ 510
Period of incubation 521
Fumigation and inunction 520
Section YII.— Sj'^pbilitic local affections... 532
Erythema 534
Papules 534
Squamaj 535
Vesicles 535
Bulla3 ; 53G
Pustules 537
Tubercles 538
Diseases of periosteum and bones 542
Venereal periostitis , 543
Congenital syphilis 547
Etiology 54S
Abortion 548
General aspect 540
Section VIII.— Spermatorrhoea 553 Diagnosis oo')
Marriage in spermatorrhcea 561
PAET Y.
Morbid Growths or Tumors.
CHAPTER I.
GENERAL CHARACTERISTICS OF TUMORS.
Definition , 503
Classification of tumors 564
Rules for excision 508
XX TABLE OF CONTEJ^TS.
CHAPTEK II.
NOK-MALIGNAKT, OR INNOCENT TUMORS.
PAGE
Section IX.— Cancerous tumors 588
TABLE OF CONTENTS. XXI
PAET TI.
Injuries of the Soft Tissues,
CHAPTER I.
SHOCK OF INJURY.
PAGE
Shock of injury ; 614
Secondary shock C15
Treatment. -, 61G
CHAPTER ir.
CONTUSION OF SOFT PARTS.
Contusion of soft parts 620
CHAPTER m.
WOUNDS IN GENERAL.
Section. v.— Poisoned wounds 650
J 1. Bites of serpents v 651 g 2. Bites of rabid animals 654
? 3. Bites and stings of insects 660
XXll TABLE OF CONTENTS.
PAGE
? 4. Dissecting wounds 661
CHAPTER V.
GUNSHOT WOUNDS.
Laws of projectiles 671
Course of balls ^ 674
Symptoms in gunshot wounds 680
Treatment in gunshot wounds 681
Extraction of balls ^ 685
Operations after gunshot wounds 70S
Primary and secondary amputations considered 719
Table of statistics 723
Saber and bayonet wounds .• 726
Tetanus following gunshot wounds ' 726
Ligation of arteries 729
An ingenious bullet-detector 731
CHAPTER VI.
MAGGOTS IN WOUNDS.
PART YII.
Diseases of the Nervous System.
CHAPTER I.
TETANUS.
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