Druckschrift 
Domestic Medicine : or, a Treatise on the Prevention and Cure of Diseases by Regimen and simple Medicines
Entstehung
Seite
367
URN (Seite)
  
Einzelbild herunterladen
 

OF DISLOCATIONS.

found Wards fistula paste very successful in this complaint. But asthese ulcers generally proceed from an ill habit of body, they will seldom-yield to anv thing except a long course of regimen, assisted by medicineswhich are calculated to correct that particular habit, and to induce analmost total change in the constitution.

CHAP. LI.

OF DISLOCATIONS.

WHEN a. bone is moved out of its place or articulation so as toimpede its proper functions, it is said to be luxated or dislocated. Asthis often happens to persons in situations where no medical assistancecan be obtained, by which means limbs, and even lives, are frequentlylost we shall endeavour to point out the method of reducing the mostcommon luxations, and those which require immediate assistance. Anyperson of common sense and resolution, who is present when a disloca-tion happens, may often be of more service to the patient than the mostexpert surgeon can after the swelling and inflammation have come on.When these are present, it is difficult to know the state of the joint, anddangerous to attempt a reduction; and by waiting till they are gone oft,the muscles become so relaxed, and the cavity filled up, that the bonecan never afterwards be retained in its place

A recent dislocation may generally be reduced by extension alone,which must always be greater or less according to the strength of themuscles which move the joint, the age, robustness, and other circum-stances of the patient. When the bone has been out of its place for anyconsiderable time, and a swelling or inflammation has come on, it will benecessary to bleed the patient, and, after fomenting the part, to applysoft poultices with vinegar to it for some time before the reduction is

attempted. , . ,, .

All that is necessary after reduction, is to apply cloths dipt in vinegaror camphorated spirits of wine to the part, and to keep it perfectly easy;and if any degree of inflammation remain, the application ot leechesis the best remedy. Many bad consequences proceed from the neglectof this rule A dislocation seldom happens without the tendons andligaments of the joint being strecthed and sometimes torn. When theseare kept easy till they recover their strength and tone, all goes on verywell- but if the injury be increased by too frequent an exertion of theparts, no wonder if they be found weak and diseased ever after.

DISLOCATION OF THE JAWS.

The lower jaw may be luxated by yawning, blows, falls, chewinghard substances, or the like. It is easily known from the patient'sbeing unable to shut his mouth, or to eat any thing, as the teeth of