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Updated: June 29, 2025
Bleeding from the smallest arteries and from arterioles can usually be arrested by firmly squeezing them for a few minutes with artery forceps. It is usually found that on the removal of the forceps at the end of an operation no further hæmorrhage takes place. By the use of specially strong clamps, such as the angiotribes of Doyen, large trunks may be occluded by pressure. Cautery.
"Courage, man, 'tis but cautery; balm of Gilead, why, you recommend it but now to my comrade here." The physician replied only by a look of concentrated spite, and went out in dead silence, thrusting his stomach forth before him in the drollest way.
Instantly he cried out a strange Breton word, unintelligible to all present, and, leaping from the floor, he flung himself across the body of his master, dashing aside the astonished apothecary, who had only time to discern on the marshal's shoulder the scar of a recent cautery before Poitou had restored the leathern under-doublet to its place. "Hands off! Do not touch my master.
There is a common high-handed cant among the high-feeding, and, as they fancy themselves, high-minded men, about putting down the mob; but all true physicians know that it is better to sweeten the blood than attack the tumour, to apply the emollient rather than the cautery.
Following this, a vesicant is employed and the subject is allowed a month's rest. In sub-acute cases, the entire region surrounding the pastern is blistered or the actual cautery is used. Line-firing is preferable. The subject is given a month or six weeks rest and one may be guided by the presence or absence of lameness as to whether improvement or recovery is taking place.
First, simple section of the skin lying above the dilated vessel is made, and with the hook it is separated from the neighboring tissues and tied. After this the dilated portion is removed and pressure applied by means of a bandage. The patient is ordered to remain quiet, but with the legs higher than the head. Some people prefer treatment by means of the cautery."
Where a great degree of counter irritation is thought necessary, line-firing with the actual cautery is the remedy par excellence. After-care.
All abscesses they open with the actual cautery; and the dressings are composed of either soft leaves, shea-butter, or cows' dung, as the case seems, in their judgment, to require. Towards the Coast, where a supply of European lancets can be procured, they sometimes perform phlebotomy; and in cases of local inflammation, a curious sort of cupping is practised.
The surgical treatment is early and free removal of the affected tissues, after which the wound is cauterised by the actual cautery, and sponged over with pure carbolic acid. The cavity is packed with iodoform gauze, no attempt being made to close the wound.
As a rule, the fistula is dilated by a tent of alder-pith, mandragora, briony or gentian, the lining membrane destroyed by an ointment of quick-lime or even the actual cautery, and the wound then dressed with egg-albumen followed by the unguentum viride. Necrosed bone is to be removed, if necessary, by deep incisions, and decayed teeth are to be extracted.
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