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The Prague Museum possesses two crania found at Bilin in Bohemia; one, of a pronounced dolichocephalic type, has near the middle of the right parietal an opening measuring one and a half by two and a third inches; the cicatrization is complete, and trepanation was evidently performed long before death. The other is mesaticephalic, and bears a round opening about one and a half inches in diameter.
The prostate was considerably contused. After two months of suffering the patient recovered, being able to evacuate his urine through a fistulous opening that had formed. In ten weeks cicatrization was perfect. In his "Memoirs of the Campaign of 1811," Larrey describes a soldier who, while standing with his legs apart, was struck from behind by a bullet.
Herbert's wounds, covered with compresses and lint, were pressed neither too much nor too little, so as to cause their cicatrization without effecting any inflammatory reaction.
The women are usually more liberally marked than the men. Cicatrization is popular in various parts of Central Africa but nowhere to the degree that it prevails on the Congo River and among the Bangalas, where it is a tribal mark. I observed women whose entire bodies from the ankles up to the head were one mass of cicatrized designs. One of the favorite areas is the stomach.
The reference to cicatrization brings to mind another distinctive Central African observance. I refer to the ceremony of blood brotherhood. When two men, who have been enemies, desire to make the peace and swear eternal amity, they make a small incision in one of their forearms sufficiently deep to cause the flow of blood.
The subject had been trepanned in childhood or early youth. There could be no doubt on that point; cicatrization had been complete, the bony tissue having returned to its original condition.
He extracted this, and, until cicatrization was complete, he dressed the stump with saturnine cerate. Some months afterward Ormangey saw with astonishment that the nail had been reproduced; instead of following the ordinary direction, however, it lay directly over the face of the stump, growing from the back toward the palmer aspect of the stump digit, as if to cover and protect the stump.
Professor Parrot mentions a case worth quoting. One of the crania had been trepanned, the position of the operation showing that its object had been to treat an osteitis. The operation had succeeded, and the cicatrization of the bones, both about the wound and in the parts originally affected, shows that recovery was complete.
Her modesty forbade her summoning medical aid for three days, during which time the wound was undergoing most primitive treatment. After suturing, cicatrization followed without delay. Trompert mentions a case of rupture of the vagina by the horn of a bull. There is a case recorded in the Pennsylvania Hospital Reports of a girl of nineteen who jumped out of a second-story window.
The next change is that of desiccation or mummification; the cord becomes reddish-brown, then flattened and shrivelled, then translucent and of the colour of parchment, and falls off about the fifth day. The third stage, that of cicatrization, then ensues about the tenth to the twelfth day.
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