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A67814 Wounds of the brain proved curable not only by the opinion and experience of many (the best) authors, but the remarkable history of a child four years old cured of two very large depressions, with the loss of a great part of the skull, a portion of the brain also issuing thorough [sic] a penetrating wound of the dura and pia mater / published for the encouragement of young chirurgeons, and vindication of the author James Yonge. Yonge, James, 1647-1721. 1682 (1682) Wing Y43; ESTC R5954 25,665 157

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infirmity but a wan face and that not considerable resulting rather from his constitution than sickness being no other than he had before he was hurt Thus have I finshed the History of fact and success I must beg my Readers permission to make a few Remarks thereon they are such as I hope may compensate for the time and trouble of a perusal First therefore we will look back and consider the greatness and plurality of the wounds and fractures the loss of so large a piece of the Skull the wounds of the Dura and Pia Mater and of the Brain together with the loss of part of it the coldness of the Season a most injurious time for such an accident the hereditary infirmness and age of the Patient and confess it 's not usual to have such an accumulation of very ill accidents and circumstances to be not only accompanied with such slight symptoms but recovered so fortunately This is a suggestion which I make not vain-gloriously but to document and encourage young Practitioners that they be resolute not despairing of success in cases that seem the most difficult To give a favourable Prognostick where there is apparent danger is rashness and frequently discredits the Artist I would not put courage into his tongue by this Inference but hope and vigorous vigilance into his heart and hand and how terrible and discouraging soever the Case be to proceed strenuously as if there were the greatest probability of success No mischief only a little disappointment can be the worst effect of a couragious endeavour but many and great evils have been the result of despair and great and stupendous the success and benefit that have attended a couragious and resolute Undertaker Despair the great Enemy to all Atchievements and remora to improvement of all good things Courage the great Discoverer and Columbus of Art a temper to which the most noble acquisitions not in War only but in useful knowledge are owing Neglect is the consequence of despair for men do but by halves what they think is impossible to be finish'd whence they too truly verifie their own Prognostick G. Fallop cap. 45. lib. expos Hip. de Vulner Sennertus p.m. lib. 1. part 1. c. 23. whereas hope and courage with a diligent use of proper remedies might have saved the Patient Hildanus Obs cent 1. obs 13. Exempl 4. cent 4. obs 2. And this I find to be the advice many Authors infer from the Cure of wounds in the Brain Itaque nunquam derelinquatis aegros semper sprerate salutem Nothing hath been more the Parent of despair or benum'd mens courage and endeavours so much as the Maxims and Prognosticks of former especially the first Writers if such as are delivered down to us with great Name and Character for then they seem confirmed by universal consent and constant Tradition Macrobius Langius and others speak idolatrously of Hippocrates and a more modern Physician little less calling his Aphorisms and Predictions Heurnius Com. in Aphor. Hippocrat Books full of Divine Oracles Indeed among all the first Physicians Hippocrates and Galen are of the biggest Name and most continued and deserved repute the former so happy to escape the censure and have the praise of him that ranted all that were before this Age Helmont and spared very few in it and yet it cannot be denied that some of his Aphorisms are not only contradicted by daily experience but confessed fallible by his many Expositors and Commentators although such as extravagantly admired him I will instance but in two or three on one of which I shall remark at large as being that which seemeth to have been the Parent of this Principle I am labouring to destroy Indeed the high veneration I have for so great a name as his to whom the Art of healing is so much a Debtor renders it uneasie to me to object against any thing he hath delivered Sed magis amica veritas Sect. 5. Aphor. 31. Mulier utero gerens sanguine misso ex vena abortet Sect. 6. Aphor. 58. Si omentum excidat necessario putrescit Sect. 6. Aphor. 18. He that would see more of these let him read Sanctus Sanctorius Methodi vitandorum errorum omnium qui in arte medica contingunt especially lib. 1. cap. 31. Vesica descissa aut cerebro aut corde aut septo transverso aut aliquo ex tenuioribus intestinis aut ventriculo aut jecore lethale est Divers have been the ways his many Commentators have taken to expound this Aphorism and interpret the word lethale By it some would have us understand he meant that they are for the most part deadly others that there is danger of death and some that he means only large or very deep wounds of those pares vide the Comments of Galen Jacotius Brasavolus Chr. à Vega Fallopius Forestus Heurnius Fuchsius c. I shall note in general only That there are numerous instances against each part of this Aphorism produced by these Commentators by Tagaultius the German Vertuosi c. and betake my self to that especially therein which seems to authorize the Objections of my Adversary against what I have here delivered which is That Wounds of the Brain are absolutely mortal and incurable An opinion that so far obtained among even the remotest Successors of Hippocrates as to make some of them write after his Copy as J. de Vigo Mr. Woodall P. Lowe Paracelsus and Jaques Guilliameau though the last after he had so prognosticated without reserve in his Chapter of Wounds of the head concludes his Apology at the latter end of his whole Work with a prodigious Story of one cured by himself and others I fear to rely thereon so far as to despond and become negligent and consequently suffer to be lost the life of that Patient who by a man of other perswasions might have been preserved Such is the mischief of implicite credence and receiving for Oracles the Dixits of men who we all confess dyed before the most considerable and advantagious things in Anatomy Medicine and Chirurgery were born The folly and vanity of so doing in this Particular will be abundandy manifest when I come to reckon the Authors and Observations that are opposite to it But before I proceed to that I must make a necessary Note or two more for the benefit of my young Brother and observe to him the great advantage of sufficient breathing in fractures of the Skull or hurt of the parts within it for to no other but such a liberal and copious vent for the discharge of matter c. can be attributed the wonderful lenity or remisness of symptoms in this Child It 's usual for want of it to have vehement accidents Sopor Vomitings Convulsions Fevers intolerable headache haemorrhagies at the Nose Eyes Ears c. and all to vanish upon discharge given by a Trepan By this Observation more particularly I have seen the falshood or mistake of that Objection which H.