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On The Articulations   


displaced bones may meet at the middle and side of the foot; and the
mass of the toes, with the great toe, are to be inclined inward, and
retained so; and the parts are to be secured, with cerate containing a
full proportion of resin, with compresses, and soft bandages
insufficient quantity, but not applied too tight; and the turns of the
bandages should be in the same direction as the rectifying of the foot
with the hand, so that the foot may appear to incline a little
outward. And a sole made of leather not very hard, or of lead, is to
be bound on, and it is not to be applied to the skin but when you
are about to make the last turns of the bandages. And when it is all
bandaged, you must attach the end of one of the bandages that are used
to the bandages applied to the inferior part of the foot on the line
of the little toe; and then this bandage is to be rolled upward in
what is considered to be a sufficient degree, to above the calf of the
leg, so that it may remain firm when thus arranged. In a word, as if
moulding a wax model, you must bring to their natural position the
parts which were abnormally displaced and contracted together, so
rectifying them with your hands, and with the bandaging in like
manner, as to bring them into their position, not by force, but
gently; and the bandages are to be stitched so as to suit the position
in which the limb is to be placed, for different modes of the
deformity require different positions. And a small shoe made of lead
is to be bound on externally to the bandaging, having the same shape
as the Chian slippers had. But there is no necessity for it if the
parts be properly adjusted with the hands, properly secured with the
bandages, and properly disposed of afterward. This, then, is the
mode of cure, and it neither requires cutting, burning, nor any
other complex means, for such cases yield sooner to treatment than one
would believe. However, they are to be fairly mastered only by time,
and not until the body has grown up in the natural shape; when
recourse is had to a shoe, the most suitable are the buskins, which
derive their name from being used in traveling through mud; for this
sort of shoe does not yield to the foot, but the foot yields to it.
A shoe shaped like the Cretan is also suitable.

63. In cases of complete dislocation at the ankle-joint, complicated
with an external wound, whether the displacement be inward or outward,
you are not to reduce the parts, but let any other physician reduce
them if he choose. For this you should know for certain, that the
patient will die if the parts are allowed to remain reduced, and
that he will not survive more than a few days, for few of them pass
the seventh day, being cut off by convulsions, and sometimes the leg
and foot are seized with gangrene. It should be well known that such
will be the results; and it does not appear to me that hellebore
will do any good, though administered the same day, and the draught
repeated, and yet it is the most likely means, if any such there be;
but I am of opinion that not even it will be of service. But if not
reduced, nor any attempts at first made to reduce them, most of such
cases recover. The leg and foot are to be arranged as the patient
wishes, only they must not be put in a dependent position, nor moved
about; and they are to be treated with pitched cerate, a few
compresses dipped in wine, and not very cold, for cold in such cases
induces convulsions; the leaves also of beet, or of colt's foot, of
any such, when boiled in dark-colored austere wine, form a suitable
application to the wound and the surrounding parts; and the wound
may further be anointed with cerate in a tepid state. But if it be the
winter season, the part is to be covered with unscoured wool, which is
to be sprinkled from above with tepid wine and oil, but on no
account is either bandage or compress to be applied; for this should
be known most especially, that whatever compresses, or is heavy,
does mischief in such cases. And certain of the dressings used to
recent wounds are suitable in such cases; and wool may be laid upon
the sore, and sprinkled with wine, and allowed to remain for a
considerable time; but those dressings for recent wounds which only

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