m what cannot but be considered rather extensive operations
within the oral cavity. For instance, he tells of removing a large
epulis and gives an account in detail of the case. To quote his own
words: "I cured a certain woman from Piacenza who was suffering from
fleshy tumor on the gums of the upper jaw, the tumor having grown to
such a size above the teeth and the gums that it was as large or perhaps
larger than a hen's egg. I removed it at four operations by means of
heated iron instruments. At the last operation I removed the teeth that
were loose with certain parts of the jawbone."
In the next chapter there is an account of the treatment of a remarkable
case of abscess of the uvula. In the following chapter the swelling of
cervical glands is taken up. In his experience expectant treatment of
these was best. He advises internal medication with the building up of
the general health, or suggests allowing the inflamed glands to empty
themselves after pustulation. After much meddlesome surgery we are
almost back to his methods again. He did not hesitate to treat goitre
surgically, though he considered there were certain internal remedies
that would benefit it. In obstinate cases he suggests the complete
extirpation of cystic goitre, but if the sac is allowed to remain it
should be thoroughly rubbed over on the inside with green ointment. He
warns about the necessity for avoiding the veins and arteries in this
operation, and says that "in this affection many large veins make their
appearance and they find their way everywhere through the fleshy mass."
What I have given here is to be found in a little more than half a page
of Gurlt's abstract of the first twenty chapters of Salicet's first
book. Altogether Gurlt has more than ten pages of rather small print
with regard to William; most of it is as interesting and as practical
and as representative of anticipations of what is done in the modern
time as what I have here quoted. William, as I have said, depended much
more upon his own experience than upon what was to be found in
text-books. He knew the old text-books very well however, but as a rule
did not quote from them unless he had tried the recommendations for
himself, or unless similar cases to these mentioned had come under his
own observation. He was evidently a thoroughly observant physician, a
skilled surgeon who was practical enough to see the simplest way to do
things, and he proceeded to do them. It is no won
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