if possible. If the fracture be in its cartilaginous part, introduce
into the nostrils a tent formed of caddis, inclosed in the outer skin
of a Carthaginian hide, or anything else which does not irritate;
the skin is to be glued to the parts displaced, which are to be thus
rectified. Bandaging in this case does mischief. The treatment is
to consist of flour with manna, or of sulphur with cerate. You will
immediately adjust the fragments, and afterward retain them in place
with your fingers introduced into the nostrils, and turning the parts
into place; then the Carthaginian skin is to be used. Callius forms
even when there is a wound; and the same things are to be done, even
when there is to be exfoliation of the bones, for this is not of a
serious nature.


PART 3
In fractures of the ears, neither bandages nor cataplasms should be
used; or, if any bandage be used, it should be put on very tight;
the cerate and sulphur should be applied to agglutinate the bandages.
When matter forms in the ears, it is found to be more deeply seated
than might be supposed, for all parts that are pulpy, and consist
of juicy flesh, prove deceptious in such a case. But no harm will
result from making an opening, for the parts are lean, watery, and
full of mucus. No mention is here made of the places and circumstances
which render it fatal to make an opening. The cure is soonest effected
by transfixing the ear with a cautery; but the ear is maimed and diminished
in size, if burned across. If opened, one of the gentle medicines
for flesh wounds should be used as a dressing.


PART 4
The jaw-bone is often slightly displaced (subluxated?), and is restored
again; it is dislocated but rarely, especially in gaping; in fact,
the bone is never dislocated unless it slips while the mouth is opened
wide. It slips, however, the more readily from its ligaments being
oblique, supple, and of a yielding nature. The symptoms are: the lower
jaw protrudes, it is distorted to the side opposite the dislocation,
and the patient cannot shut his mouth; when both sides are dislocated,
the jaw projects more, the mouth can be less shut, but there is no
distortion; this is shown by the rows of the teeth in the upper and
lower jaw corresponding with one another. If, then, both sides be
dislocated, and not immediately reduced, the patient for the most
part dies on the tenth day, with symptoms of continued fever, stupor,
and coma, for the muscles there induce such effects; there is disorder
of the bowels attended with scanty and unmixed dejection; and the
vomitings, if any, are of the same character. The other variety is
less troublesome. The method of reduction is the same in both:-The
patient being laid down or seated, the physician is to take hold of
his head, and grasping both sides of the jaw-bone with both hands,
within and without, he must perform three manoeuvres at once,-rectify
the position of the jaw, push it backward, and shut the mouth. The
treatment should consist of soothing applications, position, and applying
a suitable bandage to support the jaw-bone, so as to cooperate with
the reduction.


PART 5
The bone of the shoulder is dislocated downward. I have never heard
of any other mode. The parts put on the appearance of dislocation
forward, when the flesh about the joint is wasted during consumption,
as also seems to be the case with cattle when in a state of leanness
after winter. Those persons are most liable to dislocations who are
thin, slender, and have humidities about their joints without inflammation,
for it knits the joints. Those who attempt to reduce and rectify dislocations
in oxen, commit a blunder, as forgetting that the symptoms arise from