§1313.
13.
Περὶ δὲ ἰήσιος τρωσίων τῶν ἐν τῇ κεφαλῇ, καὶ ὡς χρὴ ἐξελέγχειν τὰς πάθας τὰς ἐν τῷ ὀστέῳ γινομένας τὰς μὴ φανερὰς, ὧδέ μοι δοκέει.
Concerning the treatment of wounds in the head, and how one must investigate the injuries occurring in the bone which are not manifest, my opinion is as follows.
Ἕλκος ἐν τῇ κεφαλῇ οὐ χρὴ τέγγειν οὐδενὶ, οὐδὲ οἴνῳ, ἀλλ᾿ ὡς ἥκιστα· οὐδὲ καταπλάσσειν, οὐδὲ μοτῷ τὴν ἴησιν ποιέεσθαι, οὐδ᾿ ἐπιδεῖν χρὴ ἕλκος ἐν κεφαλῇ, ἢν μὴ ἐν τῷ μετώπῳ ᾖ τὸ ἕλκος, ἐν τῷ ψιλῷ τῶν τριχῶν, ἢ περὶ τὴν ὀφρὺν καὶ τὸν ὀφθαλμόν.
One must not wet a wound in the head with anything, not even with wine, but as little as possible; nor is it proper to apply plasters, nor to perform the treatment with lint, nor to bandage a wound in the head, unless the wound is in the forehead, on the part bare of hair, or about the eyebrow and the eye.
Ἐνταῦθα δὲ γινόμενα τὰ ἕλκεα καταπλάσιος καὶ ἐπιδέσιος μᾶλλον κέχρηται ἤ κου ἄλλοθι τῆς κεφαλῆς τῆς ἄλλης.
For the wounds occurring here require plasters and bandaging more than anywhere else on the rest of the head.
Περιέχει γὰρ ἡ κεφαλὴ ἡ ἄλλὴ τὸ μέτωπον πᾶν· ἐκ δὲ τῶν περιεχόντων τὰ ἕλκεα, καὶ ἐν ὅτῳ ἂν ᾖ τὰ ἕλκεα, φλεγμαίνει καὶ ἐπανοιδίσκεται δι᾿ αἵματος ἐπιῤῥοήν.
For the rest of the head surrounds the whole forehead; and from the surrounding parts of the wounds, and in whatever part the wounds may be, it inflames and swells up because of the influx of blood.
Χρὴ δὲ οὐδὲ τὰ ἐν τῷ μετώπῳ διὰ παντὸς τοῦ χρόνου καταπλάσσειν καὶ ἐπιδεῖν, ἀλλ᾿ ἐπειδὰν παύσηται φλεγμαίνοντα, καὶ τὸ οἴδημα καταστῇ, παύσασθαι καταπλάσσοντα καὶ ἐπιδέοντα.
But one must not even plaster and bandage those in the forehead all the time, but when they cease to be inflamed and the swelling has subsided, one must stop plastering and bandaging.
Ἐν δὲ τῇ ἄλλῃ κεφαλῇ ἕλκος οὔτε μοτοῦν χρὴ, οὔτε καταπλάσσειν, οὔτ᾿ ἐπιδεῖν, εἰ μὴ καὶ τομῆς δέοιτο.
But in the rest of the head, one must neither apply lint to a wound, nor plaster it, nor bandage it, unless it also requires cutting.
Τάμνειν δὲ χρὴ τῶν ἑλκέων τῶν ἐν τῇ κεφαλῇ γινομένων, καὶ ἐν τῷ μετώπῳ, ὅκου ἂν τὸ μὲν ὀστέον ψιλὸν ᾖ τῆς σαρκὸς, καὶ δοκέῃ τι σίνος ἔχειν ὑπὸ τοῦ βέλεος, τὰ ἕλκεα μὴ ἱκανὰ τὸ μέγεθος τοῦ μήκεος καὶ τῆς εὐρύτητος ἐς τὴν σκέψιν τοῦ ὀστέου, εἴ τι πέπονθεν ὑπὸ τοῦ βέλεος κακὸν, καὶ ὁκοῖόν τι πέπονθε, καὶ ὅσον μὲν ἡ σὰρξ πέφλασται, καὶ τὸ ὀστέον ἔχει τὸ σίνος, καὶ δ᾿ αὖ εἰ ἀσινές τέ ἐστι τὸ ὀστέον ὑπὸ τοῦ βέλεος, καὶ μηδὲν πέπονθε κακὸν, καὶ ἐς τὴν ἴησιν, ὁκοίης τινὸς δεῖται τό τε ἕλκος, ἥ τε σὰρξ, καὶ ἡ πάθη τοῦ ὀστέου Τὰ δὴ τοιαῦτα τῶν ἑλκέων τομῆς δεῖται.
And one must cut those of the wounds occurring in the head and in the forehead, where the bone is bare of flesh and seems to have some injury from the missile, which are not of sufficient size in length and width for the inspection of the bone—as to whether it has suffered any mischief from the missile, and what kind of mischief it has suffered, and how much the flesh has been bruised, and whether the bone has the injury, or on the contrary, if the bone is uninjured by the missile and has suffered no mischief—and for the treatment, what kind of treatment the wound, the flesh, and the injury of the bone require. Such wounds indeed require cutting.
Καὶ ἂν μὲν τὸ ὀστέον ψιλωθῇ τῆς σαρκὸς, ὑπόκοιλα δὲ ᾖ ἐς πλάγιον ἐπιπολὺ, ἐπανατάμνειν τὸ κοῖλον, ὅκου μὴ εὐχερὲς τῷ φαρμάκῳ ἐφικέσθαι, ὁκοίῳ ἄν τινι χρῇ· καὶ τὰ κυκλοτερέα τῶν ἑλκέων καὶ ὑπόκοιλα ἐπὶ πουλὺ καὶ τὰ τοιαῦτα, ἐπανατάμνων τὸν κύκλον διχῆ κατὰ μῆκος, ὡς πέφυκεν ὥνθρωπος, μακρὸν ποιέειν τὸ ἕλκος.
And if the bone is bared of flesh, and is hollowed out underneath sideways to a great extent, one must cut open further the hollow space, where it is not easy for whatever medicine one uses to reach; and as for wounds that are circular and hollowed out underneath to a great extent, and others of this kind, one must make the wound long by cutting open the circle in two directions along the length, according to the natural structure of man.
Τάμνοντι δὲ κεφαλὴν, τὰ μὲν ἄλλα τῆς κεφαλῆς ἀσφαλείην ἔχει ταμνόμενα· ὁ δὲ κρόταφος, καὶ ἄνωθεν ἔτι τοῦ κροτάφου, κατὰ τὴν φλέβα τὴν διὰ τοῦ κροτάφου φεφομένην, τοῦτο δὲ τὸ χωρίον μὴ τάμνειν.
But when cutting the head, the other parts of the head are safe to be cut; but the temple, and even above the temple, along the vein that runs through the temple—this region one must not cut.
Σπασμὸς γὰρ ἐπιλαμβάνει τὸν τμηθέντα· καὶ ἢν μὲν ἐπ᾿ ἀριστερὰ τμηθῇ κροτάφου, τὰ ἐπὶ δεξιὰ ὁ σπασμὸς ἐπιλαμβάνει· ἤν δ᾿ ἐπὶ τὰ δεξιὰ τμηθῇ κροτάφου, τὰ ἐπ᾿ ἀριστερὰ ὁ σπασμὸς ἐπιλαμβάνει.
For spasm seizes the one who is cut; and if he is cut on the left side of the temple, the spasm seizes the parts on the right; and if he is cut on the right side of the temple, the spasm seizes the parts on the left.