Published online by Cambridge University Press: 13 August 2009
Just as broken bones can heal, so must it have seemed possible to the ancients that cut nerve could reunite and its function restored. Ancient authority is silent on this, but although not stating it explicitly, Galen's commentators in the Middle Ages suggested that he thought this to be so because of the prescriptions he gave for the treatment of nerve wounds that were aimed to bring about the “agglutination” of cut nerves. Paul of Aegina (seventh century) apparently followed Galen in using medications to promote agglutination, also mentioning suturing of divided nerves:
After the exposed nerve has been covered over, we must apply externally pledglets, with some of those things which are fitting for narrow wounds, such as that from euphorbium, or that from pigeon's dung, taking in also much of the sound parts. When the wound is transverse there is greater danger of convulsions, but everything relating to the cure is in this case the same, except that while the wound is recent some have used sutures and certain of the agglutinative applications; but the sutures must not be applied very superficially lest the part below remain ununited, but more deeply, taking care however that the nerve be not punctured by the needle. It is to be known once for all, that in wounds of the nerves the medicine which cures punctures being of a bitter nature, it is not possible to cure with it the division of the nerve, as the parts cannot endure pungency and inflammation. […]
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