wrote in 1923:
Here in this atmosphere free from the lunch room odor my
armamentarium consists of drugs and preparations from the vegetable,
mineral and animal kingdoms. Among the latter are leeches,
prominently displayed in a number of glass jars in different parts of
the store, including one in the show window. Anything moving,
anything odd, arouses the curiosity of the public, and my reputation
as a "leecher" has spread far beyond the "City of Churches." Besides,
this leech business is also profitable, as they are retailed at $1.00
per head without any trouble; in fact patients are only too glad to
be able to obtain them.[194]
Veterinary Bloodletting
The same theories and practices that prevailed for human medicine were
applied to the treatment of animals. Not only were horses routinely bled,
they were also cupped and leeched.[195] Manuals of veterinary medicine
gave instructions for the bleeding of horses, cows, sheep, pigs, dogs, and
cats.[196]
There was one major difference between bleeding a man and bleeding a horse
or cow, and that was the amount of strength required to open a vein. The
considerable force needed to pierce the skin and the tunic of the blood
vessel made the operation much more difficult to perform than human
phlebotomy.[197] As in the case of cupping, the simplest instruments,
those most often recommended by experts, were not easy to use by those
without experience. Although a larger version of the thumb lancet was
sometimes employed, most veterinarians opened the vein of a horse with a
fleam, that is, an instrument in which the blade (commonly double beveled)
was set at right angles to the blade stem. These are enlarged versions of
the fleam employed in human bloodletting. The fleams sold in the
eighteenth and nineteenth centuries consisted of one or more blades that
folded out of a fitted brass shield. In the late nineteenth century fleams
with horn shields were also sold. The largest blades were to be used to
open the deeper veins and the smaller blades to open the more superficial
veins.
To force the fleam into the vein, one employed a bloodstick, a stick 35-38
cm long and 2 cm in diameter. The blade was held against the vein and a
blow was given to the back of the blade with the stick in such a way that
the fleam penetrated but did not go through the vein. Immediately the
fleam was removed and a jet of blood came forth that
|