Note 25 — Chapter VI · Industry, Commerce, and Social Organization; Fights, Wounds and Trepanation.
N. D'Anvers translation
Beneath the Bougon dolmen (Deux-Sèvres), in the west of France, was found a skull, and at Lizières in the same department, the skeleton of a tall old man with a dolichocephalic skull and platycnemic tibiæ bearing traces of old wounds badly healed. The bony tissue of the skull was in an unhealthy state and the trepanation had evidently been part of medical treatment. At Saint-Martin-la-Riviére (Vienna), a tomb dating from Neolithic times contained five trepanned crania, on one of which the perforation had been made by scraping. In this tomb was also found a round piece of skull with a hole in it, which had doubtless been used as a pendant. The other objects found in this sepulchre were of a remarkable character, and included hatchets made of coralline limestone, jade, fibrolite, and serpentine, the blades of flint knives, arrows, some feathered, others stalked, some necklace beads, and a number of vases, some apodal, others with flat stands, and nearly all without any attempt at ornamentation. Beneath a dolmen near St. Affrique, M. Cartailhac discovered a skull with two holes in it; one near the bregma, which had been made during life, and the other on a level with the lambda, which had not been made until after death.25 We cannot now note the important conclusions founded on these two perforations, we must be content with adding here that the tomb contained four other skeletons with crania showing no trace of trepanation; the tibiae were platycnemic and the humeri had the so-called perforation of the olecranon farces, which certain anthropologists, as I think without sufficient reason, consider characteristic of inferior races. We must mention yet one more discovery which it will not do to omit. A human parietal with a piece missing that had evidently been taken out, was found beneath the rock-shelter of Entre-Roches near Angoulême. The skull bore very evident traces of the performance of an operation which may or may not have been executed during life. Was it done to remove the diseased bone—for it was diseased—in the hope of prolonging life? Did the patient die under the hands of the surgeon, or was the piece of bone taken out after death to be used as an ornament or an amulet? Any one of these hypotheses is possible, and all we can say for certain is that there is no sign of the wound having been healed in any way. This is a common thing enough, and the interest of the discovery arises from a different cause. The rock-shelter of Entre-Roches is supposed to date from Paleolithic times, and if it were certain that there has been no displacement of the soil on which the parietal was found, it is to be concluded that trepanation was practised in the Quaternary period when man was living amongst the large extinct pachydermata and felidæ. But it will be difficult to admit this unless other discoveries confirming it are made. If, however, we cannot prove that trepanation was practised in France in Palæolithic times, we can assert that it was continued down to the earliest centuries of the Christian era. One remarkable case of trepanation was found, for instance, in the Merovingian cemetery near St. Quentin; and a trepanned skull was recently exhibited at a meeting of the Anthropological Society in Paris, which had been found beneath a Merovingian tomb at Jeuilly. The patient had long survived his wound. The skeleton was found in a stone trough, narrower at the foot than at the head. The skeleton of a man between forty and fifty years of age was found in a Frank cemetery at Limet, near Liège. On the left parietal of the skull was an oval hole as big as a pigeon’s egg, bearing traces of having been medically treated. The patient, like the man of Jeuilly, certainly survived the operation. His tomb, as were the resting-places of his neighbors in death, was covered over with a huge unhewn stone, and beside him lay another skeleton. A few nails and bits of wood were the only things found in the tomb. We may also mention the skeleton of a Frank of between fifty-five and sixty-five years of age with a trepanned skull, found by M. Pilloy, in a cemetery of the St. Quentin arrondissement, which also contained numerous objects dating from the sixth century A.D.