Fractures.

ULMUS PUBESCENS
(Ind. He-wa-wa)

American Elm. We have seen that the beautiful elm was used by choice as a light, soft boat-building material. It played also a very useful and important part in the adjustment and healing of broken and fractured arms or legs. The work was very simple and effective. The patient was placed in bed, or what was known in those days as the un-wet, meaning bearskin mattress, to lie down and rest till the Indian runners returned from the forest with the stripped bark of the elm, which was very carefully selected and had to be free of woody knots, with the inner side of the bark as smooth as silk. These large strips were cut to mould and fit clear around the broken bones, then tied with wet buckskin. This was done to allow contraction of the buckskin with that of the green juicy bark of the elm, while the fevered and swollen joint absorbed the juice of the bark.

Care was taken to add more juice extracted from the tree to the bark strips to prevent quick contraction which would be very painful, due to swelling and counterpressure from the drying bark. The time involved in healing broken bones could well be considered two thirds of the time taken under the hands of modern skilled surgeons.

In parts of the country where the elm wasn’t available a freshly killed rabbit, its skin quickly removed and slipped onto the broken joint served equally as well, only it required more time to heal.