Speechlessness, however, affirmed in the diagnosis, is carefully based on the facts of the examination, as we see by rendering the statements concerned, just as they stand in examination and diagnosis: "If thou examines a man having a wound in the temple, ...; if thou ask of him concerning his malady and he speaks not to thee; ...; thou shouldst say concerning him, 'One having a wound in his temple, ... (and) he is speechless'.

The Edwin Smith Surgical Papyrus