A History of Science — Volume 1Williams, Henry Smith
History
A History of Science — Volume 1
Williams, Henry Smith
Science -- History
An example of Roman practicality is shown in the method of treating
hemorrhage, as described by Aulus Cornelius Celsus (53 B.C. to 7 A.D.).
Hippocrates and Hippocratic writers treated hemorrhage by application of
cold, pressure, styptics, and sometimes by actual cauterizing; but they
knew nothing of the simple method of stopping a hemorrhage by a ligature
tied around the bleeding vessel. Celsus not only recommended tying the
end of the injured vessel, but describes the method of applying two
ligatures before the artery is divided by the surgeon--a common practice
among surgeons at the present time. The cut is made between these two,
and thus hemorrhage is avoided from either end of the divided vessel.
Another Roman surgeon, Heliodorus, not only describes the use of
the ligature in stopping hemorrhage, but also the practice of
torsion--twisting smaller vessels, which causes their lining membrane to
contract in a manner that produces coagulation and stops hemorrhage. It
is remarkable that so simple and practical a method as the use of the
ligature in stopping hemorrhage could have gone out of use, once it had
been discovered; but during the Middle Ages it was almost entirely lost
sight of, and was not reintroduced until the time of Ambroise Pare, in
the sixteenth century.
Even at a very early period the Romans recognized the advantage of
surgical methods on the field of battle. Each soldier was supplied with
bandages, and was probably instructed in applying them, something in the
same manner as is done now in all modern armies. The Romans also made
use of military hospitals and had established a rude but very practical
field-ambulance service. "In every troop or bandon of two or four
hundred men, eight or ten stout fellows were deputed to ride immediately
behind the fighting-line to pick up and rescue the wounded, for which
purpose their saddles had two stirrups on the left side, while they
themselves were provided with water-flasks, and perhaps applied
temporary bandages. They were encouraged by a reward of a piece of gold
for each man they rescued. 'Noscomi' were male nurses attached to the
military hospitals, but not inscribed 'on strength' of the legions, and
were probably for the most part of the servile class."(6)
Public-domain text, read in full here on John Shaqi.
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