Drawings and Pharmacy in Al-Zahrawi's 10th-Century Surgical Treatise — John Shaqi
Drawings and Pharmacy in Al-Zahrawi's 10th-Century Surgical TreatiseHamarneh, Sami Khalaf
History
Drawings and Pharmacy in Al-Zahrawi's 10th-Century Surgical Treatise
Hamarneh, Sami Khalaf
Pharmacy -- Early works to 1800
Al-Zahrāwī divides his surgical treatise into three sections (abwāb). In
the first section (56 chapters)[14] he elaborates upon the uses and
disadvantages of cautery in general. And on the ground that "fire
touches only the ailing part ... without causing much damage to
surrounding area," as caustic medicine does, he prefers cautery by fire
(al-kay bi al-nār) to cautery by medicine (bi al-dawā).[15] This, he
adds, "became clear to us through lifelong experience, diligent
practice, and thorough investigations of facts."[16]
[Illustration: Figure 9.--Metal nose dropper. _Top_, from
original Arabic manuscript (Tüb. MS. 91), courtesy
Universitätsbibliothek Tübingen. _Middle_, from Channing,
_Albucasis_ (_Smithsonian photo 46891-C_). _Bottom_, from
Sudhoff, _Chirurgie_, courtesy National Library of
Medicine.]
He also proposes that instruments made of iron are more practical in
many ways than those made of gold, because often, when gold instruments
are put in fire, they either are not heated enough or are overheated,
causing the gold to melt.
[Illustration: Figure 10.--Dental scrapers. _Top_, from
original Arabic manuscript (Vel. 2491), courtesy Süleymaniye
Umumi Kütüphanesi Müdürlüğü. _Left_, from Argellata 1531,
courtesy National Library of Medicine. _Right_, from
Channing, _Albucasis_.]
Al-Zahrāwī gently refutes the superstition that cautery is "good only in
springtime," and states that "under the right conditions of the body’s
humors it could be used in all seasons."[17] Although he recommends
cautery rather highly, he never minimizes the importance of treatment
by drugs. Actually, he encourages the use of drugs, before, with, and
after cauterization.[18] For example, in chapter 16 on "the
cauterization of eyelid when its hair grows reversedly into the eye," he
recommends treatment by cautery and by medicine. In cautery, the area
where fire is to be placed is marked with ink in the shape of a myrtle
leaf. In drug treatment, the caustic medicine is applied to the eyelid
over a paper in the shape of a myrtle leaf (fig. 2).
[Illustration: Figure 11.--Dental forceps. _Top_, from
original Arabic manuscript (Tüb. MS. 91), courtesy
Universitätsbibliothek Tübingen. _Bottom_, from Leclerc,
_Abulcasis_.]
In chapter 17 the author refers to an ancient method regarding cautery
of the fistula in the inner corner of the eye. After incising the
fistula, one "dirham" (derived from the Greek "drachma," which is equal
to about 2.97 grams)[19] of melted lead is poured into it through a fine
funnel used for cauterization (fig. 3).
[Illustration: Figure 12.--Golden bridge to stabilize shaky
teeth. _Top_, from original Arabic manuscript (Tüb. MS. 91),
courtesy Universitätsbibliothek Tübingen. _Left_, from
Argellata 1531, courtesy National Library of Medicine.
_Right_, from Channing, _Albucasis_.]
Public-domain text, read in full here on John Shaqi.
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