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
One of the remarkable
observations made in this section is the description of the paralysis
caused by fracture of the spine.
[Illustration: Figure 20.--Splint "in the shape of a spoon
without a bowl." _Top_, from original Arabic manuscript
(Tüb. MS. 91), courtesy Universitätsbibliothek Tübingen.
_Bottom_, from Channing, _Albucasis_.]
Of interest to historians of medical therapy and pharmacy are the
recipes for poultices that al-Zahrāwī recommends for use over
fractured bones. For example, he gives the following recipe for one
such poultice: "Take the so-called 'mill’s dust' [ghubār al-rahā],
which is the part of the wheat flour that clings to the walls of the
mill during grinding [lubāb al-daqīq], and, without sifting away the
bran, knead with white-of-egg to a medium consistency, and apply."
Another, more elaborate, recipe calls for 10 dirhams each of the
roots of wild pomegranate [_Glossostemon bruguieri_ D.C.], chickling
vetch [the grass pea, _Lathymus sativus_], and white marshmallow; 5
dirhams each of myrrh and aloes; 6 dirhams of white gum Arabic
[_Acacia_]; and 20 dirhams of bole [friable earthy clay consisting
largely of hydrous silicates of aluminum and magnesium, usually
colored red because of impurities of iron oxide]. Procedure was to
pound all ingredients gently, pass them through a sieve, and knead
with water or white-of-egg (chapter 1).
[Illustration: Figure 21.--A splint to support the arm.
_Top_, from original Arabic manuscript (Cod. N.F. 476A),
courtesy Oesterreichische Nationalbibliothek. _Bottom_, from
Argellata 1531, courtesy National Library of Medicine.]
The question arises as to whether al-Zahrāwī did any human dissection.
The answer is uncertain because our knowledge of his life is
fragmentary. However, he gives no clue to the dissection of humans in
any of the 30 treatises of _al-Taṣrīf_--his only known writings--and
there is no evidence that he practiced it in secret. His upright
attitude as a Muslim who repeatedly emphasized his adherence to his
faith suggests that he relied completely on animal dissection and the
writings of his Greek-Roman and Islamic predecessors. Physicians in both
the Islamic domain and in Christendom for many centuries were hostile to
the idea of human dissection for any purpose because of their
traditional socio-religious convictions, considering it an unethical and
undignified practice. Perhaps it has been al-Zahrāwī’s original
contributions to surgery, his enthusiasm in emphasizing the value of
anatomical knowledge, and his recognition of the necessity that only
well-educated, well-trained doctors should perform surgery that have led
some medical historians to wonder whether he did human dissection at
some time in his long years of experience.
In Summary
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