After Bruno, who brought with him the methods and principles of surgery
from the South of Italy, his contemporary of the North, Hugh of Lucca--Ugo
da Lucca, or Luccanus, as he is also called--deserves to be mentioned. He
was called to Bologna in 1214 as City Physician, and was with the regiment
of crusaders from Bologna at Damietta in 1220. He returned to Bologna in
1221 and occupied the post of legal physician. The Civic Statutes of
Bologna are, according to Gurlt, the oldest monument of legal medicine in
the Middle Ages. Hugh seems to have been deeply intent on chemical
experiments, and especially anodyne and anæsthetic drugs. He is said to
have been the first to have taught the sublimation of arsenic. Like many
another distinguished practitioner of medicine and surgery, he left no
writings. All that we know of him and his work, and above all his
technique, we owe to the filial devotion of his son Theodoric.
Anæsthesia is perhaps an even greater surprise in the Middle Ages than
practical antisepsis. A great many of these surgeons of the time seem to
have experimented with substances that might produce anæsthesia.
Mandragora was the base of most of these anæsthetics, though a combination
with opium seems to have been a favourite. They succeeded apparently, even
with such crude means, in producing insensibility to pain without very
serious dangers. One of these methods of Da Lucca was by inhalation, and
seems to have been in use for a full century. Guy de Chauliac describes
the method as it was used in his day, and a paragraph with regard to it
will be found in the chapter on Surgeons of the West of Europe. It is
quite clear that the extensive operations which are described in their
textbooks of surgery at this time could not possibly have been performed,
only that the surgeons were able to secure rather a deep and prolonged
insensibility to pain. With anæsthesia combined with antisepsis, it is
easy to understand how well equipped the surgeons of this time were for
the development of their speciality.
Public-domain text, read in full here on John Shaqi.
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