Old-Time Makers of Medicine: The Story of The Students And Teachers of the Sciences Related to Medicine During the Middle AgesWalsh, James J. (James Joseph)
History
Old-Time Makers of Medicine: The Story of The Students And Teachers of the Sciences Related to Medicine During the Middle Ages
Walsh, James J. (James Joseph)
Medicine, Medieval; Physicians
It is impossible to give any adequate idea of the thoroughly practical
character of Rhazes' medical writing in a few lines, but it may suffice
to say that there is scarcely any feature of modern medicine and surgery
that he does not touch, and oftener than not his touch is sure and
rational and frequently much better than the advice of successors long
after him in the same matters. An example or two will suffice to
illustrate this. In the treatment of nasal polyps he says that whenever
drug treatment of these is not successful, they should be removed with a
snare made of hair. For fall of the uvula he suggests gargles, but when
these fail he advises resection and cauterization. Among the affections
of the tongue he numbers abscess, fissure, ulcer, cancer, ranula,
shortening of the ligaments, hypertrophy, erythema of the mucous
membrane, and inflammatory swelling. In general his treatment of the
upper respiratory tract is much farther advanced than we might think
possible at this time. He advises tracheotomy whenever there is great
difficulty of respiration, and describes how it should be done. After
the dyspnea has passed the edges of the wound should be brought together
with sutures. It is not surprising, then, to find that the treatment of
fractures and luxations is eminently practical, and, indeed, on any
subject that he touches he throws practical light.
In the introduction to his edition of the works of Ambroise Pare,
Malgaigne says that the first reference to a metal band in connection
with trusses is to be found in Rhazes. Hernia was, of course, one of the
serious ailments that, because of its superficial character, was rather
well understood, and so it is not surprising to find that much of our
modern treatment of it was anticipated. The manipulations for taxis, the
use of a warm bath for the relaxation of the patient by means of heat
and by putting the head and feet higher than the abdomen while in the
bath, and the employment of various kinds of trusses to prevent
strangulation of the hernia recur over and over again, in the authors of
the Middle Ages. Many of the suggestions are to be found in the early
Greek authors, but subsequent writers give a certain personal expression
to them which shows how much they had learned by personal observation in
the employment of various methods.
Public-domain text, read in full here on John Shaqi.
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