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
Vesalius' translation of Rhazes was probably undertaken because he
recognized in him a kindred spirit of original investigation and
inquiry, whose work, because it was many centuries old, would command
the weight of an authority and at the same time help in the controversy
over Galenic questions. This, of itself, would be quite enough to make
the reputation of Rhazes, even if we did not know from the writings
themselves and from the admiration of many distinguished men as well as
the incentive that his works have so often proved to original
observation, that he is an important link in the chain of observers in
medicine, who, though we would naturally expect them to be so frequent,
are really so rare.
ALI ABBAS
Rhazes lived well on into the tenth century. His successor in prestige,
though not his serious rival, was Ali Ben el-Abbas, usually spoken of in
medical literature as Ali Abbas, a distinguished Arabian physician who
died near the end of the tenth century. He wrote a book on medicine
which, because of its dedication to the Sultan, to whom he was
body-physician, is known as the "Liber Regius," or "Royal Book of
Medicine." This became the leading text-book of medicine for the Arabs
until replaced by the "Canon of Avicenna" some two centuries later. The
"Liber Regius" was an extremely practical work and, like most of the
Arabian books of the early times, is simple and direct, quite without
many of the objectionable features that developed later in Arabian
medicine. It is valuable mainly for its contributions to diet and the
fact that Ali Abbas tested many of his medicines on ailing animals
before applying them to men. Of course, it owes much to earlier writers
on medicine, and especially to Paul of AEgina.
An example of its practical value is to be found in his description of
the treatment of a wound of the brachial artery, when, as happened often
in venesection from the median basilic vein, it was injured through
carelessness or inadvertence. If astringent or cauterizing methods do
not stop the bleeding, the artery should be exposed, carefully isolated,
tied in two places above and below the wound, and then cut across
between them. He has many similar practical bits of technique. For
instance, in pulling a back tooth he recommends that the gums be incised
so as to loosen them around the roots, and then the tooth itself may be
drawn with a special forceps which he calls a molar forceps. In ascites
he recommends that when other means fail an opening should be made three
finger-breadths below the navel with a pointed phlebotomy knife, and a
portion of the fluid allowed to evacuate itself. A tube should then be
inserted, but closed. The next day more of the fluid should be allowed
to come away, and then the tube removed and the abdomen wrapped with a
firm bandage.
Public-domain text, read in full here on John Shaqi.
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