Sir James Young Simpson and Chloroform (1811-1870): Masters of MedicineGordon, H. Laing (Henry Laing)
History
Sir James Young Simpson and Chloroform (1811-1870): Masters of Medicine
Gordon, H. Laing (Henry Laing)
Anesthetics; Chloroform; Simpson, James Young, 1811-1870
Simpson searched into ancient history in order to ascertain the
methods, if any, by which in remote and mediaeval times surgeons sought
to prevent the pain of operations. The most time-honoured method seems
to have been by the internal administration of drugs, the chief one
used being Indian hemp, which was well known in the East, and under
one of its names _haschish_ gave origin to the term assassin (strictly
eater of haschish). A certain Arab Sheikh got together a band of
followers to whom he administered haschish, which produced in them its
usual effect--beautiful dreams of a delightful paradise. He induced
them to believe so thoroughly in his power to gain for them at death
permanent entrance to this paradise that they obeyed all his ferocious
and bloodthirsty behests. Thus these assassins became known as men
obedient to their leader in any murderous enterprise. Indian hemp was,
and still is, used as a luxury all over the East, as well as to annul
pain, and was used by criminals doomed to torture or execution.
Simpson thought the _nepenthe_ of Homer was a preparation of this
drug; he also refers to the fact that Herodotus relates that the
Massagetae inhaled the vapour of burning hemp to produce intoxication
and pleasurable excitement.
Mandrake was used in a similar manner and for similar purposes as
Indian hemp in the Middle Ages, but it fell into disuse on account of
the fatal results that often followed. It is frequently referred to by
Shakspeare both for its narcotic properties and for its fabulous power
of uttering a scream when torn up by the roots, to hear which meant
death or madness. Simpson cited also well-known passages from
Shakspeare to prove that the practice of "locking up the spirits a
time" was known to that poet.
In later days the intoxication produced by alcohol was taken advantage
of, and instances of its use have been known in quite recent years in
the Colonies, where both a surgeon and chloroform were out of reach.
No drug, however, was known to be of such value in producing
anaesthesia as to be constantly used, and many trials were made of
other means, notably that of compressing the nerves supplying the part
to be operated upon, but this was found to be too painful in itself.
The stupor produced by compressing the carotid arteries--a method
taken advantage of by the ruffians known as garotters--was also put in
practice for a time during the sixteenth and seventeenth centuries,
but it was found too barbarous a method even for those days.
Hypnotism was known to the Indians, Egyptians, and Persians at a very
remote period, and may possibly have been used by them sometimes to
produce anaesthesia for surgical purposes. Simpson was attracted by the
words of the poet Middleton in his tragedy "Women, beware Women"
(1617) where he says--
"I'll imitate the pities of old surgeons
To this lost limb--who ere they show their art
Cast me asleep, then cut the diseased part."
Public-domain text, read in full here on John Shaqi.
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