Surgical Instruments in Greek and Roman TimesMilne, John Stewart
History
Surgical Instruments in Greek and Roman Times
Milne, John Stewart
Surgery -- History; Surgical instruments and apparatus
Fumigation formed an important part of the treatment of all varieties of
disease of the uterus and vagina. The notion that the uterus was an animal
within the body which could wander about on its own initiative and which
was attracted by pleasant smells and repelled by disagreeable smells, was
responsible for much of the treatment of gynaecological diseases by the
ancients. To make a fumigation, Hippocrates directs us to take a vessel
which holds about four gallons (δύο ἑκτέας), and fit a lid to it so that
no vapour can escape from it. Pierce a hole in the lid, and into this
aperture force a reed about a cubit in length so that the vapour cannot
escape along the outside of the reed. The cover is then fixed on the
vessel with clay. Dig a hole about two feet deep and sufficiently large to
receive the vessel, and burn wood until the sides of the hole become very
hot. After this remove the wood and larger pieces of charcoal which have
most flame, but leave the ashes and cinders. When the vessel is placed in
position, and the vapour begins to issue out, if it is too hot wait for
some time; if, however, it be of the proper temperature the reed should be
introduced into the uterine orifice and the fumigation made. Oribasius,
quoting Antyllus (_Coll._ X. xix) varies the treatment somewhat by placing
a vessel similarly prepared underneath an obstetrical chair, which had an
opening in the seat, allowing a leaden pipe connected with the tube of the
fumigating vessel to be passed into the vagina.
A fumigating apparatus of a more portable nature is mentioned by Soranus
(xxiii) who tells us that Strato, a pupil of Erasistratus, used to place
in a small vessel of silver or bronze, closed by a cover of tin, herbs of
various kinds, and, having adjusted a small tube to the vessel, the mouth
of the tube was placed in the vagina, and the vessel was then gently
heated. Soranus admits that severe burning might follow this practice if
unskilfully used.
_Pessaries._
Greek, βάλανος, πεσσόν, πεσσός; Latin, _pessum_, _pessus_, _pessulum_.
Pessaries are frequently mentioned. They are usually bags filled with
medicaments and not mechanical supports. However, in ii. 824, Hippocrates
says that prolapse of the womb is to be reduced and the half of a
pomegranate is to be introduced into the vagina. Soranus says that in
prolapse Diocles was accustomed to introduce into the vagina a
pomegranate soaked in vinegar. He also says that a large ball of wool may
be introduced after reduction, and Aetius, Oribasius, and Paul copy him.
Hippocrates (iii. 331) says that in cases of fistula in ano, after the
introduction of a medicated plug of lint, a pessary of horn is to be
inserted (βάλανον ἐνθεὶς κερατίνην). This would appear to be partly to
distend the rectum, but partly also most likely to carry medicament, like
the leaden tubes full of medicaments which were inserted into the uterus.
Public-domain text, read in full here on John Shaqi.
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