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
The term ὑπάλειπτρον, which is frequently used by Hippocrates, originally
meant an ointment spatula, being derived from ὑπαλείφω, to spread
ointment. But the custom of combining two instruments on one shaft
gradually led to the application of these terms, especially the term
specillum, to denote a large variety of instruments.
The name κοπάριον is evidently derived from the resemblance of the probe
to the pestle, which was such a frequent utensil in Greek homes. It is
connected with κόπανον, 'pestle,' κοπανιστήριον, 'mortar,' and κοπανίζω,
'bray,' and κοπτάριον, a medicament pounded in a mortar (Dioscorides, iv.
190). The exact significance of the term κοπάριον is sometimes difficult
to determine. It is easy to prove that in general it is merely a sound.
Thus Paul (VI. lxxviii), in quoting a passage from Hippocrates,
substitutes κοπάριον for the word μήλη, which Hippocrates uses to denote
the sound used for exploring a fistula. Throughout this chapter, in which
the word occurs ten times in all, Briau translates it by 'manche du
scalpel', although the whole context shows that a probe is meant. Even
where it is spoken of as an eyed probe (διὰ τετρημένου κοπαρίου) Briau
translates it by 'au moyen du manche percé d'un scalpel', an expression
which is meaningless to a surgeon. Briau evidently thinks it is derived
from κόπτω, and at times it seems as if it might denote a cutting
instrument. Thus Adams, in a note to Paul, VI. lxxvii, says, 'if the
κοπάριον, however, was the same as the μήλη or specillum it was evidently
used for cutting with, as well as for cutting upon', and on one occasion
(Paul, VI. lxxx) he translates κοπάριον by 'knife'. Liddell and Scott
translate it as 'a small knife'. A careful examination of those passages
where it seems to indicate a cutting instrument will show, however, that
only blunt dissection, which was frequently performed with the spatula end
of a probe, is meant. I am quite convinced that the word κοπάριον is only
a late Greek term for the earlier μήλη, and means essentially a sound, and
not a knife. While on this subject we may note that throughout the codices
and texts there is great confusion between words meaning probe and words
meaning scalpel. The proper forms σμίλη, 'scalpel,' and μήλη, 'probe,' are
distinct, but the inferior reading σμήλη is frequent in both codices and
texts as a bastard, for σμίλη is often written σμήλη incorrectly, and μήλη
often becomes σμήλη, just as μικρός is written σμικρός. Thus in Paul (VI.
viii), where the author is describing the eversion of the eyelid by means
of the olivary point of a probe (τῷ πυρῆνι τῆς μήλης), four codices and
the Aldine and Basle texts read σμήλης, two codices read σμύλης, one reads
μήλης, four μίλης, and Briau reads σμίλης. In a case like this only a
knowledge of surgery can tell us whether a probe or scalpel is meant.
_The Specillum as a Sound._
Public-domain text, read in full here on John Shaqi.
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