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 ancients were fully aware of the value of the information to be gained
by searching the recesses of a lesion with a rod of metal. Celsus (v. 28)
says regarding fistulae:
Ante omnia autem demitti specillum in fistulam convenit, ut quo tendat
et quam alte perveniat scire possimus; simul etiam protinus humida an
siccior sit: quod extracto specillo patet. Si vero os in vicino est
id quoque disci potest si iam necne eo fistula penetraverit et
quatenus nocuerit; nam si molle est quod ultimo specillo contingitur,
intra carnem adhuc vitium est, si magis id renititur, ad os ventum
est. Ibi deinde si labitur specillum, nondum caries est: si non
labitur sed aequali innititur, caries quidem, verum adhuc levis est:
si inaequale quoque et asperum subest, vehementius os exesum est. At
cartilago ubi subsit, ipsa sedes docet; perventumque esse ad eam ex
renisu patet.
'But first it is well to put a probe into the fistula to learn where
it goes and how deeply it reaches, also whether it is moist or rather
dry as is evident when the probe is withdrawn. Further, if there be
bone adjacent, it is possible to learn whether the fistula has entered
it or not and how deeply it has caused disease. For if the part is
soft which is reached by the end of the probe the disease is still
intermuscular; if the resistance be greater it has reached the bone:
if there the probe slip there is as yet no caries. If it does not slip
but meets with a uniform resistance there is indeed caries, but it is
as yet slight. If what is below is uneven and rough the bone is
seriously eroded, and whether there is cartilage below will be known
by the situation, and if the disease has reached it will be evident
from the resistance.'
These remarks show that with the probe the ancients had cultivated the
tactus eruditus to a high degree, and the remarks of Aetius and Paul are
equally to the point.
The tips of the probes which have survived vary considerably in size and
shape. Some have a point which is almost sharp like a stylet; in others
the natural thickness of the shaft is kept right to the tip, which is
simply rounded off or there is an oval enlargement like that on our
olivary probes and sounds. In rare cases the enlargement is globular. The
oval enlargement was named by the Greeks πυρήν, which means
'olive-kernel'. The sixteenth-century translators uniformly render this by
'nucleus', which is a convenient term to use, but it has no classical
Latin authority. Indeed, there is no classical Latin equivalent used by
medical authors. Theodorus Priscianus uses _baca_ (_sic_), a berry, and
_bacula_, little berry, and in the _Additamenta_ (I. viii. 21, ed. Rose)
he uses the transliteration _pyrena meles_. But this is African Latin.
Public-domain text, read in full here on John Shaqi.
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