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
A probe without enlargement at the tip was called ἀπυρηνομήλη or
ἀπυρομήλη. The ear probe is frequently referred to as belonging to this
class. These probes without nuclei were specially adapted for wrapping
round with wool to apply medicaments, or wipe away discharge.
The size of the nucleus varied in different varieties of probe, but was
pretty constant in each particular. It was largest in the probe known as
the spathomele--a combination of spatula and probe which was in extremely
common use for pharmaceutical purposes. The nucleus of this probe was such
a well-known object that it is frequently referred to as a standard of
size and shape. Galen (ii. 898) says:
'In the cervix uteri is the foramen by which the woman both passes the
monthly flux and receives the semen of the husband. By it also the
foetus leaves the womb. It is marvellous how it varies in size
according to circumstances. When the woman is not pregnant it admits
the nucleus of a probe or something slightly larger' (πυρῆνα μὲν μήλης
ἐπιδέχεται ἢ βραχύ τι τούτου παχύτερον).
Here Kühn translates πυρῆνα by 'acuminatum capitulum specilli', which is
incorrect. It is an olivary enlargement, not sharp point. In Paul (VI.
xc), we have the nucleus given at the measure of distance between the
perforations by which a bone was surrounded preparatory to its excision by
means of chisels: 'the space between the perforations made by the drills
should be the breadth of the nucleus of a probe' (τὸ μῆκος πυρῆνος).
Aetius (III. i. 16) says in volvulus the sphincter ani is so contracted
that the nucleus of a probe cannot be got in.
Paul (VI. xxi) says that in couching a cataract we must enter the couching
needle a nucleus breadth from the iris.
Besides its use as a sound the nucleus was frequently used as a means of
applying medicaments, either in the form of ointments or dry powder, to
affected parts.
Paul (VI. ix) says that in the cases of entropion, where the ordinary
plastic operation is objected to, an elliptical piece may be burnt out of
the eyelid with caustic applied on the nucleus of a probe (πυρηνοσμήλης),
and similarly after removal of sebaceous cysts from the lid, levigated
salts may be applied on the nucleus (τὸν πυρῆνα τῆς μήλης).
Aetius (II. iv. 23), quoting from Galen, says that in caries of the teeth
some wax may be warmed on the nucleus of a probe (πυρῆνος μήλης), and
again (II. iv. 14) he directs us to use it for application of pomade to
the face (πυρῆνι μήλης). It would seem that this, and not the exploration
of wounds, was the original use to which the olivary-pointed probe was
put, for in early Egyptian tombs small pestle-like probes are, as a rule,
found accompanying the toilet pigment boxes which are so common. They are
mostly made of wood (Pl. X, fig. 2). The kohl-stick was not unknown to
Greek ladies. (See Eustathius, _Comment. in Iliad_.)
Public-domain text, read in full here on John Shaqi.
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