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
Hitherto I have spoken of the probe as if it were a single instrument;
but, as a matter of fact, the ends of the shaft are usually fashioned to
serve different purposes. Thus at one end there will be a probe, at the
other a spatula, a spoon, or a hook. Some of these combinations have names
of their own, and others are so frequently met with that they too seem to
have been constant types.
It may simplify matters if we anticipate a little and remark that while
the uses of the probes in actual surgery were the same as at the present
day, in the minor surgery, consisting of the application of medicaments
and toilet preparations, they were used in a slightly different manner.
Semi-solids, like eyebrow pigment and eye ointments, were applied on
olivary-pointed probes. Liquids, like ear and eye drops, were usually
instilled by squeezing a ball of wool dipped in the liquid and placed
round the middle of a probe, and letting it run off the point. Thus a
common form of toilet instruments consists of a probe-like instrument with
an olive at one end and a sharp stylet at the other. Ligulae with scoops
were used to withdraw drops of fluid essences, &c. from unguentaria. Some
of these ligulae run up to a foot and a half in length.
The specilla which remain to us are mostly made of bronze. A few are
overlaid with gold and silver, and a few are solid gold or solid silver.
We read, however, of specilla of lead, tin, copper, and wood, and of the
use of a boar's bristle or a stalk of garlic for searching fistulae.
I shall now proceed to classify and discuss these different varieties,
premising, however, that no hard and fast line can be drawn between
different types. They shade off into each other by imperceptible
gradations, so that whatever system of classification we adopt bastard
forms are sure to occur.
_Double Simple Probe._
Greek, ἀπυρηνομήλη, ἀπυρομήλη; Latin, _specillum_.
The simplest form of specillum is a plain rod of metal rounded off at
either end. These are not infrequently met with. I figure one from my
collection. Its length is 14.5 cm., its diameter 2 mm. At either end it
tapers rapidly off to a blunt point. At a distance of 3 cm. from one end
is a raised ring (Pl. X, fig. 4). A similar probe in silver may be seen in
the Musée de Cinquantenaire, Brussels. It was found with other probes in
an étui. Pl. X, Fig. 3 shows a rather longer specimen from the Naples
Museum. A variety with non-tapered ends is seen in Pl. X, fig. 1. It is
also from the Naples Museum. Pl. XI, fig. 4 shows a probe, from my own
collection, which carries the snake of Aesculapius at one end. One with a
double snake (caduceus form) was found in the Roman Hospital at Baden (Pl.
XI, fig. 2).
_Specilla with two olivary ends._
Greek, διπύρηνος μήλη, ἀμφίσμιλος.
A slender sound with slight olivary enlargement at either end is very
frequently mentioned under the name διπύρηνος μήλη by Galen. He also calls
it ἀμφίσμιλος. Thus he says:
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