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
Galen in his Lexicon explains that μῆλαι τρεῖς τῷ πλατεῖ means τῷ κυαθίσκῳ
ὀφθαλμικῆς μήλης. This is the only mention which we have of a special
ophthalmic probe with scoop. In applying medicaments to the eye with a
probe whenever any variety of probe is mentioned it is always the ear
specillum which is named. It seems most likely that either the ear
specillum or some variety of it is referred to here. It may have had a
nucleus for applying medicaments at one end and a scoop at the other.
_Rasping Specillum._
Greek, βλεφαρόξυστον; Latin, _specillum asperatum_ (Celsus).
A special burred specillum, for curetting the granular lids so common as a
result of the ophthalmia which is endemic in most Eastern countries, and
which was rampant in ancient Greece and Rome, is described by Celsus and
also by Paul. Celsus says:
In hoc genere valetudinis quidam crassas durasque palpebras et
ficulneo folio, et asperato specillo, et interdum scalpello eradunt,
versasque quotidie medicamentis suffricant (VI. vi).
Paul says:
'But if the granulation be hard and yield to none of these things we
must evert the eyelid, and rub it down with pumice stone, or the
shell of the cuttlefish, or fig-leaves, or the surgical instrument
called blepharoxyston' (διὰ τοῦ βλεφαροξύστου καλουμένου, III. xxii).
Heister (vol. i. tab. xvi. p. 591) figures the blepharoxyston as a
spoon-shaped instrument burred on the convex side. There is in the Orfila
Museum, Paris, an instrument of similar form. It consists of a handle with
an olivary point at one end, and at the other a plate with transverse
ridges. This agrees well enough with what we know of the classical
instrument. It was found in Herculaneum. (Pl. XVI, fig. 1).
_Styli and Styloid Specilla._
Greek, γράφιον, γραφεῖον, γραφίς; Latin, _stylus_ or _stilus_.
The difficulty of deciding as to whether any particular instrument is a
surgical or a domestic article is often well illustrated by styloid
instruments. In the British Museum several types of instrument will be
found classed among surgical instruments, and a series of exactly similar
articles will be found repeated among the styli used for inscribing and
erasing characters on wax tablets. As even the writing stylus was
occasionally used for surgical manipulations we are justified in looking
on all styloid instruments as potentially implements of minor surgery. The
claims of any doubtful instrument to be considered as once having been one
of a surgeon's tools must be decided on such grounds as the circumstances
of its discovery.
Galen (xii. 865) says teeth may be extracted with the stylus (γραφείῳ
ἀνάλαβε) or with the finger.
Hippocrates (i. 46) thus describes the method of extraction of the
secundines:
'Place the patient on the obstetric chair and, leaving the cord uncut,
place the child on two bladders filled with water and puncture each of
the bladders with a stylus (γραφίῳ) so that the water may slowly flow
away.'
Public-domain text, read in full here on John Shaqi.
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