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
Pl. XIX, fig. 4 is from the British Museum. The bowl is 2.5 cm. in
diameter and the handle is 15 cm. long. The handle is round, and it has a
small ringed ornamentation at its end and one close to the bowl. The
bottom has been thinned out with heat, and there is a small perforation
visible in it. A similar spoon was found in the grave of the Paris
surgeon. Traces of medicament remain on it. This type is probably intended
for warming salves and pouring them into the eye and other affected parts.
Another variety is seen in Pl. XIX, fig. 1. This specimen is in the
Naples Museum, and was found along with the spatula shown in Pl. XIX, fig.
2. The handles of each are of bronze, the scoop and spatula parts are of
silver. Vulpes describes these as a lancet for drawing blood and a spoon
for collecting and examining the same. It is impossible to regard an
instrument of silver as a cutting instrument. These are for mixing and
spreading medicaments. A large spoon of a peculiar shape from the Naples
Museum is seen in Pl. XIX, fig. 3. It is of silver. The handle, which is
of ivory, is ornamented with spiral carving, and the end bears a ram's
head. Another interesting little shovel from the same museum is of bronze,
and carries the head of Minerva Medica on the end of the handle (Pl. XX,
fig. 5). We may here include the large double spatulae of the type shown
in Pl. XX, fig. 1, which represents a specimen from Naples. A similar one
was found in the outfit of the Paris surgeon, and Scultetus shows
precisely similar instruments in use in his time for applying the
stiffening to the bandages, &c. for setting fractures. The Romans probably
used theirs for a similar purpose.
_Tongue Depressor._
Greek, γλωσσοκάτοχος.
To open a quinsy Aetius says (II. iv. 45):
'If the patient is adult, seat him and make him open his mouth, and
depress the tongue with a spathomele, or a tongue depressor, and open
the abscess with a probe or a needle knife.'
In excision of the tonsil Paul (VI. xxx) bids us seat the patient in the
sun and depress the tongue with a tongue depressor (γλωσσοκατόχῳ).
Pl. XX, fig. 6 shows one of six bronze tongue depressors, burnished like
small mirrors, from the Lépine collection (Védrènes, _Celse_).
_Uterine Sound._
The uterine sound is frequently mentioned by Hippocrates for correcting
malpositions of the uterus, and dilating and applying medicaments to the
interior of the cervix. After falling into disuse in the middle ages it
was reintroduced by Sir J. Y. Simpson, only to disappear once more almost
entirely from sight.
I have already referred to Galen's statement that the non-pregnant os is
of such a size that it will just admit an olive-pointed probe (p. 54).
Hippocrates (ii. 836) directs us to treat hysteria by dilating the cervix,
first with an ointment probe and then with the finger.
Καὶ ὑπάλειπτρον καθιέναι καὶ ἀναστομοῦν καὶ τῷ γε δακτύλῳ ὡσαύτως
λειοῦν.
Public-domain text, read in full here on John Shaqi.
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