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
referred to, while describing the method of treating haemorrhoids by the
ligature:
'By means of the forceps for applying caustic to haemorrhoids, or the
forceps for applying caustic to the uvula (τῷ αἱμορροϊδοκαύστῃ ἢ τῷ
σταφυλοκαύστῃ), we surround them close to the jaws of the instrument
(πρὸς τὰ χείλη) with a five-ply thread of lint, and strangle the
haemorrhoids separately with this ligature.'
It would seem then that, just as there was a long instrument for crushing
the uvula and a short one for crushing haemorrhoids, there were
corresponding instruments for cauterizing these parts, probably differing
from each other only in the length of the handle.
The passage above quoted has given much trouble to the scribes and
commentators apparently from a lack of knowledge of the instrument
referred to. About a third of the codices omit τῷ αἱμορροϊδοκαύστῃ, and
Cornarius and Dalechamps reject the words τῷ αἱμορροϊδοκαύστῃ ἢ τῷ
σταφυλοκαύστῃ as superfluous and interpolated. Apparently they were
unaware that both instruments were forceps of similar principle but
different lengths, and quite suitable for putting a haemorrhoid on the
stretch. The reason why these instruments are preferred, for this purpose,
to the staphylagra is apparently that not being toothed like the latter
instrument they would be both less painful and less likely to cause
bleeding.
_Pharyngeal Forceps._
Greek, ὁ ἀκανθοβόλος.
Paul (VI. xxxii) describes a forceps for removing foreign bodies from the
pharynx:
'Prickles, fish-bones and other substances are swallowed in eating and
stick in different places. Wherefore such as can be seen we are to
extract with the special fish-bone forceps' (τοῖς ἰδίως ἀκανθοβόλοις
προσαγορευομένοις ἐξέλκομεν).
This is the only reference to the acanthobolus I have met with, and it
gives us no information as to the appearance of the instrument. It is
noteworthy, however, that Paul in his chapter on the removal of spiny
bodies from the pharynx is copying Aetius, and the instrument Aetius names
is an epilation forceps. He says 'bones stick near the tonsil or back of
the pharynx and can be seen, and if a considerable part projects out of
the tonsil it can be removed with an epilation forceps (τριχολαβίῳ)'. A
forceps of the epilation type, but angled in its length, is figured by
Védrènes. It was found in Pompeii. This forceps is eminently suitable for
pharyngeal work (Pl. XXXII, fig. 1). Albucasis figures an acanthobolus
with an up-and-down, not lateral, movement.
CHAPTER VI
BLEEDING CUPS, CLYSTERS, ETC.
_Bleeding Cups._
Greek, σικύα, κύαθος; Latin, _cucurbitula_.
Public-domain text, read in full here on John Shaqi.
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