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
Ἐς ταῦτα μὲν γὰρ διὰ =κλυστῆρος= εἰς μήτραν δὲ διὰ =μητρεγχυτῶν= τῶν
ἐπιτηδείων τι φαρμάκων ἐνίεμεν ὥσπερ γε καὶ εἰς κύστιν διὰ τῶν
εὐθυτρήτων καθετήρων.
The different varieties of injection apparatus which are specially named
are as follows:
(1) Rectal: Greek, κλυστήρ, -ῆρος; Latin, _clyster_.
(2) Vaginal: Greek, μητρεγχύτης; Latin, _clyster_.
(3) Uterine: Greek, μητρεγχύτης; Latin, _clyster_.
(4) Bladder: Greek, εὐθύτρητος καθετήρ; Latin, _clyster_.
(5) Nasal: Greek, ῥινεγχύτης; Latin, _rhinenchytes_.
(6) Ear: Greek, ὠτεγχύτης; Latin, _oricularius clyster_.
(7) Sinus: Greek, πυουλκός; Latin, _oricularius clyster_.
_Rectal Clyster._
Early Egyptian writings refer to rectal enemas: numerous prescriptions,
including several for nutrient enemas, are given.
Oribasius gives us many interesting particulars about enemas (_Collect._
VIII. xxiv). The amount necessary is less for men than for women. In any
case the largest amount is three heminae (τρεῖς κότυλοι), the smallest one
hemina (a small half pint). In dysentery and other cases where the parts
would be easily hurt, and where a prompt evacuation was required, cannulae
with the opening placed in the side were used. Cannulae with the opening
in the end of the instrument were used where a large evacuation was
desired to be brought down from the higher parts. To destroy ascarides,
cannulae with a circle of small holes placed laterally were used.
From ch. xxxii we learn that the injection pipe varied in length also, for
Oribasius says that in making injections into the rectum for affections of
the bladder (e. g. to excite expulsion of urine in cases of retention),
the tube (τὸ κέρας τοῦ κλυστῆρος) ought to be short.
In the case of nutrient enemas Mnesitheus says the tube ought to be
extremely long, and in admitting an injection one ought to keep up
compression of the empty part of the clyster because it often happens that
the injection returns from the rectum unless this is done (Oribas. viii).
Hippocrates (ii. 276) mentions inflation of the rectum with air by an
enema in cases of ileus. A bladder is to be attached to a tube and the air
injected with this. It is then to be removed and a clyster injected.
In the excavations of the Roman Hospital at Baden there was found the tube
of a clyster in bronze. It is cast in one piece of stout bronze (Pl.
XXXVIII, fig. 2).
_Vaginal and Intrauterine Clysters._
Greek, μητρεγχύτης.
It is difficult to separate ancient descriptions of injections into the
vagina from those into the uterus, for the terms for the two parts are
frequently interchangeable. It is undoubted, however, that actual
intrauterine injections were made. Hippocrates (iii. 17) says:
Public-domain text, read in full here on John Shaqi.
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