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
'He (Hippocrates) calls φαλακρά (globose) those having a ball at the
tip, such as those for the axilla, which have olivary points and also
those which are called double olivary probes and spathomeles. But
those which are the reverse he calls προμήκη, i. e. those which have
the end not globose but rather sharp, exactly like the instruments for
paracentesis' (xviii. 376).
In the Naples Museum there are three tile-shaped cauteries, one of iron
and two of bronze. One of the latter is shown in Pl. XL, fig. 1.
_Wedge-shaped Cautery._
Hippocrates (iii. 223) says that the oblique veins of the head are to be
burned with wedge-shaped cauteries (σφηνίσκοισι σιδηρίοισι).
_Needle Cautery._
Celsus (VII. viii) says:
At ubi aures in viro puta, perforatae sunt et offendunt, traiicere id
cavum celeriter candente acu satis est, ut leviter eius orae
exulcerentur.
Treating of trichiasis he says (VII. vii. 8):
Si pili nati sunt qui non debuerunt tenuis acus ferrea, ad
similitudinem spathae lata, in ignem coniicienda est; deinde candens,
sublata, palpebra sic ut eius perniciosi pili in conspectum curantis
veniant, sub ipsis pilorum radicibus ab angulo immittenda est, ut ea
tertiam partem palpebrae transsuat; deinde iterum, tertioque usque ad
alterum angulum; quo fit ut omnes pilorum radices adustae emoriantur.
This indicates a needle beaten out into the shape of one of our spuds for
removing foreign bodies from the eye. The needle handles from the find of
the oculist Severus are well adapted for this work, but are dealt with
elsewhere (p. 69).
_Cautery guarded by a Tube._
In the treatise on haemorrhoids (iii. 345) Hippocrates says:
'We must make a [tubular] cautery like a writing reed and fit it to a
well-fitting iron' (καυτῆρα χρὴ ποιήσασθαι οἷον καλαμίσκον φραγμίτην,
σιδήριον δὲ ἐναρμόσαι καλῶς ἁρμόζον).
Again, in the treatment of polypus of the nose, he says:
'When that occurs we must insert a tube and cauterize with three or
four irons'(ὅταν οὕτως ἔχῃ, ἐνθέντα χρὴ σύριγγα καῦσαι σιδηρίοισιν ἢ
τριοσὶν ἢ τέσσαρσιν) (ii. 244).
Celsus says this tube may be a calamus or a tube of pottery:
Apud quosdam tamen positum est, vel fictilem fistulam vel enodem
scriptorium calamum in narem esse coniiciendum, donec sursum ad os
perveniat: tum per id tenue ferramentum candens dandum esse ad ipsum
os (VII. xi).
_Wood dipped in boiling Oil._
Hippocrates, in diseases of the liver, says that cauterization may be
performed with boxwood spindles dipped in boiling oil (πυξίνοισιν
ἀτράκτοισι βάπτων ἐς ἔλαιον ζέον) (ii. 482). Aetius (XII. iii) says that
the root of the birthwort (aristolochia) may be used in the same way.
_Ignited Fungi, &c._
In the passage in Hippocrates on cauterizing for disease of the liver,
Hippocrates, as an alternative to the hot iron, says that eschars may be
produced by fungi. This must mean that they were set on fire like the old
moxa.
Public-domain text, read in full here on John Shaqi.
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