The growth of medicine from the earliest times to about 1800Buck, Albert H. (Albert Henry)
History
The growth of medicine from the earliest times to about 1800
Buck, Albert H. (Albert Henry)
Medicine -- History
The list of separate maladies recognized by the physicians of the
latter country is inordinately long. There were 26 kinds of fevers, 13
species of swellings of the lower abdomen, 20 different diseases due to
worms, 20 kinds of urinary diseases, 8 varieties of strangury, 5 kinds
of jaundice, 5 varieties of cough or asthma, 18 kinds of “leprosy,” 6
kinds of abscesses, 76 different eye diseases, 28 affections of the
ear, 65 disorders of the mouth, 31 nasal affections, 18 diseases of
the throat, a large number of mental disorders, etc. It seems scarcely
necessary to remark that these so-called diseases were in reality
only groups of certain types of loosely related symptoms. The term
“leprosy,” for example, included, besides the disease which modern
physicians call by that name, a number of different affections of the
skin. It is worth noting here that diabetes mellitus, which is one
of the twenty different kinds of urinary diseases enumerated in the
classified list mentioned above, was first described by the physicians
of India, whose attention was directed to the disorder by observing
that flies and other insects were attracted to the urine of these
patients by reason of its sweetness. It is also an interesting fact
that occasionally these physicians, who, beyond a doubt, were keen
observers of symptoms, paid some attention to the anatomical features
of the individual cases. Thus, it is stated that the particular form of
swelling of the lower abdomen, to which they applied the name “splenic
belly,” is dependent upon “an enlarged spleen which distends the left
side, is as hard as a stone, and is arched like the back of a turtle”;
whereas they spoke of “an enlargement of the liver” when very much the
same conditions were observed on the right side of the abdomen. The
accuracy of their clinical observations is particularly noticeable in
their accounts of cases of consumption, apoplexy, epilepsy, hemicrania,
tetanus, rheumatism, venereal diseases, some affections of the skin,
and insanity. It was in their surgical technique, however, that
the physicians of ancient India were distinguished above all their
brethren of the neighboring oriental countries, and this superiority
they maintained for a very long time. Among the operations which they
performed the following may be mentioned: they removed tumors by
excising them, they opened abscesses by the use of the knife, they
employed scarifications (in inflammations of the throat) and made
punctures (in hydrocele and ascites), they passed probes into fistulae,
they extracted foreign bodies, and they employed needles armed with
hairs taken from the horsed tail or with thread composed of flax or
hemp. According to Súsruta their stock of instruments was composed of
101 blunt and 20 cutting instruments. Among those which were blunt
there were forceps of different sizes and forms, hooks, tubes, probes
or sounds, catheters, bougies, etc. They made use of the magnet
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