The Indian operation of couching for cataract — John Shaqi
The Indian operation of couching for cataractElliot, Robert Henry
History
The Indian operation of couching for cataract
Elliot, Robert Henry
Cataract -- Surgery -- India; Ophthalmology -- India -- History
In this connection it is interesting to record some of the opinions
of Western surgeons, who have come in contact with the work of these
northern men. Captain H. E. Drake-Brockman had nothing too bad to
say of them, and his uncle Lieut.-Colonel E. F. Drake-Brockman
(formerly of the Madras Eye Hospital), in presenting his nephew’s
paper before the Ophthalmological Society of the United Kingdom,
estimated the coucher’s successes at not more than 10 per cent.
Lieut.-Colonel Henry Smith went so far as to declare that even the
best cases, if followed long enough, ended in absolute blindness.
Lieut.-Colonel F. P. Maynard formed a much less unfavourable
estimate of the coucher’s results (46 per cent. of successes). The
writer’s own statistics will be given later. Not the least interesting
of Drake-Brockman’s contributions to the subject is his statement
that vaccinators and compounders in the pay of the Indian Government
are not infrequently couchers in disguise. The full significance of
this observation can only be appreciated by one who knows the East
intimately. Scientifically, Western medicine is educating the Indian
medical man out into the light from pagan depths of darkness. Even
to-day there are those of them who practise Eastern and Western
medicine side by side. It would seem strange to a British surgeon to
learn that it is possible for a medical man (whose qualifications, from
an educational point of view, compare favourably with those of our home
Universities) to lay stress before his patients on the right quarter of
the moon, and on the correct aspect of the ground, for the gathering
of a particular drug; yet the writer has known this happen, and that,
too, in the case of a medical man who held an important scientific
appointment under Government. The very fact of a man holding a post
under the British Rāj would add to his prestige and increase the
confidence of the people in him. That such an one should advocate and
practise couching would cause no surprise to his own people, whose
faith in methods based on tradition is firmly founded. Some idea of
the complexity and confusion of the Indian mind to-day may be gathered
from a knowledge of the strange blend of dissimilar lines of thought
in those who have adopted Christianity. There are many such who keep a
foot in both camps, in a way that would have been thought impossible by
anyone who had not been brought into intimate contact with such people.
Under these circumstances, it is hardly strange that the same kind of
thing should be found in evidence in other lines of life; and yet it is
no time to blame these men. Their need--I speak now from the scientific
stand-point--is for “more light.” We ourselves retain to-day the taint
of superstitions that come down from our witch-burning ancestors. Shall
we not, then, be lenient to those who have never had our advantages?
As we flood India with the daylight of true scientific knowledge, the
Public-domain text, read in full here on John Shaqi.
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