The seven books of Paulus Ægineta, volume 2 (of 3) : $b translated from the Greek: with a commentary embracing a complete view of the knowledge possessed by the Greeks, Romans, and Arabians on all subjects connected with medicine and surgeryPaulus, Aegineta
History
The seven books of Paulus Ægineta, volume 2 (of 3) : $b translated from the Greek: with a commentary embracing a complete view of the knowledge possessed by the Greeks, Romans, and Arabians on all subjects connected with medicine and surgery
Paulus, Aegineta
Medicine; Medicine, Arab; Medicine, Greek and Roman
recommending especially the removal of any clots which obstruct the
passage. (Cont. xxiii.)
The practice of lithotomy appears to have been reckoned a disreputable
occupation among the Arabians, for Avenzoar mentions it as an operation
which an upright and respectable man would not witness, far less perform.
(ii, 2, 7.)
As there are some doubts regarding the form of the incisions in the
ancient methods of performing lithotomy, we will now give the words of
some of the Arabian translators. Stephanus Antiochensis, the translator
of Haly Abbas, has the following words: “Inter testes anumque finde et
non in mediâ viâ sed in sinistri lateris parte ab intestinis, sitque
_perallela_ fissura, et ab exterioribus larga, ab interioribus non.”
The translator of Albucasis expresses himself thus: “Finde in eo quod
est inter anum et testiculos et non in medio, ad latus natis sinistræ:
fiat sectio _transversa_.” The following are the words of Avicenna’s
translator: “Cave ne scindas super commissuram quum sit malum, commissura
enim secundum veritatem est locus mortalis. Amplius fac super ipsum
(lapidem?) scissuram tendentem ad _transversum_, studendo ut cadat
scissura in collo vesicæ.” The translator of Rhases expresses himself in
the following terms: “Scinde super lapidem cum instrumento _camadan_;
et scissura debet fieri _transversa_, et sit exterior caro larga et in
interiori vesicæ stricta.”
Yet notwithstanding all this we are inclined to think that the incision
was _oblique_ and not _transverse_; for our author, whom they all follow,
directs us to make the incision oblique (λοξὸς), and it is further
clear that a transverse one would not answer the purpose so well. No
dependence can be put in the accuracy of these barbarous translations.
The language of Stephanus Antiochensis is particularly obscure. Casiri
justly characterizes the translations of the Arabian authors as being
“_perversiones_ potius quam _versiones_.” (Bibl. Hisp. Arab, i, 266.)
The ancient operation, with scarcely any alterations, is described by
the earlier modern writers on surgery. See Brunus (Chirurg. Magna. ii,
17); and Guido de Cauliaco (Chir. vi, 2.) They direct us to introduce
a finger into the rectum and push the stone outwards; then to make an
incision down upon it on the left side of the raphe. Brunus recommends a
longitudinal incision.
It appears that the ancient operation of lithotomy is still practised
with great success by the native doctors of Hindostan. See ‘Transactions
of the Medical and Physical Society of Calcutta,’ vol. iv. An interesting
case in point, related in the ‘Medical Gazette’ for Feb. 7, 1845, forms a
valuable commentary on the Celsian description of lithotomy. In the year
1827 Mr. Madden the traveller saw it performed in Tyre by an old pilot on
a boy of thirteen years of age. The case did well.
SECT. LXI.—ON THE PARTS ABOUT THE TESTICLES.
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