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
As contributing to the understanding of the operations on herniæ, we
shall premise a description of the parts about the testicles. The
testicle itself is a glandular and friable substance, formed for the
production of semen. The substances called parastatæ and cremasteres,
are processes from the membrane of the spinal marrow, descending
along with the arterial vessels in the testicles, by which the semen
is injected into the pudendum; the spermatic vessels are veins from
the vena cava passing to the testicles in a convoluted manner, and by
them the testicles are nourished. The tunica vaginalis (erythroides or
elytroides?) is of a nervous nature; at the convex and anterior part not
adhering, but at the concave and posterior parts united to the testicle,
deriving its origin from the peritoneal coat. This part, where it is
united to the testicle, they call the posterior adhesion. The darti are
membranes connecting the external skin to the tunica vaginalis, being
united to it at the part where it is united behind to the testicle. But
that wrinkled skin which forms an external covering to the testicles is
called the scrotum.
* * * * *
COMMENTARY. Celsus gives a similar description of the parts connected
with the testicles. The testicles themselves, he says, consist of
medullary matter and possess no sensibility of their own, but experience
violent pains and inflammations from the membrane which surrounds them.
They hang from the groins by nerves called cremasters by the Greeks, with
each of which descend two veins and arteries. These are covered by a
thin nervous white coat, without blood, called elytroides by the Greeks.
(This must be the tunica vaginalis of modern anatomists.) Above it is a
stronger tunic which adheres strongly to the inner at its lower part, and
is called dartos by the Greeks. (This appears to be the cremaster muscle
of modern anatomists.) The veins, arteries, and nerves are surrounded by
many small membranes. (By these he seems to have meant the fasciæ from
the aponeurosis of the external oblique muscle.) All these parts are
covered by an external investment called the scrotum. (vii, 18.)
Ruffus Ephesius says that the scrotum is a loose substance in which the
testicles are placed, being in particular fleshy externally; that it
consists of two tunics, the external being corrugated and called dartos,
and the internal being called erythroides (elytroides?). The dartos and
scrotum connect the testicles to the parts above, but the erythroides
(vaginalis?) is united to and surrounds the testicle itself. (De Corporis
Humani partium appellationibus, ii.)
Oribasius describes the cremasters as being two muscles which descend
from the groins and surround the tunica vaginalis. (Anatomica ex Galeno.)
(This is very similar to Cloquet’s description of them.)
Theophilus’s description unfortunately has come down to us very
incomplete. (De Fabricâ Hominis, v, ad finem.)
SECT. LXII.—ON HYDROCELE.
Public-domain text, read in full here on John Shaqi.
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