- Damoiseau’s terabdella
Damoiseau’s terabdella. (From Damoiseau, La Terabdelle ou machine pneumatique, Paris, 1862. - Brunschwig’s surgical armamentarium
From Gurlt’s “Geschichte der Chirurgie” Hans von Gerssdorff and Hieronymus Brunschwig, who flourished in the latter half of the fifteenth century in Germany, have both left early printed treatises on Surgery which give excellent woodcuts showing pictures of instruments, operations, and costumes, at the end of the medieval period. - Bloodletting
Bloodletting - First Copper Plate
A.Is the whole Still with all the parts put together. B. The lower furnace with a Firestone and a Grate. C. The Ashhole. D. The Fire-place. E. The Secod Furnace. F. The Balneum. G. The first Cover. H. The second Cover. I. The Body or Cucurbite. K. The Glass-head. L. A pipe or Tin to be put on the beak of the Head. M. The shutter of the Fire-place. N. The little Glass-bottle Inverted containing the Spirit. P. The Lamp made of Tin to burn with Spirit of Wine S S. The two pipes for the Weigs. - Achilles bandaging Patroclus,
A kylix from the Berlin Museum of about 490 b. c. It bears the inscription ΣΟΣΙΑΣ ΕΠΟΙΗΣΕΝ, Sosias made (me), and represents Achilles bandaging Patroclus, the names of the two heroes being written round the margin. The painter is Euphronios, and the work is regarded as the masterpiece of that great artist. The left upper arm of Patroclus is injured, and Achilles is bandaging it with a two-rolled bandage, which he is trying to bring down to extend over the elbow. The treatment of the hands, a department in which Euphronios excelled, is particularly fine. Achilles was not a trained surgeon, and it will be observed, from the position of the two tails of the bandage, that he will have some difficulty when it comes to its final fastening! - Instruments and technique of phlebotomy
Instruments and technique of phlebotomy: Fig. 1 shows an arm about to be bled. A ligature has been applied to make the veins swell. The common veins bled—cephalic, basilic, and median—are illustrated. Fig. 2 shows several types of incisions. Fig. 3 is a fleam, Fig. 4 a spring lancet, and Fig. 5 a “French lancet.” (From Laurence Heister, A General System of Surgery, London, 1759. - I put the weasel-skin cap on his head
I lifted the skin door—it was an old-fashioned one swinging on thongs from the beam overhead—and entered the lodge. Hanging Stone sat on his couch against the puncheon fire screen. I went to him and put the weasel-skin cap on his head. The young man who was to be my husband was sitting on his couch, a frame of poles covered with a tent skin. Cold Medicine and I went over and shyly sat on the floor near-by. - Reducing Dislocated Shoulder
Reducing Dislocated Shoulder - Amputation below the knee
This is the first picture of an amputation known From Gerssdorff’s woodcut, reproduced in Gurlt’s “Geschichte der Chirurgie” - Medieval Surgical instruments
Surgical instruments of Guy de Chauliac, nos. 1, 2, 3, and 4 (fourteenth century); and surgical apparatus of Hans von Gerssdorff, nos. 5, 6 and 7 (fifteenth century) After plates in Gurlt’s “Geschichte der Chirurgie” 1. Trepan 2. Balista used for extraction of arrows 3. Cauterizing shears with cannula for cauterization of the uvula 4. Bistoury 5. Extension arrangement for reducing upper arm dislocations, called “The Fool” 6. Screwpiece for extending a knee contracture 7. Extension apparatus in the form of armour-arm and armour-leg plates (“harness instruments”) for contractures of the elbow and knee joints - Druids
ALTHOUGH these Britons did not worship images, they believed that there were many gods and their religion was very different from that which is taught us in the Bible. They had priests who were called DRUIDS, who lived mostly in the forests, and taught the people that the Oak was a sacred tree. They worshipped the mistletoe, a plant which grows on the branches of the oak and on other trees. This mistletoe was cut off every year, with a golden knife, by the chief Druid, amid great rejoicing, and was very carefully preserved. The priests wore white linen robes, and let their beards grow very long to distinguish them from the rest of the people. The savages obeyed them because they knew more than anybody else, and tried to find out medicines to cure those who were ill. They used various means to make the people give them presents. On a certain day, at the beginning of winter, they obliged all persons to put out their fires, and light them again from the fire of the sacred altar, telling them, that by so doing they would have good fortune throughout the year; but if any one did not act as they wished, they would not allow him to enter their temples, and his friends were forbidden to give him any help. - A Greek Clinic of 400 BC
A Greek Clinic of 400 BC In the centre sits a physician holding a lancet and bleeding a patient from the median vein at the bend of the right elbow into a large open basin. Above and behind the physician are suspended three cupping vessels. To the right sits another patient awaiting his turn; his left arm is bandaged in the region of the biceps. The figure beyond him smells a flower, perhaps as a preservative against infection. Behind the physician stands a man leaning on a staff; he is wounded in the left leg, which is bandaged. By his side stands a dwarfish figure with disproportionately large head, whose body exhibits deformities typical of the developmental disease now known as Achondroplasia; in addition to these deformities we note that his body is hairy and the bridge of his nose sunken; on his back he carries a hare which is almost as tall as himself. Talking to the dwarf is a man leaning on a long staff, who has the remains of a bandage round his chest. - Thirteenth-century hospital interior
Thirteenth-Century Hospital Interior (Tonerre) From “The Thirteenth: Greatest of Centuries,” by J. J. Walsh This was built by the sister of Louis IX of France, Marguerite of Bourgogne, who retired to it herself to spend her life caring for the ailing poor. - Surgical instruments of the Arabs
Surgical instruments of the Arabs, according to Abulcasim After plates in Gurlt’s “Geschichte der Chirurgie” 1. A pincher for extracting foreign bodies from the ear 2. An ear syringe for injections 3. A tongue depressor 4. Concave scissors for the removal of tonsils 5. Curved pinchers for foreign bodies in the throat 6 to 29. Instruments for the treatment of the teeth 19 and 20. Forceps 21 to 25. Levers and hooks for the removal of roots 26. Strong pinchers for the same 27. A tooth saw 28 and 29. Files for the teeth - Reducing Dislocated Jaw
Reducing Dislocated Jaw - Drawing Blood for Transfusion
When the donor’s arm has been congested by gripping it above the elbow, or better by the application of a tourniquet drawn to the requisite degree of tightness, a suitable vein, usually the median basilic, is chosen. The area of puncture is washed with ether and a very small quantity, 2 to 3 minims, of 2 per cent. novocain is introduced over the vein with a hypodermic syringe. If a larger quantity is used, the vein may become obscured, but this small amount may be dispersed by a few moments’ pressure with the finger, and is usually enough to anæsthetize the very small area of skin that is to be operated upon. A tiny cut in the skin is then made with the point of a scalpel, and the needle is pushed through into the vein. - A man employing leeches to reduce his weight
A man employing leeches to reduce his weight, 16th century. (From P. Boaistuau, Histoire Podigieuses, Paris, 1567. ) - Scarification without cupping in Egypt
Scarification without cupping in Egypt in the 16th century. To obtain sufficient blood, 20 to 40 gashes were made in the legs and the patient was made to stand in a basin of warm water. (From Prosper Alpinus, Medicina Aegyptorum, Leyden, 1719. - Woman using leeches
Woman using leeches, 17th century. (From Guillaume van den Bossche, Historica Medica, Brussels, 1639.) - Mother giving medicine to girl in bed
Mother giving medicine to girl in bed - Kimpton-Brown Tube
Whole Blood Transfusion with Kimpton’s Tube. The principle of this method depends upon the use of paraffin wax as a coating for the vessel into which the blood is drawn, so that clotting is prevented or greatly delayed. The form of the vessel has been modified by different workers, but the essentials are the same in each. One form of the apparatus, known as the Kimpton-Brown tube, is illustrated in the accompanying diagram. It consists of a graduated glass cylinder, of about 700 cc. capacity, the lower end of which is drawn out into a cannula point at an acute angle with the body of the cylinder; the point is of a size convenient for introducing into a vein and its bore large enough to allow of a free flow of blood through it. Near the upper end is a side tube to which a rubber tube can be attached, and an opening at the top is closed by a rubber bung. An ordinary rubber double-bulb bellows is the only other apparatus that is needed. - Grandfather sacred medicines
“Do the spirits eat the food?” I asked. I had seen my grandfather set food before the two skulls of the Big Birds’ ceremony. “No,” said my grandfather, “They eat the food’s spirit; for the food has a spirit as have all things. When the gods have eaten of its spirit, we often take back the food to eat ourselves.” - Blundell’s Impellor
A more general interest in the subject was revived in England by the work of James Blundell, lecturer on physiology and midwifery at St. Thomas’s and Guy’s Hospitals. He published in 1818 his earliest paper on experimental transfusion with a special form of syringe invented by himself. His first apparatus consisted of a funnel-shaped receptacle for the blood, connected by a two-way tap with a syringe from which the blood was injected through a tube and cannula into the recipient. His experiments were[11] performed upon dogs, and he began by drawing blood from the femoral artery and re-injecting it into the same animal through the femoral vein. He then conducted a long series of investigations into the properties of blood, the effects of its withdrawal, and the resuscitation of an exsanguinated animal. Soon he had opportunities of transfusing patients with human blood, and the results are recorded in his paper of 1824. His apparatus had by then been elaborated, and an engraving of his Impellor, as he termed it, is reproduced here. It consisted as before of a funnel-shaped receptacle for the blood, but the syringe was now incorporated in one side of the funnel, and contained a complicated system of spring valves, which caused the blood to travel along the delivery tube when the piston was pushed down. The Impellor was fixed to the back of a chair in order to give it stability. - Sitting Bull
Ta-ton-ka-I-yo-ton-ka (Sitting Bull) Sitting Bull, the famous commander at the Custer massacre, was, during his prosperous years, the chief of chiefs, or supreme head of the nation. He first inherited the office, and was able to retain it because of mental superiority and by reason of the fact that, until the last hope was gone, he assumed an uncompromising position in regard to the encroachment of the whites. Then, too, Ta-ton-ka-I-yo-ton-ka was a medicine man, capable of arousing religious fervor. That he was cruel toward the enemies of his people cannot be denied; but, according to the red man's philosophy, that was simple bravery and loyalty. - An early illustration of the octagonal scarificator
An early illustration of the octagonal scarificator, 1801. This plate also includes one of the earliest illustrations of the syringe applied to cupping cups. (From Benjamin Bell, A System of Surgery, 7th edition, volume 3, Edinburgh, 1801.) - Siamese War Elephant
- My little half sister was my usual playmate. She was two years younger than I, and I loved her dearly
My little half sister was my usual playmate. She was two years younger than I, and I loved her dearly. She had a pretty name, Cold Medicine. On our prairies grows a flower with long, yellow root. In old times, if a warrior was running from enemies and became wearied he chewed a bit of the root and rubbed it on his eyelids. It made his eyes and tongue feel cold and kept him awake. The flower for this reason was called cold medicine. When my father spoke my sister’s name, it made him think of this flower and of the many times he had bravely gone out with war parties. - Hippocrates of Cos
Two other men with names greatly celebrated among the ancients may be referred to here, as representatives of what may be termed the Natural History group of sciences. One of them was a contemporary of Plato, the other was a pupil of Aristotle. The first is the famous physician HIPPOCRATES B.C. 470-375), to whom is attributed the foundation of medicine as a science. The healing of wounds and the cure of diseases is an art, and as such must have been practised in some form at a period coeval with the existence of mankind. The successful practice of this art depends largely upon knowledge of the causes, symptoms, and course of diseases, and upon a knowledge of the anatomy and physiology of the human body. - A Chinese sedan chair and bearers
A Chinese sedan chair and bearers - A fire ( Place of the School of Medicine )
An impressionable porter saw smoke on his staircase. — In his zeal, he went to smash the windows of all the warnings in the neighborhood, and from all points of the horizon the firefighters rushed to the scene of the disaster, a little unsure of his exact situation. All the kids they met escorted them with long strides, while the city sergeants stopped the traffic, under the fallacious pretext of ensuring it. - The Infallible Remedy
TOOTHACHE is an universal plague. Every country has a special " nostrum " for its cure. China knows the plague, and China has a nostrum, which may well challenge all others for originality and efficacy. The quacks who in this case advance their specific are all women. I speak of them and their doings as I have seen and known them in the province of Chekeang. Whether they are found elsewhere in China I know not. The remedy they employ has never yet, to my knowledge, been published to the world ; and we must not feel sur-prised if, after this paper has once got abroad, a shipload of these charlatans should be sent for, and make their appearance " one fine morning," in the Thames. These female quacks maintain that the usual cause of toothache is a little worm or maggot, which has its nest in the gum under the root, and if this little offender can be driven or coaxed out, the gnawing pain will immediately cease. But how he is to be driven or coaxed out is the secret of their trade, the knowledge of which they confine most rigidly to those of their own profession. We had not been resident many years in the country before we heard talk of these women and their wonderful performances, and as my friend and I took our customary walks together, our con-versation not unfrequently turned their way. My friend stoutly maintained that it was all impos-ture ; it was impossible, he said, that maggots in the gums or teeth should have escaped the obser-vation of our dentists, who had examined hundreds of thousands, not merely of teeth, but of mouths for so many years. - Illustrating Galen’s physiological teaching
The basic principle of life, in the Galenic physiology, is a spirit, anima or pneuma, drawn from the general world-soul in the act of respiration. It enters the body through the rough artery (τραχεῖα ἀρτηρία, arteria aspera of mediaeval notation), the organ known to our nomenclature as the trachea. From this trachea the pneuma passes to the lung and then, through the vein-like artery (ἀρτηρία φλεβώδης, arteria venalis of mediaeval writers, the pulmonary vein of our nomenclature), to the left ventricle. Here it will be best to leave it for a moment and trace the vascular system along a different route. - A Chinese Mendicant
Begging is by no means a profitable trade in China, and few therefore pursue it except the monks of Fo and Tao-tzé, and a few impostors who go about pretending to foretell events and predict good or ill fortune. The annexed is the representation of a beggar of a different description. The piece of hollow wood in his hand is struck to draw attention, and the label on his back describes his condition, which is not exactly such as in other countries would excite much compassion. It states his unfortunate situation, as having no children to take care of him, to console him in affliction, to give him food when hungry, or medicine when sick. The want of children is considered in China as the greatest of all misfortunes, and is in reality so, as by the moral precepts of that nation, which have all the force of law, filial piety is looked upon as the first of moral virtues; and, however poor a child may be, he is bound to share his earnings with his aged parents. - A Palanquin in India
There have been various modifications of the litter, familiar examples being the funeral bier and the modern stretcher. Another development is the palanquin, a distinctive form of transport in the East.