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.
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!
Amputation below the knee
This is the first picture of an amputation known From Gerssdorff’s woodcut, reproduced in Gurlt’s “Geschichte der Chirurgie”
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.
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.
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
Reducing Dislocated Jaw
Reducing Dislocated Jaw
Reducing Dislocated Shoulder
Reducing Dislocated Shoulder
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
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.