Page:EB1911 - Volume 01.djvu/977

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924
[HISTORY
ANATOMY

the pathology of hernia. He appears, however, to have formed a tolerably just idea of the mode of cutting into the urinary bladder; and even his obstetrical instructions show that his knowledge of the uterus, vagina and appendages was not contemptible. It is in osteology, however, that the information of Celsus is chiefly conspicuous. He enumerates the sutures and several of the holes of the cranium, and describes at great length the superior and inferior maxillary bones and the teeth. With a good deal of care he describes the vertebrae and the ribs, and gives very briefly the situation and shape of the scapula, humerus, radius and ulna, and even of the carpal and metacarpal bones, and then of the different bones of the pelvis and lower extremities. He had formed a just idea of the articular connexions, and is desirous to impress the fact that none is formed without cartilage. From his mention of many minute holes (multa et tenuia foramina) in the recess of the nasal cavities, it is evident that he was acquainted with the perforated plate of the ethmoid bone; and from saying that the straight part of the auditory canal becomes flexuous and terminates in numerous minute cavities (multa et tenuia foramina diducitur), it is inferred by Portal that he knew the semicircular canals.

Though the writings of Celsus show that he cultivated anatomical knowledge, it does not appear that the science was much studied by the Romans; and there is reason to believe that, after the decay of the school of Alexandria, it languished in neglect and obscurity. It is at least certain that the appearance of Marinus during the reign of Nero is mentioned by authors as an era remarkable for anatomical inquiry, and that this person is distinguished by Galen as the restorer of a branch of knowledge which had been before him suffered to fall into undeserved neglect. From Galen also we learn that Marinus gave an accurate account of the muscles, that he studied particularly the glands, and that he discovered those of the mesentery. He fixed the number of nerves at seven; he observed the palatine nerves, which he rated as the fourth pair; and described as the fifth the auditory and facial, which he regards as one pair, and the hypoglossal as the sixth.

Not long after Marinus appeared Rufus (or Ruffus) of Ephesus, a Greek physician, who in the reign of Trajan was much attached Rufus. to physiology, and as a means of cultivating this science studied Comparative Anatomy and made sundry experiments on living animals. Of the anatomical writings of this author there remains only a list or catalogue of names of different regions and parts of the animal body. He appears, however, to have directed attention particularly to the tortuous course of the uterine vessels, and to have recognized even at this early period the Fallopian tube. He distinguishes the nerves into those of sensation and those of motion. He knew the recurrent nerve. His name is further associated with the ancient experiment of compressing in the situation of the carotid arteries the pneumogastric nerve, and thereby inducing insensibility and loss of voice.

Of all the authors of antiquity, however, none possesses so just a claim to the title of anatomist as Claudius Galenus, the Galen. celebrated physician of Pergamum, who was born about the 130th year of the Christian era, and lived under the reigns of Hadrian, the Antonines, Commodus and Severus. He was trained by his father Nicon (whose memory he embalms as an eminent mathematician, architect and astronomer) in all the learning of the day, and initiated particularly into the mysteries of the Aristotelian philosophy. In an order somewhat whimsical he afterwards studied philosophy successively in the schools of the Stoics, the Academics, the Peripatetics and the Epicureans. When he was seventeen years of age, his father, he informs us, was admonished by a dream to devote his son to the study of medicine; but it was fully two years after that Galen entered on this pursuit, under the auspices of an instructor whose name he has thought proper to conceal. Shortly after he betook himself to the study of anatomy under Satyrus, a pupil of Quintus, and of medicine under Stratonicus, a Hippocratic physician, and Aeschrion, an empiric. He had scarcely attained the age of twenty when he had occasion to deplore the loss of the first and most affectionate guide of his studies; and soon after he proceeded to Smyrna to obtain the anatomical instructions of Pelops, who, though mystified by some of the errors of Hippocrates, is commemorated by his pupil as a skilful anatomist. After this he appears to have visited various cities distinguished for philosophical or medical teachers; and, finally, to have gone to Alexandria with the view of cultivating more accurately and intimately the study of anatomy under Heraclianus. Here he remained till his twenty-eighth year, when he regarded himself as possessed of all the knowledge then attainable through the medium of teachers. He now returned to Pergamum to exercise the art which he had so anxiously studied, and received, in his twenty-ninth year, an unequivocal testimony of the confidence which his fellow-citizens reposed in his skill, by being intrusted with the treatment of the wounded gladiators; and in this capacity he is said to have treated wounds with success which were fatal under former treatment. A seditious tumult appears to have caused him to form the resolution of quitting Pergamum and proceeding to Rome at the age of thirty-two. Here, however, he remained only five years; and returning once more to Pergamum, after travelling for some time, finally settled in Rome as physician to the emperor Commodus. The anatomical writings ascribed to Galen, which are numerous, are to be viewed not merely as the result of personal research and information, but as the common depository of the anatomical knowledge of the day, and as combining all that he had learnt from the several teachers under whom he successively studied with whatever personal investigation enabled him to acquire. It is on this account not always easy to distinguish what Galen had himself ascertained by personal research from that which was known by other anatomists. This, however, though of moment to the history of Galen as an anatomist, is of little consequence to the science itself; and from the anatomical remains of this author a pretty just idea may be formed both of the progress and of the actual state of the science at that time.

The osteology of Galen is undoubtedly the most perfect of the departments of the anatomy of the ancients. He names and distinguishes the bones and sutures of the cranium nearly in the same manner as at present. Thus, he notices the quadrilateral shape of the parietal bones; he distinguishes the squamous, the styloid, the mastoid and the petrous portions of the temporal bones; and he remarks the peculiar situation and shape of the sphenoid bone. Of the ethmoid, which he omits at first, he afterwards speaks more at large in another treatise. The malar he notices under the name of zygomatic bone; and he describes at length the upper maxillary and nasal bones, and the connexion of the former with the sphenoid. He gives the first clear account of the number and situation of the vertebrae, which he divides into cervical, dorsal and lumbar, and distinguishes from the sacrum and coccyx. Under the head Bones of the Thorax, he enumerates the sternum, the ribs (αί πλευραί), and the dorsal vertebrae, the connexion of which with the former he designates as a variety of diarthrosis. The description of the bones of the extremities and their articulations concludes the treatise.

Though in myology Galen appears to less advantage than in osteology, he nevertheless had carried this part of anatomical knowledge to greater perfection than any of his predecessors. He describes a frontal muscle, the six muscles of the eye and a seventh proper to animals; a muscle to each ala nasi, four muscles of the lips, the thin cutaneous muscle of the neck, which he first termed platysma myoides or muscular expansion, two muscles of the eyelids, and four pairs of muscles of the lower jaw—the temporal to raise, the masseter to draw to one side, and two depressors, corresponding to the digastric and internal pterygoid muscles. After speaking of the muscles which move the head and the scapula, he adverts to those by which the windpipe is opened and shut, and the intrinsic or proper muscles of the larynx and hyoid bone. Then follow those of the tongue, pharynx and neck, those of the upper extremities, the trunk and the lower extremities successively; and in the course of this description he swerves so little from the actual facts that most of the names by which he distinguishes the principal muscles have been