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PubMed2000

Anesthetic and analgesic practices in Avicenna's Canon of Medicine.

Anesthetic and analgesic practices during the Middle Ages and the Renaissance are presented from a translation of the relevant sections of the Canon of Medicine by Avicenna (980-1037) one of the most widely read and authoritative textbooks of the period. Avicenna described tracheotomy, oropharyngeal intubation and a method for clearing upper airway secretions for the treatment of stridor and respiratory distress. He also identified certain plants with pharmacological action such as mandragora or nightshade, opium and henbane and gives various recipes for inducing both anesthesia and analgesia before surgery.

Analgesics↗
PubMed1989

Gerota versus Zuckerkandl: the renal fascia revisited.

In the medical literature, Gerota fascia is frequently used as a general term to describe both the anterior and posterior pararenal fascia. However, Zuckerkandl's name is also often used to describe either the anterior or posterior fascia. To resolve this confusion, the authors reviewed the original works by Gerota and Zuckerkandl. In 1883, Zuckerkandl described the posterior renal fascia but did not recognize the presence of the anterior renal fascia. In 1895, Gerota documented the presence of the anterior renal fascia and clearly assigned Zuckerkandl's name to the posterior renal fascia. Thus, the terms Zuckerkandl fascia and posterior renal fascia are synonymous, as are Gerota fascia and anterior renal fascia.

Eponyms↗
PubMed1999

Edema in the Corpus Hippocraticum.

In this paper, we analyze the collection of ancient Greek treatises ascribed to Hippocrates (460; between 371 and 350 BC), in order to determine whether or not edema can be traced. As a result of reading these works on the Greek text, we recognize some symptoms of edema in those called oidêma (swelling) and udrôps (dropsy) in the oldest treatises of the Corpus; in some cases, it seems also possible to recognize its description as the uremic coma. The dysfunction of edema had not been identified as such, however, even though the phenomena associated with the above symptoms received a specific explanation, which was fully hypothetical. This theoretical explanation also justifies the therapies prescribed for the treatment of the phenomena among which edema appears. Significantly enough, the treatment changed during a period which corresponds to that of Hippocrates' life: it changes from the four-quality system to that one of the four humors, but not necessarily under the influence of Hippocrates himself.

Edema↗
PubMed1999

Gentile da Foligno, a pioneer of cardionephrology: commentary on Carmina de urinarum iudiciis and De pulsibus.

Gentile da Foligno was an influential professor and teacher of medicine at the Universities of Bologna, Padua, Siena and Perugia in the first part of the 14th century. He was one of the first physicians to perform human dissection. He authored many important texts and commentaries, among which is the Consilla, a collection of therapeutic advices for many diseases. He made a commentary on Carmina de urinarum iudiciis (Songs of urinary judgements) and to De pulsibus (About pulses) composed by Egidius Corbaliensis. This work is more than a commentary: it is a text attempting to conceptualise the physiology of urine formation. According to his writing, urine associated to the blood passes 'per poros euritides' (through the porous tubules) of the kidney and is then delivered to the bladder. Commenting and explaining the writing on De pulsibus, he stressed the importance of heart disease on modulating the colour and output of urine and the relationship between fast pulse rate and urine output. For the originality of his thought and for the conceptualization of the relationship between pulse rate and urine characteristic, Gentile da Foligno could be indicated as the 'first' cardionephrologist in the history of medicine.

Cardiology↗
PubMed1999

Bartolomeo Eustachio: A pioneer in morphological studies of the kidney.

The morphological structure of the kidney only started being seriously investigated and truly understood in the 16th century, thanks mainly to Bartolomeo Eustachio. In his De Renibus, in fact, he painstakingly described the size, consistency, location and variations of the kidney, to which modern understanding can add very little. In describing the renal parenchyma he stated that it is made up of an external and an internal substance, and recognized the central role of the renal arteries in the excretory function of the kidneys. He made observations regarding the presence of extremely fine arteries that filter urine, the nature and function of the renal tubules and the columns of external substance that protrude between the papillae. There can be no doubt that Eustachio's remarkable achievements made him a pioneer in morphological studies of the kidney.

Anatomy, Artistic↗