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A History of Science-1 [109]

By Root 1557 0
he had acquired considerable fame as a surgeon, and his fellow-citizens showed their confidence in his ability by choosing him as surgeon to the wounded gladiators shortly after his return to his native city. In these duties his knowledge of anatomy aided him greatly, and he is said to have healed certain kinds of wounds that had previously baffled the surgeons. In the time of Galen dissections of the human body were forbidden by law, and he was obliged to confine himself to dissections of the lower animals. He had the advantage, however, of the anatomical works of Herophilus and Erasistratus, and he must have depended upon them in perfecting his comparison between the anatomy of men and the lower animals. It is possible that he did make human dissections surreptitiously, but of this we have no proof. He was familiar with the complicated structure of the bones of the cranium. He described the vertebrae clearly, divided them into groups, and named them after the manner of anatomists of to-day. He was less accurate in his description of the muscles, although a large number of these were described by him. Like all anatomists before the time of Harvey, he had a very erroneous conception of the circulation, although he understood that the heart was an organ for the propulsion of blood, and he showed that the arteries of the living animals did not contain air alone, as was taught by many anatomists. He knew, also, that the heart was made up of layers of fibres that ran in certain fixed directions--that is, longitudinal, transverse, and oblique; but he did not recognize the heart as a muscular organ. In proof of this he pointed out that all muscles require rest, and as the heart did not rest it could not be composed of muscular tissue. Many of his physiological experiments were conducted upon scientific principles. Thus he proved that certain muscles were under the control of definite sets of nerves by cutting these nerves in living animals, and observing that the muscles supplied by them were rendered useless. He pointed out also that nerves have no power in themselves, but merely conduct impulses to and from the brain and spinal-cord. He turned this peculiar knowledge to account in the case of a celebrated sophist, Pausanias, who had been under the treatment of various physicians for a numbness in the fourth and fifth fingers of his left hand. These physicians had been treating this condition by applications of poultices to the hand itself. Galen, being called in consultation, pointed out that the injury was probably not in the hand itself, but in the ulner nerve, which controls sensation in the fourth and fifth fingers. Surmising that the nerve must have been injured in some way, he made careful inquiries of the patient, who recalled that he had been thrown from his chariot some time before, striking and injuring his back. Acting upon this information, Galen applied stimulating remedies to the source of the nerve itself--that is, to the bundle of nerve-trunks known as the brachial plexus, in the shoulder. To the surprise and confusion of his fellow-physicians, this method of treatment proved effective and the patient recovered completely in a short time. Although the functions of the organs in the chest were not well understood by Galen, he was well acquainted with their anatomy. He knew that the lungs were covered by thin membrane, and that the heart was surrounded by a sac of very similar tissue. He made constant comparisons also between these organs in different animals, as his dissections were performed upon beasts ranging in size from a mouse to an elephant. The minuteness of his observations is shown by the fact that he had noted and described the ring of bone found in the hearts of certain animals, such as the horse, although not found in the human heart or in most animals. His description of the abdominal organs was in general accurate. He had noted that the abdominal cavity was lined with a peculiar saclike membrane, the peritoneum, which also surrounded most of the organs contained in the cavity, and he made special
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