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Hippocrates · On Vision §4-9

Surgical Treatments and Regimens for Eye Diseases

Passage 2 of 2 · Greek

Summary

This text describes the surgical procedures for scraping or excising the eyelids, along with specific treatments for eye scabies, night-blindness, and removing fluid by trepanning, and concludes with dietary and behavioral regimens for epidemic ophthalmia.

§44.
4.
Ὅταν δὲ ξύῃς βλέφαρα ὀφθαλμοῦ, ξύειν [εἶτα καίειν] εἰρίῳ Μιλησίῳ, οὔλῳ, καθαρῷ, περὶ ἄτρακτον περιειλῶν, αὐτὴν τὴν στεφάνην τοῦ ὀφθαλμοῦ φυλασσόμενος, μὴ διακαύσῃς πρὸς τὸν χόνδρον.
When you scrape the eyelids of an eye, scrape them with Miletian wool, curly and clean, wrapping it around a spindle, taking care of the very edge of the eye itself, so that you do not burn through to the cartilage.
Σημεῖον δὲ ὅταν ἀπόχρη τῆς ξύσιος, οὐκ ἔτι λαμπρὸν αἷμα εξέρχεται, ἀλλὰ ἰχὼρ αἱματώδης ἢ ὑδατώδης.
The sign when the scraping is sufficient is that bright blood no longer comes out, but a bloody or watery ichor.
Τότε δὲ χρή τινι τῶν ὑγρῶν φαρμάκων, ὅκου ἄνθος ἐστὶ χαλκοῦ, τουτέῳ ἀνατρῖψαι.
Then one must rub it with one of the liquid remedies where there is flower of copper.
Ὕστερον δὲ τὸ τῆς ξύσιος καὶ τὸ τῆς καύσιος, ὅταν αἱ ἐσχάραι ἐκπέσωσι καὶ κεκαθαρμένα ᾖ τὰ ἕλκεα καὶ βλαστάνῃ, τάμνειν τομὴν διὰ τοῦ βρέγματος.
And afterwards, regarding the scraping and the burning, when the eschars fall off and the wounds are clean and shooting up flesh, make an incision through the bregma.
Ὅταν δὲ τὸ αἷμα ἀποῤῥυῇ, χρὴ διαχρίειν τῳ ἐναίμῳ φαρμάκῳ.
And when the blood has flowed away, one must rub it with an styptic remedy.
Ὕστερον δὲ τουτέου ἔργον καὶ πάντων τὴν κεφαλὴν καθῆραι.
And after this, it is the task, as after all else, to purge the head.
§55.
5.
Τὰ βλέφαρα τὰ παχύτερα τῆς φύσιος, τὸ κάτω ἀποταμὼν τὴν σάρκα ὁκόσην εὐμαρέστατα δύνῃ, ὕστερον δὲ τὸ βλέφαρον ἐπικαῦσαι μὴ διαφανέσι, φυλασσόμενος τὴν φύσιν τῶν τριχῶν, ἢ τῷ ἄνθει ὀπτῷ λεπτῷ προστεῖλαι.
For eyelids that are thicker than natural, cutting off the flesh from below as easily as you can, afterwards burn the eyelid with cauteries that do not penetrate, taking care of the nature of the eyelashes, or apply fine burnt flower of copper.
Ὅταν δὲ ἀποπέσῃ ἡ ἐσχάρα, ἰητρεύειν τὰ λοιπά.
When the eschar falls off, treat the rest.
§66.
6.
Ὁκόταν δὲ βλέφαρα ψωριᾷ καὶ κνησμὸς ἔχῃ, ἄνθος χαλκοῦ βώλιον πρὸς ἀκόνην τρίψας, ἔπειτα τὸ βλέφαρον ἀποτρίψας αὐτέου, καὶ τότε τὴν φολίδα τοῦ χαλκοῦ τρίβειν ὡς λεπτοτάτην· ἔπειτα χυλὸν ὄμφακος διηθημένον παραχέας καὶ τρίψας λεῖον, τὸ δὲ λοιπὸν ἐν χαλκῷ ἐρυθρῷ παραχέων, κατ’ ὀλίγον ἀνατίρβειν, ἕως ἂν πάχος γένηται ὡς μυττωτός· ἔπειτα, ἐπειδὰν ξηρανθῇ, τρίψας λεῖον χρῆσθαι.
Whenever the eyelids suffer from scabies and there is itching, rub a lump of flower of copper on a whetstone, then rub the eyelid with it, and then grind the scale of copper as finely as possible; then, pouring in strained juice of unripe grapes and grinding it smooth, and pouring the rest into a vessel of red copper, rub it together little by little, until it becomes as thick as a paste; then, when it is dry, grind it smooth and use it.
§77.
7.
Νυκτάλωπος φάρμακον· πινέτω ἐλατήριον, καὶ τὴν κεφαλὴν καθαιρέσθω, καὶ κατάξας τὸν αὐχένα ὡς μάλιστα, πιέσας πλεῖστον χρόνον.
A remedy for night-blindness: let him drink elaterium, and let his head be purged, and bend his neck as much as possible, pressing it for a very long time.
Ἐπανιεὶς δὲ διδόναι ἐν μέλιτι βάπτων ἧπαρ βοὸς ὠμὸν καταπιεῖν μέγιστον ὡς ἂν δύνηται, ἓν ἢ δύο.
Releasing it, give him to swallow, dipping in honey, raw beef liver, as large as he can manage, one or two.
§88.
8.
Ἤν τινι οἱ ὀφθαλμοὶ ὑγιέες ἐόντες διαφθείροιεν τὴν ὄψιν, τουτέῳ χρὴ ταμόντα κατὰ τὸ βρέγμα, ἐπαναδείραντα, ἐκπρίσαντα τὸ ὀστέον, ἀφελόντα τὸν ὕδρωπα, ἰῆσθαι· καὶ οὕτως ὑγιέες γίνονται.
If in anyone, while the eyes are healthy, they destroy the vision, for this patient one must make an incision at the bregma, peel back the scalp, saw through the bone, remove the watery fluid, and treat him; and in this way they become healthy.
§99.
9.
Ὀφθαλμίης τῆς ἐπετείου καὶ ἐπιδημίου ξυμφέρει κάθαρσις κεφαλῆς καὶ τῆς κάτω κοιλίης· καὶ εἰ ἔχοι τὸ σῶμα, αἵματος ἀφαίρεσις ξυμφέρει πρὸς ἔνια τῶν τοιούτων ἀλγημάτων, καὶ σικύαι κατὰ τὰς φλέβας.
For annual and epidemic ophthalmia, purging of the head and of the lower belly is beneficial; and if the body permits, blood-letting is beneficial for some of such pains, and cupping-glasses along the veins.
Σῖτος ὀλίγος ἄρτος, καὶ ὕδατος πόσις.
Diet should be a little bread, and drinking of water.
Κατακεῖσθαι δὲ ἐν σκότῳ, ἀπό τε καπνοῦ καὶ πυρὸς καὶ τῶν ἄλλων λαμπρῶν, πλαγίων, ἄλλοτε ἐπὶ τὰ δεξιὰ, ἄλλοτε ἐπ’ ἀριστερά.
And lie down in the dark, away from smoke and fire and other bright things, on the side, sometimes on the right, sometimes on the left.
Μὴ τέγγειν τὴν κεφαλὴν, ἐπειδὰν οὐ ξυμφέρει.
Do not wet the head, since it is not beneficial.
Κατάπλασμα ὀδύνης μὴ ἐνεούσης, ἀλλ’ ὡς ῥεύματος ἐπέχοντος, οὐ συμφέρει.
A poultice, when there is no pain but as if a discharge is held in, is not beneficial.
Οἰδημάτων ἀνωδύνων καὶ μετὰ τὰ δριμέα φάρμακα τῆς ὀδύνης ἐπαλειφόμενα, ἐπειδὰν ἥ τε ὀδύνη παύσηται καὶ διαχωρισθῇ μετὰ τὴν ἐσάλειψιν τοῦ φαρμάκου, τότε συμφέρει καταπλάσσειν τῶν καταπλασμάτων ὅ τι ἄν σοι δοκέῃ ξυμφέρειν.
For painless swellings, and those painted after sharp remedies for pain, when the pain ceases and has separated after the application of the medicine, then it is beneficial to apply whatever poultice seems to you to be useful.
Οὐδὲ διαβλέπειν ξυμφέρει πουλὺν χρόνον, δάκρυον γὰρ προκαλέεται, οὐ δυνάμενος ὁ ὀφθαλμὸς πονέειν πρὸς τὰ λαμπρά· ἀλλ’ οὐδὲ ξυμμύειν πουλὺν χρόνον, ἢν ἔχῃ ῥεῦμα θερμὸν μάλιστα· θερμαίνει γὰρ τὸ δάκρυον ἰσχόμενον.
Nor is it beneficial to look open-eyed for a long time, for a tear is provoked, since the eye is unable to bear pain against bright things; but neither is it beneficial to keep the eyes closed for a long time, especially if there is a hot discharge; for the retained tear heats the eye.
Ῥεύματος δὲ μὴ ἔχοντος, μετά γέ του ξηροῦ τὴν ὑπάλειψιν ξυμφέρει ποιέεσθαι.
When there is no discharge, it is beneficial to make the application with some dry remedy.

Notes

  1. 4ξύειν [εἶτα καίειν] — The infinitive ξύειν functions as an imperative infinitive, conveying an instruction to the doctor. The phrase in brackets [εἶτα καίειν] means 'then to cauterize', which is sometimes considered an interpolative gloss in the manuscript tradition.
  2. 4τὸ τῆς ξύσιος καὶ τὸ τῆς καύσιος — Articular genitive expression. Grammatically it acts as an accusative of respect or an adverbial phrase indicating 'after the scraping and burning', directly specified by the subsequent ὅταν clause indicating a particular stage of recovery.
  3. 5Τὰ βλέφαρα τὰ παχύτερα τῆς φύσιος — An accusative at the beginning of the sentence (or an anacoluthon). Instead of being directly governed by a main verb, it functions as an accusative of topic (pendens) meaning 'as for the eyelids that are thicker than natural'.
  4. 8Ἤν τινι οἱ ὀφθαλμοὶ ὑγιέες ἐόντες διαφθείροιεν τὴν ὄψιν — The participle ἐόντες (Ionic form of εἰμί) has a concessive force, 'although (apparently) being healthy'. The optative διαφθείροιεν with ἤν (or εἰ) forms a hypothetical condition representing a rare or general possibility.
  5. 9εἰ ἔχοι τὸ σῶμα — An impersonal or elliptical expression. It is interpreted as 'if the body has the strength to bear it'. The verb ἔχω here conveys the sense of being able to support or withstand a treatment.

Cite this passage

Hippocrates, On Vision §4-9. Humanitext Reader, https://reader.humanitext.ai/en/text/urn:cts:greekLit:tlg0627.tlg047.humanitext-grc1:4-9

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