be removed, and the hernia
replaced within the abdomen. Care should be taken that no loop of
intestine is allowed to remain. Then a large needle with double thread
made of ten strands should be run through the middle of the incision in
the end of the peritoneum, and tied firmly in cross sutures. The outer
structures should be brought together with a second ligature, and the
lower end of the incision should have a wick placed in it for drainage,
and the site of operation should be covered with an oil bandage.
The Arab writer, Abul Farag, to whose references we owe the definite
placing of the time when Paul lived, said that "he had special
experience in women's diseases, and had devoted himself to them with
great industry and success. The midwives of the time were accustomed to
go to him and ask his counsel with regard to accidents that happen
during and after parturition. He willingly imparted his information, and
told them what they should do. For this reason he came to be known as
the Obstetrician." Perhaps the term should be translated the
man-midwife, for it was rather unusual for men to have much knowledge of
this subject. His knowledge of the phenomena of menstruation was as wide
and definite. He knew a great deal of how to treat its disturbances. He
seems to have been the first one to suggest that in metrorrhagia, with
severe hemorrhage from the uterus, the bleeding might be stopped by
putting ligatures around the limbs. This same method has been suggested
for severe hemorrhage from the lungs as well as from the uterus in our
own time. In hysteria he also suggested ligature of the limbs, and it is
easy to understand that this might be a very strongly suggestive
treatment for the severer forms of hysteria. It is possible, too, that
the modification of the circulation to the nervous system induced by the
shutting off of the circulation in large areas of the body might very
well have a favorable physical effect in this affection. Paul's
description of the use of the speculum is as complete as that in any
modern text-book of gynaecology.
FURTHER CHRISTIAN PHYSICIANS
Another distinguished Christian medical scientist was Theophilus
Protosbatharius, who belonged to the court of the Greek Emperor
Heraclius, in the seventh century. He seems to have had a life very full
of interest and surprisingly varied duties. He was a bishop, and, at the
same time, commander of the imperial bodyguard, and the author of a
little
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