The ''Kitāb al-Taṣrīf'' ( ar, كتاب التصريف لمن عجز عن التأليف, lit=The Arrangement of Medical Knowledge for One Who is Not Able to Compile a Book for Himself), known in English as The Method of Medicine, is a 30-volume

Arabic Arabic (, ' ; , ' or ) is a Semitic language spoken primarily across the Arab world.Semitic languages: an international handbook / edited by Stefan Weninger; in collaboration with Geoffrey Khan, Michael P. Streck, Janet C. E.Watson; Walter ...

encyclopedia on

medicine Medicine is the science and practice of caring for a patient, managing the diagnosis, prognosis, prevention, treatment, palliation of their injury or disease, and promoting their health. Medicine encompasses a variety of health care pr ...

and

surgery Surgery ''cheirourgikē'' (composed of χείρ, "hand", and ἔργον, "work"), via la, chirurgiae, meaning "hand work". is a medical specialty that uses operative manual and instrumental techniques on a person to investigate or treat a pa ...

, written near the year 1000 by

Abu al-Qasim al-Zahrawi Abū al-Qāsim Khalaf ibn al-'Abbās al-Zahrāwī al-Ansari ( ar, أبو القاسم خلف بن العباس الزهراوي;‎ 936–1013), popularly known as al-Zahrawi (), Latinised as Albucasis (from Arabic ''Abū al-Qāsim''), was ...

(Abulcasis). It is available in translation. The took al-Zahrawi over 50 years to complete. It contains information about a wide variety of illnesses, injuries, medical conditions, treatments, and surgical procedures. It describes over 200 different surgical instruments. Surgeons continued to rely on the well into the 1700s; some of Al-Zahrawi’s surgical procedures are still being used to this very day. This book was read by medical students at major universities in Europe until the late 1800s.

Summary

The work covers a broad range of medical topics, including on

orthopaedics Orthopedic surgery or orthopedics ( alternatively spelt orthopaedics), is the branch of surgery concerned with conditions involving the musculoskeletal system. Orthopedic surgeons use both surgical and nonsurgical means to treat musculoskeleta ...

ophthalmology Ophthalmology ( ) is a surgical subspecialty within medicine that deals with the diagnosis and treatment of eye disorders. An ophthalmologist is a physician who undergoes subspecialty training in medical and surgical eye care. Following a me ...

pharmacology Pharmacology is a branch of medicine, biology and pharmaceutical sciences concerned with drug or medication action, where a drug may be defined as any artificial, natural, or endogenous (from within the body) molecule which exerts a biochemica ...

nutrition Nutrition is the biochemical and physiological process by which an organism uses food to support its life. It provides organisms with nutrients, which can be metabolized to create energy and chemical structures. Failure to obtain sufficient ...

dentistry Dentistry, also known as dental medicine and oral medicine, is the branch of medicine focused on the teeth, gums, and mouth. It consists of the study, diagnosis, prevention, management, and treatment of diseases, disorders, and conditions of ...

childbirth Childbirth, also known as labour and delivery, is the ending of pregnancy where one or more babies exits the internal environment of the mother via vaginal delivery or caesarean section. In 2019, there were about 140.11 million births glob ...

, and

pathology Pathology is the study of the causes and effects of disease or injury. The word ''pathology'' also refers to the study of disease in general, incorporating a wide range of biology research fields and medical practices. However, when used in ...

. The last treatise and the most celebrated one is about surgery. Al-Zahrawi stated that he chose to discuss surgery in the last volume because surgery is the highest form of medicine, and one must not practice it until he becomes well-acquainted with all other branches of medicine.

''On Surgery and Instruments''

''On Surgery and Instruments'' is the 30th and last volume of . In it, al-Zahrawi draws diagrams of each tool used in different procedures to clarify how to carry out the steps of each treatment. Al-Zahrawi claims that his knowledge comes from careful reading of previous medical texts as well as his own experience: “…whatever skill I have, I have derived for myself by my long reading of the books of the Ancients and my thirst to understand them until I extracted the knowledge of it from them. Then through the whole of my life I have adhered to experience and practice…I have made it accessible for you and rescued it from the abyss of prolixity”. In the beginning of his book, al-Zahrawi states that the reason for writing this treatise was the degree of underdevelopment

had reached in the Islamic world, and the low status it was held by the physicians at the time. Al-Zahrawi ascribed such decline to a lack of

anatomical Anatomy () is the branch of biology concerned with the study of the structure of organisms and their parts. Anatomy is a branch of natural science that deals with the structural organization of living things. It is an old science, having it ...

knowledge and a misunderstanding of the human

physiology Physiology (; ) is the scientific study of functions and mechanisms in a living system. As a sub-discipline of biology, physiology focuses on how organisms, organ systems, individual organs, cells, and biomolecules carry out the chemic ...

Treatise on Surgery of al-Zahrawi (CBL Ar 3172, ff

Noting the importance of

anatomy Anatomy () is the branch of biology concerned with the study of the structure of organisms and their parts. Anatomy is a branch of natural science that deals with the structural organization of living things. It is an old science, having i ...

, he wrote: Innovative surgical techniques discussed by al-Zahrawi in the volume include crushing bladder stones with a sort of lithotrite he called "michaab", and using forceps for extracting a dead

fetus A fetus or foetus (; plural fetuses, feti, foetuses, or foeti) is the unborn offspring that develops from an animal embryo. Following embryonic development the fetal stage of development takes place. In human prenatal development, fetal dev ...

. The text also contains a number of innovations in dentistry, including using gold and silver wires to ligate loosened teeth, extracting and replanting teeth, and scaling the

calculus Calculus, originally called infinitesimal calculus or "the calculus of infinitesimals", is the mathematics, mathematical study of continuous change, in the same way that geometry is the study of shape, and algebra is the study of generalizati ...

from the teeth to prevent

periodontal disease Periodontal disease, also known as gum disease, is a set of inflammatory conditions affecting the tissues surrounding the teeth. In its early stage, called gingivitis, the gums become swollen and red and may bleed. It is considered the main caus ...

. Al-Zahrawi depicted over 200

surgical instruments A surgical instrument is a tool or device for performing specific actions or carrying out desired effects during a surgery or operation, such as modifying biological tissue, or to provide access for viewing it. Over time, many different kinds of ...

, some of which he created himself. Instruments in the ''al-Tasrif'' include different kinds of scalpels, retractors,

curette A curette is a surgical instrument designed for scraping or debriding biological tissue or debris in a biopsy, excision, or cleaning procedure. In form, the curette is a small hand tool, often similar in shape to a stylus; at the tip of the cu ...

s, pincers, specula, and also instruments designed for his favoured techniques of

cauterization Cauterization (or cauterisation, or cautery) is a medical practice or technique of burning a part of a body to remove or close off a part of it. It destroys some tissue in an attempt to mitigate bleeding and damage, remove an undesired growth, or ...

and ligature. He also invented hooks with a double tip for use in surgery.

Latin translation and legacy

The book was translated into

Latin Latin (, or , ) is a classical language belonging to the Italic languages, Italic branch of the Indo-European languages. Latin was originally a dialect spoken in the lower Tiber area (then known as Latium) around present-day Rome, but through ...

in the 12th century by

Gerard of Cremona Gerard of Cremona (Latin: ''Gerardus Cremonensis''; c. 1114 – 1187) was an Italian translator of scientific books from Arabic into Latin. He worked in Toledo, Kingdom of Castile and obtained the Arabic books in the libraries at Toledo. Some of ...

. It soon found popularity in

Europe Europe is a large peninsula conventionally considered a continent in its own right because of its great physical size and the weight of its history and traditions. Europe is also considered a Continent#Subcontinents, subcontinent of Eurasia ...

and became a standard text in universities like those of

Salerno Salerno (, , ; nap, label= Salernitano, Saliernë, ) is an ancient city and ''comune'' in Campania (southwestern Italy) and is the capital of the namesake province, being the second largest city in the region by number of inhabitants, after ...

and

Montpellier Montpellier (, , ; oc, Montpelhièr ) is a city in southern France near the Mediterranean Sea. One of the largest urban centres in the region of Occitania, Montpellier is the prefecture of the department of Hérault. In 2018, 290,053 people l ...

. It remained the primary source on surgery in

for the next 500 years, and as the historian of medicine,

Arturo Castiglioni Arturo Castiglioni (10 April 1874, Trieste – 21 January 1953, Milano) was an Italian-born American medical historian and university professor. Biography Castiglioni grew up in Trieste, Italy. In 1939, he emigrated to the States and became a ...

, has put it: al-Zahrawi's treatise "in surgery held the same authority as did the

Canon Canon or Canons may refer to: Arts and entertainment * Canon (fiction), the conceptual material accepted as official in a fictional universe by its fan base * Literary canon, an accepted body of works considered as high culture ** Western ca ...

Avicenna Ibn Sina ( fa, ابن سینا; 980 – June 1037 CE), commonly known in the West as Avicenna (), was a Persian polymath who is regarded as one of the most significant physicians, astronomers, philosophers, and writers of the Islamic ...

in medicine".Castiglioni, Arturo (1958). A history of medicine. A. A. Knopf. p. 274."Abulcasis (Alsaharavius or Abu'l-Qasim) (d. c. 1013) was the author of a surgical treatise which in surgery held the same authority as did the Canon of Avicenna in medicine."

Manuscripts

* Patna Manuscripts Two manuscripts are known from the archives of Khuda Bakhsh Oriental Public Library in Patna (India). These copies date back to the early 18th century CE.

References

External links