Al-Zahrawi
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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 an
Arab The Arabs (singular: Arab; singular ar, عَرَبِيٌّ, DIN 31635: , , plural ar, عَرَب, DIN 31635: , Arabic pronunciation: ), also known as the Arab people, are an ethnic group mainly inhabiting the Arab world in Western Asia, ...
Andalusian
physician A physician (American English), medical practitioner (Commonwealth English), medical doctor, or simply doctor, is a health professional who practices medicine, which is concerned with promoting, maintaining or restoring health through th ...
,
surgeon In modern medicine, a surgeon is a medical professional who performs surgery. Although there are different traditions in different times and places, a modern surgeon usually is also a licensed physician or received the same medical training as ...
and
chemist A chemist (from Greek ''chēm(ía)'' alchemy; replacing ''chymist'' from Medieval Latin ''alchemist'') is a scientist trained in the study of chemistry. Chemists study the composition of matter and its properties. Chemists carefully describe th ...
."Al-Zahrawi's ancestry then, one might infer, goes back to the Arabian Peninsula, to the inhabitants of "al-Madinah," the first city that accepted the message of Islam." Considered to be the greatest
surgeon In modern medicine, a surgeon is a medical professional who performs surgery. Although there are different traditions in different times and places, a modern surgeon usually is also a licensed physician or received the same medical training as ...
of the
Middle Ages In the history of Europe, the Middle Ages or medieval period lasted approximately from the late 5th to the late 15th centuries, similar to the post-classical period of global history. It began with the fall of the Western Roman Empire a ...
, he has been referred to as the "father of modern surgery". Al-Zahrawi's principal work is the ''
Kitab al-Tasrif 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 ...
'', a thirty-volume encyclopedia of medical practices. The surgery chapter of this work was later translated into
Latin Latin (, or , ) is a classical language belonging to the 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 the power of the ...
, attaining popularity and becoming the standard textbook in Europe for the next five hundred years. Al-Zahrawi's pioneering contributions to the field of surgical procedures and instruments had an enormous impact in the East and West well into the modern period, where some of his discoveries are still applied in medicine to this day. He pioneered the use of
catgut Catgut (also known as gut) is a type of cord that is prepared from the natural fiber found in the walls of animal Gut (anatomy), intestines. Catgut makers usually use sheep or goat intestines, but occasionally use the intestines of cattle, Domest ...
for internal stitches, and his surgical instruments are still used today to treat people. He was the first physician to identify the hereditary nature of
haemophilia Haemophilia, or hemophilia (), is a mostly inherited genetic disorder that impairs the body's ability to make blood clots, a process needed to stop bleeding. This results in people bleeding for a longer time after an injury, easy bruising, ...
and describe an
abdominal pregnancy An abdominal pregnancy is a rare type of ectopic pregnancy where the embryo or fetus is growing and developing outside the womb in the abdomen, but not in the Fallopian tube (usual location), ovary or broad ligament. Because tubal, ovarian and ...
, a subtype of
ectopic pregnancy Ectopic pregnancy is a complication of pregnancy in which the embryo attaches outside the uterus. Signs and symptoms classically include abdominal pain and vaginal bleeding, but fewer than 50 percent of affected women have both of these symptoms. ...
that in those days was a fatal affliction, and was the first to discover the root cause of paralysis. He also developed surgical devices for
Caesarean section Caesarean section, also known as C-section or caesarean delivery, is the surgical procedure by which one or more babies are delivered through an incision in the mother's abdomen, often performed because vaginal delivery would put the baby or mo ...
s and cataract surgeries.


Biography

Al-Zahrawi was born in the city of Azahara, 8 kilometers northwest of Cordoba,
Andalusia Andalusia (, ; es, Andalucía ) is the southernmost Autonomous communities of Spain, autonomous community in Peninsular Spain. It is the most populous and the second-largest autonomous community in the country. It is officially recognised as a ...
. His birth date is not known for sure, however, scholars agree that it was after 936, the year his birthplace city of Azahara was founded. The
nisba The Arabic language, Arabic word nisba (; also transcribed as ''nisbah'' or ''nisbat'') may refer to: * Arabic nouns and adjectives#Nisba, Nisba, a suffix used to form adjectives in Arabic grammar, or the adjective resulting from this formation **c ...
(attributive title), ''Al-Ansari'', in his name, suggests origin from the
Medinian Medina,, ', "the radiant city"; or , ', (), "the city" officially Al Madinah Al Munawwarah (, , Turkish: Medine-i Münevvere) and also commonly simplified as Madīnah or Madinah (, ), is the second-holiest city in Islam, and the capital of the ...
tribe of Al-Ansar, thus, tracing his ancestry back to
Medina Medina,, ', "the radiant city"; or , ', (), "the city" officially Al Madinah Al Munawwarah (, , Turkish: Medine-i Münevvere) and also commonly simplified as Madīnah or Madinah (, ), is the Holiest sites in Islam, second-holiest city in Islam, ...
in the
Arabian peninsula The Arabian Peninsula, (; ar, شِبْهُ الْجَزِيرَةِ الْعَرَبِيَّة, , "Arabian Peninsula" or , , "Island of the Arabs") or Arabia, is a peninsula of Western Asia, situated northeast of Africa on the Arabian Plate ...
. He lived most of his life in Cordoba. It is also where he studied, taught and practiced medicine and surgery until shortly before his death in about 1013, two years after the sacking of Azahara. Few details remain regarding his life, aside from his published work, due to the destruction of El-Zahra during later Castillian-Andalusian conflicts. His name first appears in the writings of Abu Muhammad bin Hazm (993–1064), who listed him among the greatest physicians of Moorish Spain. But we have the first detailed biography of al-Zahrawī from
al-Ḥumaydī Abu Abd Allah Muhammad ibn Abi Nasr Futuh ibn Abd Allah ibn Futuh ibn Humayd ibn Yasil, most commonly known as al-Humaydi Al-saboni, was an Andalusian scholar of history and Islamic studies of Arab origin. Life Humaydi's family belonged to the ...
's ''Jadhwat al-Muqtabis'' (''On Andalusian Savants''), completed six decades after al-Zahrawi's death. Al-Zahrawi was a court physician to the Andalusian caliph
Al-Hakam II Al-Hakam II, also known as Abū al-ʿĀṣ al-Mustanṣir bi-Llāh al-Hakam b. ʿAbd al-Raḥmān (; January 13, 915 – October 16, 976), was the Caliph of Córdoba. He was the second ''Umayyad'' Caliph of Córdoba in Al-Andalus, and son of Ab ...
. He was a contemporary of Andalusian
chemists A chemist (from Greek ''chēm(ía)'' alchemy; replacing ''chymist'' from Medieval Latin ''alchemist'') is a scientist trained in the study of chemistry. Chemists study the composition of matter and its properties. Chemists carefully describe th ...
such as
Ibn al-Wafid ʿAlī ibn al-Ḥusayn ibn al-Wāfid al-Lakhmī () (c. 1008 – 1074), known in Latin Europe as , was an Andalusian Arab pharmacologist and physician from Toledo. He was the vizier of Al-Mamun of Toledo. His main work is ''Kitāb al-adwiya al- ...
,
al-Majriti Abu al-Qasim Maslama ibn Ahmad al-Majriti ( ar, أبو القاسم مسلمة بن أحمد المجريطي: c. 950–1007), known or Latin as , was an Arab Muslim astronomer, chemist, mathematician, economist and Scholar in Islamic Spain, ac ...
and
Artephius Artephius (or Artefius) (c. 1150) is a writer to whom a number of alchemical texts are ascribed. Although the roots of the texts are unclear and the identity of their author obscure, at least some of them are Arabic in origin. He is named as the aut ...
. He devoted his entire life and genius to the advancement of medicine as a whole and surgery in particular.


Surgical career

Al-Zahrawi specialized in curing disease by
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, o ...
. He invented several devices used during surgery, for purposes such as inspection of the interior of the
urethra The urethra (from Greek οὐρήθρα – ''ourḗthrā'') is a tube that connects the urinary bladder to the urinary meatus for the removal of urine from the body of both females and males. In human females and other primates, the urethra con ...
and also inspection, applying and removing foreign bodies from the
throat In vertebrate anatomy, the throat is the front part of the neck, internally positioned in front of the vertebrae. It contains the pharynx and larynx. An important section of it is the epiglottis, separating the esophagus from the trachea (windpipe ...
, the
ear An ear is the organ that enables hearing and, in mammals, body balance using the vestibular system. In mammals, the ear is usually described as having three parts—the outer ear, the middle ear and the inner ear. The outer ear consists of ...
and other body organs. He was also the first to illustrate the various
cannulae A cannula (; Latin meaning 'little reed'; plural or ) is a tube that can be inserted into the body, often for the delivery or removal of fluid or for the gathering of samples. In simple terms, a cannula can surround the inner or outer surfaces ...
and the first to treat a
wart Warts are typically small, rough, hard growths that are similar in color to the rest of the skin. They typically do not result in other symptoms, except when on the bottom of the feet, where they may be painful. While they usually occur on the ...
with an iron tube and caustic metal as a boring instrument. While al-Zahrawi never performed the surgical procedure of
tracheotomy Tracheotomy (, ), or tracheostomy, is a surgical airway management procedure which consists of making an incision (cut) on the anterior aspect (front) of the neck and opening a direct airway through an incision in the trachea (windpipe). The r ...
, he did treat a slave girl who had cut her own
throat In vertebrate anatomy, the throat is the front part of the neck, internally positioned in front of the vertebrae. It contains the pharynx and larynx. An important section of it is the epiglottis, separating the esophagus from the trachea (windpipe ...
in a suicide attempt. Al-Zahrawi sewed up the wound and the girl recovered, thereby proving that an incision in the
larynx The larynx (), commonly called the voice box, is an organ in the top of the neck involved in breathing, producing sound and protecting the trachea against food aspiration. The opening of larynx into pharynx known as the laryngeal inlet is about ...
could heal. In describing this important case-history he wrote: Al-Zahrawi also pioneered
neurosurgery Neurosurgery or neurological surgery, known in common parlance as brain surgery, is the medical specialty concerned with the surgical treatment of disorders which affect any portion of the nervous system including the brain, spinal cord and peri ...
and
neurological Neurology (from el, νεῦρον (neûron), "string, nerve" and the suffix -logia, "study of") is the branch of medicine dealing with the diagnosis and treatment of all categories of conditions and disease involving the brain, the spinal ...
diagnosis. He is known to have performed surgical treatments of
head injuries A head injury is any injury that results in trauma to the skull or brain. The terms ''traumatic brain injury'' and ''head injury'' are often used interchangeably in the medical literature. Because head injuries cover such a broad scope of inju ...
, skull fractures,
spinal injuries A spinal cord injury (SCI) is damage to the spinal cord that causes temporary or permanent changes in its function. Symptoms may include loss of muscle function, sensory system, sensation, or autonomic nervous system, autonomic function in the p ...
,
hydrocephalus Hydrocephalus is a condition in which an accumulation of cerebrospinal fluid (CSF) occurs within the brain. This typically causes increased intracranial pressure, pressure inside the skull. Older people may have headaches, double vision, poor ...
, subdural effusions and
headache Headache is the symptom of pain in the face, head, or neck. It can occur as a migraine, tension-type headache, or cluster headache. There is an increased risk of depression in those with severe headaches. Headaches can occur as a result ...
. The first clinical description of an operative procedure for
hydrocephalus Hydrocephalus is a condition in which an accumulation of cerebrospinal fluid (CSF) occurs within the brain. This typically causes increased intracranial pressure, pressure inside the skull. Older people may have headaches, double vision, poor ...
was given by Al-Zahrawi who clearly describes the evacuation of superficial
intracranial The cranial cavity, also known as intracranial space, is the space within the skull that accommodates the brain. The skull minus the mandible is called the ''cranium''. The cavity is formed by eight cranial bones known as the neurocranium that in ...
fluid in
hydrocephalic Hydrocephalus is a condition in which an accumulation of cerebrospinal fluid (CSF) occurs within the brain. This typically causes increased pressure inside the skull. Older people may have headaches, double vision, poor balance, urinary incon ...
children.


''Kitab al-Tasrif''

Al-Zahrawi's thirty-volume medical encyclopedia, ''Kitāb al-Taṣrīf'', completed in the year 1000, covered a broad range of medical topics, including on
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 pat ...
,
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 pract ...
,
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 musculoskeletal ...
,
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 medic ...
,
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 n ...
,
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 o ...
,
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 globall ...
, 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 first volume in the encyclopedia is concerned with general principles of
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 pract ...
, the second with
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 ...
, while much of the rest discuss topics regarding
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 ...
and
drugs A drug is any chemical substance that causes a change in an organism's physiology or psychology when consumed. Drugs are typically distinguished from food and substances that provide nutritional support. Consumption of drugs can be via inhalat ...
. The last treatise and the most celebrated one is about
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 pat ...
. Al-Zahrawi stated that he chose to discuss
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 pat ...
in the last volume because surgery is the highest form of
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 pract ...
, and one must not practice it until he becomes well-acquainted with all other branches of
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 pract ...
. The work contained data that had accumulated during a career that spanned almost 50 years of training, teaching and practice. In it he also wrote of the importance of a positive doctor-patient relationship and wrote affectionately of his students, whom he referred to as "my children". He also emphasized the importance of treating patients irrespective of their social status. He encouraged the close observation of individual cases in order to make the most accurate diagnosis and the best possible treatment. Not always properly credited, modern evaluation of ''Kitab al-Tasrif'' manuscript has revealed on early descriptions of some medical procedures that were ascribed to later physicians. For example, Al-Zahrawi's ''Kitab al-Tasrif'' described both what would later become known as " Kocher's method" for treating a dislocated shoulder and "Walcher position" in
obstetrics Obstetrics is the field of study concentrated on pregnancy, childbirth and the postpartum period. As a medical specialty, obstetrics is combined with gynecology under the discipline known as obstetrics and gynecology (OB/GYN), which is a surgi ...
. Moreover, the ''Kitab al-Tasrif'' described how to
ligature Ligature may refer to: * Ligature (medicine), a piece of suture used to shut off a blood vessel or other anatomical structure ** Ligature (orthodontic), used in dentistry * Ligature (music), an element of musical notation used especially in the me ...
blood vessels almost 600 years before
Ambroise Paré Ambroise Paré (c. 1510 – 20 December 1590) was a French barber surgeon who served in that role for kings Henry II, Francis II, Charles IX and Henry III. He is considered one of the fathers of surgery and modern forensic pathology and a p ...
, and was the first recorded book to explain the hereditary nature of
haemophilia Haemophilia, or hemophilia (), is a mostly inherited genetic disorder that impairs the body's ability to make blood clots, a process needed to stop bleeding. This results in people bleeding for a longer time after an injury, easy bruising, ...
. It was also the first to describe a surgical procedure for ligating the temporal artery for
migraine Migraine (, ) is a common neurological disorder characterized by recurrent headaches. Typically, the associated headache affects one side of the head, is pulsating in nature, may be moderate to severe in intensity, and could last from a few hou ...
, also almost 600 years before
Pare Pare may refer to: People with the name * Emmett Paré (1907-1973), tennis player * Pare, former member of Kotak, an Indonesian band * Pare Lorentz (1905-1992), American film director * Richard Pare (born 1948), English photographer * Paré, a ...
recorded that he had ligated his own temporal artery for headache that conforms to current descriptions of
migraine Migraine (, ) is a common neurological disorder characterized by recurrent headaches. Typically, the associated headache affects one side of the head, is pulsating in nature, may be moderate to severe in intensity, and could last from a few hou ...
. Al-Zahrawi was, therefore, the first to describe the
migraine surgery Migraine surgery is a surgical operation undertaken with the goal of reducing or preventing migraines. Migraine surgery most often refers to surgical decompression of one or several nerves in the head and neck which have been shown to trigger mig ...
procedure that is enjoying a revival in the 21st century, spearheaded by Elliot Shevel a South African surgeon.


''On Surgery and Instruments''

''On Surgery and Instruments'' is the 30th and last volume of the ''Kitab al-Tasrif''. It was without a doubt his most important work and the one which established his authority in Europe for centuries to come. ''On Surgery and Instruments'' is the first illustrated surgical guide ever written. Its contents and descriptions has contributed in many technological innovations in
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 pract ...
, notably which tools to use in specific surgeries. In his book, al-Zahrawi draws diagrams of each tool used in different procedures to clarify how to carry out the steps of each treatment. The full text consists of three books, intended for medical students looking forward to gaining more knowledge within the field of surgery regarding procedures and the necessary tools. The book was translated into
Latin Latin (, or , ) is a classical language belonging to the 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 the power of the ...
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 and became a standard text in all major Medical universities like those of Salerno 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 (administrative region), Occitania, Montpellier is the prefecture of the Departments of ...
. It remained the primary source on surgery in Europe for the next 500 years, and as the historian of medicine, Arturo Castiglioni, 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 ...
of
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 G ...
in medicine". 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
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 pat ...
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 chemical ...
. 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 its ...
he wrote: In
urology Urology (from Greek οὖρον ''ouron'' "urine" and '' -logia'' "study of"), also known as genitourinary surgery, is the branch of medicine that focuses on surgical and medical diseases of the urinary-tract system and the reproductive org ...
, al-Zahrawi wrote about taking stones out of the bladder. By inventing a new instrument, an early form of the
lithotrite The lithotrite was an early medical device, invented by Al-Zahrawi, an early form of which he called "Michaab". He was able to crush the stone inside the bladder without the need for a surgical incision. It was later modified by Jean Civiale, and ...
which he called "Michaab", he was able to crush the stone inside the bladder without the need for a surgical incision. His technique was important for the development of
lithotomy Lithotomy from Greek for "lithos" (stone) and "tomos" ( cut), is a surgical method for removal of calculi, stones formed inside certain organs, such as the urinary tract (kidney stones), bladder ( bladder stones), and gallbladder (gallstones), ...
, and an improvement over the existing techniques in Europe which caused severe pain for the patient, and came with high death rates. In
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 o ...
and
periodontics Periodontology or periodontics (from Ancient Greek , – 'around'; and , – 'tooth', genitive , ) is the specialty of dentistry that studies supporting structures of teeth, as well as diseases and conditions that affect them. The supporting ...
, al-Zahrawi had the most significant contribution out of all Muslim physicians, and his book contained the earliest illustrations of dental instruments. He was known to use gold and silver wires to ligate loosened teeth, and has been credited as the first to use replantation in the
history History (derived ) is the systematic study and the documentation of the human activity. The time period of event before the History of writing#Inventions of writing, invention of writing systems is considered prehistory. "History" is an umbr ...
of
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 o ...
. He also invented instruments to scale the
calculus Calculus, originally called infinitesimal calculus or "the calculus of infinitesimals", is the mathematical study of continuous change, in the same way that geometry is the study of shape, and algebra is the study of generalizations of arithm ...
from the teeth, a procedure he recommended as a prevention from
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 introduced over 200 surgical instruments, which include, among others, different kinds of
scalpels A scalpel, lancet, or bistoury is a small and extremely sharp bladed instrument used for surgery, anatomical dissection, podiatry and various arts and crafts (either called a hobby knife or an X-acto knife.). Scalpels may be single-use disposab ...
, 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, o ...
and
ligature Ligature may refer to: * Ligature (medicine), a piece of suture used to shut off a blood vessel or other anatomical structure ** Ligature (orthodontic), used in dentistry * Ligature (music), an element of musical notation used especially in the me ...
. He also invented hooks with a double tip for use in surgery. Many of these instruments were never used before by any previous surgeons. His use of
catgut Catgut (also known as gut) is a type of cord that is prepared from the natural fiber found in the walls of animal Gut (anatomy), intestines. Catgut makers usually use sheep or goat intestines, but occasionally use the intestines of cattle, Domest ...
for internal stitching is still practised in modern surgery. The catgut appears to be the only natural substance capable of dissolving and is acceptable by the body. An observation Al-Zahrawi discovered after his monkey ate the strings of his
oud , image=File:oud2.jpg , image_capt=Syrian oud made by Abdo Nahat in 1921 , background= , classification= * String instruments *Necked bowl lutes , hornbostel_sachs=321.321-6 , hornbostel_sachs_desc=Composite chordophone sounded with a plectrum , ...
. Al-Zahrawi also invented the 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 deve ...
, as illustrated in the ''Kitab al-Tasrif''.


Tone

Throughout the text, Al-Zahrawi assumes an authoritative tone. In "On
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, o ...
for
numbness Hypoesthesia or numbness is a common side effect of various medical conditions that manifests as a reduced sense of touch or sensation, or a partial loss of sensitivity to sensory stimuli. In everyday speech this is generally referred to as num ...
", he declares the procedure "should not be attempted except by one who has a good knowledge of the anatomy of the limbs and of the exits of the
nerve A nerve is an enclosed, cable-like bundle of nerve fibers (called axons) in the peripheral nervous system. A nerve transmits electrical impulses. It is the basic unit of the peripheral nervous system. A nerve provides a common pathway for the e ...
s that move the body". He warns that another procedure should not be attempted by any surgeon lacking "long training and practice in the use of cautery". He is not afraid to depart from old practice, disparaging the opinions that
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, o ...
should only be used in the spring or that
gold Gold is a chemical element with the symbol Au (from la, aurum) and atomic number 79. This makes it one of the higher atomic number elements that occur naturally. It is a bright, slightly orange-yellow, dense, soft, malleable, and ductile met ...
is the best material for cauterization: "cauterization is swifter and more successful with
iron Iron () is a chemical element with symbol Fe (from la, ferrum) and atomic number 26. It is a metal that belongs to the first transition series and group 8 of the periodic table. It is, by mass, the most common element on Earth, right in f ...
". In "On cauterization for
pleurisy Pleurisy, also known as pleuritis, is inflammation of the membranes that surround the lungs and line the chest cavity (pleurae). This can result in a sharp chest pain while breathing. Occasionally the pain may be a constant dull ache. Other sy ...
", he notes that the introduction of a red-hot probe into the
intercostal space The intercostal space (ICS) is the anatomic space between two ribs (Lat. costa). Since there are 12 ribs on each side, there are 11 intercostal spaces, each numbered for the rib superior to it. Structures in intercostal space * several kind ...
to evacuate
pus Pus is an exudate, typically white-yellow, yellow, or yellow-brown, formed at the site of inflammation during bacterial or fungal infection. An accumulation of pus in an enclosed tissue space is known as an abscess, whereas a visible collection ...
from an
abscess An abscess is a collection of pus that has built up within the tissue of the body. Signs and symptoms of abscesses include redness, pain, warmth, and swelling. The swelling may feel fluid-filled when pressed. The area of redness often extends b ...
could result in the creation of "an incurable
fistula A fistula (plural: fistulas or fistulae ; from Latin ''fistula'', "tube, pipe") in anatomy is an abnormal connection between two hollow spaces (technically, two epithelialized surfaces), such as blood vessels, intestines, or other hollow or ...
" or even the immediate death of the patient.


Pharmacology and Cosmetics

In
pharmacy Pharmacy is the science and practice of discovering, producing, preparing, dispensing, reviewing and monitoring medications, aiming to ensure the safe, effective, and affordable use of medicines. It is a miscellaneous science as it links heal ...
and
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 ...
, Al-Zahrawi pioneered the preparation of medicines by sublimation and
distillation Distillation, or classical distillation, is the process of separation process, separating the components or substances from a liquid mixture by using selective boiling and condensation, usually inside an apparatus known as a still. Dry distilla ...
. He dedicated the 28th chapter of his book to pharmacy and pharmaceutical techniques. The chapter was later translated into Latin under the title of ''Liber Servitoris'', where it served as an important source for European herbalists. The book is of particular interest, as it provides the reader with recipes and explains how to prepare the "simples" from which were compounded the complex drugs then generally used. Al-Zahrawi also touched upon the subject of
cosmetics Cosmetics are constituted mixtures of chemical compounds derived from either natural sources, or synthetically created ones. Cosmetics have various purposes. Those designed for personal care and skin care can be used to cleanse or protect ...
and dedicated a chapter for it in his medical encyclopedia. As the
treatise A treatise is a formal and systematic written discourse on some subject, generally longer and treating it in greater depth than an essay, and more concerned with investigating or exposing the principles of the subject and its conclusions."Treat ...
was translated into
Latin Latin (, or , ) is a classical language belonging to the 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 the power of the ...
, the cosmetic chapter was used in the West. Al-Zahrawi considered
cosmetics Cosmetics are constituted mixtures of chemical compounds derived from either natural sources, or synthetically created ones. Cosmetics have various purposes. Those designed for personal care and skin care can be used to cleanse or protect ...
a branch of medicine, which he called "Medicine of Beauty" (''Adwiyat al-Zinah''). He deals with
perfumes Perfume (, ; french: parfum) is a mixture of fragrant essential oils or aroma compounds (fragrances), fixatives and solvents, usually in liquid form, used to give the human body, animals, food, objects, and living-spaces an agreeable scent. T ...
, scented
aromatics Aromatic compounds, also known as "mono- and polycyclic aromatic hydrocarbons", are organic compounds containing one or more aromatic rings. The parent member of aromatic compounds is benzene. The word "aromatic" originates from the past groupin ...
and
incense Incense is aromatic biotic material that releases fragrant smoke when burnt. The term is used for either the material or the aroma. Incense is used for aesthetic reasons, religious worship, aromatherapy, meditation, and ceremony. It may also b ...
. He also invented a perfumed sticks rolled and pressed in special molds, perhaps the earliest antecedents of present-day
lipstick Lipstick is a cosmetic product used to apply coloration and texture to lips, often made of wax and oil. Different pigments are used to produce color, and minerals such as silica may be used to provide texture. The use of lipstick dates back t ...
s and solid
deodorant A deodorant is a substance applied to the body to prevent or mask body odor due to bacterial breakdown of perspiration or vaginal secretions, for example in the armpits, groin, or feet. A subclass of deodorants, called antiperspirants, prevents ...
s.


Legacy

Al-Zahrawi was the "most frequently cited surgical authority of the
Middle Ages In the history of Europe, the Middle Ages or medieval period lasted approximately from the late 5th to the late 15th centuries, similar to the post-classical period of global history. It began with the fall of the Western Roman Empire a ...
". Donald Campbell, a historian of
Arabic medicine 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 ...
, described Al-Zahrawi's influence on Europe as follows:
The chief influence of Albucasis on the medical system of Europe was that his lucidity and method of presentation awakened a prepossession in favour of Arabic literature among the scholars of the West: the methods of Albucasis eclipsed those of Galen and maintained a dominant position in medical Europe for five hundred years, i.e long after it had passed its usefulness. He, however, helped to raise the status of surgery in Christian Europe; in his book on fractures and luxations, he states that 'this part of surgery has passed into the hands of vulgar and uncultivated minds, for which reason it has fallen into contempt.' The surgery of Albucasis became firmly grafted on Europe after the time of Guy de Chauliac (d.1368).
In the 14th century, the French surgeon
Guy de Chauliac Guy de Chauliac (), also called Guido or Guigo de Cauliaco ( 1300 – 25 July 1368), was a French physician and surgeon who wrote a lengthy and influential treatise on surgery in Latin, titled '' Chirurgia Magna''. It was translated into many othe ...
quoted '' al-Tasrif'' over 200 times. Pietro Argallata (d. 1453) described Al-Zahrawi as "without doubt the chief of all surgeons". Al-Zahrawi's influence continued for at least five centuries, extending into the
Renaissance The Renaissance ( , ) , from , with the same meanings. is a period in European history marking the transition from the Middle Ages to modernity and covering the 15th and 16th centuries, characterized by an effort to revive and surpass ideas ...
, evidenced by '' al-Tasrifs frequent reference by French surgeon
Jacques Daléchamps Jacques Daléchamps (1513, Caen – 1588) was a French botanist and physician. When the scholar Isaac Casaubon first established the Greek text of the recently rediscovered '' Deipnosophistae'', it was printed alongside a Latin translation by ...
(1513–1588). The street in Cordova where he lived is named in his honor as "Calle Albucasis". On this street he lived in house no. 6, which is preserved today by the Spanish Tourist Board with a bronze plaque (awarded in January 1977) which reads: "This was the house where Al-Zahrawi lived."


De Chirurgia gallery

File:Albucasis, Chirurgia Albucasum, 14th C Wellcome M0004106.jpg File:Albucasis, Chirurgia Albucasum. Wellcome M0004100.jpg File:Albucasis, Chirurgia Albucasum. Wellcome M0004101.jpg File:Albucasis, Chirurgia Albucasum. Wellcome M0004103.jpg File:Dental instruments, from 'Chirurgia' Wellcome L0016868.jpg File:Scalpels, from 'Chirurgia' Wellcome L0016869.jpg File:Albucasis, Chirurgia Albucasum; Cauteries various. Wellcome M0006553.jpg File:Trepanation, from, 'Chirurgia' Wellcome L0016870.jpg


See also

*
Islamic medicine In the history of medicine, "Islamic medicine" is the science of medicine developed in the Middle East, and usually written in Arabic, the ''lingua franca'' of Islamic civilization. Islamic medicine adopted, systematized and developed the medi ...
*
Islamic science Science in the medieval Islamic world was the science developed and practised during the Islamic Golden Age under the Umayyads of Córdoba, the Abbadids of Seville, the Samanids, the Ziyarids, the Buyids in Persia, the Abbasid Caliphate an ...
*
List of Arab scientists and scholars This is a list of Arab scientists and scholars from the Muslim World, including Al-Andalus (Spain), who lived from antiquity up until the beginning of the modern age, consisting primarily of scholars during the Middle Ages. For a list of cont ...
*
Islamic Golden Age The Islamic Golden Age was a period of cultural, economic, and scientific flourishing in the history of Islam, traditionally dated from the 8th century to the 14th century. This period is traditionally understood to have begun during the reign ...
* Islamic scholars * Muslim inventions *
Timeline of historic inventions The timeline of historic inventions is a chronological list of particularly important or significant technological inventions and their inventors, where known. Paleolithic The dates listed in this section refer to the earliest evidence of an i ...
*
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 G ...


Notes


Sources

* * * * * * * * * * Facsimile of codex: Abu´l Qasim Halaf ibn Abbas al-Zahraui – Chirurgia; Vienna, Austrian National Library, Cod. Vindob. S. N. 2641, Southern Italy, second half of the 14th century, Akademische Druck- u. Verlagsanstalt (ADEVA) Graz 1979, Complete colour facsimile edition of the 166 pp. (78 fol. + 8 pp. + 2 pp.) in original size 405 x 280 mm. 227 smaller golden initial letters, 1 ornamental page, 1 pen drawing and 68 miniatures with illustrations from the medical sphere; text in Gothic Rotunda. Binding: Leather. All folios are cut according to the original. Commentary volume: E. Irblich, Vienna. 70 pp. text and 11 illustrations, cloth. Facsimile and commentary in a solid slip case. Limited edition: 960 numbered copies. CODICES SELECTI, Vol. LXVI


External links

{{DEFAULTSORT:Zahrawi 936 births 1013 deaths 10th-century Arabs 11th-century Arabs 10th-century physicians Anatomists Physicians of Al-Andalus Alchemists of the medieval Islamic world Inventors of the medieval Islamic world Medieval surgeons 10th-century agronomists