'DE DENTIBUS' (1562) GIROLAMA CARDANA

Autor: Stefano Eramo, Domenico Delfino, Matteo Confaloni, Carlo De Carolis
Jazyk: italština
Rok vydání: 2014
Předmět:
Zdroj: Acta medico-historica Adriatica : AMHA
Volume 12
Issue 1
ISSN: 1334-6253
1334-4366
Popis: “Nell’anno 1562, essendomi accorto che nessuno tra i medici antichi o moderni aveva trattato della cura dei denti, scrissi questo primo libro sui denti”: inizia così il proemio ai cinque libri degli “Opuscula Medica Senilia” di Gerolamo Cardano, nel quale l’autore rivendica il primato temporale nella compilazione del primo testo organico di Odontoiatria nella storia. Esso si troverebbe in competizione col celebre “Libellus De dentibus” di Bartolomeo Eustachio, apparso nel 1563 (ma scritto anch’esso nel 1562); in questa sede, però, non abbiamo voluto dimostrare precedenze temporali ma riportare all’interesse generale l’opera di Cardano che possiede un’impostazione diversa e complementare a quella di Eustachio: quest’ultimo si è occupato essenzialmente di anatomia e fisiologia dei denti, il primo della loro patologia e terapia. In questo contributo vengono presentate: una biografia essenziale del Cardano, una breve rivista della letteratura sul “De dentibus” e la sua prima traduzione integrale dal latino in italiano.
“Godine 1562., uočivši da se nijedan antički, a ni suvremeni liječnik nije bavio njegom zubi, napisah ovu prvu knjigu o zubima.” Tako Girolamo Cardano započinje proslov svojih pet knjiga iz zbirke Opuscula medica senilia kao prvoga sustavnog teksta o zubarstvu općenito. Premda se po prvenstvu natječe sa slavnim naslovom Libellus de dentibus Bartolomea Eustachija iz 1563. (iako je napisan 1562.), nije nam namjera utvrđivati tko je bio prvi, već svratiti pozornost čitatelja na Cardanovo djelo kao nadopunu Eustachievoj anatomiji i fiziologiji zuba s gledišta nastanka bolesti i liječenja. Članak donosi sažet Cardanov životopis i pregled literature o djelu De dentibus te o prvom cjelovitom prijevodu djelu s latinskog na talijanski.
“In the year 1562, having noticed that none of the ancient or modern physicians had treated the subject of dental care, I wrote this first book on the teeth”. So begins the preface to the five books of the Opuscula medica senilia by Girolamo Cardano, the first organic text on dentistry in history. It competed with the famous Libellus de dentibus by Bartolomeo Eustachio that appeared in 1563 (but was written in 1562). However, our intention is not to establish precedence but bring to reader’s attention Cardano’s work that complemented Eustachio’s anatomy and physiology of the teeth with their pathology and therapy. This article summarises Cardano’s biography and gives a brief review of literature on the De dentibus and of his first complete translation from Latin into Italian. De dentibus is the first of the five books of the Opuscula and is divided into three chapters, as described below. Chapter one, De dentibus, recalls briefly the anatomy and embryology of human teeth as bones and compares them with the teeth of some animals. Follows a description of systemic and local procedures, to preserve, protect, and cure the teeth. Preservation and protection are related to diet, sleep, physical activity, systemic and local medicaments, and amulets., whereas therapy involves remedies taken over from the Ancient Greek and Roman medicine (Hippocrates, Archigenes, Galen, Scribonius, Pliny the Younger, Ezio, Marcellus Empiricus ) and Arabic medicine (Avicenna in particular). The chapter continues with guidelines and procedures for shedding teeth that are damaged beyond repair using a special saltpetre and alum distillate of Cardano’s own invention, which he finds very effective. The chapter concludes with tooth extraction tools and methods, especially the one by Scribonius Largo with red-hot iron. Chapter two, –De morbis dentium in specie, describes diseases that affect the teeth and that can cause ache, mobility, weakness, numbness, or deformity (dolor, commotio, imbecillitas, stupor, deformitas). All these conditions may interact, creating a wide range of situations. Ache has seven possible causes that include altered humour, a cavity, a nerve injury, an abscess, breath (flatus), worms, and cold, and Cardano describes the remedies at physician’s disposal that even include spells. The causes of mobility are the same as for the ache plus periodontal problems such as dry root or alveolar laxity, and the author discusses local and systemic treatment options. Weakness is considered the worst of the dental pathologies, as it can easily require extraction. Stupor is caused by the corruption of the tooth or a nerve injury, and Cardano refers to it as a life-threatening condition (quoad vitam) in older people if untreated, but also easy to remedy if detected early. Cardano then identifies a whole series of deformities: tooth colour, roughness, fracture, position, number, absence, length, calculus, bad smell, and porosity, and for each of them he offers a wide variety of remedies, in part original and in part borrowed from the ancients. In the last part, Cardano stresses the need to extract as few teeth as possible: “I’ve never seen anyone die from the diseases of the teeth, except for a tooth extracted inappropriately” To emphasize the dichotomy between medicine and surgery, he explains that tooth care is medical, but extraction requires an experienced surgeon. Chapter three, De fluxione, frequentissima causa morborum dentium, identifies gumboil as a frequent cause of dental disease, and describes the pathogenesis and therapy of gumboil-related diseases, gout in particular.
Databáze: OpenAIRE