Current Edition: DCLP 59970 (P.Ryl. 3 529); TM 59970

DCLP transcription xml

Introduction

Medical treatise on dislocation of the shoulder. The papyrus (15 x 26 cm.), part of a leaf of a codex, is written both on the recto along the fibres and on the verso across the fibres and preserves two columns of approximately 50 lines each. The average length of a line is 6 cm., which contains about twenty letters. The lower margin, the only one survived, is 4 cm. deep and a page of text measures 13 x 21 cm. There are some corrections and additions, made by the original hand; a diaeresis is legible at l. 119, col. II v. The content deals with the instructions as to the method of treating a particular injury to the shoulder, a compound fracture with dislocation and separation of the acromion bone. In the first column on the recto the author suggests a non-invasive treatment for the shoulder in case of wound before a resection; in the second one he gives the instructions for setting when possible or cutting off the bones; then he discusses different positions for reducing the dislocation. In the first column on the verso a reduction technique by scapular manipulation is explained; in the second one the author criticizes the dislocation of the acromion bone made by some mechanical instruments. The author refers to himself in first person (δεδήλωκα, ll. 58-9 col. II r.; ἡμεῖς, l. 69 col. II r.) and alludes to another of this works (ἐν τῷ Τεχνικῷ λόγῳ, l. 59 col. II r.); the text is attributed uncertainly to Heliodorus. The hand is a small, angular and slanting book-hand and can be dated to the middle and later third century AD.

(This papyrus has been digitally edited by Francesca Bertonazzi as part of the Project "DIGMEDTEXT - Online Humanities Scholarship: A Digital Medical Library based on Ancient Texts" (ERC-AdG-2013, Grant Agreement no. 339828) funded by the European Research Council at the University of Parma (Principal Investigator: Prof. Isabella Andorlini). The digital edition is mostly based on the previous editions (ed.pr. = C.H. Roberts, P. Ryl. III 529; ed.alt. = M.-H. Marganne, "Chirurgie", no. 7).)

r

Column I

1[ ̣ ̣] τῷδε καὶ ῥεῖν ν̣ε̣ [.] . [⁦ -ca.?- ⁩]
2[..] ε̣ πρὸς τὴν τῶν ὀξειδ[ί-]
3[ων] ορ̣π̣η̣.σιν. σὺν δὲ το̣[ύ-]
4τοις ἤτο̣ι σ[.]λ̣ε̣ο̣ς̣ καὶ ὁ κ̣εφα-
5λικὸς σ.[.] . πρὸς ἔνια γὰρ τῶ̣[ν]
6ὀστῶν ν̣.α..ε̣θ̣ε̣ [.]ν ἀπ[ο-]
7πρ̣ί̣ε̣ιν οὐκ ἔστιν ἐπιτήδε̣ι̣α
8ἔ̣χ̣[ο]ν̣τ̣ο̣ς̣ ἐκκοπὴν προε-
9με̣ῖ̣ν̣. τὰ ἔργα ὀφείλει ταῦ-
10τα ἑτοιμάζεσθαι. π̣ρὸς δὲ
11τ̣ῆ̣ς̣ ἀρ̣χ̣ῆς ἐπιμέλειαν
12θερμὰ ἔστω ἐν ἑτοίμῳ{ν̣}
13χαιμαφάρι̣ο̣ν μ̣[ε]\λ̣[ί]/φυ̣λ̣λ̣[ο]ν,
14ὄξος, οἶνος, ἔλαιον, μελίκρα-
15τ̣ο̣ν̣, πάντα τούτοις ἀνάλογα
16κ̣αὶ ἀναλογίαν τῶν συν ....-
17με̣[ν]ων, καὶ τῆς περὶ τὰ γό-
18ν̣α̣τα διαθέσεως ἡ ἀνάλο-
19[γος] θ̣[ε]ρ̣απεία δοκιμάσθῃ
20αὐτάρκως κ[..] ... τῶν ἐπὶ
21ν̣ι̣ω̣ . [..... ἐντ]ειλάμενο̣[ι]
22ἤδη βα[.......]ν περὶ τῶν
23μ̣ατ ..χ [⁦ -ca.?- ⁩]
24[6 lines missing]
30[⁦ -ca.?- ⁩] ης
31[⁦ -ca.?- ⁩] νεμο
32[⁦ -ca.?- ⁩] ω̣νετα
33[⁦ -ca.?- ⁩] . νγὰρ
34[⁦ -ca.?- ⁩] ς ὅτι τὸ
35[⁦ -ca.?- ⁩] π̣ο̣τὸνε
36[⁦ -ca.?- ⁩] ν συνεχῶσε
37[⁦ -ca.?- ⁩] ἀπεξαρθρεῖ
38[. ca.9. σπ]ανίως δὲ εἰς
39[. ca.3.] [τ]ὴ̣[ν μασ]χάλην. ἡ δὲ αἰτία
40[ἐσ]τὶν αὕτη· \τ/ὸ τραῦμα αἰεὶ γί-
41νεται ἢ ὑπ’ αὐτοῦ \τοῦ/ ὀστέου ἔν-
42δ̣ο̣θ̣ε̣ν̣ ἐρεισ̣[θέ]ν̣τος καὶ ἀ
43π̣ο̣γ̣ι̣γ̣ν̣ο̣μ̣έ̣ν̣ο̣υ̣ ἄσκεπον
44τ̣[.].χ̣[.] αυ̣ .... ο̣τινω̣ ..
45ξα̣ι̣ε̣ν αἰτίου. κατὰ ἀμ-
46φότερα δὲ̣ εὔλογόν ἐστι[ν]
47τὴν ἔξω διαφορὰν συνεχῶ̣ς
48[......] ε̣σ̣θ̣αι, σπανίω̣ς̣ δὲ
49[τὴν εἰ]ς̣ τ̣ὴ̣ν μασχάλην. τὰ
50γὰρ ἔξω σώματα περιτενῆ

Column II

51[13 lines missing]
51. [⁦ -ca.?- ⁩]
52χε̣ [⁦ -ca.?- ⁩]
53τω̣. [⁦ -ca.?- ⁩]
54τραῦμα ε̣υ̣.υ̣ [⁦ -ca.?- ⁩]
55[.]ι καταλαμβάνεσθαι τί-
56να τούτων ἀπαγόρευσιν
57δεῖ καὶ τίνα κατάρτ̣[ισιν]
58καὶ τίνα πρίζην, δεδήλω-
59κα ἐν τῷ Τεχνικῷ λόγῳ. ὧν
60προεγνωσμένων καιρὸς
61ἤδη διδάξαι πῶς ὀφείλει
62καταρτίζεσθαι τὰ πρὸς κα-
63ταρτισμὸν ἐπιτηδείως [ἔχον-]
64τα καὶ πῶς πρίζεσθα̣[ι τὰ]
65πρὸς πρῖσιν ἐπὶ τῶν `πρὸς´ κα̣[ταρ-]
66τισμὸν <μὴ> οἰκείως ἐ̣[χόντων. οἱ]
67μὲν ἄλλοι καθ̣έ̣[δριον] [...]
68ωσαν τὸν κάμ̣[νοντα] σ̣χ̣η̣-
69ματίζειν.ἡμεῖ[ς δὲ .....]
70κεκλιμένο\ν/· τὸ Ἀ̣λ̣[εξάν]
71δριον σχῆμά ἐστιν δυ[σαλ-]
72γέστατον, τὸ δὲ κεκλ[ιμέ-]
73νον ἀσφαλέστερον. ἀ[σφα-]
74λέ̣στερον δὲ ὁτὲ μὲ[ν ὕπτι-]
75ον σχηματίζειν τὸν [πάσ-]
76χοντα, ὁτὲ δὲ πρηνῇ. ὕ̣[πτι-]
77ον μὲν ἐπὶ τῆς ἐξωτ[έρω]
78μασχάλης [.] η . [. ca.9.]
79διαφορᾶς· πρην̣[ῆ δ’ἐπὶ τῆς]
80ὀπίσω καὶ μετὰ τ̣[ὸν καταρ-]
81τισμὸν πρὸς τὸ̣ [........]
82[.......] .... [. ca.9.]
82[5 lines missing]

v

Column I

83[14 lines missing]
83[⁦ -ca.?- ⁩] α̣κ̣α̣
84[⁦ -ca.?- ⁩] ..
85[⁦ -ca.?- ⁩] . κ̣ [...]α̣τ̣ε̣
86[⁦ -ca.?- ⁩] τ̣ι̣ τ̣ρ̣αύματα̣ ..
87[..]. η̣ματων εἰρημέναι. μᾶλ-
88λ̣ο̣ν̣ δὲ νῦν εὐθετεῖ τὸ̣ κατὰ
89κράτη[σι]ν̣ καὶ̣ κατάτασιν ἐ-
90νέργημα. μετὰ δὲ τὴν αὐ-
91τάρκη τάσιν οἱ δάκτυλοι κα-
92θιέσθωσαν ἐπὶ τὸ τραῦμα
93καὶ δι’ αὐτῶν ἐκ τοῦ παρὰ
94[φύ]σιν τόπου εἰς τὸ κατὰ φύ-
95[σιν] μεταγέσθω τὸ κῶλον α-
96[...]. κατὰ μέρη τὰ πρὸς τὸ α̣-
97[...... ἀ]ντιμεταγόμενον
98[...... ἐ]πιτήδειο̣ς̣ .. ε̣π̣ι̣α
99[........] βιβάζει τὸ τοῖς
100[....] τυ̣ [...] ε̣ὐτονώτερα ον-
101[..] ο̣ [...] αδ̣[...] ω̣μενα ἐνερ-
102[γήμ]α̣τ̣α̣ ἐπὶ τῶν χωρὶς τραυ-
103[μάτω]ν̣ [ὀλισθ]η[μά]των παρα
104[....]. [.] ν [.]. ν̣ δὲ καὶ μᾶλλον
105[.......] ε̣ἰ̣ς τὴν μασχάλην
106[......] ας. κέκρυπται γὰρ ε̣-
107[......] τ̣α̣ι̣ α̣ὐ̣χ̣έ̣ν̣α̣ διὰ τῶν
108[. ca.9.] ..[.] α̣γ̣ωγη̣ τοῦ
109[ . ca.10.] οὐ γὰρ συναι-
110[νεῖν τ]ο̣[ῖ]ς ὀργανικοῖς χρὴ
111[........] υ.[.] ισ̣.τ̣ωτε̣ι̣
112[.......] ε̣ [....] .[.] λ̣ [....⁦ -ca.?- ⁩]
112[3 lines missing]
116[⁦ -ca.?- ⁩] θ̣ο̣ν̣

Column II

117[. π]ρ̣ὸς τὴς καμπῆς [......]
118τ̣ὴ̣ς̣ [κε]φαλῆς τ̣ο̣ῦ β̣ρα̣[χίονο]ς̣
119τ̣ά[σ]σων,ἵνα γ[ὰρ] ἐκ τὴς [ἐπε-]
120ρείσεως βίᾳ κατάγῃ θ̣ε̣ι̣ [..] .ε
121κ̣ον, ἕτερον δὲ ἄτοπον ἐ̣κ̣ τοῦ
122ἐνεργήματος τούτου ἀ̣να-
123δ̣ι̣δ̣ό̣ν̣α̣ι̣ τὸ τοῦ ἀκρωμίου ἀπὸ-
124στημα. χρὴ τοιγαροῦν τὴ̣ν̣
125μὲν διὰ τῶν μοχλῶν ἐνέρ-
126γ̣ε̣ιαν παραπέμπει, τὰ δὲ
127εἰρημένα ἔργα πρὸς τὴν
128τοῦ ἐκπάλου ὀστέου κατατα-
129γὴ̣ν̣ α̣ἱρεῖθ̣σ̣αι. διδάξας πῶς
130δ̣εῖ καταρτίζειν τ̣ὸ̣{ν̣} α̣ὐ̣[τ]ὸ̣{ν}
131σὺν τραύματι ὀλίσ̣θη̣μ̣[α] {\[τ]ων/}, [ἑ]π̣ο-
132μένως ὑποδείξαντα ε̣ .. [.⁦ -ca.?- ⁩]
133[.] α̣ [.] τ̣ὸ̣ν̣ τῆς πρίσε̣ω̣ς τρό̣πον̣
134.[..] των πρὸς πρ[ῖ]σιν ἐπιτη-
135[δείως ἐ]χόντων ὀστῶν π̣ρὸ
136τ̣ῆ̣ς̣ πρ̣[ίσ]εως̣ ἐξετάζειν δεῖ
137[...] εχι [....] .[.] .[..] .[...] ο
138[.]. η̣ [. ca.9.]. ιο̣λον δια
139[⁦ -ca.?- ⁩] .[..]. θ̣η̣κος
140[⁦ -ca.?- ⁩] . [..]
140[5 lines missing]
146α̣ιρη̣ .[⁦ -ca.?- ⁩]
147νητα̣ις .[⁦ -ca.?- ⁩]
148δεῖ επ[.] .[⁦ -ca.?- ⁩]
149τραῦμα̣ [⁦ -ca.?- ⁩]
150λημ.\α̣/.υ̣ [⁦ -ca.?- ⁩]
151παρ̣ .[...] .[⁦ -ca.?- ⁩]
152. ε̣ινανα [⁦ -ca.?- ⁩]
153ὅτε ὑπέ̣ρ̣ου [⁦ -ca.?- ⁩]
154σφίγγεται τὸ πρ̣[ιζόμενον ⁦ -ca.?- ⁩]
155ὀστέον χαλάσ̣α̣[ι] τ̣ [..].[...]
156μένου τοῖς δακ[τ]ύλ[ο]ις ἐ̣ξελ̣-
157κέσθω τὸ μέλλο[ν] π̣ρ̣ί̣ζ̣ε̣σ̣θαι
158ὀστέον ἐς τ̣ὰ τότε̣ ..τ̣.ν̣ω̣
159ἀνὰ τὴν ἐσθῆ̣τ̣α .[....] κ̣
160.[.] σ̣..ατ̣οιη..υπ [......]
161[...] εν̣αφεν̣ ἀρχῆς ἔκπρι̣[σ-]
162[μα] μ̣ᾶλλ[ο]ν̣ γείνεσθαι. δεῖ δὲ
163ἀγ̣γί̣ου εν.[.] ειν̣ε̣ν̣ [..] θ̣..ε̣τ̣ε̣
164τ̣αιν[ί]ᾳ καθ̣ελε̣[ῖ]ν̣ ε[..] \./ν̣ δε̣ι̣ η τη

Commentary

  • r.I.13.

    According to Körte and Marganne, χαιμαφάριον is an hapax.

  • r.I.37.

    According to Marganne, ἀπεξαρθέω, reinforced form of ἐξαρθρέω, is an hapax.

  • r.I.48.

    [καταρτίζ]ε̣σ̣θ̣α̣ι̣ could be supplemented based on a parallel with l. 62.

  • r.II.76-80.

    The content could be supplemented by comparison with Heliod. ap. Orib. Coll.med. 49.29.1 [CMG 6.2.2, 44.22-3 Raed.].

  • v.I.103.

    For [ὀλισθ]η[μά]των see l. 131

  • v.II.118.

    For the supplement of τ̣ὴ̣ς̣ [κε]φαλῆς τ̣ο̣ῦ β̣ρα̣[χίονο]ς see Ruf. Anat. 70 [142.8-9 D-R].

  • v.II.119-20.

    For [ἐπε]ρείσεως see Heliod. ap. Orib. Coll.med. 10.37.7 [CMG 6.2.2, 76.7-8 Raed.].

  • v.II.128.

    ἐκπάλου could be an erroneous form for ἐκπαλοῦ⟨ς⟩ (Roberts) or the genitive case of the hapax ἔκπαλος (the attested form of the adjective is ἐκπαλής).

  • v.II.161-162.

    ἔκπρισμα is supplemented based on Arist. GC 316 a 34-316 b 1 Bekker.

History

  • 2023-02-07T04:32:15-05:00 [mgerhardt]: Finalized - Ready.
  • 2023-02-07T04:30:12-05:00 [mgerhardt]: Vote - Accept-Straight-to-Finalization - Fine.
  • 2023-02-07T04:21:01-05:00 [mgerhardt]: Submit - corrected lunate sigma in col1lin19.
  • 2023-02-05T03:29:29-05:00 [mgerhardt]: Commit - corrected lunate sigma in col1lin19.

  • 2014-12-10 [DCLP]: Crosswalked to EpiDoc XML

Detailed history

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