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Epispasm did not sit well with the rabbinate. In about 140 C.E. it was decreed that periah would be added to the ritual circumcision of infant Jewish boys.<ref name="peron2000" /> <ref name="glick2005" />
As reported above, the function of periah was to remove as much foreskin tissue as possible to cause the maximum amount of tissue loss and [[trauma]], so as to make epispasm as difficult as possible.
==Transfer to medical practice==