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}}</ref> It apparently reached peak popularity in the First Century C.E.
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" />however there is no Biblical authority for the periah procedure.
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==