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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 the rabbinate 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==