History Online - Inventions[an error occurred while processing this directive]MedicineThe history of great inventions
The earliest account of disease in Greek literature appears in the opening episode of Homer's Iliad which was composed sometime in the 8th century BCE. The god Apollo sent a plague among the Greek army before Troy in punishment for Agamemnon's insulting the priest Chryses when he came to ransom his captured daughter. According to Homer, at the onset of the plague, Apollo only shot his arrows at mules and dogs in the camp and then later at the Greek soldiers themselves (Iliad I.9ff). What Homer describes is a highly communicable disease with acute fever, sudden in onset and rapidly fatal, such as easily might attack an army; although no symptoms are mentioned explicitly, nor are any recoveries. After the Greeks appeased Apollo with sacrfices and by the return of the girl, they set about cleansing the camp by throwing "defilements" into the sea. This suggests that part of the disease was a severe dysentery exacerbated by battlefield conditions.
Finds of instruments throughout the Roman Empire indicate that the art of surgery had progressed and proliferated. If any one of the branches of medicine had achieved true competence in the Empire, surgery is the most serviceable example. Surgery was important in the training of the conscientious physician, and both Galen and Celsus emphasize it although they came from divergent medical traditions (Celsus, prooemium VII; Galen, II, 272).
In ancient Greek society, male dominance extended even to childbirth. Greek medicine cast man as the bringer of sanity and health to biologically defective, subservient woman through intercourse, which was believed to relieve the buildup of menstrual blood around the heart. Men also received full credit for conception, since the womb was seen mainly as a receptacle for sperm. Abortion, if not condoned in the Hippocratic Oath, was permitted under Greek law, and infanticide, particularly of female newborns, was widely practiced.
Women in the ancient world practiced birth-control with little interference from religious or political authorities. A precise knowledge of plants which could either block conception or cause abortion was resident in the oral female culture of herbalists and midwives who were eventually marginalised by the professionalisation of medicine in the 19th century CE. One of the most common contraceptive agents used in the ancient Mediterranean world was silphium which grew exclusively in the country of Cyrene in North Africa. Since Cyrene was the sole exporter of the plant, it became the city's official symbol on its coinage and it remained the city's primary source of income until the first century BCE.
The Caesarean section operation did not derive its name from the fact that Julius Caesar was born in this manner. It was called Caesarean because the Roman or Caesarean law demanded that when a pregnant woman died, her body could not be buried until the child had been removed. The law also stipulated that a Caesarean section could not be performed on a living pregnant woman until the tenth month of gestation. Ancient physicians were unable to save the life of the mother in such cases, thus the procedure was rarely performed. We know from ancient sources that Julius Caesar could not have been born by Caesarean section, because his mother, Aurelia, lived to be an adviser to her grown son.
The word "hysteria" is derived from the Greek word hystera, "womb". Greco-Roman medical writers believed that hysteria was an illness caused by violent movements of the womb and that it was therefore peculiar to women. As early as the sixth century BCE, medical writers believed that the womb was not a stationary object, but one that traveled throughout the body, often to the detriment of the woman's health. Aretaeus of Cappodocia, a contemporary of Galen, included in his medical treatises a section describing the wandering womb.
During the Crusades of the 11th Century, the Knights of St John received instruction in first-aid treatment from Arab and Greek doctors. The Knights of St John then acted as the first emergency workers, treating soldiers on both sides of the war of the battlefield and bringing in the wounded to nearby tents for further treatment. The concept of ambulance service started in Europe with the Knights of St John, at the same time it had also become common practice for small rewards to be paid to soldiers who carried the wounded bodies of other soldiers in for medical treatment.
Medicine in ancient Egypt was but one aspect of an advanced civilization. It was not practiced by witch doctors as in primitive tribes, with mixture of magic, herbal remedy, and superstitious beliefs. This was acknowledged by Homer in the Odyssey:
Some kind of medicine was already practiced in Egypt in the earliest prehistoric days, (the use of malachite as an eye paint in the Badarian age - around 4000 BC, and the same use of galena in predynastic times). The oldest yet discovered papyrus is the "Kahun Gynecology Papyrus", dating back to 1825 BC, during the reign of Amnemhat III. It describes methods of diagnosing pregnancy and the sex of the fetus, toothache during pregnancy, diseases of women, as well as feminine drugs, pastes and vaginal applications.
The human body was believed to be born in a healthy state, and could not fall ill or die except through the influence of a foreign agent. In case of wounds or intestinal worms, that agent was visible and the treatment prescribed was hence rational. As they were not aware of microbiology, internal diseases were thought to be due to an occult force attributed to evil gods, a divine punishment or magical procedures. The physician was obliged to neutralize this evil before turning into actual treatment. |
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