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Medieval descriptions and doctrines of stroke: preliminary analysis of select sources. Part II: between Galenism and Aristotelism - Islamic theories of apoplexy (800-1200).

This second paper on medieval descriptions and doctrines of stroke reviews concepts outlined by famous Muslim physicians of the Middle Ages such as Rhazes, Haly Abbas, Avicenna, and Averroes. Contrary to a popular belief, Islamic neurological texts represent not only a bridge between ancient and western medieval medical knowledge, but also document remarkable advancements. Whereas statements on diagnosis and prognosis lack originality, the endeavors of physician-philosophers and medical authors led to substantial additions and important changes in theory. Such modifications include the integration of ventricular doctrine and particularly the attempt to unify Aristotelian and Galenic tenets which resulted in a complex discussion about the seats and causes of apoplexy. The fairly simple model handed down by Galenists of the Byzantine period was replaced by more detailed classifications, which proposed "cerebral" as well as "vascular" origins of the disease without suggesting a "cerebrovascular" etiology. Islamic therapeutic strategies included dietetic, pharmacological and surgical elements. The use of the cautery in "chronic apoplexy" was a special feature of Arabic surgery.

Arab World↗

Eros underground: Greece and Rome in gay print culture, 1953-65.

This essay surveys the building of intellectual community through print culture in the nascent gay movement in the United States and in Europe in the mid-twentieth century. Amateur historians, especially Jim Kepner and W. Dorr Legg of ONE, used Greece and Rome as models on which to base claims for gay rights. Ancient history figured in ONE's educational enterprises, including articles in the magazine ONE, the ONE Institute, and Homophile Studies. The magazine writers and their readership faced problems in the accessibility of knowledge, which the increasing circulation of the magazines corrected, to a degree. Biases surviving from the Victorian period caused the popular idea of ancient homophile culture to favor Greece over Rome, and made Greek a code word. Antiquity also played a large, though decreasing, role in formations of homoerotic fantasy during this period.

Culture↗

Greek medical papyri from the Fayum village of Tebtunis: patient involvement in a local health-care system?

The Greek papyri of medical content from Tebtunis are conspicuous for their quantity and quality, when compared with neighbouring villages. By isolating another feature in which Tebtunis is also unique--namely, in the relatively large number of those of privileged status who maintained residences and left important documents in the village, it would appear that these outsiders were instrumental in interesting the local priests in sophisticated Greek medicine and in bringing medical texts into the village. Tebtunis may thus provide an ancient example of patients influencing the health care available to them and their families when resident in the village.

Delivery of Health Care↗

The blind beautiful eye.

Master Jehan Yperman, a medieval surgeon, observed that when the optic nerve is injured, the eye becomes blind and beautiful. This is an attempt to trace the footsteps of this forgotten surgeon and to track the history of the cosmetic use of the belladonna herb, as well as the concept of amaurotic mydriasis.

Arab World↗

[The brothers of Jumiege--the peripheral nervous system in early French mythology].

This article reviews the process of discovery of the nervous system from Pythagoras (570-500 BC) to Galen (130-201 AD). After Galen, no anatomical studies were performed before the renaissance. According to a legend, probably produced for political reasons, two brothers, sons of the French king Clovis II, revolted against their father and were sentenced to loose their physical powers by having the nerves of their arms and legs cut. They were then set adrift on the river Seine, stranding at the Jumiège monastery. The earliest written version of this legend stems from the fourteenth century; it was probably a part of the local French mythology. This indicates that the existence of the peripheral nervous system, and therefore also in part the knowledge contained in the early anatomical works, quite early may have been more or less known outside academic circles.

France↗

Historical perspective milestones in the evolution of lumbar spinal postural health in seating.

The best knowledge on seated posture before the Enlightenment was not scientific, but influenced by sociocultural, economic, and manufacturing factors. Although the pursuit of knowledge related to spinal postural health was advanced with the advent of empirico-analytic research, academic opinion continued to be influenced by unsubstantiated information, often resulting in incorrect advice to the public. Only in the past decade has advice on "correct" seated posture, spanning the time from the Hippocratic texts to the present, been brought into question by evidence-based research. By exploring seating from 3100 B.C to the present, this article discusses key influences that have an impact on seating functional to spinal postural health. Emphasis is placed on the role of medical opinion.

China↗

Alternative medicine in ancient and medieval history.

The author, in an attempt to clarify whether the rise of alternative medicine is a phenomenon characteristic of our time or whether it existed in the past as well, has identified at least three alternative medicines, which developed in ancient Rome, ancient India and in the medieval Islamic world. The circumstances leading to the development of alternative medicine in the past and in our time are discussed and compared.

Complementary Therapies↗

A history of otology through the development of scientific and medical thought.

The story of the development of civilisation and of humanity is at the base of science, medicine and otology in particular. The evolution of knowledge is better understood by dividing the story into chronological periods. Through primitive, archaic, hellenistic, byzantine, arabian, monastic, scholastic, Renaissance, modern and finally contemporary medicine, otology has progressively found its way. The key to progress is within man, in his conception of life and of the world around him. Otology will be affected by these different trends of thought and will find its place in medicine during the XIX Century, the XX Century being its most prolific period.

Byzantium↗

The catheter and its use in late antiquity and the early middle ages.

PURPOSE: Based on Greek and Latin sources the use of the urinary catheter in Western medicine between 200 and 1000 CE was reviewed. MATERIALS AND METHODS: Computerized databank searches permitted the identification and analysis of ancient and early medieval texts that include material on the catheter. RESULTS: Ten medical authors mentioned the catheter and its use. In the Byzantine world they include the encyclopedists Oribasius, Aetius and Paul of Aegina. The best known Latin author is Caelius Aurelianus. These writers often put together summaries of earlier works. Innovation or independent research was not easily found at a time during which neither anatomical autopsy nor experimentation was widely practiced. CONCLUSIONS: Old texts contain numerous instructions on how to skillfully use the catheter. As a technical achievement, it was independent of philosophical trends. Its primary indications, namely urinary retention, bladder stones and the administration of cures, changed little with time. As one of the oldest and most important instruments at the disposal of physicians, the history of the catheter should be known to every urologist.

Byzantium↗

[Books and medical knowledge in the ancient world].

Books have been used by medici in Antiquity - different kind of books for different kind of medici. Galen is the best example of a medicus with a strong interest not only in theoretical medicine, but also in a material crafting of the books, as well as in the making of the text. But he is an exception. Books in late Antiquity came in two different formats: the codex and the rotulus. The former was to be the one to survive: by the late IV century A.D., rotuli - difficult to handle and to read - had virtually disappeared. Codices were diffused in medical milieux, as well as in other milieux where culture was popularized (e.g. Christianity), probably because they were more user-friendly and manageable even for a non-cultivated public. Codices were used for practical purposes and for practical therapeutics, and allowed the reader to write on margins, thus enhancing their practical usefulness. On the contrary, books had a scanty use for didactic purposes, learning from the voice of the magister being the privileged form of transmission.

Books↗