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EGYPTIAN MEDICINE

So that you know: I was most worried with
my court, because the Nile did not come in
seven years and the entire country was in
great need. Then I turned my heart to the
front; and I asked the wise Imhotep for
advice, where the birthplace of the Nile is
found and who would be the god that lived
there. Upon this Imhotep answered, "I have
to go to the house of books and look up in
the holy books." He returned soon and revealed
wonders to me, to which no king has ever
been shown the way since the beginning of time...
Inscription of the "Stele of Famine with the Edict of Djoser
to the prince of Elephantine" (2780 BC) 1
The Nile river is known almost universally by historians as the cradle of medicine
because it passes through the great region of Egypt. Egypt greatly contributed to the
western civilization. Their knowledge was far superior to any previous civilization, and
many civilizations to come. One of their greatest achievements was in the field of
medicine because they replaced myth with medical fact, this laid the foundations for
modern medical practice. They discovered the cause of various illnesses and developed a
cure. They practised both medical and spiritual healing so the worlds of religion and
science could coexist. With the discoveries of several papyrus', we are learning more and
more about their knowledge of the human anatomy.
The literature discovered by archaeologists dates back to over 7000 years ago. In the
early Egyptian times, medicine was practised most often by priests, not doctors or
physicians. There were three main types of early healers, the priest physician, lay
physician, and the magician-physician. The priest physicians were ranked highest among
physicians because they practised a combination of clinical and spiritual medicine. The
priest physicians were in such a high favour that it is most likely they were part of the
Egyptian hierarchy, and involved with the state officials and pharaohs.
It is unknown if the priest physicians ever received medical training. They were
permitted to examine patients and participate in minor tasks. All diseases except those
of the eye, were treated by a clergy who specialized with their own rule and hierarchy
known as the Priests of Sekhmet. Gradually the physicians would gain their medical
knowledge and would combine it with their knowledge of magic to become an effective and
respected healer.
The lay physicians also practised a combination of clinical and spiritual healing. Unlike
the priest physician, the lay physicians were most likely trained to practice medicine.
They were most likely derived from priests who had knowledge of the anatomy, and from
magicians because they weren't associated with any particular god or temple. The role of
a lay physician wasn't only open to males, unlike the priest physicians, there are
records of women physicians. Although the duties of the lay physician are vague due to
the lack of information contained in the medical papyri, we can assume that they were
closely linked to the field of surgery because of their medical training.
The last type of physician called the magician-physician, was not trained in medicine and
only used spells to cure the ill. This signifies that although the Egyptians made
advances in the field of medicine, the aspect of magic never their medicine.
All physicians of Egypt were regarded in high favour of the kings. They were given such
titles as "Chief of all court physicians,""Physicians of the body, who knows the inner
juices,""Priest of Aton who in the palace goes and comes and gas admission to the king."
The nobles also used the term "body physicians." These "body physicians," were
permanently employed. Historians and archaeologists are unsure of the methods of payment
for these physicians, but they know that the general physicians who went into the land
were paid by natural resources such as a gold ring or bracelet. It was a family tradition
to become a doctor. It is unsure whether the position was inherited or the fathers just
wanted to pass down their knowledge to their sons. They can come to the conclusion that
all physicians were well looked after and were a valuable asset to all pharaoh.
In wartime and on journeys anywhere
within Egypt, the sick are all treated
free of charge, because doctors
are paid by the state and scrupulous
observance of the prescriptions drawn
up by great doctors of the past is
incumbent on them. Diodorus Siculus2
Court physicians had the same advantages of those who went out to the war front. They
were paid directly by the pharaoh so a wounded soldier in battle would be able to receive
free treatment.
The art of medicine is thus divided: each
physician applies himself to one disease
only and not more. All places abound in
physicians; some are for the eyes, others
for the head, others for the teeth, others for
the intestines, and others for internal disorders.
Herodutus3
In ancient Egypt, most physicians were specialists. One physician would specialize in
treating flesh wounds, while another would specialize in treating eye infections. The
larger part of the training of physicians took place in a house of life. The house of
life is a temple devoted to treated the ill. One would only have to tell the "house of
life" of his illness and a physician who specialized in that field would visit that
person and treat the illness as best he could.
At the temple of Heliopis, they discovered gravestones of the doctors of old schools and
engraved on them were such inscriptions as "superintendent of the secrets of health of
the house of Thoth", "the greatest of doctors", "eye specialist to the palace." From
hieroglyphics on the tomb of doctor Iry, we learned that he is called "keeper of the
king's rectum." There was also a "keeper of the king's right eye," and "keeper of the
kings left eye."
The Egyptians were able to treat teeth and eye problems. Doctors who specialized in the
eyes were regarded extremely high in Egyptian society and were the pride of many
Pharaohs. Eye doctors had considerable knowledge of the eye. They distinguished that
there is both an outside part and an inside part to be treated. Eye diseases in Egypt,
then and now, are more common then in any other region. Therefore eye doctors were in
great demand and kings from neighbouring lands would ask the gift of an experienced eye
doctor to join their court. They discovered a treatment for trachoma, or "Egyptian eye
disease." Trachoma causes fifty percent of all blindness, and is contagious. It is caused
by the bacteria Chlamydia trachomatis, and it forms tiny blisters on the conjunctiva. The
eye specialists would treat it by applying a mixture of sodium carbonate, black mascara,
and red ocher. They were able to perform surgeries on the eye where they would remove the
iris and remove a piece of rock or metal.
Another speciality was the treating of the teeth. Ancient Egyptian doctors who
specialized in dental care, are not believed to have had knowledge of dental surgery
because no evidence has been found in any written texts. But archaeological finds show
that attempts have been made. They discovered a mandible from the Fourth Dynasty that
indicates that there was an attempt to drill a hole in one of the teeth. Possibly the
first prosthesis was found in 1929 in Giza where two teeth were found with gold wire
fixed to the teeth. Also they have found several mummies with artificial teeth. The study
of several mummies indicates poor teeth condition. This can be attributed to the lack of
nutrition, mostly lower class citizens. In the Papyrus Ebers, they found parts of a
dental monograph titled "The Beginning of Remedies for Stronger Teeth." Carious teeth
were treated with a mixture of ocher, flour, spelt, and honey. Fillings were made out of
a combination of malachite and resin.
The Ancient Egyptian doctors and physicians used many types of natural resources to cure
patients. In one case it was discovered that they used the electrical charge of the
Malapterusus electricus, a close relative of the electric eel, was used to cure certain
kinds of pain. To cure the gout, the patient would step on the electric eel, then place
the other foot on a wet beach then wait until the leg is numb up to the knee. But he
electric eel's charges were too week to cure some ailments so the used the organs of some
fish that produced electrical charges.
At first history believed that the first case of leeches being used for medical purposes
was in 135 AD by the Greek Nikandros. He described that the leeches were placed on the
body and would clear out blood and congested fluids. They now know that 2,000 years
earlier, this procedure was common in Egypt. They do not know how this was done, whether
they actually cut open the vein with a knife, or used some other method.
Their remedies are not all that different from our own. They used various kinds of pills,
potions, pouttices, suppositories, and plasters. They had the knowledge to prevent wounds
and cure many types of animal bites such as the crocodile. The doctors and physicians
would suggest mouldy bread to prevent blisters, intestinal diseases, and suppurating
wounds.
They developed a cure for the cough that goes as follows: pieces of plant and mineral
substances should be heated on hot stones. A pot with a hole bored into it should be put
on top of this and a pipe should be put into the hole. The patient must "swallow" the
herbal steam seven times. And because the mouth dries out, it should be rinsed out with
oil.4
Archaeologists have discovered many papyrus', but some containing more information then
others. The most famous of these is the Papyrus Ebers. It was found by an Arab in Luxor
who discovered it will excavating a tomb. He demanded a large sum of money for the
purchase, so with the financial support of a friend, George Ebers purchased the Papyrus.
They dated back to the period between 1553-1550 BC. It was a collection of texts from the
Old Empire that gave instructions on how to cure wounds, fractures, dislocations, and
many other types of illnesses. They described how to treat fractures, they would use
splints bound with bandages. When the Papyrus Ebers was written, Egypt was at it's
highest medical achievement. Historians can come to the conclusion that the papyrus
belonged to the Pharaoh Amenhotep (1557-1501 BC) . It is the most accurate account of
early Egyptian medicine ever written. At this time medicine was much freer of magic then
before. It is used as the founding book of knowledge for ancient Egyptian medicine. Much
of the contents of the papyrus, deal with constipation, giving several effective cures
that in some parts of the world, are still used today. The Papyrus Ebers consisted of 108
columns divided into forty-five groups. The second group for example would describe
various kinds of laxatives, while group four describes stomach ailments. The texts
contained in the Papyrus Ebers are difficult to understand, and there are many unknown
terms used within.
One of the most famous ancient doctors is Imhotep. He was a great privilege to have as a
Pharaoh. He worked in the court of the pharaoh Khasekhem.
When he was finished, he turned to
the speechless women and said, 'on
these wounds, compresses of fresh
meat must be applied and new ones
must be reapplied five times daily.
After this, the patient should drink
milk mixed with beef gall bladder....'5
This is an exert from Pierre Montalauer's book about Imhotep. It refers to the ordeal of
the birth of the great Pharaoh Djoser. After the deliverance, the queen of the Upper
Egyptian capital, received a tear of the perineum. Imhotep quickly bandaged the
haemorrhaging and stitched the wound. The exert is Imhotep giving the queen instructions
to follow in order to let the wound heal properly. He saved the queen but around the same
time his wife died giving birth to his son. He then locked himself in with his wife for
forty days to mummify her. This was the first recorded process of mummification known. He
committed a large part of his life to Djoser the future Pharaoh. He played a major role
in the court, was vizier to his king , he was a great architect and astrologist. In some
legends it says that he ended the seven year drought by creating an elaborate system of
irrigation, organizing fisheries, and he also preserved food.
Imhotep built the first pyramid in the world, the step mastaba of Saqara.6 It was erected
over the resting place of Pharaoh's wife who was buried in the Nile Delta.
It is now known that Egyptian medicine contributed greatly to modern medicine. Many of
the therapies used today are similar to those used in ancient Egyptian times such as the
method of treating a fractured bone. They were the first to use electrotherapy to cure
pain, and also have an understanding of what happened. The first ever mummification was
in Egypt and the process was used for centuries to come by all Egyptian peoples.
With the discoveries of more and more papyrus', ancient Egyptian's are now getting the
credit they deserve for their contributions to modern medicine.
Bibliography
Atkinson, D.T. Magic, Myth and Medicine. New York: The World Publishing Company, 1956.
Dawson, Warren R. Ancient Egyptian Medicine. (Online) available.
http://www.lri.ucsf.edu/public_html/egypt.html
Margotta, Roberto. The Story of Medicine. New York: Golden Press, 1968.
Stetter, Cornelius. The Secret Medicine of the Pharaohs: Ancient Egyptian Healing. Carol
Stream: Quintessence Publishing Company, 1993.
Thorward, Jurgen. Science and Secrets of Early Medicine. Cologn: DuMont Press, 1962.
Trueman, John H., Trueman, Dawn Cline. The Enduring Past. Toronto: McGraw-Hill Ryerson
Limited, 1982.
Footnotes

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