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The Evolution of Modern Medicine [45]

By Root 808 0
of the East. Remarkable schools of medicine were founded at Seville, Toledo and Cordova. The most famous of the professors were Averroes, Albucasis and Avenzoar. Albucasis was "the Arabian restorer of surgery." Averroes, called in the Middle Ages "the Soul of Aristotle" or "the Commentator," is better known today among philosophers than physicians. On the revival of Moslem orthodoxy he fell upon evil days, was persecuted as a free-thinker, and the saying is attributed to him--"Sit anima mea cum philosophic."

Arabian medicine had certain very definite characteristics: the basis was Greek, derived from translations of the works of Hippocrates and Galen. No contributions were made to anatomy, as dissections were prohibited, nor to physiology, and the pathology was practically that of Galen. Certain new and important diseases were described; a number of new and active remedies were introduced, chiefly from the vegetable kingdom. The Arabian hospitals were well organized and were deservedly famous. No such hospital exists today in Cairo as that which was built by al-Mansur Gilafun in 1283. The description of it by Makrizi, quoted by Neuburger,[16] reads like that of a twentieth century institution with hospital units.

[16] "I have founded this institution for my equals and for those beneath me, it is intended for rulers and subjects, for soldiers and for the emir, for great and small, freemen and slaves, men and women." "He ordered medicaments, physicians and everything else that could be required by anyone in any form of sickness; placed male and female attendants at the disposal of the patients, determined their pay, provided beds for patients and supplied them with every kind of covering that could be required in any complaint. Every class of patient was accorded separate accommodation: the four halls of the hospital were set apart for those with fever and similar complaints; one part of the building was reserved for eye-patients, one for the wounded, one for those suffering from diarrhoea, one for women; a room for convalescents was divided into two parts, one for men and one for women. Water was laid on to all these departments. One room was set apart for cooking food, preparing medicine and cooking syrups, another for the compounding of confections, balsams, eye-salves, etc. The head-physician had an apartment to himself wherein he delivered medical lectures. The number of patients was unlimited, every sick or poor person who came found admittance, nor was the duration of his stay restricted, and even those who were sick at home were supplied with every necessity."--Makrizi.

"In later times this hospital was much extended and improved. The nursing was admirable and no stint was made of drugs and appliances; each patient was provided with means upon leaving so that he should not require immediately to undertake heavy work." Neuburger: History of Medicine, Vol. 1, p. 378.


It was in the domain of chemistry that the Arabs made the greatest advances. You may remember that, in Egypt, chemistry had already made considerable strides, and I alluded to Prof. Elliot Smith's view that one of the great leaps in civilization was the discovery in the Nile Valley of the metallurgy of copper. In the brilliant period of the Ptolemies, both chemistry and pharmacology were studied, and it seems not improbable that, when the Arabs took Alexandria in the year 640, there were still many workers in these subjects.

The most famous of those early Arabic writers is the somewhat mythical Geber, who lived in the first half of the eighth century, and whose writings had an extraordinary influence throughout the Middle Ages. The whole story of Geber is discussed by Berthelot in his "La chimie au moyen age" (Paris, 1896). The transmission of Arabian science to the Occident began with the Crusades, though earlier a filtering of important knowledge in mathematics and astronomy had reached Southern and Middle Europe through Spain. Among the translators several names stand out prominently. Gerbert, who became later Pope Sylvester
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