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EGYPT
Archeologically…
• Along the banks of river
  Nile, which was
  somewhere in the midst of
  Africa, settled the
  Neolithic man around
  10,000 years ago.

• About 6,000 yrs later i.e.
  around 4,000 BC there
  developed the Egyptian
  civilization which lasted for
  27 centuries!
But…
• What civilized this
  civilization ? ?

• How civilized was
  it??
Civilization

•Political
•Social
•Medical
•Religion
Political system

• KING, called
  Pharaoh, the son of
  sun- god, Re.

• VIZIER, as prime
  minister, treasurer, chief
  justice.

• BUREAUCRATS.
Social system
•    People were slender, but robust, dark
     haired and attractive.

•    Five classes:
1.   The royal family
2.   The priests
3.   The nobels
4.   A middle class; artisans, merchants
5.   The farmers
6.   Added class was of professional soldiers
     and slaves
Religion
• Multitude of gods and goddesses

• The sun-god Re, personified the beneficial
  deities, life. The official religion of pharaoh and
  priest was the worship of Re.

• God osiris, god of Nile, the gods of nature and
  vegetation were fused in it, personified death.
  The cult grew among common people.
• Thoth ,the god of wisdom

 • Horus ,the god of health




•Amenhotep IV ( 1375 BC ) attempted to change the
ancient religion & proclaimed only one true God, Aten.
•They firmly
believed about the
concept of life after
death. This concept
initiate the excellent
art of preservation.
The secret of which
till undiscovered.
Medical practice
• Initially…..,

• In early centuries, medicine was a blend of
  magic and religion.

• Disease, believed to be caused by an evil
  spirit. So, the purpose of the medicine was to
  rid the body of this demons.

• Treatment, to approach the god, through
  supplication, incantation, spells and rituals.
• Over many centuries, with the passage of
  time, empiric medicine came into being.

• There were three types of medical persons
   then:
1. Physicians, (swnu), dealing with empiric
   medicine.
2. The priest (sekhmet), surgeon and specialist.
3. The exorcist.
Physician
There was a hierarchy followed i.e. –

• Greatest physician of the lower and upper Egypt

• Superintendent

• Inspector

• Chief of physician

• General practitioner
p              state         Burial grounds
   h
   y
   s
   i      army            Pharaohs palaces
   c
   i             Public works
   a
   n

In war time and on journeys anywhere
within the Egypt, the sick are all treated
free of charges, because doctors were
paid for that. (Diodorus, the Greek
historian)
         National health scheme
Specialization
• God governs different organs.

• Physician specialized in special body part
  and their diseases.

• Royal physician – specialist

• e.g. eyes, teeth, nose, belly, „shepherd of the
  anus‟ etc.

• Herodotus described about this in his history.
Information
hieroglyphics

                                              Medical papyri



                                               • Edwin Smith
 It is                                         papyrus
 specialized
 pictorial                                     • George Ebers
 representati                                  papyrus
 ons in
 Egyptian
 writings       Greek and roman manuscripts
Recording…
 the way of communication
EDWIN SMITH             GEORGE EBERS
     PAPYRUS                  PAPYRUS

• 1600 BC               • 1550 BC
• 47 Cases              • Oldest surviving
• Rx of                   treatise on medicine
  wound, #, dislocati   • Over 20 meters long
  ons                   • 700 drugs
• Rt head injure       • Various formulae of
  paralysis of            herbs, animal &
  opposite side           mineral remedies
• On
  gynecology, pregn
  ancy &
  contraception
Imhotep

•2700 BC, emerged a vivid personality of great
physician,….Imhotep
•Grand vizier of the pharaoh Zoser
•Sage, astronomer, wise, kind, learned, great physician.
•Built the first step pyramid at Sakkara, the oldest extant stone
structure in the world.
•Glorified,…and in 6th century BC, displaced Thoth, as god of
healing.
•Greeks –Aesclapius.
•
Doctrine of analogy

• Nile – blood
• Branches – channels
• Obstruction or flood – diseases

• Abstraction – the concept of analogy travel form
  simple form and appearance to complex
  similarity at various deeper level.
• Prehistoric  Egyptian   modern eg MM
• Another belief, each organ has its own
  separate God  specialization

• fascination for enemas and
  purgatives…        Gifted n invented by God - Thoth


 The role of
 parasites in      Its guards again putrefaction
 causing
 disease was
 first          Close relationship between heart and anal region
 stressed
                Practice based on the concepts
                prevailing in that era…
• Frequent baths
• Cleanliness of attire
• Bathing twice & Washed
  before meals
• Fear of putrefaction 
  greatly fond of purges and
  enemas
                       •Abundant water supply
   “Healthiest         •Canals, dams, reservoirs
   Of
   Man”                •sluice channels
   By
   Herodotus           •Great reverence for Nile
But in Contrast, Pliny mentioned “Egypt
    was the motherland of disease”
• Plenty of disease…
  – Infections
    • Acute intestinal infections
    • Worm infections … Schistosomiasis
  – Eye disorders
    • Trachoma – dry dessert air & sand
  – Epidemic disease like, Small pox & Plague
  – Gonorrhoea, leprosy, Poliomyelitis…
  – Modern scholars also identified…
    arthritis, gout, ovarian, bladder & kidney
    disease
Medicine
– Vast pharmacopeias, same 3 kingdoms
– Source for Greek, Roman, Galen…
– forms –
   pills, drops, ointments, suppositories, fumigations
   and baths. Most popular was ENEMA
 – Rotten bread for wounds  penicillin
 – Copper, antimony….cosmetic use……antiseptic
   action…..preventing eye infection.
 – Copper preparation.. used in Rx of
   trachoma….frequent cause of blindness in ancient
Surgery
   Egypt.
• Circumcision and cauterization for removal of cyst and
tumors.
• Trepanation was not common. (concept of diseases)
Overall contribution was poor.
EGYPT shown…2700 yrs of unbroken splendor
       e

 Blessed with peace and plenty


                                                     Came under…
                                                     domination of
                                                     Libya, Ethiopia,
                                                     Assyria & finally
                                                     Persia
                                  In 332 BC,
                                  Alexander defeated Darius of Persia

                   Cleopatra
                   Chosen death                  Alexandria
                                              Centre of medicine
    Ultimately, dominated by
    Rome
• Hierarchies at all level…
• Work distribution…
• Evolved science for preservation of dead!!!
• Administrative national health scheme
• Effective recording as papyri…
• Highly organized water supply &
  drainage…
• Specialization in medicine…
Dr Archana
       Dr Navnit
           Dr Dharmesh

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Egypt

  • 2. Archeologically… • Along the banks of river Nile, which was somewhere in the midst of Africa, settled the Neolithic man around 10,000 years ago. • About 6,000 yrs later i.e. around 4,000 BC there developed the Egyptian civilization which lasted for 27 centuries!
  • 3. But… • What civilized this civilization ? ? • How civilized was it??
  • 5. Political system • KING, called Pharaoh, the son of sun- god, Re. • VIZIER, as prime minister, treasurer, chief justice. • BUREAUCRATS.
  • 6. Social system • People were slender, but robust, dark haired and attractive. • Five classes: 1. The royal family 2. The priests 3. The nobels 4. A middle class; artisans, merchants 5. The farmers 6. Added class was of professional soldiers and slaves
  • 7. Religion • Multitude of gods and goddesses • The sun-god Re, personified the beneficial deities, life. The official religion of pharaoh and priest was the worship of Re. • God osiris, god of Nile, the gods of nature and vegetation were fused in it, personified death. The cult grew among common people.
  • 8.
  • 9. • Thoth ,the god of wisdom • Horus ,the god of health •Amenhotep IV ( 1375 BC ) attempted to change the ancient religion & proclaimed only one true God, Aten.
  • 10. •They firmly believed about the concept of life after death. This concept initiate the excellent art of preservation. The secret of which till undiscovered.
  • 11. Medical practice • Initially….., • In early centuries, medicine was a blend of magic and religion. • Disease, believed to be caused by an evil spirit. So, the purpose of the medicine was to rid the body of this demons. • Treatment, to approach the god, through supplication, incantation, spells and rituals.
  • 12. • Over many centuries, with the passage of time, empiric medicine came into being. • There were three types of medical persons then: 1. Physicians, (swnu), dealing with empiric medicine. 2. The priest (sekhmet), surgeon and specialist. 3. The exorcist.
  • 13. Physician There was a hierarchy followed i.e. – • Greatest physician of the lower and upper Egypt • Superintendent • Inspector • Chief of physician • General practitioner
  • 14. p state Burial grounds h y s i army Pharaohs palaces c i Public works a n In war time and on journeys anywhere within the Egypt, the sick are all treated free of charges, because doctors were paid for that. (Diodorus, the Greek historian) National health scheme
  • 15. Specialization • God governs different organs. • Physician specialized in special body part and their diseases. • Royal physician – specialist • e.g. eyes, teeth, nose, belly, „shepherd of the anus‟ etc. • Herodotus described about this in his history.
  • 16. Information hieroglyphics Medical papyri • Edwin Smith It is papyrus specialized pictorial • George Ebers representati papyrus ons in Egyptian writings Greek and roman manuscripts
  • 17. Recording… the way of communication
  • 18. EDWIN SMITH GEORGE EBERS PAPYRUS PAPYRUS • 1600 BC • 1550 BC • 47 Cases • Oldest surviving • Rx of treatise on medicine wound, #, dislocati • Over 20 meters long ons • 700 drugs • Rt head injure  • Various formulae of paralysis of herbs, animal & opposite side mineral remedies • On gynecology, pregn ancy & contraception
  • 19. Imhotep •2700 BC, emerged a vivid personality of great physician,….Imhotep •Grand vizier of the pharaoh Zoser •Sage, astronomer, wise, kind, learned, great physician. •Built the first step pyramid at Sakkara, the oldest extant stone structure in the world. •Glorified,…and in 6th century BC, displaced Thoth, as god of healing. •Greeks –Aesclapius. •
  • 20. Doctrine of analogy • Nile – blood • Branches – channels • Obstruction or flood – diseases • Abstraction – the concept of analogy travel form simple form and appearance to complex similarity at various deeper level. • Prehistoric  Egyptian   modern eg MM
  • 21. • Another belief, each organ has its own separate God  specialization • fascination for enemas and purgatives… Gifted n invented by God - Thoth The role of parasites in Its guards again putrefaction causing disease was first Close relationship between heart and anal region stressed Practice based on the concepts prevailing in that era…
  • 22. • Frequent baths • Cleanliness of attire • Bathing twice & Washed before meals • Fear of putrefaction  greatly fond of purges and enemas •Abundant water supply “Healthiest •Canals, dams, reservoirs Of Man” •sluice channels By Herodotus •Great reverence for Nile
  • 23. But in Contrast, Pliny mentioned “Egypt was the motherland of disease” • Plenty of disease… – Infections • Acute intestinal infections • Worm infections … Schistosomiasis – Eye disorders • Trachoma – dry dessert air & sand – Epidemic disease like, Small pox & Plague – Gonorrhoea, leprosy, Poliomyelitis… – Modern scholars also identified… arthritis, gout, ovarian, bladder & kidney disease
  • 24. Medicine – Vast pharmacopeias, same 3 kingdoms – Source for Greek, Roman, Galen… – forms – pills, drops, ointments, suppositories, fumigations and baths. Most popular was ENEMA – Rotten bread for wounds  penicillin – Copper, antimony….cosmetic use……antiseptic action…..preventing eye infection. – Copper preparation.. used in Rx of trachoma….frequent cause of blindness in ancient Surgery Egypt. • Circumcision and cauterization for removal of cyst and tumors. • Trepanation was not common. (concept of diseases) Overall contribution was poor.
  • 25. EGYPT shown…2700 yrs of unbroken splendor e Blessed with peace and plenty Came under… domination of Libya, Ethiopia, Assyria & finally Persia In 332 BC, Alexander defeated Darius of Persia Cleopatra Chosen death Alexandria Centre of medicine Ultimately, dominated by Rome
  • 26.
  • 27. • Hierarchies at all level… • Work distribution… • Evolved science for preservation of dead!!! • Administrative national health scheme • Effective recording as papyri… • Highly organized water supply & drainage… • Specialization in medicine…
  • 28. Dr Archana Dr Navnit Dr Dharmesh