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Medicine in the Ancient World
Life in the ancient world was risky business. The perils of war, disease, famine and childbirth are a just a few examples of circumstances that contributed to a much lower average lifespan in the ancient world than we have in the modern era. People in antiquity were no less concerned about the prevention and cure of maladies than they are now, however, and entire cults, sanctuaries and professions dedicated to health dotted the spiritual, physical and professional landscapes of the ancient world. So what exactly did ancient cultures do to combat disease and injury, and did these methods have any real basis in science as we know it today? The answers may surprise you.
In many societies, the gods played an integral role in human health. In the Greek world, the god Asklepios was dedicated exclusively to healing.* Sanctuaries called Asklepions drew the ill and injured, who would often travel for days to seek the healing that they believed these ancient sanitariums could provide. Similar in some ways to the modern spa, Asklepions provided baths, healthy foods and sanctuary rooms intended specifically for sleep and meditation. Most Asklepions were located in remote and beautiful areas, such as the famous sanctuaries of Epidauros in Greece and Pergamum in northwest Turkey. Animal sacrifices and votive offerings were made at altars and temples to the god. Excavations at Asklepions have uncovered “anatomical votives,” so named because they represent the body part that was injured or affected by illness.
This gilded bronze ear was presented to the Asklepion at Pergamum by a woman named Fabia Secunda, who had in made “for the god Asklepios because the ear was healed in a dream.”
By the fifth century B.C., physicians and the god of healing had become intrinsically linked, with Asklepios as the divine patron of the medical profession. Hippocrates, the most famous physician of antiquity, lived during this time, and medical treatises that he authored would be used as medical textbooks for centuries to come. From such writings, as well as other inscriptions, we see that ancient physicians knew that lancing, draining and cleaning infected wounds promoted healing, and that they knew of certain herbs that had healing and disinfecting properties.** Wild ginger was known to be helpful for nausea, and a particular clay found on the Greek island of Lemnos was believed to be helpful for ailments such as dysentery. This clay, called terra sigillata for the stamped discs that were formed from it and sold as medicine, contains the counterpart to elements such as kaolin and bentonite, which are used in modern medicines to treat diarrhea.
This first-century A.D. relief of a leg was dedicated by a man named Tycheas as “a thank-offering to Asklepios and Hygeia” at the Asklepion on the island of Melos, Greece. Bridgeman Art Library
Surgical techniques in the ancient world could be surprisingly advanced. The famous Roman physician Galen (c. 129–199 A.D.), who was born in the city of Pergamum near the Asklepion, is generally regarded as the most accomplished medical researcher of the Roman world, and some of his surgical procedures would not be seen again until modern times. He successfully conducted cataract surgeries by inserting a needle behind the lens of the eye in order to remove the cataract, and his described methods of preparing a clean operating theater reveal a keen awareness of contagion.1 While some of Galen’s practices and theories are still followed and praised by physicians today, others, such as his rejection of the stomach wall as having no role in digestion, have been proven by modern science to be erroneous.
By the seventh century A.D., medicine as a science that was relatively independent of religious restrictions had virtually disappeared in the west, as the use of cadavers for scientific dissection had been prohibited by the Church. However, Islamic scholars in the East were studying Greek medicine in depth.*** Herbs such as henbane and Indian hemp (related to marijuana) were known for their anesthetic properties, and physicians stressed the effects of diet and environment on health. Perhaps one of the most famous eastern physicians was Abu ‘Ali al-Husayn ibn ‘Abd Allah ibn Sina (980–1037 A.D.), whose work The Canon of Medicine codified existing medical knowledge. The Canon includes descriptions, causes and diagnostic techniques for conditions such as rabies, stomach ulcers, different types of hepatitis, breast cancer, facial paralysis, diphtheria, leprosy, diabetes, cancer and gout. Later translations Latinized his name to Avicenna, and by the 13th century his work had become the standard medical reference text throughout Western Europe.
This first-century A.D. ceramic votive depicts an image of a uterus; it was probably dedicated by a woman in hopes of conceiving. Such a representation demonstrates a sophisticated understanding of both the anatomy and function of internal organs. (British Museum)
A scarred skull demonstrates evidence of trephination, a surgical technique in which holes were drilled in the patient’s skull to relieve intracranial pressure caused by head trauma. (Israel Antiquities Authority)
