Key Contributions
Human Anatomy and Physiology
Drugs
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Physicians of the Islamic Golden Age made important advances in the
fields of human anatomy and physiology.
Amongst these is the work of Ibn al-Nafis, a 13th-century Syrian
physician, who made significant in cardiology. He was the first to
correctly observe the structure of the heart, detailed in his
predominant work, 'Commentary on the Anatomy of the Canon of
Avicenna'. He also made the link of blood being “purified”
(oxidised) in the lungs, and was the first to understand the
mechanism of the pulse and touched upon the idea of capillaries as
microscopic pores. His work corrected many misconceptions made by
the works of other renowned physicians, and his observations were a
major advance in the comprehension of the human body.
11th-century Iraqi scientist Ibn al-Haytham made advances in the
field of optics, explaining that the eye was an optical instrument
and developing the theory for image formation, explained through the
refraction of light rays passing between two media of different
densities.
Ahmad ibn Abi al-Ash'ath, a famous physician from 10th-century Iraq,
described the physiology of the stomach in a live lion, making him
the first person to initiate experimental events in gastric
physiology.
12th-centry Iraqi physician and traveller Abd al-Latif al-Baghdadi
made advances in osteology, correcting works of Greek physician
Galen regarding the formation of the bones of the lower jaw
(mandible), coccyx and sacrum after he had the opportunity to
examine a large number of skeletons during the famine in Egypt in
597 AH.
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Medical contributions made by medieval Islam included the use of
plants as a type of remedy or medicine. Remedies used included
Papaver somniferum Linnaeus, poppy, and Cannabis sativa Linnaeus,
hemp. Many traditional remedies are still used across the world to
this day, and as more are studied, modern tests prove many of them
to be beneficial to the health of the human body.
Islamic physicians lay the foundations for modern scientific
experimentation by using methodical research and meticulous
documentation of herbal remedies; at the time, Islamic physicians
and scientists were the only ones using scientific experimentation.
As the territory of the Islamic empire grew, new plants, seeds, and
spices were discovered and tested for medicinal uses. Hospitals kept
herbal garden, and many cultivated an extensive collection of
medicinal plants.
Ali al-Ruhawi believed that a physician must be a botanist and
understand pharmacological characteristics of the various
morphological parts. Islamic scholars produced numerous works on
herbal remedies. The first book to document medicinal plants at the
time was 'The Book of Plants', which was written by 9th-century
Iranian al-Dinawari (known as the ‘Father of modern botany’). His
work was of such importance at the time that physicians and
pharmacists had to memorise it in order to be allowed to practise
medicine.
Other notable works included 'Dictionary of Simple Remedies and
Food' by Ibn al-Baytar, which studied over three thousand plants;
'The Collection of Simples, Medicinal Plants and Resulting
Medicines' by Ibn Samajun, which classified many plants by their
medical properties; and 'The Book of Simple Drugs' by al-Gafiqi,
whose work was so accurate that it was republished in 1932.
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Surgical practices and equipment in the Islamic empire was the most
advanced in the world, and still influence surgery in the modern
day. Notable surgeons of the time included Ibn al-Haytham, a
prominent eye surgeon; and Ibn Zuhr, who was known for his
methodical experimental approach to surgery and whose distinguished
work, ‘Book of Simplification concerning Therapeutics and Diet’
prompted its evolvement.
It was the scholar Al-Zahrawi (known as the ‘Father of modern
surgery’) who had the greatest influence and impact on surgery. His
thirty-volume treatise, ‘The Method of Medicine’, introduced a range
of new surgical procedures and over 200 different surgical
instruments, most of which are still used to this day. Al-Zahrawi’s
influence was so great that his work was studied at prominent
universities in the western world until the end of the 19th century.
Many of the procedures carried out by Islamic surgeons were complex
and intricate, and so required cutting edge surgical instruments.
Such examples include forceps, hooks and various scalpels, most of
which have received only small modifications when being adapted for
use in modern surgical procedures. Similarly, some procedures
invented by the surgeons of the Islamic Golden Age were still used
well into the era of modern medicine, such as the use of catgut for
internal stitching and the treatment of broken or disjointed bones
through external pressure.
In medieval Islamic society, antisepsis and anesthesia were
important aspects of surgery. Ancient Islamic physicians attempted
to prevent infection when performing procedures for a sick patient,
for example by washing a patient before a procedure. Similarly,
following a procedure, the area was often cleaned with “wine, wine
mixed with oil of roses, oil of roses alone, salt water, or vinegar
water” which have antiseptic properties, among other substances.
Drugs to cause drowsiness, especially opium, were used to cause
unconsciousness before operations, as a modern-day anesthetic would.
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Physicians like al-Razi wrote about the importance of morality in
medicine, and may have presented, together with Avicenna and Ibn
al-Nafis, the first concept of ethics or "pratical philosophy" in
Islamic medicine. Al-Razi wote his treatise ‘Book on Spritual
Physick’ on popular ethics. He felt that it was important not only
for the physician to be an expert in his field, but also to be a
role model. His ideas on medical ethics were divided into three
concepts: the physician's responsibility to patients and to self,
and also the patients’ responsibility to physicians.
The earliest surviving Arabic work on medical ethics is ‘Morals of
the physician’ (or ‘Practical Medical Deontology’) and was based on
the works of Hippocrates and Galen. Morals of the physician was
al-Ruhawi's introductory comment to elevate the practice of medicine
in order to aid the ill and enlist the help of God in his support.
He quotes Hippocrates that the medical arts involve three factors:
the illness, the patient, and the physician. The book consisted of
twenty chapters on various topics related to medical ethics. In the
first chapter of his book, al-Ruhawi declared that the truth is more
important for physicians who follow rational ethics and the medical
injunctions. Al-Ruhawi regarded physicians as "guardians of souls
and bodies", and insisted them to use proper medical etiquette for
strong medical ethics and not to ignore theoretical overtones. In
pre-Islamic times, there were problems of a lack of part of an
element of struggle and conflict to resolve ethical difficulties.
Al-Ruhawi helped bridge this gap.
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Hospitals
Medical Education
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Hospitals in the Islamic empire were some of the most advanced in
the entire world. They were called Bimaristan, meaning "house of the
sick". Bimaristan were built and maintained by funds raised through
taxes called zakat and by charitable donations called Waqf so that
treatments could be provided for free.
Hospitals were secular, serving all people regardless of their race,
religion, citizenship, or gender. The Waqf documents stated nobody
was ever to be turned away. The ultimate goal of all physicians and
hospital staff was to work together to help the well-being of their
patients. There was no time limit a patient could spend as an
inpatient; the Waqf documents stated the hospital was required to
keep all patients until they were fully recovered.
Men and women were admitted to separate but equally equipped wards.
The separate wards were further divided into mental disease,
contagious disease, non-contagious disease, surgery, medicine, and
eye disease. Each hospital contained a lecture hall, kitchen,
pharmacy, library, and prayer space. Recreational materials and
musicians were often employed to comfort patients. Additionally,
physicians and midwives were sent to the poorest, rural areas to
care for those who were unable to travel to the hospitals. Indeed,
when Ibn Jubayr passed though the Near East on his travels he
remarked that “the hospitals are among the finest proofs of the
glory of Islam.”
Islamic hospitals were the first to keep written records of patients
and their medical treatment. Records were referenced in future
treatments. During this era, physician licensure became mandatory in
the Abbasid Caliphate. In 931 AD, Caliph Al-Muqtadir learned of the
death of one of his subjects as a result of a physician's error. He
immediately ordered that doctors would be prevented from practicing
until they passed an examination.
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Before the turn of the millennium, hospitals became a popular centre
for medical education, where students would be trained directly
under a practicing physician. The training of physicians in the
Islamic empire was extremely meticulous and intensive. Students
underwent both practical and theoretical lessons. They would shadow
doctors and surgeons during their clinical rounds in order to gain
experience in a practical environment.
It was common practice for students to travel to different parts of
the empire in order to be taught by the most reputable physicians of
the time. As well as lectures and tutorage, the pupils also studied
from textbooks and papers by well-known physicians. The rigorous and
extensive education of these medical students allowed the physicians
of the Islamic empire to be some of the most knowledgeable and
accomplished in the world at the time.
Outside of the hospital, physicians would teach students in lectures
known as "majlises". Al-Dakhwār became famous throughout Damascus
for his majlises and eventually oversaw all of the physicians in
Egypt and Syria. He would go on to become the first to establish
what would be described as a "medical school" in that its teaching
focused solely on medicine. This all eventually led to the
standardization and vetting process of medical education.
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The birth of pharmacy as an independent, well-defined profession was
established in the early ninth century by Muslim scholars. The
Islamic physician al-Kindi was the first to differentiate between
medicine and pharmacology as a science and established the basics of
medical formulary by uncovering how to determine correct drug
dosage. The practice and duties of a pharmacist were outlined in
al-Biruni’s book, ‘The Book of Pharmacology’; this book also gave
detailed knowledge of the properties of almost all know drugs at the
time, as well as giving the synonymous drug names in several
languages including Persian, Greek, and Afghan.
Sabur Ibn Sahl was a 9th-century physician who wrote the first text
on pharmacy in his book ‘Book of medicines’. Islamicate pharmacy
achieved the implementation of a systematic method of identifying
substances based on their medicinal attributes. In addition, Sabur
also wrote three other books on pharmacy, and although his works was
not enforced by the government authorities, they were widely
accepted in the medical circles.
A major advance to drug development came when al-Zahrawi established
the processes of sublimation and distillation when preparing
medicines, allowing a whole new assortment of medicines to be
manufactured; al-Zahrawi also pioneered the use of catgut parcels in
which to store drugs before ingestion, a technique which was a
forerunner to the use of drug capsules for modern medications.
As well as establishing the science and philosophy of pharmacy, the
practice was closely monitored and supervised by government
officials known as muhtasib, who were periodically sent to check the
quality and legitimacy of the dispensaries and pharmacists. They
were tasked with testing the purity and quality of the drugs being
sold and the accuracy of the equipment such as weights and measures,
as well as getting rid of charlatans. These maintained the integrity
of the practice and ensured that all customers were provided with
the treatments that they required.
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The pain and medical risk associated with childbirth was so
respected that women who died while giving birth could be viewed as
martyrs. Medical scholars recognized the importance of family
planning, primarily through contraceptives and abortion. The topic
of contraceptives and abortion had been very controversial
throughout the western world; however, in Islamic culture, due to
the ties between women's reproductive health and one's overall
well-being, medieval Muslim physicians devoted time and research
into recording and testing different theories in this field.
Medical journals and other literature from this time show an
extensive and detailed list of a variety of different drugs and
plant derived substances that supposedly have abortifacient
qualities. Many of these substances were later laboratory tested and
found to be correctly identified in their ability to induce a
miscarriage. Further development in this field led to the
introduction of contraceptives that would prevent one's need to
induce a miscarriage.
Abortions were frequently sought after by women of this time. It is
clear that the Islamic culture not only incorporated, but brought
about positive connotations in regards to women's reproductive
health. During a period in which men dominated medicine, the almost
immediate inclusion of women's reproductive health in medical texts,
along with a variety of different techniques and contraceptive
substances, long before the development of 'the pill', reinforces
the cultural belief that men and women were to be viewed as equals,
in regards to sexual health.
The role of women as practitioners appears in a number of works
despite the male dominance within the medical field. Two female
physicians from Ibn Zuhr's family served the Almohad ruler Abu Yusuf
Ya'qub al-Mansur in the 12th century. Later in the 15th century,
female surgeons were illustrated for the first time in Şerafeddin
Sabuncuoğlu's ‘Imperial Surgery’. Female doctors, midwives, and wet
nurses have all been mentioned in literature of the time period.
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One area of medicine which was greatly contributed to by the work of
Islamic physicians was ophthalmology. Islamic physician Hunayn ibn
Ishaq produced ten prominent works on field of ophthalmology, in
which he depicted the first ever anatomic illustrations of the eye.
Islamic oculists were also known to use modern terms in their
writings, for instance, ‘cornea’, ‘conjunctiva’, ‘uvea’, and
‘retina’.
It is thought that this field was especially pursued, especially in
places such as Egypt, due to the prevalence of eye diseases caused
by desert dust. As a result, many major breakthroughs were made in
the treatment of these diseases, the most renowned of which was the
cure for cataracts. Developed by the Iraqi physician al-Mawsili, and
documented in his book Choice of Eye Diseases, the treatment
involved using a hollow needle, designed by al-Mawsili, to remove
the cataract by suction. The treatment has only a few modern
modifications in the modern world due to advanced technology, but
the original treatment of couching cataracts still lives on in some
countries, predominantly those in Southern Asia.
Al-Mawsili wasn’t the only prominent oculist of the Islamic Golden
Age; al-Gafiqi developed a treatment of the eye disease trachoma,
which was used until the First World War; Ibn al-Nafis wrote a
prominent textbook on ophthalmology called ‘The Polished Book on
Experimental Ophthalmology’. However, by far the most prominent
oculist was Ali ibn Isa al-Kahhal. Ibn Isa’s predominant work ‘The
Notebook of the Oculist’, was the most comprehensive and accurate
text book on ophthalmology ever written at the time, covering over
130 different diseases of the eye and remaining the supreme
authority in its field for centuries, even being translated into
Latin.
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Practices in Islamic medicine was concerned with the prevention of
disease and illness along with than finding cures, especially
through basic hygiene and cleanliness. Common practices included
washing five times a day before each prayer, and the brushing of
teeth using a miswak twig, which has since been proven to contain
anti-bacterial and anti-inflammatory properties, reducing gum
infections and tooth decay. Furthermore, the use of soaps was
commonplace, made using oil and al-qali (root of the word ‘alkali’),
which was a salt-like substance made from sodium carbonate and
potassium carbonate; the mixture was boiled and left to harden;
decorative coloured and perfumed soap was made as well as medicinal
soaps. At the same time in Europe soap was unheard of and wasn’t
introduced until the 18th century.
In fact, hygiene was so significant to Muslims that it was
considered as a medical science rather than a separate practice.
Al-Zahrawi even included a treatise on ‘Medicines of Beauty’ in his
book ‘The Method of Medicine’, which described the care of teeth,
hair, and skin among other parts of the body. Treatments included
the strengthening of gums and whitening of teeth, as well as the use
of nasal sprays, mouth washes, sun lotion, and hand creams.
As well as external hygiene, Muslims were also concerned with their
internal cleanliness. Numerous damaging dietary practices were
banned by the teachings of the Shari’ah, including the consumption
of pork, alcohol, and other intoxicants. Other dietary habits such
as fasting and eating less than desired were also encouraged. The
importance of a healthy diet played a very significant role in
Islamic medicine, with the first ever scientific book on food and
regimen of health, ‘The Book of Diet’ being written by Ibn Zuhr
during the 11th century.
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Key Figures
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Muhammad ibn Zakariya al-Razi (Latinized: Rhazes) was one of the
most versatile scientists of the Islamic Golden Age. A Persian-born
physician, alchemist, and philosopher, he is most famous for his
medical works, but he also wrote botanical and zoological works, as
well as books on physics and mathematics. Many of his books were
translated into Latin, and he remained one of the undisputed
authorities in European medicine well into the 17th century. He was
considered by many to be the father of Islamic medicine due to the
way he refined the scientific method and promoted experimentation
and observation as the most reliable way to carry out research.
Arguably his greatest achievement was ‘The Comprehensive Book on
Medicine’, which compiled most of the known medical knowledge from
the time. Also known as ‘The Virtuous Life’, this
twenty-three-volume encyclopaedia was a posthumous compilation of
Rhazes’ medical notes that he made throughout his life in the form
of extracts from his reading, as well as observations from his own
medical experience. Al-Razi cited Greek, Syrian, Indian, and earlier
Arabic works, and also included his own research. This included one
of his most significant and celebrated studies, a clinical
characterisation of smallpox and measles which allowed the two
diseases to be distinguished from each other for the first time. The
works covered every branch of medicine, with each volume dealing
with specific parts or diseases of the body.
‘The Comprehensive Book on Medicine’ remained one of the most
respected medical textbooks, not only in the Islamic world, but also
in the West for several centuries. It remained an authoritative
textbook on medicine in most European universities, regarded until
the seventeenth century as the most comprehensive work ever written
by a medical scientist.
Rhazes also produced over two hundred other books on medicine and
philosophy, among which notable titles included ‘The Diseases of
Children’, which was the first book to deal with paediatrics as an
independent field of medicine; and ‘A Medical Advisor for the
General Public’, the first medical manual directed specifically at
the general public, which included treatments for a range of common
ailments such as headaches, colds, and coughing.
Another of Rhazes’ greatest successes lay in his progressive stance
towards the ethics of medicine. He wrote extensively on the nature
of relationship between a doctor and their patient, believing that
it should be built on trust, and heavily condemned the practices of
charlatan doctors who extorted the afflicted by selling fake cures.
Therefore, Al-Razi established himself not only as one of Islam’s
most knowledgeable physicians, but also one of great moral standing,
whose progressive medical ethics helped shape the legitimacy and
integrity of the medical practice for centuries to come.
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Abu-Ali al-Husayn ibn Abdullah ibn-Sina (Latinized: Avicenna) was
Perian polymath and physician of the tenth and eleventh centuries.
He was known for his scientific works, but especially his writing on
medicine. He has been described as the "Father of Early Modern
Medicine".
Ibn Sina is credited with many varied medical observations and
discoveries, such as recognizing the potential of airborne
transmission of disease, providing insight into many psychiatric
conditions, recommending use of forceps in deliveries complicated by
fetal distress, distinguishing central from peripheral facial
paralysis, and describing guinea worm infection and trigeminal
neuralgia.
By the age of sixteen he was already researching and practicing
medicine, and during his career he wrote a total of 276 works, 43 of
which were in medicine. In 1025, he completed his most famous work,
‘Code of Laws in Medicine’, otherwise known simply as the ‘Canon’.
The Canon is comprised of five different books which cover different
aspects of medicine, compiling previously known information and
Avicenna’s own research: General Medical Principles, Material
Medica, Diseases Occurring in a Particular Part of the Body,
Diseases Not Specific to One Bodily Part and Recipes for Compound
Remedies. Its arrangement, comprehensiveness and methods of
explanation very closely follow the format of modern medical
textbooks, and consequently the Canon became the most widely used
medical textbook in Europe and the Islamic empire up until the 17th
century; its influence was so enduring that it was still in use at
Brussels University until 1909.
While the Canon was by far Ibn Sina’s most celebrated book, his most
widespread work during the Islamic Golden Age was his ‘Medical
Poem’, which was summarised basic medical principles into poetic
form, so easing their memorisation by medical students. His other
works cover subjects including angelology, heart medicines, and
treatment of kidney diseases.
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Ali al-Rida
Al-Tabari
Al-Tamimi
Haly Abbas
Ibn Butlan
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Ali ibn Musa al-Rida (765–818) is the 8th Imam of the Shia. His
treatise "Al-Risalah al-Dhahabiah" ("The Golden Treatise") deals
with medical cures and the maintenance of good health, and is
dedicated to the caliph Ma'mun. It was regarded at his time as an
important work of literature in the science of medicine, and the
most precious medical treatise from the point of view of Muslimic
religious tradition. It is honoured by the title "the golden
treatise" as Ma'mun had ordered it to be written in gold ink. In his
work, Al-Ridha is influenced by the concept of humoral medicine.
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The first encyclopedia of medicine in Arabic language was by Persian
scientist Ali ibn Sahl Rabban al-Tabari's Firdous al-Hikmah
("Paradise of Wisdom"), written in seven parts, c. 860 dedicated to
Caliph al-Mutawakkil. His encyclopedia was influenced by Greek
sources, Hippocrates, Galen, Aristotle, and Dioscurides. Al-Tabari,
a pioneer in the field of child development, emphasized strong ties
between psychology and medicine, and the need for psychotherapy and
counseling in the therapeutic treatment of patients. His
encyclopedia also discussed the influence of Sushruta and Charaka on
medicine, including psychotherapy.
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Al-Tamimi, the physician (d. 990) became renown for his skills in
compounding medicines, especially theriac, an antidote for poisons.
His works, many of which no longer survive, are cited by later
physicians. Taking what was known at the time by the classical Greek
writers, Al-Tamimi expanded on their knowledge of the properties of
plants and minerals, becoming avant garde in his field.
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'Ali ibn al-'Abbas al-Majusi (died 994 AD), also known as Haly
Abbas, was famous for the Kitab al-Maliki translated as the Complete
Book of the Medical Art and later, more famously known as The Royal
Book. Considered one of the great classical works of Islamic
medicine, it was free of magical and astrological ideas and thought
to represent Galenism of Arabic medicine in the purest form. This
book was translated by Constantine and was used as a textbook of
surgery in schools across Europe. The Royal Book has maintained the
same level of fame as Avicenna's Canon throughout the Middle Ages
and into modern time. One of the greatest contributions Haly Abbas
made to medical science was his description of the capillary
circulation found within the Royal Book.
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Ibn Buṭlān, otherwise known as Yawānīs al-Mukhtār ibn al-Ḥasan ibn
ʿAbdūn al-Baghdādī, was an Arab physician who was active in Baghdad
during the Islamic Golden Age. He is known as an author of the
Taqwim al-Sihhah (The Maintenance of Health تقويم الصحة), in the
West, best known under its Latinized translation, Tacuinum Sanitatis
(sometimes Taccuinum Sanitatis). The work treated matters of
hygiene, dietetics, and exercise. It emphasized the benefits of
regular attention to the personal physical and mental well-being.
The continued popularity and publication of his book into the
sixteenth century is thought to be demonstration of the influence
that Arabic culture had on early modern Europe.
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