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PREHISTORIC AND PRIMITIVE MEDICINE. Assist . Prof.Dr . Mehmet KARATAŞ Department of History of Medicine and Ethics. Findings / Evidences. Human mummy Human skeleton S tatuary Wall / stone figures. USA, Kyphosis. H arelip / Stroke. France, 15 . 000-10 . 000 BC. Branches of Science.
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PREHISTORIC AND PRIMITIVE MEDICINE Assist.Prof.Dr. Mehmet KARATAŞ Department of History of MedicineandEthics
Findings/Evidences • Human mummy • Human skeleton • Statuary • Wall / stone figures
Branches of Science • Archeology • Paleontology • Paleopathology • Physical anthropology
Findings/Evidences • Evidences of infectious diseases,tuberculosis and parasitic infestations have been found in the tissues of mummies in Ancient Egypt • Evidences in teeth and bones; osteomyelitis, incorrect fracture union, trauma, spinal tuberculosis, bone tm • Decalcification, bone thickness, the bone growth
Findings/Evidences • Bone deformities caused by syphilis • Signs of rickets in northern regions • Bile/kidney stones, congenital anomalies • Evidences of arteriosclerosis, pneumonia, stones (kidney), parasites in AncientEgyptianmummies
Lack of Evidences • There isn't enough information about prehistoric medicine • No evidence before 4000 BC
Life Span • Women live shorter than men (more birth, less food) • Men live longer than women
The Basis of the Medical Practises • Diseases: A foreign power or a spirit takes control of the body with magic • Supernatural powers • A combination of religion, magicandmedicaltreatment
Prehistoric Treatment Methods • Fighting against diseases with magic (Appease the evil spirit or expelling) • Herbal treatment; fever reducers, diuretics, analgesics, sedatives, stimulants (curare, opium, cannabis, coca) • Massage • Water vapor treatment • Craniotomy, circumcision
Trepanation in Neolithic Period in France • Expelling the evil spirit • A realsurgical intervention
Trepanation • Europe • Anatolia • Caucasus • Iran, Israel regions • North Pacific islands • South America
Trepanation Tools • Flint • Volcanic obsidian • Animal bones
Medical Applications • Various dances were performed in order to appease or expel the evil spirit • Masks, animal skins, drums… were used for this procedure • Absorption (snake bite), bottle drawing, blood flow, smoking • Finding guilty objects (Indians)
Medical Applications • Tourniquet to stop the bleeding, pressuring, cauterization • Amputation (usually/more for offerings) • Suture with sewing needles made of bone and tendon • Reduction of dislocations • Fracture treatment (wooden hanger, animal skin)
Medical Applications • Handicapped people were killed/protection • Mentally ill people were killed/excluded (Because it was the expression of the evil spirit) • The killing of the elderly in order to lighten their loads • Eskimos left their mother/father on ice
Medical People • Having mental illness is enough to be shaman in Amerindians and Siberians • Medicine, from father to son • There also some female physicians • Physicians protect from bad weather conditions, loss of herd, bad harvest and all types of disaster • Their social political status is high • Surgeries only do trepanation, blood streaming, wound drainage. They don’t do othertreatments.
Medical People • American Indian physician (expert magicians, snake bite, injury, herbal therapy) • Professional magicians in the Congo • Siberian shaman has drum, hat, mask and he intermediates spirits, predicts future events, says magical words
Konuyla İlgili SORU/CEVAP Soru 1: Tarih öncesi dönemdeki tıbbi uygulamalara ait bulgular nereden elde edilmektedir? Cevap 1: Mumyalaşmış cesetler, insan iskeletleri, figürler, duvar resimleri, heykeller Soru 2: Tarih öncesi dönemde hastalıkların tedavisinde kullanılan yöntemler nelerdi? Cevap 2: Büyü, bitkiler, masaj, su buharı, kraniyotomi, sünnet
References • A. Selim ATAY, İnönü Üniversitesi Tıp Fakültesi, translation • Tolga GÜVEN, Marmara Üniversitesi Tıp Tarihi ve Etik AD ders notları • Ali Haydar BAYAT, Tıp Tarihi • Emine ATABEK, Şefik GÖRKEY, Başlangıcından Rönesansa Kadar Tıp Tarihi • Çağlar Boyu Tıp, RocheYayınları • http://en.wikipedia.org/wiki/Main_Page