I-em-hotep and Ancient Egyptian medicine: II. Prevention of valvular disease: The Harveian Oration delivered before the Royal college of physicians on June 21, 1904Caton, Richard
History
I-em-hotep and Ancient Egyptian medicine: II. Prevention of valvular disease: The Harveian Oration delivered before the Royal college of physicians on June 21, 1904
Caton, Richard
Heart valves -- Diseases; Medicine, Egyptian
Returning to Ebers’ papyrus[17]—‘When the breath enters the nostrils it
penetrates to the heart and to the internal organs, and supplies the
whole body abundantly.’ This idea that certain of the vessels convey
air, you will observe, is identical with the Greek conception and
probably was its source. ‘Three vessels traverse the arms and extend to
the fingers, three vessels also pass down the leg and are distributed to
the sole of the foot, a vessel goes to each testis and one to each
kidney. Four vessels enter the liver, conveying fluid and air; these may
be the seat of various diseases as they are mixed with the blood; four
vessels convey fluid and air to the intestine and spleen; two go to the
bladder and from them the renal secretion is produced. Four vessels
convey fluid and air to the lower abdomen, going to the right and left
sides; from them is formed the alvine excretion.’[18] These vessels here
described are clearly the iliac arteries and veins. ‘When the heart is
diseased its work is imperfectly performed: the vessels proceeding from
the heart become inactive, so that you cannot feel them’ [no doubt this
is a reference to changes in the pulse], ‘they become full of air and
water.... When the heart is dilated the vessels from it contain effete
matter. If a suppurative or putrefactive disease occur in the body’
[abscess, I imagine, for which various sites are suggested] ‘then the
heart causes it’ [_it_ being probably purulent or septic material] ‘to
traverse the vessels, fever or inflammation of various kinds occur in
the body, the heart is in a morbid state while the fever continues.’ [It
may be noted in passing that the septic infection is asserted to enter
the body by the _left_ eye]. ‘In heart disease there is either
disturbance of the action of the heart or the heart is congested or
overfilled with blood, the heart is moved downwards, comes nearer the
praecordia, and weakness and nausea occur....[19] When the disease
affects the basic region or lower mass of the heart there is shortness
of breath, the heart is displaced on account of the volume of blood from
the abdomen’ [probably the old idea of the rush of blood entering the
heart from the liver]. ‘There may be fever or inflammation of the
heart.’ At this point comes a passage of some therapeutic interest. ‘The
heart during such disease must be made to rest to some extent if it be
possible.’ Here we have wise advice from the ancient Egyptians, advice
the importance of which we have scarcely as yet recognized, and which we
may to-day follow with advantage. ‘If the heart is atrophied (or wastes
itself) there will be an accumulation of blood within it. When the
disease of the substance of the heart is accompanied by dropsy there is
a lessening’ [in strength probably] ‘in the ventricle or cavity.... When
the weakness of the heart is due to old age there is dropsy. When there
is raising or increase of the heart it presses towards the left side, it
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account