The late Greco-Roman and Byzantine contribution towards the evolution of laboratory examinations of bodily excrement. Part 2: sputum, vomit, blood, sweat, autopsies
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Athanasios A. Diamandopoulos
Abstract
Although the establishment of medical laboratory institutions was a continuous process that matured only after the 16th century, several attempts had already been made to attain a diagnosis by investigating bodily excrement. In the first part of our work, published in a previous issue of this journal, we presented data on urine, sperm, menses and stools. In this paper we present data on sputum, vomit, blood, sweat, and autopsies, thus completing the list of human materials used for laboratory examinations. All the data used are extracted from codices of Late Antiquity and Byzantium and translated by us. We did not study medical texts from the other great ancestors of Western medicine, namely Arabic and Jewish writings. From the texts cited, it is apparent that the lack of technological means was no obstacle for the doctor to create an “examinational” mind, i.e., to try to correlate the macroscopic findings in the excrement with the pathophysiological mechanism that induced them, solely with the use of the senses. This not only applies to the examination of urine, as is commonly assumed, but also to many other excrements of the upper and lower orifices of the body, as well as the human body as a whole.
References
1 Diamandopoulos AA, Goudas PC. The Late Greco-Roman and Byzantine contribution to the evolution of laboratory examinations of bodily excrement. Part 1: urine, sperm, menses and stools. Clin Chem Lab Med 2003; 41: 963–9. Search in Google Scholar
2 Crombie AC, editor. Galen. In: Styles of scientific thinking in the European tradition. London: Duckworth, 1994:203 pp. Search in Google Scholar
3 Palladius Alexandrinus. Commentarii in Hippocratis librum sextum de morbis popularibus. In: Dietz FR, editor. Scholia in Hippocratem et Galenum, Vol 2. Amsterdam: Hakkert, 1966:126, lines 3–17. Search in Google Scholar
4 Diamandopoulos A. The history of tuberculosis during the ancient Greek and Byzantine period. Kathimerini newspaper, Seven Days Supplement, 24/11/2002. Search in Google Scholar
5 Hippocrates. Coa praesagia. In: Littre, editor. Oeuvres completes d'Hippocrate, Vol 2. Amsterdam: Hakkert, 1962:Section 427, lines 1–2. Search in Google Scholar
6 Theophilus Protospatharius, Damascius. Commentarii in Hippocratis aphorismos. In: Dietz FR, editor. Scholia in Hippocratem et Galenum, Vol 2. Amsterdam: Hakkert, 1966:446, lines 6–17. Search in Google Scholar
7 Johannes Actuarios. De diagnosi. In: Ideler JL, editor. Physici et medici Graeci minores. Amsterdam: Hakkert, 1963:Book 1, Chapter 36, lines 155–79. Search in Google Scholar
8 Johannes Actuarios. De diagnosi. In: Ideler JL, editor. Physici et medici Graeci minores. Amsterdam: Hakkert, 1963:Book 1, Chapter 38, lines 1–24. Search in Google Scholar
9 Galen. De elementis ex Hippocrate libri ii. In: Helmreich G, editor. Galeni de elementis ex Hippocrate libri ii, Vol 1. Erlangen: Deichert, 1878:495, line 14; 497, line 10. Search in Google Scholar
10 Oribasios. Collectiones medicae. In: Raeder J, editor. Oribasii collectionum medicarum reliquiae. Corpus medicorum Graecorum. Leipzig: Teubner, 1928–1933:Book 7, Chapter 4, Section 9, line 1; Section 13, line 5. Search in Google Scholar
11 Aetius Amidenus. Iatricorum liber vi. In: Olivieri A, editor. Aetii Amideni libri medicinales v–viii. Berlin: Akademie-Verlag, 1950:Chapter 9, lines 115–51. Search in Google Scholar
12 Author unknown. De generatione et semine. In: Ideler JL, editor. Physici et medici Graeci minores, Vol 1. Amsterdam: Hakkert, 1963:Section 12-7. Search in Google Scholar
13 Diamandopoulos AA, Diamandopoulou AH, Marketos S. Two late Byzantine songs on uroscopy and phlebotomy. Rivista di Storia della Medicina, Societa Italiana di Storia della Medicina, 1996:261 pp. Search in Google Scholar
14 Flavius Philostratus. De gymnastica. In: Kayser CL, editor. Flavii Philostrati opera, Vol 2. Hildesheim: Olms, 1964:Section 29, lines 19–25. Search in Google Scholar
15 Anonymi Londinensis. Iatrica. In: Diels H, editor. Iatrica ex Aristotelis iatricis Menoniis et aliis medicis eclogue. Berlin: Reimer, 1893:Section 33, lines 45–50. Search in Google Scholar
16 Stefanus of Alexandria. Scholia in Hippocratis Prognosticon. Duffy JM, editor. Commentary in Hippocrates' Prognosticon. Buffalo: SUNY, 1975:Chapter 1, Section 11, lines 38–48. Search in Google Scholar
17 Lloyd GER, editor. Aristotle: the growth and structure of his thought. Cambridge: Cambridge University Press, 1993:71 pp. Search in Google Scholar
18 Procopius Caesariensis. De bellis. In: Wirth G, editor. Procopii Caesariensis opera omnia. Leipzig: Teubner, 1962–1963:Book 2, Chapter 22, Section 29, line 1; Section 30, line 4. Search in Google Scholar
19 Galen. De anatomicis administrationibus libri ix. In: Kühn CG, editor. Claudii Galeni opera omnia, Vol 2. Hildesheim: Olms, 1964:383, line 7; 384, line 10. Search in Google Scholar
20 Crombie AC, editor. Galen. In: Styles of scientific thinking in the European tradition. London: Duckworth, 1994:224–5. Search in Google Scholar
21 Galen. De semine libri ii. In: Kühn CG, editor. Claudii Galeni opera omnia, Vol 4. Hildelsheim: Olms, 1964:594, line 15. Search in Google Scholar
22 Büttner J. From matula to test strip. The history of urine examination. In: Päuser S, editor. Senses, sensors and systems: a journey through the history of laboratory diagnosis. Basel: Editiones Roche, 2004:12–26. Search in Google Scholar
23 Coley N. Physicians and the chemical analysis of mineral waters in eighteen century England. Med Hist 1982; 26: 130. 10.1017/S0025727300041120Search in Google Scholar
24 Galen. De anatomicis administrationibus libri ix. Kühn CG, editor. Claudii Galeni opera omnia, Vol 2. Hildesheim: Olms, 1964:220, lines 8–14. Search in Google Scholar
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