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of the Imperial Library at Vienna。��9�А�From those early centuries till the fall 

of   Constantinople   there   is   very  little   of   interest   medically。 A  few   names 

stand   out   prominently�察  �but   it   is   mainly   a   blank   period   in   our   records。 

Perhaps one man may be mentioned�察�as he had a great influence on later 

agesActuarius�察�who lived about 1300�察�and whose book on the urine laid 

the foundation of much of the popular uroscopy and water´casting that had 

such a vogue in the sixteenth and seventeenth centuries。 His work on the 

subject    passed    through    a  dozen    Latin   editions�察  �but   is  best  studied    in 

Ideler's ;Physici et medici Graeci minores; ��Berlin�察�1841��。 

     ��9�А�It has been reproduced by Seatone de Vries�察�Leyden�察�1905�察�Codices 

graeci et latini photographice depicti�察�Vol。 X。 

       The Byzantine stream of Greek medicine had dwindled to a very tiny 

rill   when   the   fall   of   Constantinople   ��1453��   dispersed   to   the   West   many 



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                        THE EVOLUTION OF MODERN MEDICINE 



Greek scholars and many precious manuscripts。 



                            ARABIAN MEDICINE 



     THE third and by far the strongest branch of the Greek river reached 

the West after a remarkable and meandering course。 The map before you 

shows      the  distribution    of   the  Graeco´Roman         Christian    world    at  the 

beginning   of   the   seventh   century。   You   will   notice   that   Christianity   had 

extended far eastwards�察�almost to China。 Most of those eastern Christians 

were   Nestorians   and   one   of   their   important   centres   was   Edessa�察  �whose 

school   of   learning   became   so   celebrated。   Here   in   the   fifth   century   was 

built one of the most celebrated hospitals of antiquity。 

     Now look at another map showing the same countries about a century 

later。 No such phenomenal change ever was made within so short space of 

time as that which thus altered the map of Asia and Europe at this period。 

Within a century�察�the Crescent had swept from Arabia through the Eastern 

Empire�察�over Egypt�察�North Africa and over Spain in the West�察�and the fate 

of Western Europe hung in the balance before the gates of Tours in 732。 

This time the barbaric horde that laid waste a large part of Christendom 

were   a   people   that   became   deeply   appreciative   of   all   that   was   best   in 

Graeco´Roman civilization and of nothing more than of its sciences。 The 

cultivation of medicine was encouraged by the Arabs in a very special way。 

Anyone   wishing   to   follow   the   history   of   the   medical   profession   among 

this remarkable people will find it admirably presented in Lucien Leclerc's 

;Histoire de la medecine arabe; ��Paris�察�1876��。 An excellent account is also 

given in Freind's well´known ;History of Medicine; ��London�察�1725´1726��。 

Here   I   can   only   indicate   very   briefly   the   course   of   the   stream   and   its 

freightage。 

     With   the   rise   of   Christianity�察  �Alexandria   became   a   centre   of   bitter 

theological and political factions�察�the story of which haunts the memory of 

anyone who was so fortunate as to read in his youth Kingsley's ;Hypatia。; 

These      centuries�察   �with    their   potent     influence    of    neoplatonism       on 

Christianity�察    �appear    to  have   been    sterile  enough    in   medicine。    I  have 

already referred to the late Greeks�察�Aetius and Alexander of Tralles。 The 

last of   the Alexandrians   was a   remarkable man�察  �Paul of AEgina�察�a   great 



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                        THE EVOLUTION OF MODERN MEDICINE 



name in medicine and in surgery�察�who lived in the early part of the seventh 

century。 He also�察�like Oribasius�察�was a great compiler。 In the year 640�察�the 

Arabs took Alexandria�察�and for the third time a great library was destroyed 

in the ;first city of the West。; Shortly after the conquest of Egypt�察�Greek 

works   were   translated   into Arabic�察  �often   through   the   medium   of   Syriac�察�

particularly certain of Galen's books on medicine�察�and chemical writings�察�

which   appear   to   have   laid   the   foundation   of Arabian   knowledge   on   this 

subject。 

     Through Alexandria then was one source�此�but the special development 

of the Greek science and of medicine took place in the ninth century under 

the   Eastern   Caliphates。   Let   me   quote   here   a   couple   of   sentences   from 

Leclerc ��Tome I�察�pp。 91´92���此�

     ;The world has but once witnessed so marvellous a spectacle as that 

presented by the Arabs in the ninth century。 This pastoral people�察�whose 

fanaticism had suddenly made them masters of half of the world�察�having 

once   founded   their   empire�察  �immediately   set   themselves   to   acquire   that 

knowledge of the sciences which alone was lacking to their greatness。 Of 

all the invaders who competed for the last remains of the Roman Empire 

they alone pursued such studies�察�while the Germanic hordes�察�glorying in 

their brutality and ignorance�察�took a thousand years to re´unite the broken 

chain of tradition�察�the Arabs accomplished this in less than a century。 They 

provoked       the   competition      of  the   conquered      Christians     a   healthy 

competition which secured the harmony of the races。 

     ;At   the   end   of   the   eighth   century�察  �their   whole   scientific   possessions 

consisted   of   a   translation   of   one   medical   treatise   and   some   books     on 

alchemy。 Before the ninth century had run to its close�察�the Arabs were in 

possession of all the science of the Greeks�察�they had produced from their 

own ranks students of the first order�察�and had raised among their initiators 

men who�察�without them�察�would have been groping in the dark�察�and they 

showed      from   this   time  an   aptitude   for   the  exact   sciences�察  �which    was 

lacking in their instructors�察�whom they henceforward surpassed。; 

     It   was    chiefly    through     the   Nestorians     that   the   Arabs     became 

acquainted with Greek medicine�察�and there were two famous families of 

translators�察 �the   Bakhtishuas   and   the   Mesues�察 �both   Syrians�察  �and   probably 



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                        THE EVOLUTION OF MODERN MEDICINE 



not   very  thoroughly   versed   in   either   Greek   or Arabic。   But   the  prince   of 

translators�察    �one   of   the  finest   figures    of  the   century�察  �was    Honein�察    �a 

Christian   Arab�察  �born   in   809�察  �whose   name   was   Latinized   as   Joannitius。 

;The   marvellous   extent   of   his   works�察  �their   excellence�察  �their   importance�察�

the  trials   he   bore   nobly  at   the   beginning   of   his   career�察  �everything   about 

him  arouses   our   interest   and   sympathy。   If   he   did   not   actually  create   the 

Oriental renaissance movement�察�certainly no one played in it a more active�察�

decided   and   fruitful   part。;��10�А  �His   industry   was   colossal。   He   translated 

most of the works of Hippocrates and Galen�察�Aristotle and many others。 

His    famous     ;Introduction;      or  ;Isagoge�察─    �a  very   popular    book    in   the 

Middle Ages�察�is a translation of the ;Microtegni; of Galen�察�a small hand´ 

book�察    �of   which    a   translation    is  appended      to  Cholmeley's      ;John     of 

Gaddesden。;��11�А  �The         first  printed   edition   of  it  appeared     in  1475   ��see 

Chapter IV�А�at Padua。 

     ��10�А�Leclerc�此�Histoire de la medecine arabe�察�Tome I�察�p。 139。 

     ��11�А�Oxford�察�Clarendon Press�察�1912�察�pp。 136´166。 The Mesues also did 

great work�察�and translations of their compilations�察�particularly those of the 

younger   Mesue�察  �were   widely   distributed   in   manuscript   and   were   early 

printed     ��Venice�察   �1471��    and   frequently     reprinted�察   �even   as   late  as  the 

seventeenth century。 

     Leclerc gives the names of more than one hundred known translators 

who not only dealt with the physicians but with the Greek philosophers�察�

mathematicians and astronomers。 The writings of the physicians of India 

and of Persia were also translated into Arabic。 

     But close upon the crowd of translators who introduced the learning of 

Greece to the Arabians came original observers of the first rank�察�to a few 

only of whom time will allow me to refer。 Rhazes�察�so called from the name 

of the town ��Rai�� in which he was born�察�was educated at the great hospital 

at Bagdad in the second half of the ninth century。 With a true Hippocratic 

spirit he made many careful observations on disease�察�and to him we owe 

the    first  accurate    account    of   smallpox�察    �which    he   differentiated    from 

measles。 This work w
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