Byzantine medicine

Byzantine medicine encompasses the common medical practices of the Byzantine Empire from about 400 AD to 1453 AD. Byzantine medicine was notable for building upon the knowledge base developed by its Greco-Roman predecessors. In preserving medical practices from antiquity, Byzantine medicine influenced Islamic medicine as well as fostering the Western rebirth of medicine during the Renaissance. Byzantine medicine encompasses the common medical practices of the Byzantine Empire from about 400 AD to 1453 AD. Byzantine medicine was notable for building upon the knowledge base developed by its Greco-Roman predecessors. In preserving medical practices from antiquity, Byzantine medicine influenced Islamic medicine as well as fostering the Western rebirth of medicine during the Renaissance. Byzantine physicians often compiled and standardized medical knowledge into textbooks. Their records tended to include both diagnostic explanations and technical drawings. The Medical Compendium in Seven Books, written by the leading physician Paul of Aegina, survived as a particularly thorough source of medical knowledge. This compendium, written in the late seventh century, remained in use as a standard textbook for the following 800 years. This tradition of compilation continued from around the tenth century into the twentieth through the genre of medical writings known as iatrosophia. Late antiquity ushered in a revolution in medical science, and historical records often mention civilian hospitals (although battlefield medicine and wartime triage were recorded well before Imperial Rome). Constantinople stood out as a center of medicine during the Middle Ages, which was aided by its crossroads location, wealth, and accumulated knowledge. Arguably, the first Byzantine physician was the author of the Vienna Dioscurides manuscript, created circa 515 AD for the daughter of Emperor Olybrius. Like most Byzantine physicians, this author drew his material from ancient authorities like Galen and Hippocrates, though Byzantine doctors expanded upon the knowledge preserved from Greek and Roman sources. Oribasius, arguably the most prolific Byzantine compiler of medical knowledge, frequently made note of standing medical assumptions that were proved incorrect. Several of his works, along with those of other Byzantine physicians, were translated into Latin, and eventually, during the Enlightenment and Age of Reason, into English and French. Another Byzantine treatise, that of the thirteenth century doctor Nicholas Myrepsos, remained the principal pharmaceutical code of the Parisian medical faculty until 1651, while the Byzantine tract of Demetrios Pepagomenos (thirteenth century) on gout was translated and published in Latin by the post-Byzantine humanist Marcus Musurus, in Venice in 1517. Therefore, it could be argued that previous misrepresentations about Byzantium being simply a 'carrier' of Ancient Medical knowledge to the Renaissance are wrong. It is known, for example, that the late twelfth-century Italian physician (Roger of Salerno) was influenced by the treatises of the Byzantine doctors Aëtius and Alexander of Tralles as well as Paul of Aegina. The last great Byzantine physician was John Actuarius, who lived in the early 14th Century in Constantinople. His works on urine laid much of the foundation for later study in urology. However, from the latter 12th Century to the fall of Constantinople to the Turks in 1453, there was very little further dissemination of medical knowledge, largely due to the turmoil the Empire was facing on both fronts, following its resurrection after the Latin Empire and the dwindling population of Constantinople due to plague and war. Nevertheless, Byzantine medicine is extremely important both in terms of new discoveries made in that period (at a time when Western Europe was in turmoil), the collection of ancient Greek and Roman knowledge, and its dissemination to both Renaissance Italy and the Islamic world. The Byzantine Empire was one of the first empires to have flourishing medical establishments. Prior to the Byzantine Empire the Roman Empire had hospitals specifically for soldiers and slaves. However, none of these establishments were for the public. The hospitals in Byzantium were originally started by the church to act as a place for the poor to have access to basic amenities. Hospitals were usually separated between men and women. Although the remains of these hospitals have not been discovered by archaeologists, recordings of hospitals from the Byzantine Empire describe large buildings that had the core feature of an open hearth. The establishments of the Byzantine Empire resembled the beginning of what we now know as modern hospitals. The first hospital was erected by Leontius of Antioch between the years 344 to 358 and was a place for strangers and migrants to find refuge. Around the same time, a deacon named Marathonius was in charge of hospitals and monasteries in Constantinople. His main objective was to improve urban aesthetics, illustrating hospitals as a main part of Byzantine cities. These early hospitals were designed for the poor. In fact, most hospitals throughout the Byzantine Empire were almost exclusively utilized by the poor. This may be due to descriptions of hospitals similar to 'Gregory Nazianzen who called the hospital a stairway to heaven, implying that it aimed only to ease death for the chronically or terminally ill rather than promote recovery'. There is debate between scholars as to why these institutions were started by the church. Whatever the case for these hospitals, they began to diffuse across the empire. Soon after, St. Basil of Caesarea developed a place for the sick in which provided refuge for the sick and homeless.