Q. & A. 711 to 1707 with solved Papers css 1971 to date


Internal and Clinical Medicine



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Internal and Clinical Medicine
Almost all branches of the healing arts in Islam wen indebted more to the indefatigable efforts of Hunayn bin Ishaq al ’Ibadi (809-873) and his team of translators than to any other ninth century author or educator. Together with his students anc associates. Hunayan made the most important medical writings 01 the Greeks available in Arabic, either by direct translations from the Greek or through Syriac versions, and established a solid foundatior for the development of Arabic medicine by devising a distinctivf methodology, which was followed, modified, and perfected during the following century.2
Before Hunayn’s death, the extant works of Hippocrates Dioscorides, Galen, and Galen’s commentators, including the last of the Byzantine physicians of the seventh century, became available to students and practitioners throughout the Islamic domain. Digests, compendiums, and synopses based on the Greek classics were abundant in all areas of the life sciences. Hunayn himself wrote an introduction to the healing arts, al-Masa’il fi at-Tibb, known in Latin as the Vade Mecum of Johannitius, which presented synopsis of Greek precepts on the health sciences. It influenced medical teaching and practice not only in Islam but in Christendom as well. By the close of the ninth century, a new star began to shine in Arabic medico pharmaceutical circles, the physician Abu Bakr Muhammad bin Zakarya Razi (865-925). Razi became the greatest clinician, pathologist, medical educator, and philosopher of his time. His writings advanced the contemporary understanding of internal medicine substantially, and many of his ideas and original concepts regarding psychiatric, the doctor-patient relationship, the diagnosis of diseases, chemotherapy, and methods of treatment remain valid today. His discourse on smallpox and measles, for example, gained him worldwide recognition. In fourteen chapters, Razi dealt with the causes of smallpox, its diagnosis and treatment (even in its most virulent forms), its universal occurrences, precautions that should be
Rafi Ahmad. Islamic Medicine, P 18

594 Political and Cultural History of Islam


taken against its spread, and the characteristics that distinguish it from measles. A skin rash occurs in both diseases, but Razi identified the specific symptoms of smallpox as fever, headache, nose and skin itching, redness of the eyes and cheeks, and restlessness. He listed the more evident symptoms of measles, in addition to the appearance of spots, as perturbation, distress, and faintness- concepts accepted in present-day pathology. In his treatise on colic, Razi differentiated its symptoms from those caused by kidney stones or the pains of ileus. A ten-part treatise on clinical and internal medicine, al-Kitab al-Mansuri, dedicated by Razi to his patron, Mansur bin Ishaq bin Ahmed bin Asad, and known in Latin as Liber and Al-Mansorem became a basic reference work. In it he discusses such varied subjects as general medical theories and definitions, diets and drugs and their effects on the human body, a regiment for preserving health, mother and child care, skin disease, mouth hygiene, climatology and the effect of environment on health, epidemiology and toxicology. In his comprehensive medical encyclopedia, alHawi, and his treatise on psychic therapy. Tibb ar-Ruhani, Razi provided considerable insight into the methods, applications, and scope of internal, clinical, and psychiatric medicine, as well as the interpretation of general health precepts. Recognizing the relationship between psyche and soma, he at tempted to treat diseases of both mind and body.
Razi’s worthy successor Ali bin Abbas al-Majusi, in his Liber regius (al-Malik), contributed important original observations on medical theories and diagnosis, including new concepts regarding the impact of environment on health, the nutritional value of diets, and the action of drugs on human beings. His system of codifying, classifying, and theorizing details captured the admiration of later practioners in both East and West. His work was surpassed only by the elaborate Cannon of Medicine by Ibn Sina or Avicenna. the celebrated physician-philosopher.
Another physician-philosopher and a reformer in matters related to public health and clean environment was al-Mukhtar bin ’Abdun bin Butlan of Baghdad. Ibn Butlan’s Taqwin as-Sihhah, on the preservation and restoration of good health, won him great prestige in medical circles during the middle ages. Ibn Butlan elaborated on the six ”non-natural principles” that had been identified earlier by Hunayn: clean air, moderate diet and drink, rest and work, wakefulness and slumber, evacuation of superfluities, and
Scientific and Literary Progress under the Abbasids 595
emotional reactions and involvement. If these six principles are kept in equilibrium, he maintained, health results; if abused or imbalanced, sickness occurs. Ibn Butlan also recommended the utilization of fine music to lift the morale of patients and help speed their recovery.
After a short period in which the development of medical science seemed to level off in the east, new and vigorous medical activities took place in the central and western regions of the Islamic world. Ibn al-Jazzar (died about 984) was a successful medical practitioner, therapist, author in Kairowan in modern Tunisia. One of his most interesting publications was a book on the management and care of children from the moment of conception to adolescence. It includes numerous health tips to mothers and midwives. Ibn alJazzar also wrote on therapeutics, dietetic, and internal medicine, works that made him famous in Andalusia as elsewhere in Islam. They were translated into Latin and received much attention in European medical circles.

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