1. Lecture 1 Lecture 1 Introduction to History of Medicine. Medicine of Primitive Society.

2. PLAN 1. Introduction to History of Medicine. 2. Stages in the Development of Medicine 3. Medicine of Primitive Society.

3. Introduction to History of Medicine. History of medicine is one of sections of general history of culture of humanity. She examines development of knowledges, related to the diseases, treatment of man, saving and strengthening of its health. The table of contents of medicine, level of precautionary measures, position of medical workers, always depended and depend on the socio-economic terms of life of humanity, framework of society, development of natural sciences, philosophy, technique. That is why to study history of medicine, correctly understanding its development is possible only in indissoluble connection with general history of humanity.

4. History of Medicine General Specialized (therapy, surgery)

5. Stages in the Development of Medicine Medicine of the Primitive Society Medicine of the Ancient World Medicine of the Middle Ages Renaissance Medicine Early Modern Medicine Medicine in the 20 th Century

6. Development of Medicine is influenced by: Material conditions Productive forces development Philosophy and world outlook

7. Sources for Studying History of Medicine: Life of existing prehistoric (aboriginal) societies Written Evidence (manuscripts, printed sources, papyri, ceramics) Archaeology and Examination of Artefacts Multimedia evidence Ethnographic sources (customs, traditions, songs, etc.)

8. Elements of systems of medicine Magic and Religion Folk remedies Elementary surgery

9. Elements of systems of medicine Magic and Religion Incantations Dancing Magic charms Talismans Various other measures

10. Elements of systems of medicine Folk remedies Potions Herbs Roots Berries Fruits

11. Surgical Procedures practiced in ancient societies Cleaning and treating wounds by cautery (burning or searing tissue), poultices, and sutures. Trepanation. Resetting dislocations and fractures. Using splints to support or immobilize broken bones. Laxatives and enemas to treat constipation and other digestive ills. Narcotic and stimulating plant extracts (digitalis, a heart stimulant extracted from foxglove).

12. Prehistoric Procedure Setting of Bones, Fractures and Dislocations

13. Prehistoric Procedure Treating Burns

14. Prehistoric Procedure Delivering Babies

15. Prehistoric Procedure Trephining, a remedy for demons, insanity, epilepsy, and headache.

16. Prehistoric Procedure Trephining

17. Trepanation of the skull operation

18. Bronze knife for trepanation of the skull decorated with images of trepanation, found in Hamburg

19. Skulls of ancient people who went through trepanation of the skull (regeneration of edges of trepanation openings). Copenhagen

20. Skull of ancient man who died during trepanation of the skull (openings without regeneration signs)

21. Herbalism There is no actual record of when the use of plants for medicinal purposes first started, although the first generally accepted use of plants as healing agents were depicted in the cave paintings discovered in the Lascaux caves in France, which have been Radiocarbon dated to between 13,000 - 25,000 BCE. Over time and with trial and error, a small base of knowledge was acquired within early tribal communities. As this knowledge base expanded over the generations, tribal culture developed into specialized areas. These 'specialized jobs' became what are now known as healers or shamans.

22. Problems with Studying Prehistoric Medicine Archaeology and Examination of Artefacts Compare with existing prehistoric societies ▫Aboriginal societies No written Evidence How can we overcome this problem?

23. Archaeology and Artefacts Problems with Archaeology Skeletons not always helpful Prehistoric Burial Traditions Warriors/hunters Killed away from Tribe/group Nomadic lifestyle Excavation Techniques Cave Drawing

24. Medical Equipment used by Aboriginal People

25. Thigh osteosis of primitive man from Java island. Oldest example of human pathology.

26. Sacral mask used in ceremony of “banishing ancestors’ spirits”. Sri Lanka

27. Burial ceremony in a “flower tribe”

28. Paleolithic Venus

29. Totem of tribe

30. Sacred animals of tribes

32. Problems with Studying Prehistoric Medicine Archaeology and Examination of Artefacts Compare with existing prehistoric societies ▫Aboriginal societies No written Evidence How can we overcome this problem?

33. Nomadic Lifestyle Could be Surprisingly Healthy ▫Fit and Active lifestyle ▫Eat fresh food ▫Little Pollution or Dirt  Move to new camps ▫Low Population Density ▫Little exposure to animals

34. All change with the Agricultural Revolution When humans settled down to grow crops and raise animals their health began to get worse. Can you list why this may have been the case?

35. Thank you for your attention!