Ancient medicine

古代医学
  • 文章类型: Journal Article
    希波克拉底关于医学伦理和道德价值观的教学迷住了医生,学者,和超过25个世纪的历史学家,尽管在不同的文化中应用道德指导的挑战,但它是持久的。希波克拉底伦理学的核心是医生和病人之间的人际关系,强调医生有责任评估任何试图治愈的潜在伤害。希波克拉底原则“来帮忙,或者至少不做任何伤害,“今天仍然和2500年前一样重要。在现代语境中,它作为道义的命令,提醒医生评估与任何治愈尝试相关的伤害风险。这个概念符合慈善和非恶意的道德原则,这是希波克拉底医学伦理的核心,具有永恒的意义。
    Hippocrates\' teaching on the ethical and moral values of medicine have captivated physicians, scholars, and historians for over twenty-five centuries, enduring despite the challenges of applying moral guidance across diverse cultures. At the core of Hippocratic ethics is the human relationship between the physician and the patient, with an emphasis on the physician\'s responsibility to assess potential harm involved in any attempt to heal. The Hippocratic principle \"to help, or at least to do no harm\" remains as relevant today as it was 2,500 years ago. In the modern context, it serves as a deontological imperative, reminding physicians to evaluate the risks of harm associated with any healing attempt. This concept aligns with the ethical principles of beneficence and non-maleficence, which are at the heart of Hippocratic medical ethics with timeless significance.
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  • 文章类型: Journal Article
    母乳喂养是古代资料中发现的一个关键问题,引起了今天的公开辩论,影响世界各地和所有社会阶层的妇女。这项研究的目的是在公元1世纪至6世纪的古代医学和哲学文献中确定母乳喂养的叙述,这些叙述解决了新母亲的医疗管理和社会观念中的伦理问题。我们检查了15种文学资料和一种关于哺乳的葬礼铭文,并批判性地评估了完美母乳喂养母亲与非母乳喂养母亲的古老观念。然后,我们从客观性和与当代对母亲和哺乳的态度有关的意义上讨论了我们的历史数据,例如,(1)完美的崇拜,母乳喂养母亲在当代哺乳教育和(2)发病的条件,可能影响正常母乳喂养,如烦躁不安的牛奶喷射反射(D-MER),母乳喂养厌恶反应(BAR)或产后抑郁症。对结果的分析表明,在古代和当代的产后保健:(1)良好的母亲与母乳喂养和(2)替代喂养方法是公认的,但从来不是最好的,自然选择。最后,我们的分析表明,关于母乳喂养和母亲自己的身体知识的公共卫生政策在护理理论之间存在争议,社会期望和经济因素。
    Breastfeeding is a key issue found in ancient sources that resonates with public debates today, affecting women in different parts of the world and of all social classes. The aim of this research was to identify breastfeeding narratives in ancient medical and philosophical texts from the 1st to the 6th century CE that address ethical issues in the medical management and social perception of new mothers. We examined 15 literary sources and one funerary inscription on lactation and critically evaluated the ancient idea of the perfect breastfeeding mother versus the non-breastfeeding mother. We then discussed our historical data in terms of objectivity and significance in relation to contemporary attitudes towards motherhood and lactation, e.g., (1) the cult of the perfect, breastfeeding mother in contemporary lactation education and (2) the onset of conditions which may affect normal breastfeeding, such as dysphoric milk ejection reflex (D-MER), breastfeeding aversion response (BAR) or post-partum depression. The analysis of the results showed that in both ancient and contemporary postnatal health care: (1) good mothering is associated with breastfeeding and (2) alternative feeding methods are acknowledged, but never as the best, natural option. Finally, our analysis shows that public health policies on breastfeeding and mothers\' own knowledge of their bodies are contested between nursing theories, social expectations and economic factors.
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  • 文章类型: Journal Article
    随着二十一世纪的发展,补充医学系统正在迅速普及。通常改编自古老的治疗系统,如阿育吠陀,这些现代的替代医学运动重新评估了几千年的健康传统,这些传统是在宗教哲学和草药治疗的融合中发现的。自然,当代全球经济力量和以诱人的方式销售传统医药产品的愿望,是如何在现代背景下呈现历史悠久的传统医药系统的特征。通过建立从古代传统中诞生的补充医学的愿景,很明显,传统的治疗方法如何与西方生物医学抗衡-全球流行的护理标准。双方的主张都遵循科学的有效性,功效和监管权限。印度,阿育吠陀的发源地和当代医学教育的中心,是研究生物医学和传统医学之间摩擦的主要舞台。在这篇文章中,我专注于阿育吠陀的现代化以及它如何与对抗疗法医学发生冲突。我认为,自20世纪初以来,阿育吠陀作为印度现代性的关键宗旨重新出现:这样做与西方医学有争议。我还认为,尽管存在不和谐,这两种医学传统本质上并不是对立的。它们可以是协同的,只要医疗保健提供和教育认识到各自的局限性,并专注于共同行动而不是矛盾。
    Complementary medicine systems are ascending to rapid popularity as the twenty-first century progresses. Often adapted from ancient systems of healing such as Ayurveda, these modern alternative medical movements reappraise millennia-old health traditions that found their inception at the confluence of religious philosophy and herbal healing. Naturally, contemporary global economic forces and a desire to market traditional medicine products in an enticing fashion have characterised how historic traditional medicine systems are presented in the modern context. By establishing a vision of complementary medicine born from ancient traditions, it becomes clear how traditional methods of healing can contend with Western biomedicine-the prevailing standard of care around the globe. The claims made by both sides parry along a line of scientific validity, efficacy and regulatory purview. India, the birthplace of Ayurveda and an epicentre of contemporary medical education, is a prime arena to study the friction between biomedicine and traditional medicine. In this piece, I focus on the modernisation of Ayurveda and how it has found conflict with allopathic medicine. I posit that Ayurveda has re-emerged since the early twentieth century as a key tenet of Indian modernity: and in doing so has found contention with Western medicine. I furthermore argue that despite existing discord, the two medical traditions are not inherently antithetical. They can be synergistic, so long as healthcare delivery and education recognise the limits of each and focus on coaction rather than contradiction.
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  • 文章类型: Journal Article
    Epirus的Pyrrhus,受到他同时代人的广泛尊重和恐惧,是古代世界的传奇人物.在本文中,我们调查普鲁塔克对国王独特的牙齿病理学的描述。有几种可能性来解释古代国王的介绍,包括几种不同类型的发育不良。然而,我们的结论是,这可能是由于严重的牙结石过度生长,经常出现在古希腊饮食的时候。不管潜在的原因是什么,Pyrrrhus\'令人生畏的面貌帮助国王获得了持续到今天的遗产。
    Pyrrhus of Epirus, widely respected and feared by his contemporaries, was a legendary figure in the ancient world. In this paper, we investigate Plutarch\'s description of the king\'s unique dental pathology. There are several possibilities to explain the ancient king\'s presentation, including several different types of developmental dysplasia. However, our conclusion is that it was likely due to a significant dental calculus overgrowth, often seen in the ancient Greek diet of the time. Whatever the underlying cause, Pyrrhus\' intimidating visage helped secure the king a legacy that lasts to this day.
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  • 文章类型: Letter
    暂无摘要。
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  • 文章类型: Journal Article
    本文提出,作为一种生活方式的哲学资源(PWL),特别是有针对性的“精神锻炼”(Hadot)的处方可以用于姑息咨询,解决亚历山德罗娃的批评,即哲学作为“大局”理论是不够的。第一部分展示了哲学和医学学科如何长时间交叉,特别是在古代世界的“养生法”或“生活方式”(diaitäs)的竞争性规定概念中,其中哲学被广泛认为是PWL。第二部分将PWL关于古代哲学精神练习的工作应用于当代临床环境。我们展示了六个古老的精神练习如何回应患者作为人的需求,他们的生活质量取决于他们的信仰和理智,当他们面临深刻的生存或精神挑战时,以及他们以前从未支持过的身体残疾和能力下降的形式。
    This paper proposes that resources from philosophy as a way of life (PWL), in particular the prescription of targeted \'spiritual exercises\' (Hadot) can be used in palliative counselling, addressing Alexandrova\'s critique that philosophy as \'big picture\' theories alone are insufficient. Part I shows how the disciplines of philosophy and medicine for a long time intersected, in particular in competing prescriptive notions of \'regimen\' or \'way of life\' (diaitês) in the ancient world, in which philosophy was considered widely as PWL. Part II applies PWL work on the ancient philosophical spiritual exercises to contemporary clinical settings. We show how six ancient spiritual exercises respond to patients\' needs as persons, whose quality of life is importantly shaped by their beliefs and sense-making, as they face profound existential or spiritual challenges, as well as forms of physical disability and diminished capabilities which they may never have previously countenanced.
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  • 文章类型: Historical Article
    古希腊和拉丁医学作者认为逃入孤独是精神障碍的令人信服的迹象,经常被描述为厌食症,一个充满医学话语之外的含义的词。虚构的人物雅典的丁满,典型的厌食症,可以阐明古代文化概念,即自我强加的与人类接触的隔离。为了应对这种越轨行为引起的不安感,Misanthropia被解释为“疯狂”,嘲笑各种类型的幽默,在哲学中受到道德谴责,并最终被基督教宇宙学妖魔化。这些遏制的各种尝试在这个时代的医疗工作中回响,使得在没有充分考虑文化背景的情况下,无法理解古代医学中的厌食症概念。
    Ancient Greek and Latin medical authors considered a flight into solitude a compelling sign of mental disturbance, frequently described as misanthropia, a word fraught with meaning beyond the medical discourse. The fictionalised character Timon of Athens, the quintessential misanthrope, can shed light on ancient cultural concepts of self-imposed isolation from human contact. To cope with the sense of unease this deviant behaviour induced, misanthropia was explained as \'madness\', ridiculed in various genres of humour, morally condemned in philosophy, and ultimately demonized in Christian cosmology. These various attempts at containment echo in the medical works of the age, making it impossible to comprehend the concept of misanthropia in ancient medicine without taking full account of the cultural context.
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  • 文章类型: Journal Article
    奉献或前声包括向神灵提供的各种通常非专业的艺术品,并放置在宗教场所,以履行誓言或感谢从疾病或伤害中康复。不幸的是,古代时期对癌症的真实性质及其自然历史缺乏科学可验证的理解,因此,缺乏有效的治疗。本文讨论了两个可能与2000多年远的乳腺癌相关的前votos,一个从另一个。前votos通过源于普通人心灵的艺术表达来传达人类与疾病的复杂关系。
    A votive offering or ex-voto includes a variety of usually non-professional artworks offered to divinities and placed in religious sites to fulfill a vow or in gratitude for recovery from an illness or injury. Unfortunately, the ancient period lacks a scientifically verifiable understanding of the true nature of cancer and its natural history and, consequently, a lack of effective treatment. This paper discusses two ex-votos potentially related to breast cancer distant more than 2000 years, one from the other. The ex-votos convey the complex relationship of humans with illness through an art expression stemming from the heart and minds of ordinary people.
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  • 文章类型: Journal Article
    这项研究将龋齿和死前牙齿损失率与可能的牙科干预措施和医学文献相结合,以评估在法老埃及是否实行牙科治疗。
    该研究包括32个下颌骨和44个上颌骨,包括485个牙齿和1052个牙槽。它包括14个关于牙科治疗的埃及文本。
    肉眼观察到人类遗骸的龋齿病变和死前牙齿脱落。埃及文本是从照片翻译而来的。
    11%的牙齿在死前丢失,而42%的上颌骨和下颌骨在死前丢失了一颗或多颗牙齿。提出了一种可能的拔牙。在10%的牙齿和39%的下颌骨和上颌骨中存在恶习病变。提出了可能的牙科填充物的一个示例。来自PapyrusEbers的两种治疗方法讨论了填充牙齿的治疗方法。
    AMTL和龋齿病变在这个样本中很常见,尤其是老年人。可能存在拔牙和牙齿填充物以及对牙齿填充物的文字引用,表明有时在埃及使用牙齿干预来管理牙齿健康。
    这项研究是埃及人类遗骸牙齿填充的最早证据。它还提供了牙科治疗的跨学科分析,表明,与以前的出版物相反,牙科干预是在新王国时期在埃及实行的。
    许多埃及人牙齿健康状况不佳,因此无法评估埃及人使用牙科干预的频率。
    未来对牙齿填充物的分析可能有助于确定其成分。
    This study combines caries and antemortem tooth loss rates with possible dental interventions and medical texts to evaluate whether dentistry was practiced in Pharaonic Egypt.
    The study includes 32 mandibles and 44 maxillae consisting of 485 teeth and 1052 tooth sockets. It includes 14 Egyptian texts on dental treatments.
    Human remains were observed macroscopically for carious lesions and antemortem tooth loss. Egyptian texts were translated from photographs.
    11 % of teeth were lost antemortem and 42 % of maxillae and mandibles had one or more teeth lost antemortem. One possible dental extraction is presented. Carious lesions were present in 10 % of teeth and 39 % of mandibles and maxillae. One example of a possible dental filling is presented. Two treatments from Papyrus Ebers discuss treatments to fill a tooth.
    AMTL and carious lesions were common in this sample, especially in older adults. The possible presence of a dental extraction and a dental filling in combination with textual references to dental fillings indicate dental interventions were sometimes used to manage dental health in Egypt.
    This study is the earliest evidence in Egypt for a dental filling in human remains. It also offers an interdisciplinary analysis of dental treatments that indicates, contrary to earlier publications, that dental interventions were practiced in Egypt during the New Kingdom.
    The poor dental health of many Egyptian populations makes it impossible to assess how frequently Egyptians used dental interventions.
    Future analysis of the dental filling could help determine its composition.
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  • 文章类型: Journal Article
    The last century brought about more rapid new developments in the treatment of burns, which significantly lowered the mortality of burn injuries. However, burns were already treated in antiquity, where the threshold from spirituality to scientific medicine originated. The existing literature on burn treatment is very limited and there are many cross-references, some of them incorrect. The aim of this work by an interdisciplinary team of historians and physicians is to offer a more precise reproduction of the burn treatment of Greek and Roman antiquity using original texts in context and with a modern scientific background. There are many sources from ancient doctors on the subject of burn treatment, as well as the treatment of burned-out wounds and frostbite, which have not yet been mentioned. The literature research also showed an understanding of scientific contexts in ancient medicine, such as antiseptics or rheology. Interestingly, there was a change in burn medicine from everyday Greek medicine to Roman military medicine with other burn patterns. The care of patients using analgetics and the therapy of burn shock arose from the literature. The ancient world is considered to be the foundation of medicine, but it is believed to have been based mainly on shamanism rather than science. However, already more than two millennia ago, burns were correctly assessed and treated according to today\'s scientific standards and scientific relationships were recognized.
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