0010-ISLAMIZATION OF MEDICAL SCIENCES
Lecture for 1st year medical students on 20th October
1.0 HISTORY OF MEDICINE, tarikh
A. PRE-ISLAMIC ROOTS
B. THE ISLAMIC ERA
C. LUMINARIES OF MEDICINE
D. MUSLIM CONTRIBUTIONS TO MEDICAL
E. TRANSFER OF MEDICAL KNOWLEDGE
2.0 PROPHETIC MEDICINE, tibb nabawi
A. BASIC CHARACTERISTICS OF TIBB
B. SOURCES OF TIBB NABAWI
C. CLASSIFICATION OF TIBB NABAWI
D. APPLICATION OF TIBB NABAWI TODAY
E. CONCLUSIONS AND FUTURE CHALLENGES
3.0 ISLAMIC MEDICINE, tibb islami
A. CONFUSION BETWEEN ‘MUSLIM’
B. CRITIQUE OF VARIOUS DEFINITIONS
OF ISLAMIC MEDICINE
C. CRITIQUE OF VARIOUS MANIFESTATIONS
OF ISLAMIC MEDICIN
D. ISLAMIC MDICINE AS EPARADIGMS,
METHODOLOGY, and VALUES
E. NEED FOR REFORM IN MEDICINE
4.0 ISLAMIZATION OF KNOWLEDGE: CONCEPT
A. THE CONCEPT OF ISLAMIZATION:
B. HISTORY OF ISLAMIZATION
C. REFORM OF DISCIPLINES:
D. MISUNDERSTANDING THE REFORM PROCESS
E. PRACTICAL STEPS / TASKS OF THE
5.0 CRITICAL THINKING and CREATIVITY
A. DECLINE and RENAISSANCE
SCIENTIFIC TARBIYAT IN THE QUR’AN
ISLAMIC INPUT CURRICULUM
RESEARCH and APPLICATION
THE CHALLENGE TO EXCEL
1.0 HISTORY OF MEDICINE, tarikh al tibb
A. PRE-ISLAMIC ROOTS
The practice of embalming the dead
gave Egyptians a lot of knowledge about anatomy. They also developed various medical and surgical modalities.
The babylonians knew nasal tamponade
for bleeding, cataract couching. They used blood-letting as a treatment. They knew circumcision and we learn from the sunnat
that the great patriarch Ibrahim (PBUH) was circumcised.
The saying ‘seek knowledge
even if as far away as China’ is well known all over
the Muslim world. Muslims learned a lot from the Chinese. Ancient Chinese medicine was well developed. The Chinese developed
acupuncture and castration of males who became eunuchs. Chang Chon-Ching, who lived in the 2nd century CE, was the most famous Chinese physician. He had famous medical writings and spread medical
knowledge to Japan. In the 3rd century CE the Chinese
surgeon Hua Chu wrote about physiology, anatomy, pathology, anesthetics. After him Huang wrote about acupuncture. Tao Hung
Ching (454-536 CE) used acupuncture and had interests in internal medicine, anatomy, children and women diseases, obstetrics,
dietetics, and drugs. Chao Yuan Fang (550-630 CE) wrote a medical encyclopedia. Sa’ad Ibn Abi Waqqaas the commander
of the conquest of qadisiyyat (13 AH) and the founder of the city of Kufa (18
AH) was sent by Othman in a diplomatic mission to China 620-640
CE and is reported to have lived in the Chinese city of Canton. Thereafter contacts
between Muslims and Chinese increased. A Chinese physician came to Al Razi (d. 313 AH/925 CE) and requested to study under
him for 1 year. He learned Arabic and translated medical books into Chinese. Muslims were in contact with Chinese physicians
who visited Central Asia such as Yuan Chwang 630-645 CE and I Tsung 675-685 CE.
Surgical knowledge in India
was very advanced. The following operations were carried out by Indian surgeons: tonsillectomy, amputation, tumor excision,
hernia repair, repair of harelips, removal of bladder stones, couching cataracts, nose repair, ceserian section. They also
developed surgical instruments. They knew the washing and bandaging of wounds. Hyoscamus (Henbane) and cannabis indica were
used as anesthetics. In some cases hypnosis was used as anesthesia. The period 6-12th centuries CE witnessed development
of Indian medicine especially in the field of toxicology. Indian medicine reached Baghdad
both directly and indirectly, through Persia. Muslims entered
Sindh in 15AH/637CE led by the omayyad military leader Muhammad Ibn al Qasim; a long period of contact with Indian medicine,
trade and cultural exchange ensued. In the Abassid era the ruling Barmaki family were interested in indian culture especially
its medicine. Yahya bin Khalid al Barmaki, vizier of Harun al Rashiid, sent missions to India
to learn its medical knowledge. He also invited Indian physicians to Baghdad.
Some Indian medical texts were translted into Arabic in Baghdad. The physician
Abi al Hasan Ali Bin Sahal al Tabari in his book ‘Firdaus al Hikmat’ completed in 236 AH / 850 CE wrote about
Indian medicine covering topics such as: importance of spiritual cures, treatment of metal disorders, importance of specialization,
women diseases, obstetrics, internal medicine, dietary treatment, looking at the patient as one entity, diagnosis, preventive
medicine, anatomy, surgery, surgical instruments, and medical training. The Indian physician Kankah treated Harun al Rashiid
and translated a book on poisons. The Indian physician Salih bin Baghlat was famous at the Abassid court. Urnda, Siddhayogar,
and Ibn Dahn al Hindi were Indian physicians who served the abassids and all worked at the Baghdad
Hospital built in 187 AH/ 803 CE in the era of Harun al Rashid. Zantah was an Indian
physician who wrote about poisons and their treatment. Ibn al Nadiim in his book ‘Al Fihrist’ mentioned Indian
medical books that were translated into Arabic. Abubakr al Razi in his book ‘al Hawi’ depended a lot on
Indian medical knowledge. Abi al Rayhan Muhammad bin Ahmad al Bairuni wrote about Indian medicine. He traveled in India
and was very familiar with its people and culture.
Syriacs translated Greek medical
books into their language and subsequently into Arabic. Among the Syriac translators were: Sarjus al Ras’ani (d. 536
CE), Job of Edessa or Ayyub al Rahawi (d. 832 CE), and the famous Hunain Ibn Ishaq. In the Abassid era many translations were
from Greek to Syriac and then to Arabic and not directly Greek to Arabic. The Syriacs not only translated but also wrote books
making their own contributions for example Sarjus al Ras’ani wrote ‘ al isatisqau’ and Ayub al Rahawi wrote
‘Fahas al bawl’.
Persian interest in Greek medicine
was demonstrated when the King of Persia invited the famous Greek physician Hippocrates (460-377 BC) to help deal with diseases
and epidemics in Persia. Hippocrates did not agree. When Alexander
of Macedonia defeated Persia, he spread hellenic civilization
including its medicine. Greek knowledge was translated first into Persian then into Arabic. Hereafter many translations of
medical works were made from Persian to Arabic especially at the time of the abassids. Persian influence was very strong at
the abassid court in many areas including medicine.
Medical knowledge in the Arabian
peninsula before Islam was the folk medicine found in all human communities. We know a lot about the nature of
this medicine from the many authentic hadiths on Tibb al nabawi. The prophet’s medicine was in most cases the medicine
practised in Hejaz at that time. Pre-Islamic Arabs used cupping, hijamat; cautery, kayy,
and branding with fire, wasm. They used a wide variety of herbal medicine. Among medical practitioners in the pre-Islamic
era were: Ibn Huzeem, Nadr Ibn Harith, and Ramtha al Tamiimi. The harsh environment, isolation in the desert, the nomadic
Bedouin life, and general illiteracy explain the low level of medical knowledge among Arabs before Islam. They sometimes confused
medical practice with sorcery and magic.
Greel medical knowledge was picked
up by the Romans and was spread in West Asia by the Byzantines. The famous Roman physician Galen closely
followed Hippocrates. He in turn had a major impact on Byzantine medicine. Muslims learned a lot from Galen but also had access
to other Greek sources. Complete reliance on Galen eas not possible because Galen was selective in his copying from Hippocrates
and other Greek physicians. Muslims played a big role in preserving early Greek medical knowledge, improving and enhancing
it, and eventually passing it on to Europe during the renaissance. The Greek physician and father of
European medicine, Hippocrates son of Heraclides (460-377 or 370 BC), introduced rational/scientific medicine. He introduced
the theory of the 4 humors and the 4 elements of the body. The Hippocratic corpus consists of his writings and those of his
students. Romans learned from the Greeks and developed advanced military hospitals called valetudinaria
that were used to treat wounded soldiers on the battle-field. Three Roman physicians became famous: Celsus, Rofus, and Galen.
Celsus described the cardinal signs of inflammation: rubor, tumor, calore, and
dolore; provided details of surgical procedures; and described ligation of blod vessels. He encouraged dissection. Rofus
wrote 42 titles and made contributions to anatomy, surgery, and urinary tract disease. Claudius Galen (130-201 BC), a skilled
Roman military surgeon, had great impact on Arab medicine. His writings were compiled by the Byzantines and were eventually
translated into Arabic. The Greek-speaking multi-natonal Byzantine empire, with its capital at Constantinople in West Asia,
lasted over 1000 years after the fall of Rome and acted as a bridge to transfer Greek knowledge to West Asia and North Africa.
The Byzantines compiled Greek knowledge from Hellenic and Roman books. The University
of Alexandria was the center of this activity. It continued functioning after the
Muslim conquest of 642 CE and lasted until 719 CE. Johns Philoponus, the grammarian, was an Egyptian scholar in Alexandria
who met Amre bin al Aas. He wrote commentaries on the books of Aristotle and Galen. Palladius and Asclepius wrote commentaries
on Hippocrat’es writings in the 6th century CE. Paulinus, an expert in women diseases and obstetrics, was another Byzantine physician in Alexandria.
B. THE ISLAMIC ERA
MEDICAL KNOWLEDGE IN THE EARLY ISLAMIC
PERIOD (0 – 132 H)
Overview: The period under review covers the era of the Prophet (-13 – 10 H), the era of the 4 rightly-guided
khulafa, khulafa al rashdiin (10-40 AH), the omayyad era (41-132 AH), and entry into Andalusia
(starting 94 H). The prophet;s teachings gave a big impetus to medicine. He taught that there were two branches of knowledge:
‘ilm al abdaan & ilm al adyaan. He taught that the body had rights and had to be cared for. He also taught
that the intestine was the abode of disease and prevention was the head of all medicine. He taught a lot about personal and
environmental hygiene. He practiced medicine and urged his companions to seek cures for their diseases. The start of rapid
medical advance was in the omayyad period. Translations of medical texts into Arabic started under the omayyads. Prince Khalid
Ibn Yazid rewarded translators lavishly. A hospital was built for the lepers in Damascus.
Nurses: The followinh nurses became famous for their nursing work both in war and peace during the time of the
prophet: Rufaidat bint Ka’ab al Aslamiyyat; Amiinat Bint Qays al Ghifariyyat; Umm ‘Atiyyah al Anasariyyat; Nusaibat
Bint Ka’ab al Maziniyyat & her family; Zainab from the tribe of Bani Awd an expert in diseases and surgery of the
eye. Rufaidah bint Sa'ad, is generally recognized as the first Muslim nurse. Rufaidat's full name was Rufaidat bint Sa'ad
of the bani Aslam tribe of the Khazraj tribal confederation in Madinah. She was born in Yathrib before the migration of the
Prophet Muhammad (PBUH). She was among the first people in Madina to accept Islam and was one of the Ansar women who welcomed
the Prophet on arrival in Madina. Rufaidah's father was a physician. She learned medical care by working as his assistant.
Her history illustrates all the attributes expected of a good nurse. She was kind and empathetic. She was a capable leader
and organiser able to mobilise and get others to produce good work. She had clinical skills that she shared with the other
nurses whom she trained and worked with. She did not confine her nursing to the clinical situation. She went out to the community
and tried to solve the social problems that lead to disease. She was a public health nurse and a social worker. When the Islamic
state was well established in Madina, Rufaidah devoted herself to nursing the Muslim sick. In peace time she set up a tent
outside the Prophet's mosque in Madina where she nursed the sick. During war she led groups of volunteer nurses who went to
the battle-field and treated the casualties. She participated in the battles of Badr, Uhud, Khandaq, Khaibar, and others.
Rufaidah's field hospital tent became very famous during the battles. At the battle of the trench, ghazwat al khandaq, Rufaidah set up her hospital tent at the battle-field. The prophet Muhammad instructed that
Sa'ad bin Ma'adh who had been injured in battle be moved to the tent. Rufaidah nursed him and carefully removed the arrow
from his forearm and achieved hemostasis. The prophet visited Sa'ad in the hospital tent several times. Rufaidah had trained
a group of women companions as nurses. When the Prophet's army was getting ready to go to the battle of Khaibar, Rufaidah and the group of volunteer nurses went to the Prophet
Muhammad (PBUH). They asked him for permission "Oh messenger of Allah, we want to go out with you to the battle and treat
the injured and help Muslims as much as we can". The Prophet gave them permission to go. The nurse volunteers did such a good
job that the Prophet assigned a share of the booty to Rufaidah. Her share was equivalent to that of soldiers who had actually
fought. Rufaidah's contribution was not confined only to nursing the injured. She was involved in social work in the community.
She came to the assistance of every Muslim in need: the poor, the orphans, or the handicapped. She looked after the orphans,
nursed them, and taught them. Rufaidah had a kind and empathetic personality that sothed the patients in addition to the medical
care that she provided. History has recorded names of women who worked with Rufaidah: Umm Ammara, Aminah, Umm Ayman, Safiyat,
Umm Sulaim, and Hind. Umm Ammara is also known as Nusaibat bint Ka'ab bin
Amru bin 'Awf bin Mabdhool bin 'Amru bin Ghanam bin Mazin bin al Najjar al Ansariyat. She was the mother Abdullah and Habiib,
the sons of Bani Zayd bin 'Asim. Nusaibat was assisted by her husband and her children in her nursing work. She participated
in the convenants of 'Aqabat and Ridhwan. She was at the battle of Uhud with her husband and her son. She was also at the
battle against Musailamah in Yamamah. She was injured 12 times in this battle, her hand was cut off, and she eventually died
as a result of her wounds. She had gone to the battle of Uhud to nurse the fighters and provide them with water and when the
battle turned against Muslims she took a sword and fought defending the Prophet. Amiinat
bint Qays was reported to have helped in preapring Safiyat for her wedding to the Prophet (PBUH). Umm 'Atiyyah al Ansariyat al Khadfidhat treated women in Madina.
Physicians: Among the physians of this era were: al Harith Bin Kaldat,
Rufa’at bin Yathri, Ibn Athaal,
Thiyadhuuq, Abd al Malik Bin Sa’ied bin Hayyaan bin Abjar al Kinani
, Abu al Hakam al Dimashqi, Wahb bin Minyat (d. 112H /732 CE), and Ibn Juraih
al Raahib (d. 130H). Abu Omar Bin Salal al Harith Bin Kaldat of the tribe
of Thaqaf from Taif was praised by the prophet as the best Arab physician of his day. The prophet ordered Sa’ad bin
Abi Waqqaas to consult al Harith. Al Harith studied medicine in Khuristan in Persia
and became famous as a physician in Persia. He then returned
to Taif and entered Islam and lived until the Omayyad era. He used to advise people to take preventive measures against disease.
Rufa’at bin Yathri Abu Ramthat al Tamiimi lived at the time of the prophet
and met him. Ibn Athaal, a Christian physician at the court of Mu’awiyah
bin Abi Sufyan and an expert in medicines and poisons, was suspected in the death of many prominent people. Thiyadhuuq, said to have been a physician to omayyad governor Hajjaaj bin Yusuf, wrote a book with special interest
on the relation between the patient and the physician and also wrote on dietary advice. Abd al Malik Bin Sa’ied bin Hayyaan bin Abjar al Kinani was a physician of the Khalifah Omar Ibn Abd al
Aziiz (99-101 H) and had a famous saying: ‘leave the medicine alone as long as you can withstand the disease, d’i
al dawaa ma ihtamala badanuka al ddaau’. Abu al Hakam al Dimashqi
was a Christian physician with specialization in therapeutics and was physician to the second Omayyad khalifah, Yazid Ibn
Abi Sufyan. ‘Aailat Ibn Hakam al Dimashqi was a Christian physician
for the Omayyad rulers. His son Abu al Hasan ‘Isa bin Hakam bin Abi al Hakam
was also a physician and authored a medical book. Wahb bin Minyat (d. 112H /732 CE) knew Greek physiology and believed
that a person has 360 organs.
MEDICINE IN THE GOLDEN ERA OF THE
ABASSID PERIOD (132 H – 656 H / 749 – 1258 CE )
Achievements: This era was a time of translation and advancement in medical knowledge and technology. This was
made possible by the general conditions of peace that pax Islamica had established allowing movement of people and
ideas across the expanse of a large empire. The political leaders encouraged
as well as patronized learning and science. They bought books and imported scientific brains. Al Ma amun established Bayt
al Hikmat which undertook translations of Greek knowledge. Hunain Ibn Ishaaq (808-873 CE), one of the most famous translators, translated from Syriac to Arabic assisted by his son Ishaaq and his daughter’s
son, Hubaysh al A’am, and Isa bin Yahya. They were joined in the translation project by Istafan bin Basil, Qusta bin
Luuqa, and Thabit bin Qurrat al Harraani. The translators gave priority to books of Galen over those of Hippocrates; however
the ideas of the latter were included in he writings of the former. They translated other books in pharmacy and medicine by
Greek and Byzantine authors. Unfortunately they also translated books on magic and sorcery which created confusion in Muslim
medicine later. The age of translation was soon followed by the age of innovation; Muslims were no longer passive consumers
of knowledge; they started adding to it and enriching it. The process of translation strengthened Arabic as a language of
science. The translators had to arabise many technical terms, ta’ariib al mustalahaat. Greek tenets and ideas
were islamized for example translators would use alternative words in the place of pig and alcohol. During the early abassid
era, many measures of public health significance were undertaken. The abassid Minister Ali Ibn Isa asked the court physician
Sinaan Ibn Thabit to organize regular visiting of prisons by medical officers. The first hospital was built by Harun al Rashiid
in Baghdad. Khalifah al Mansur instructed his physician Isa bin Yusuf to examine
all physicians to determine those who were competent; those who were successful were allowed to continue their work and the
unqualified were expelled. Sinaan examined physicians in 319H.
Two families of physicians: Bakhtishu’u and Masawayh: The famly of Bakhtishu’u
made many contributions to the early growrth of medicine. Jurjis bin Bakhtishu’u
al Jandishapuri was a Syrian physician brought to treat the khalifah, al Mansur, in Baghdad.
He cured the khalifah and returned to his hometown after 4 years. His place at the capital was taken by his son Bakhtyuush
who later became a physician for Harun al Rashiid. Bakhtyuush was followed by his son Jibril bin Bakhtyuush who authored medical
books. They were followed by others from the same family serving the rulers. The family served at the court for several generations
and attained positions of influence, power, and wealth. Al Hakiim Yahya bin Bakhtyuush al Jandishapuri translated from Greek
and Syriac to Arabic and died in Baghdad in 300H. Abu Sa’id Obaydullah bin
Jibril from the family of bakhtyuush wrote several books: nawadir al masail, manaqib al attibba (completed in 423H),
al taharat wa wujuubiha, tadhkirat al haadhir wa zaad al musaafir, and rawdhat tibbiyyat. The family of Masawayh made many contributions to medicine. Masawayh was a pharmacist who had
two sons: Daud and Yahya. Daud became famous as a physician eloquent in Persian, Syriac, and a little Arabic. Abi Zakariyah
Yohanna Ibn Masawayh (777-857 CE), a physician to several abassid rulers (Al Ma amun, al Mu’tasim, al Waathiq, al Mutawakkil)
and teacher of Hunain Ibn Ishaaq, was commissioned together with his sons by Harun al al Rashid to translate ancient Greekn
medical books. The Khalifah al Ma amuun made him head of the Bayt al Hikmat. He
was supervisor of the hospital in Baghdad and was the first person to establish
a faculty of medicine. He wrote many books on fevers, nutrition, headache, and sterility in women that were translated in
Europe. One of his famous publications was a book ‘kitaab al kamala wa tamaam’ that covered
several diseases. He was so interested in dissection that he had a special room for that purpose and had apes brought to him
from Nubia in Africa.
Other physicians: Abu al Hasan Ali Bin Sahl Rabn Al Tabari, a
physician to two abassid khulafa, was born a Christian in Persia
in 810 CE. He embraced Islam at the hands of al Mu ‘tasim and died in Baghdad
after 227 H / 831 CE. He first lived in Tabarstan and moved to Baghdad in about
297H. He authored Firdaus al Hikmat, dedicated to al Mutawakkil and published in 850 CE, an encyclopedic work on medicine,
philosophy, zoology, and astronomy greatly influenced by the writings of Hippocrates, Aristotle and Galen. The end of the
book was a description of Indian medicine. Abu Yusuf Ya’aqub bin Ishaq bin Salih bin Ismail bin Muhammad bin al Ash’ath
al Kindi the philosopher of the Arabs wrote a book on mental health titled
‘al Hiilat li Dafu’I al Ahzaan’ as well as other medical books. Qusta bin Luuqa al Ba’alabakki, born a Christian in 830
CE and died in 912 CE, was a contemporary of al Kindi. He translated many books into Arabic and wrote books on physiology
and psychology. Mankah was an Indian who translated books into Arabic from
Sanskrit including a treatise on poisons by the Indian physician Sanqah. Thabit bin
Qurrat al Harraani translated many medical books. Hunain Ibn Ishaq al Ibaadi
aka Johanitius (194-260 H / 810-873 CE) was a Christian who knew Syriac, Greek, and Arabic. He studied in Basra,
Baghdad, Syria, and Byzantine. He translated
Greek medical books including writings of Hippocrates and Galen. His work was continued after his death by his nephew Hubaish.
He in addition wrote some books of his own the most famous being kitaab al aghdhiyat, al masail fi al tibb li al muta’alimiin,
kitaab al madkhal fi al tibb, kitaab al maqqqlaat al asharat fi al saidalat. Ali
Ibn Abbaas al Majuusi, a native of Ahwaaz from a Zoroastian family who died in 982 or 995 CE, authored a book on treatment
of disease with single remedies, adwiyat mufradat, and another book on medicine called Kaamil al Sina’at al
Tibiyyat that became famous after that as al Maliki and was translated into Latin and used as a reference in Europe.
He was the first to explain that the fetus is expelled by the contractions of the uterus. Ibn Abi Usaybi’ah was born in Syria and
practiced medicine in Cairo. His major contribution was writing bibliographies
of all physicians before him. Ibn al Quffi, whose full name was Amin al Dawlah Ibn al Faraj Muwafiq al Ddiin Ya'qub Ibn Ishaq
Ibn al Quffi al Malaki al Karki, was born in 630 AH/1233 CE and died in 685 AH/1286 CE. He wrote a surgical manual ' al
'umdat fi sina'at al jarahat'. Dhia Al Addin Abdullah Ahmad Bin Al Baitar
was born towards the end of the 12th century and died in 1248 CE. He traveled widely. His most famous book was
al Jamiu li Mufradaat al Adwiyat wa al Aghdhiyat. Abu Ibrahim Zain al Ddiin Ismail bin al Hassan bin Muhammad al Husayni
al Alawi al Jarjaani (d. 531 H / 1137 CE) authored three books in the Persian
language: al Tadhkirat al Ashrafiyat fi al Sina’at al Tibiyyat, al Ajwibat al Tibiyyat wa al Mabahith al ‘Alaniyat,
and Zubdat al Tabiib. Muwafaq Al Adiin Abd Al Latiif Bin Yusuf Al Baghdadi
(b. 1162 CE d. 1231 travelled to Cairo and Damascus.
He started teaching medicine in Damascus in 1207 CE. Jurjus Bin Jibrail; Ibn Radhwan
Al Masri; Alau al Ddiin Ali bin Abi al
Hazm; Ali Bin Abbas Al Tusi.
MEDICINE IN THE LATER ABASSID ERA
(659 – 923 H / 1261-1517 CE)
Following the Tatar invasion and
destruction of the capital of the khilafat in Baghdad, the Muslim world went into
a period of decline. Medicine and medical knowledge also declined.
Medical knowledge spread in Europe
from Andalusia. The famous Andalusian physicians were: Urayb bin Salad al Katib, Abu Zakariyyah Yahya
Ibn Ishaq, Abul al Qasim al Zahrawi, Ibn Abayya, Ibn Tufail, Ibn Rushd, Ibn Zuhr, Ibn Khatimah, Ibn al khatib. Abu Omran Musa bin Maimoon al Qurtubi al Andalusi aka Maimoinides (529-605 H / 1135-1209 CE) was a Jew born in
Qurtuba in Andalusia in the year 1135 CE who migrated
to and settled in Egypt. He and his son, al Afdhal, after
him became physicians to to Salah al Ddiin al Ayubi. He wrote the following books: dalaalat al hairiin, maqalat fi al sumuum,
and al taharuz min al adwiyat al qattaalat. His most fampous book was al fusuul fi al tibb, aphorisms, that was extracted
from writings of Galen.
Medical knowledge in the maghreb
was an extension of the Andalusian medical knowledge.
C. LUMINARIES OF MEDICINE, a’alaam al tibb al muslimiin
Abubakr Muhammad Bin Zakariyyah Al
Razi (251-313H/865-923 CE), a Persian and a student of al Tabari, wrote more than 100 books the most famous being al Hawi
al Kabir (in full ‘al Haawi fi Sina’at al Tibb) in 30 volumes) which was translated into Latin and reprinted
many times in Europe. His other books were: al Mansuuri and Tibb al Ruuh. He was interested
in chemistry and is said to have prepared absolute alcohol from fermented sugar. He invented a scale for measuring specific
gravity. He described smallpox. He investigated women’s diseases, obstetrics, hereditary diseases, eye diseases, small
pox, and measles. He was director of hospitals in Baghdad and his native land
Al Shaikh al Rais Abu Ali Al Hussain
Bin Abdillah Bin al Hassan Ibn Sina (370-428 H / 980 – 1037 CE) wrote
many books the most famous being al Qanuun fi al Tibb, a 14-volume encyclopedia on disease classification and causes, therapeutics,
simple and compound medicines, hygiene, and functions of the body. The book was translated into Latin and had a major impact
on western medicine being taught until the 18th century CE. Ibn Sina recognized that TB was contagious and accurately
described the symptoms of diabetes mellitus. Besides medicine, Ibn Sina made contributions to science, mathematics, chemistry,
Abu Al Qasim Khalaf Bin Abbas Al Zahrawi (b. 912 CE, d. 404 AH/1013 CE) practiced medicine in Qurtuba in the
reign of the omayyad Khalifat Abdurahman the Third who ruled 912-961 CE. His fields of interest were: surgery, pharmacology,
and anatomy. He designed over 200 surgical instruments.His book Kitaab al tasriif liman
'Zajaza 'an Ta'liif became a standard textbook of surgery. His other writings
were Risala fi Tafdhil al ‘Asal ‘ala al Sukkar, Tadhkirat fi al Dawaa al Mushil [first medical encyclopedia
in Andalusia], Maqala fi ‘ilal al Kula, Risalat fi al Baras, Kitaab al Iqtisad fi Islahi al Anfus wa al Jasad, Kitab
al Aghdhiyat wa al Adwiyat, Kitaab al Jami fi al Ashribat wa ‘ilm al Ajinnat, Kitaab al Zina, Kitaab al Qaanuun al Muqtadab,
Kitaab Mukhtasar Hilt al Bur li Jalinus.
The family of Ibn Zuhr produced 6 consecutive generations of famous physicians the most famous being Abu Marwan Abdu Al Malik
Ibn Zuhr (b. 1091 or 1094 CE d.487H / 1162 CE), a contemporary of Ibn Rushd, who lived in Andalusia
and Morocco. His main book was al Taysir whose full
title is Kitaab al Taysiir fi al Mudaawat wa al Tadbiir translated into Latin and used in Europe.
Abu Al Waliid Muhammad Ibn Rushd (B. 1126 CE d. 595 H / 1198 CE) lived in Qurtuba in Andalusia.
He was interested in philosophy and also practiced medicine medicine. He wrote a medical work called al Kulliyat translated
in Europe. He made the observation that smallpox infected only once.
IBN AL NAFIIS
Alau Al Ddiin Abu Al Hasan Bin Abu
Al Hazim Al Qurashi Al Dimashqi Ibn Al Nafees (d. 686H / 1288 CE) was born
in Syria but practiced in Cairo.
He described blood circulation before William Harvey but this was not noticed in Europe. He authored
sharh tashriih al qanuun in which he explained pulmonary circulation.
D. MUSLIM CONTRIBUTIONS TO MEDICAL
Anatomy: Muslims largely dependec on the writings of Galen. They however made their own observations and corrected
many mistakes made by Galen.
Physiology: Muslim physiological knowledge was influenced a lot by the Greek theories of the 4 elements, al
asqaat: hot, cold, wet, and dry; the 4 humors, al alkhlaat: blood, phlegm, yellow bile, and black bile; the 9 temparaments,
al mizaaj: 1 balanced and 8 out of balance; the pneumata, al arwaah: ruh tabi’I, ruh hayawaani, and ruh
nafsaani. They also described the faculties, al quwaa: natural faculties, quwa tabi’iyat, animal faculties,
quwa haiwaniyyat, psychic faculties, quwa nafsaniyyat; and procreative faculties, quwa al insaal. These
Greek ideas had one very important and true concept, the idea of balance which is the forerunner of the modern physiological
concept of homeostasis. Most of the details were however found by later research to be untrue and were discarded. The heart
and circulation were described by Muslims as a mechanical pump. Ideas of food digestion were also known.
Infectious diseases: Al Razi was
aware of air-borne infection when he made an experiment to determine the site of a new hospital in Baghdad by putting meat
in the air and waiting to see the site where it putrfied soonest. Al Razi in his book, Kitaab al judri wa al hisbat described
the symptoms of smallpox and measles. The concept of contagion was known as early as the time of the prophet. Al Majuusi described
contagious diseases like leprosy, elephantiasis, phrenitis, and trachoma. Ibn al Khatib and Ibn Khatimat described the symptoms
of plague. Ibn Khatima had mentioned minute bodies causing disease in the 14th century CE.
Public health: the following wrote about public health: Qusta bin Luuqa, Ishaaq bin Omran, Ibn al Jazzaar, Ibn
Sina, Fakhr al Ddiin al Razi, and Ibn al Quffi.
Blood circulation: Ibn Nafees al Nafees described pulmonary circulation centuries before its ‘discovery’ by William
Psychiatry: depression melancholia was related to organic factors. It was also realized that it could be caused
solely by psychological factors. The symptoms of depression were described very well.
Metabolic/endocrine diseases: The symptoms of diabetes mellitus were described well. Urine examination was a
very advanced art.
Allergy: Al Razi described rhinitis due to plant exposure centuries before similar descriptions by Europeans.
Dietetics: Muslims knew that diet is a method of treatment. The following wrote on diets: Hunain Ibn Ishaaq,
Muhammad bin Zakariyyah al Razi, and Ibn Zuhr.
Muslims knew both simple and compound
drugs. Among those who wrote about drugs were: Abu daud Sulaiman bin Hasan al Andalusi known as Ibn Juljul in the 4th
century H / 10th century CE; Ibn al Jazzaar, Ibn al Raihan al Biruni, Abi Obaid al Bakri, Ibn Baja al Idrisi, and
Abd al Latif al Baghdadi.
Anatomy: The main contributors were: Ibn Masawayh, Ibn Abi al Ash’th, al Majusi, Ibn Habal, Ali Ibn Abbas,
Ibn Sina, Ibn al Quffi, Ibn al Nafiis, Ibn Ruhd, Abdul Lateef Baghdadi, Zakariyyah Ibn Muhammad Ibn Muhammad al Cazweeny d.
683 AH). Al Razi encouraged dissection and study of physiology. Al Zahrawi insisted on knowledge of anatomy before any surgery.
Ophthalmology: (Ibn Hytham d. 1040
AD, Hunain Ibn Ishaq, Al Razi, Ibn Sina, Al Zahrawi, Ali Ibn Isa, Ibn al Rushd, Abu al Qasim Ammar). Ibm Hytham (965-1040
CE) in his book 'Kitaab al Manadhir' disproved the extromission theories of Euclid and Ptolmey and instead advocated
an intromission view. He described the optic pathways and the point-to-point projection of the visual world into the brain. He described how eye movements helpoed in visual perception. He also realised
that several processes were involved in conscious visual experience. Jurjani (5th century AH) wrote about ophthalmology
in his book 'Nur al ‘Uyuun'. Al Zahrawi described many extra-ocular operations. Al Zahrawi described the posterior
displacement of the lens in cataracts. He also discovered many instruments such as: hooks, eye speculum, conjuctival scissors
for removal of panus, pereforator and depressing needles for cataract surgery. Al Razi recommended tearing the capsule of
the lens if it can not be displaced and Ibn Sina described various needles that can be used for this. Ali Ibn Isa was another
ophthalmologist who wrote the book 'Tadhkirat al Kahaliin'. Both Al Razi and Ibn Sina described a procedure for operative
decompression of glaucoma.
Anesthesiology: Al Zahrawi performed
many of his operations under anesthesia: opium or mandragora.
Obstetrics: Al Baladi (circa 380
H) wrote a complete discourse on midwifery called ' Kitaab Tadbir al Habala'. Al Zahrawi described normal and abnormal
presentations and described instruments for craniotomy to deliver a dead fetus in case of obstruction. He also developed a
General surgery: The main contributors
were: Ibn Zuhr, al Shirazi, Ibn Dhahabi, and al Zahrawi. The book al Tasrif By Al Zahrawi took 30 years to compile
in 30 volumes. The last volume deals with surgery and is one fifth of the whole book. The volume on surgery is divided into
three sections: (a) cauterisation with 56 chapters (b) incisions, perforations, wounds & wound healing 93 chapters (c)
bones setting and joints 36 chapters. The book contains anatomical details. It covered all branches of surgery. The book was
used as a standard text in Europe and was translated into Latin in the 12th century CE.
Al Zahrawi performed thyreidoctomy in 952 CE. Al Razi was the first to use gut sutures for intestinal repair. Al Zahrawi is
also reported to have used catgut and cotton sutures. Al Zahrawi recognised pain as a symptom and not a disease. Among operations
performed by Al Zahrawi and described in his writings were: tracheostomy as an elective procedure and bandaging techniques.
Al Zahrawi has 11 inventions credited to his name such as use of the syringe for bladder irrigation, the vaginal speculum,
and plaster for bone setting. Al Jurjani (d. 1136 CE) described the relation between goitre and exophthalmos
Traumatology & orthopedics: Al
Zahrawi and al Quff described treatment of bone and joint trauma. Zahrawi wrote about osteomyelitis, amputations, and ostotomies
for un-united fractures. He cautioned against above-knee and above-elbow amputations.
Wound treatment: The main contributors
were: Ibn Sina, Al Zahrawi, Ibn Rushd, and Al Razi. Al Zahrawi taught the following methods of arresting hemorrhage: digital
pressure, tourniquet, sponges, cauterisation, hypothermia, ligation of bleeding vessels by sutures of thread. He also advised
against tight bandaging. Al Zahrawi emphasied the importance of cleanliness in would treatment. Ibn Sina mentioned dry dressing.
Al Zahrawi wrote about the drainage of abscesses describing in detail the site and shape of the incision, packing of the wound,
excision of the skin edges, use of slow decompression of large cavities, dependent and counter drainage.
Urology: Al Zahrawi described bladder
irrigation. He also developed original methods of lithotromy for impacted stones. He introduced a fine drill into the urethra
and was rotated gently to break up the stone into small pieces that could be washed away by the urine. He also wrote about using a bladder sound to locate bladder calculi, control of post-operative hemorrhage,
and removal of clots from the bladder.
Gastro-enterology: Al Zahrawi used
stomach tubes. He described paracentesis for ascites and intra-peritoneal abscesses. He mentioned use of trocar and cannula
to drain liver abscesses. He also described the use a heated cautery to open liver abscesses. Ibn Zuhr (1113-1162 CE) was
the first to describe in detail the distinction between gastric ulcer and gastric malignancy. Ibn Sina wrote about colitis
and its management by diet, drugs, and enema. Abu Imran Musa bin Maymun (1135-1204 CE) wrote about hemorrhoids and the role
of diet and surgery in their treatment. Mohammad bin Mahmood Al-Qusum (circa 1525 CE) in his book ' Zad al Masir fi 'Ilaj
Bawasir' wrote about treatment of piles. Ibn al Quff wrote about complications of hemorrhoidectomy and post-operative anal
stricture. Al Zahrawi originated cauterisation treatment of fistula-in-ano and was aware of the complications of this treatment.
Plastic surgery: Al Zahrawi described
the cauterisation treatment of harelip. He wrote that the edges must be freshened first before cautery.
Ear , Nose, and Throat: Al Zahrawi
discovered the guillotine method of tonsillectomy as well as the complications of the operation. He described the tunors of
the tonsil. Among discoveries attributed to al Zahrawi are: use of special osteotomies for nasal operations and polypectomy,
use of a marine sponge with an attached string for removal of foreign bodied from the throat, removal of foreign bodies from
ears, treatment of nasopharyngeal tumors by repeated excision and cauterisation.
Dentistry: Ibn al Quff described
making artificial teeth from bone. A Zahrawi described several dental operartions: wiring of loose teeth, extraction of roots
of broken teeth and broken pieces of the mandible by use of special forceps.
Thermal and chemical cauterization for syphilitic lesions by Ibn Sina
Tumors: The main contributor was Abdul Malik Ibn Zuhr (d. 484 H). Al Zahrawi and Ibn Sina recommended wide excision including
healthy tissue in removal of tumors. Use of cautery and drugs in treatment of tunors was also described.
Neuro-surgery: Both al Zahrawi and
Ibn Quff described in detail the various intra-cranial and extra-cranial hemorrahges due to arrow wounds and their respective
treatments. Al Zahrawi described symptoms and signs of skull fracture. He also described the depressed fracture in children
and recommended treatment by removal of a bone. In cranial operations, the drill may accidentally perforate the delicate intra-cranial
structure; Al Zahrawi developed an instrument to prevent this accidental penetration. Al Zahrawi's craniotomy operations were
remarkably like modern ones; using burr holes with a linking cut between them allowing to raise part of the cranial vault.
Al Zahrawi described paralysis due to injury of the spinal cord. Ali Abbas described several types of fractures: simple, comminuted,
displaced, and hairline. Ibn Sina classified fractures of the skull into two types: closed fractures and open fractures. He
described treatment of skull wounds by relieving hematoma or removing pieces iof bone that culd hurt the brain. Al Baghdadi
described the depression fracture found in children. He also described meningoceles that remained after skull surgery and
appeared during coughing. Samarkandi described treatment of brain edema following
skull trauma and its relief using dehydration, venesection, and enema.
HOSPITALS & MEDICAL COLLEGES:
Hospitals were built in Baghdad,
Cairo, Andalusia, and Dimashq. Bimaristan al Adudi al Kabir
was opened in Baghdad in 982 CE. Bimaristan al Nuri al Kabir was established in
Cairo in 160 CE. The Salahi and Mansuri hospitals in Cairo.
MAJOR WRITINGS by MUSLIM PHYSICIANS
Al Qanun Fi Al Tibb By Abu Abdullah Ali Al Hussein Bin Abdullah Ibn Siina
Al Hawi: By Muhammad Ibn Zaariyyah Al Razi
Kitaab Al Manadhir By Ibn Haytham
Al Tasrif By Al Zahrawi. The book al Tasrif that took 30 years to compile is in 30 volumes. The last volume deals
with surgery and is one fifth of the whole book. The volume on surgery is divided into three sections: (a) cauterisation with
56 chapters (b) incisions, perforations, wounds & wound healing 93 chapters
(c) bones setting and joints 36 chapters. The book contains anatomical details. It covered all branches of surgery. The book
was used as a standard text in Europe and was translated into Latin in the 12th century
Al Kafi By Abu Nasr Ibn Al Ayn Zarbi
Al Umdat Fi Sinat Al Jarahat By Abu Al Farag Ibn Al Kufi (1233-1286
CE). The book consists of 20 maqalas of which maqala 17 is devoted to traumatology while maqala 19 discusses surgical problems
and their treatment from head to foot.
Al Jirahat Al Kaniya By Sharaf Al Dddiin Ali
Kamil Al Sinaet Al Tibiyyat By Ali Ibn Abbas
Kitaab Al Kulliyaat By Ibn Rushd
Kitaab Zad Al Musafir Wa Quut Al Hadhir By Abu Yafar Ahmad Ibn Ibrahim Ibn Abi Hadir Al Jazzan
The Ten Articles On The Eye By Hasan Ibn Ishaq
A Manual For The Oculist By Ali Ibn Isa
Al Taysir Li Man Ajaza ‘An Taliif By Abu Al Qasim Al Zahrawi
Kitab Al Shamil By Ibn Nafiis
Kitaab al Dhakhiirat by Ismail al jarjani in Persian
E. TRANSFER OF MEDICAL KNOWLEDGE
While Muslim medicine was flourishing
in West Asia, Europe was in the ignorance and decline of its middle ages. There
were three routes of knowledge transfer from the Muslim world to Europe: through Italy,
through Andalusia, and by the crusaders. Constatine Africanus (d. 1087 CE) translated the most important
medical books from Arabic into Latin. This gave new life to the Salerno (Italy)
school of medicine. After him more books were translated. Many medical texts that had been lost in Europe
were rediscovered thanks to the translations made by Muslims. Books by Hunain Ibn Ishaaq, al Razi, Al Zahrawi, Ibn Sina, and
Ibn Zuhr were translated into Latin and were used in Europe as texts for many years. Europeans came
to study at Muslim institutions in Andalusia and took back the knowledge to Europe.
Crusaders in the Near East found themselves in a more advanced Muslim civilization and took back many
ideas with them to Europe.
Go to Part II