Islamic Physicians (1/4)

Medicine in Islam passed through three stages:

I. The first stage is the stage of translation of foreign sources into Arabic. It extended mainly during the seventh and eighth centuries.

II. The second stage is the stage of excellence and genuine contribution in which the Islamic physicians were the leaders and the source of new chapters to medicine. This stage extended during the ninth through the thirteenth centuries.

III. The third stage is the stage of decline where medicine, as well as other branches of science, became stagnant and deteriorated. The stage started mainly after the thirteenth century.

During the first stage, Syrian and Persian scholars did a marvelous job by translating honestly the ancient literature from Greek and Syriac in Arabic. They translated different branches of science including philosophy astrology, and medicine. The works of Hippocrates (460-370 BC), Aristototle (384-322 BC), and Galen (131-210 A.D.) were among those translated From Arabic, the classic Greek literature was translated into Latin, then into Greek because most of the original scripts were lost and the only source was the Arabic translation. If the Arabs did only one thing, namely, preserving the ancient literature and handing it honestly to Europe, that would have been a sufficient contribution in itself. The Moslem rulers encouraged translation, e.g. Khalif Al-Mamun Al-Abbassi paid the translator the weight of his translation in gold (Haddad 1942). Among the eminent physicians who took part in the first stage were Jurjis lbn-Bakhtisliu, his grandson Jibril, Yuhanna Ibn-Masawaya, and Hunain Ibn-Ishak; most of them were Christians, yet they were respected and well treated by the Moslem rulers.

It is said, rightly or wrongly, that the history of a nation is the sum total of the history of a few of its individuals. This is particularly true in the history of medicine during the Arab period. In every stage of its development we find men of outstanding repute, the sum total of whose efforts has constituted this magnificent chapter. It is impossible to give an account of all the important physicians of Islam. We thus are going to discuss some of those who were known to Medieval Europe and whose books affected its thinking and practice for centuries (Table 1), I chose an internist, Al-Razi (Razes); a surgeon, Al-Zahrawi (Abulcasis); the physician-philosopher of Islam, Ibn-Sina (Avicenna); the philosopher-physician of Islam, Ibn-Rushd (Averroes); a pioneer in physiology, Ibn-Al-Nafis; and a Jewish Arab, Ibn- Maimon (Maimonides).

Al-Razi (Razes) 841-926 A.D.

His full name is Abu-Bakr Mohammaed Ibn-Zakaria Al-Razi, known to the Western World as Razes. He was born in Ray, a suburb of Tehran, the capital of modern Persia (Profile of Iran 1977, Sarton 1950). He first studied music which was his main interest in his early life. He was a skillful player on the lute. He then studied philosophy, and later medicine. But he was a better physician than a philosopher.

He first became the Court-Physician of Prince Abu Saleh Al-Mansur, the ruler of Khorosan. Then he moved to Baghdad where he became the Chief Physician of the Baghdad Hospital and the Court-Physician of the Caliph. He had a good basis of physics and chemistry as well as medicine.

He published several books which were translated into Latin, French, Italian, Hebrew, and Greek. One of his main books is "Al-Mansuri" (Liber Al-Mansofis) which he dedicated to his patron Prince Al-Mansur. It was composed of ten treatises and included all aspects of health and disease. He defined medicine as "the art concerned in preserving healthy bodies, in combating disease, and in restoring health to the sick." He thus showed the three aspects of medicine namely, public health, preventive medicine, and treatment of specific diseases.

He listed seven principles for the preservation of health:

1. Moderation and balance in motion and rest.

2. Moderation in eating and drinking.

3. Elimination of superfluities.

4. Improvement and regulation of dwelling places.

5. Avoidance of excessive evil happenings before they become uncontrollable.

6. Maintenance of harmony in ambitions and resolutions.

7. Acquisition of reticence through possession of good habits including exercise.

He also published another book called "Al-Murshid". In it, he emphasized the important lines of therapy that we mentioned earlier. He described the different types of fever including continuous, relapsing, and hectic. He stated that fever can be a symptom of a disease or a disease in itself. He introduced mercury as a therapeutic drug for the first time in history, which was later adopted in Europe. He realized that a man normally does not want to get sick, and he wants to recover as soon as possible. However, if a patient does not have the will or the desire to get well, the physician's hands are tied and cannot help him. He stressed the continued medical education of the physician. He advised him to record his own observations. He encouraged him to meet with other physicians to discuss medical problems. He recommended that the physicians should try solving these problems rather than depending on others for finding solutions.

Another book written by Al-Razi was named "Al-Hawi", which means the complete text. It was composed of 22 volumes. It was one of the main text books in the medical school in Paris, especially its 9th volume on pharmacology. He wrote a treatise on measles and smallpox called "de Peste or de Pestilentia" which was translated to Latin in 1565 A.D. It is a masterpiece in clinical medicine (Browne 1962). It describes the clinical difference between the two diseases so vividly that nothing since has been added (Keys 1971).

(Continued)