Education. James J. Walsh
in man that brings about inventions, but a change in his environment which causes new necessities to arise, and then he proceeds with an ability always the same to respond properly to those necessities.
Eudemus says: “Geometry is said by many to have been invented among the Egyptians, its origin being due to the measurement of plots of land. This was necessary there because of the rising of the Nile, which obliterated the boundaries appertaining to separate owners. Nor is it marvellous that the discovery of this and other sciences should have arisen from such an occasion, since everything which moves in development will advance from the imperfect to the perfect. From mere sense-perception to calculation, and from this to reasoning, is a natural transition.”
The old Egyptians made some fine developments of arithmetic. These were afterwards lost and were reinvented probably several times. I have already quoted from Cantor the opinion that the Egyptians were familiar with the properties of the right triangle whose sides were in the ratio 3:4:5 over 4,000 years ago. In the Papyrus of Ahmes, whose contents probably come from before 2400 B.C., there are the solutions of many problems which show how far the Egyptians had gone in arithmetical calculations. For instance, there are methods of calculating the solid contents of barns. The solutions are not absolute but are very closely approximate. Ahmes has problems that were solved in connection with the pyramids, which make it very clear that the old Egyptians had more than a little knowledge of the principles of proportion, of certain geometrical figures and probably were familiar also with the simpler phases at least of trigonometry. The area of a circle is found in Ahmes by deducting from the diameter one-ninth and squaring the remainder, which gives a value for the ratio of the circumference to the diameter of a circle much more nearly correct than that used by most writers until comparatively recent times.
As a teacher of the history of medicine with certain administrative functions in a medical school, I have been very much interested in the old-time medicine and above all the details of medical education that we find among the Egyptians. Ordinarily it would be assumed that there was so little of anything like medical education that it could be scarcely worth while talking about it. On the contrary, we find so much that is being constantly added to by discoverers, that it is a never-ending source of surprise. There is a well-grounded tradition founded on inscriptions that Athothis, the son of Menes, one of the early kings, wrote a work on anatomy. This king is said to have died about 4150 B.C. There are traces of the existence of hospitals at that time in which diseases were studied and medical attendants trained. Even earlier than this there was a great physician, the first physician of whom we have record in history, whose name was I-Em-Hetep, which means “the Bringer of Peace.” He had two other titles, one of which was “the Master of Secrets,” partly because he possessed the secrets of health and disease, very probably also because so many things had to be confided to him as a physician. Another of his titles was that of “The Scribe of Numbers,” in reference, doubtless, to the fact that he had to use numbers so carefully in making out his prescriptions.
His first title, that of the bringer of peace, shows that very early in the history of medicine it was recognized that the physician’s first duty was to bring peace of mind to his patients. A distinguished French physician (Director) of the department of physiology of the University of Paris, Professor Richet, said not long since, that physicians can seldom cure, they can often relieve, but they can always console, and evidently this oldest physician took his duty of consolation seriously and successfully. He lived in the reign of King Tehser, a monarch of the Third Dynasty in Egypt, who reigned about 4500 B.C. or a little later. How much this first physician was thought of will be best appreciated from the fact that the well-known step pyramid at Sakkara, the old cemetery near Memphis, is called by his name. So great indeed was the honor paid to him that after his death he was worshipped as a god, and so we have statues of him seated with a scroll on his knees, with an air of benignant knowledge, a placid-looking man with a certain divine expression of sympathy well suited to his name, the bringer of peace. While they raised him to their altars he does not wear a beard as did all their gods and their kings when they were raised to the godly dignity, but evidently they felt that his humanity was of supreme interest to them.
There is another monument at Sakkara that is of special interest to us in its consideration of old-time medicine. I discussed it and its inscriptions in the Journal of the American Medical Association (Nov. 8, 1907). It is the tomb of a surgeon, decorated within with pictures of surgical operations. The grandeur of the tomb and its location show us that the surgeon must have held a very prominent place in the community of that time. The date of this tomb is not later than 2500 B.C. Certain of the surgical operations resembled those done at the present time. There is the opening of a carbuncle at the back of the neck which shows how old are men’s diseases and the modes of their treatment. After this the oldest monument in the history of medicine is documentary, the Ebers Papyrus, the writing of which is probably not much later than 1700 B.C. This consists, moreover, of a collection of older texts and suggestions in medicine, and some of the idioms are said to belong to several distant periods. It is probable that certain portions of this papyrus were composed not much later than the oldest book in the world, and that they date from nearly 3000 B.C. This papyrus is as interesting and as startling in its anticipation of some of our modern medical wisdom as is the Instruction of Ptah Hotep in the practical wisdom of life. This seems a good deal to say, but there is ample evidence for it.
According to Dr. Carl von Klein, who discussed the “Medical Features of the Ebers Papyrus” in some detail in the Journal of the American Medical Association about five years ago, over 700 different substances are mentioned as of remedial value in this old-time medical work. There is scarcely a disease of any important organ with which we are familiar in the modern time that is not mentioned here. While the significance of diseases of such organs as the spleen, the ductless glands, and the appendix was of course missed, nearly every other pathological condition was either expressly named or at least hinted at. The papyrus insists very much on the value of history-taking in medicine, and hints that the reason why physicians fail to cure is often because they have not studied their cases sufficiently. While the treatment was mainly symptomatic, it was not more so than is a great deal of therapeutics at the present time, even in the regular school of medicine. The number and variety of their remedies and of their modes of administering them is so marvellous, that I prefer to quote Dr. von Klein’s enumeration of them for you:
“In this papyrus are mentioned over 700 different substances from the animal, vegetable and mineral kingdoms which act as stimulants, sedatives, motor excitants, motor depressants, narcotics, hypnotics, analgesics, anodynes, antispasmodics, mydriatics, myotics, expectorants, tonics, dentifrices, sialogogues, antisialics, refrigerants, emetics, antiemetics, carminatives, cathartics, purgatives, astringents, cholagogues, anthelmintics, restoratives, haematics, alteratives, antipyretics, antiphlogistics, antiperiodics, diuretics, diluents, diaphoretics, sudorifics, anhydrotics, emmenagogues, oxytocics, ecbolics, galactagogues, irritants, escharotics, caustics, styptics, haemostatics, emollients, demulcents, protectives, antizymotics, disinfectants, deodorants, parasiticides, antidotes and antagonists.”
Scarcely less interesting than the variety of remedies were their methods of administration:
“Medicines are directed to be administered internally in the form of decoctions, infusions, injections, pills, tablets, troches, capsules, powders, potions and inhalations; and externally, as lotions, ointments, plasters, etc. They are to be eaten, drunk, masticated or swallowed, to be taken often once only—often for many days—and the time is occasionally designated—to be taken mornings, evenings or at bedtime. Formulas to disguise bad tasting medicaments are also given.” We have no advantages over the early Egyptians even in elegant prescribing.
The traditions with regard to Egyptian medicine which came to the Greeks seemed so incredible as we found them in the older historians that they used to be joked about. Herodotus came in for a good deal of this scoffing. He was said to be entirely too credulous and prone to exaggerate in order to add interest to his history, but every advance in our knowledge in modern time has confirmed what Herodotus has to say. In the eighteenth century Voltaire said of him, “The Father of history, nay, rather the Father of lies.” That was Voltaire’s way. Anything that was above him he scoffed at. Homer was a wandering minstrel such as you might find in the streets of Paris, Dante was a mediaeval barbarian,