The medicine of the

ancient Egypt Ancient Egypt () was a cradle of civilization concentrated along the lower reaches of the Nile River in Northeast Africa. It emerged from prehistoric Egypt around 3150BC (according to conventional Egyptian chronology), when Upper and Lower E ...

ians is some of the oldest documented. From the beginnings of the civilization in the late fourth millennium BC until the Persian invasion of 525 BC, Egyptian medical practice went largely unchanged and included simple non-invasive

surgery Surgery is a medical specialty that uses manual and instrumental techniques to diagnose or treat pathological conditions (e.g., trauma, disease, injury, malignancy), to alter bodily functions (e.g., malabsorption created by bariatric surgery s ...

, setting of

bone A bone is a rigid organ that constitutes part of the skeleton in most vertebrate animals. Bones protect the various other organs of the body, produce red and white blood cells, store minerals, provide structure and support for the body, ...

dentistry Dentistry, also known as dental medicine and oral medicine, is the branch of medicine focused on the Human tooth, teeth, gums, and Human mouth, mouth. It consists of the study, diagnosis, prevention, management, and treatment of diseases, dis ...

, and an extensive set of

pharmacopoeia A pharmacopoeia, pharmacopeia, or pharmacopoea (or the typographically obsolete rendering, ''pharmacopœia''), meaning "drug-making", in its modern technical sense, is a reference work containing directions for the identification of compound med ...

. Egyptian medical thought influenced later traditions, including the

Greeks Greeks or Hellenes (; , ) are an ethnic group and nation native to Greece, Greek Cypriots, Cyprus, Greeks in Albania, southern Albania, Greeks in Turkey#History, Anatolia, parts of Greeks in Italy, Italy and Egyptian Greeks, Egypt, and to a l ...

History

Sources of information

Until the 19th century, the main sources of information about ancient Egyptian medicine were writings from later in antiquity. The Greek historian

Herodotus Herodotus (; BC) was a Greek historian and geographer from the Greek city of Halicarnassus (now Bodrum, Turkey), under Persian control in the 5th century BC, and a later citizen of Thurii in modern Calabria, Italy. He wrote the '' Histori ...

visited Egypt around 440 BC and wrote extensively of his observations of their medicinal practice.

Pliny the Elder Gaius Plinius Secundus (AD 23/24 79), known in English as Pliny the Elder ( ), was a Roman Empire, Roman author, Natural history, naturalist, and naval and army commander of the early Roman Empire, and a friend of the Roman emperor, emperor Vesp ...

also wrote favorably of them in historical review.

Hippocrates Hippocrates of Kos (; ; ), also known as Hippocrates II, was a Greek physician and philosopher of the Classical Greece, classical period who is considered one of the most outstanding figures in the history of medicine. He is traditionally referr ...

(the "father of medicine"), Herophilos,

Erasistratus Erasistratus (; ; c. 304 – c. 250 BC) was a Greek anatomist and royal physician under Seleucus I Nicator of Syria. Along with fellow physician Herophilus, he founded a school of anatomy in Alexandria, where they carried out anatomical research ...

and later

Galen Aelius Galenus or Claudius Galenus (; September 129 – AD), often Anglicization, anglicized as Galen () or Galen of Pergamon, was a Ancient Rome, Roman and Greeks, Greek physician, surgeon, and Philosophy, philosopher. Considered to be one o ...

studied at the temple of Amenhotep, and acknowledged the contribution of ancient Egyptian medicine to Greek medicine. The

decipherment of ancient Egyptian scripts The writing systems used in ancient Egypt were decipherment, deciphered in the early nineteenth century through the work of several European scholars, especially Jean-François Champollion and Thomas Young (scientist), Thomas Young. Ancient Egy ...

in the early 19th century allowed the translation of ancient Egyptian inscriptions and papyri, including many related to medical matters (

Egyptian medical papyri Egyptian medical papyri are ancient Egyptian texts written on papyrus which permit a glimpse at medical procedures and practices in ancient Egypt. These papyri give details on disease, diagnosis, and remedies of disease, which include herbal rem ...

). The resultant interest in

Egyptology Egyptology (from ''Egypt'' and Ancient Greek, Greek , ''wiktionary:-logia, -logia''; ) is the scientific study of ancient Egypt. The topics studied include ancient Egyptian History of Egypt, history, Egyptian language, language, Ancient Egypt ...

in the 19th century led to the discovery of several sets of extensive ancient medical documents, including the

Ebers papyrus The Ebers Papyrus, also known as Papyrus Ebers, is an Egyptian medical papyrus of herbal knowledge dating to (the late Second Intermediate Period or early New Kingdom). Among the oldest and most important medical papyri of Ancient Egypt, it ...

, the

Edwin Smith Papyrus The Edwin Smith Papyrus is an ancient Egyptian medical manual, medical text, named after Edwin Smith (Egyptologist), Edwin Smith who bought it in 1862, and the oldest known surgical treatise on trauma (medicine), trauma. This document, which ma ...

, the Hearst Papyrus, the

London Medical Papyrus The London Medical Papyrus is an ancient Egyptian papyrus in the British Museum, London. The writings of this papyrus are of 61 recipes, of which 25 are classified as medical while the remainder are of magic. The medical subjects of the writing ...

and others dating back as far as 2900 BC. The

is a textbook on surgery and details

anatomical Anatomy () is the branch of morphology concerned with the study of the internal structure of organisms and their parts. Anatomy is a branch of natural science that deals with the structural organization of living things. It is an old scien ...

observations and the "examination, diagnosis, treatment, and prognosis" of numerous ailments. It was probably written around 1600 BC, but is regarded as a copy of several earlier texts. Medical information in it dates from as early as 3000 BC. It is thus viewed as a learning manual. Treatments consisted of ointments made from animal, vegetable or fruit substances or minerals. There is evidence of oral surgery being performed as early as the 4th Dynasty (2900–2750 BC). The

(c. 1550 BC) includes 877 prescriptions – as categorized by a modern editor – for a variety of ailments and illnesses, some of them involving magical remedies, for Egyptian beliefs regarding magic and medicine were often intertwined. It also contains documentation revealing awareness of

tumor A neoplasm () is a type of abnormal and excessive growth of tissue. The process that occurs to form or produce a neoplasm is called neoplasia. The growth of a neoplasm is uncoordinated with that of the normal surrounding tissue, and persists ...

s, along with instructions on tumor removal. The

Kahun Gynaecological Papyrus The Kahun Gynaecological Papyrus (also Petrie Medical Papyrus, Kahun Medical Papyrus, Lahun Medical Papyrus, or UC32057) is the oldest known medical text in Egyptian history, dated to 1825 BCE, during the Twelfth Dynasty. The Papyrus addresses ...

treats women's complaints, including problems with conception. Thirty four cases detailing diagnosis and treatment survive, some of them fragmentarily. Dating to 1800 BC, it is the oldest surviving medical text of any kind. Other documents such as the Hearst papyrus (1450 BC), and Berlin Papyrus (1200 BC) also provide valuable insight into ancient Egyptian medicine. Other information comes from the images that often adorn the walls of Egyptian tombs and the translation of the accompanying inscriptions. Advances in modern medical technology also contributed to the understanding of ancient Egyptian medicine. Paleopathologists were able to use

X-ray An X-ray (also known in many languages as Röntgen radiation) is a form of high-energy electromagnetic radiation with a wavelength shorter than those of ultraviolet rays and longer than those of gamma rays. Roughly, X-rays have a wavelength ran ...

s and later CAT Scans to view the bones and organs of mummies.

Electron microscope An electron microscope is a microscope that uses a beam of electrons as a source of illumination. It uses electron optics that are analogous to the glass lenses of an optical light microscope to control the electron beam, for instance focusing it ...

mass spectrometry Mass spectrometry (MS) is an analytical technique that is used to measure the mass-to-charge ratio of ions. The results are presented as a ''mass spectrum'', a plot of intensity as a function of the mass-to-charge ratio. Mass spectrometry is used ...

and various forensic techniques allowed scientists unique glimpses of the state of health in Egypt 4000 years ago.

Pioneers in Medical Knowledge

Warren R. Dawson, a noted medical historian, emphasized that Egypt possesses the earliest known medical texts, experimental surgeries, and medical terminology. According to Dawson, Egyptians were the first to make substantial contributions to the advancement of medicine, with medical practices dating back over five thousand years. This timeline is unsurprising, given the Egyptians' advanced knowledge in mathematics, engineering, and architecture, evidenced by their monumental structures such as the pyramids. Moreover, the ancient historian Herodotus wrote that influential rulers like

Cyrus Cyrus () is a Persian-language masculine given name. It is historically best known as the name of several List of monarchs of Iran, Persian kings, most notably including Cyrus the Great, who founded the Achaemenid Empire in 550 BC. It remains wid ...

and Darius employed Egyptian physicians, indicating the high esteem in which Egyptian medical practitioners were held. These physicians documented their treatments, allowing their knowledge to be passed down through generations, and it has been found that many of their ancient methods align with practices in modern medicine.

Nutrition

The ancient Egyptians were at least partially aware of the importance of diet, both in balance and moderation. Owing to Egypt's great endowment of fertile land, food production was never a major issue, although, no matter how bountiful the land, paupers and starvation still exist. The main crops for most of ancient Egyptian history were emmer wheat and barley. Consumed in the form of loaves which were produced in a variety of types through baking and fermentation, with yeast greatly enriching the nutritional value of the product, one farmer's crop could support an estimated twenty adults. Barley was also used in beer. Vegetables and fruits of many types were widely grown. Oil was produced from the linseed plant and there was a limited selection of spices and herbs. Meat (sheep, goats, pigs, wild game) was regularly available to at least the upper classes and fish were widely consumed, although there is evidence of prohibitions during certain periods against certain types of animal products; Herodotus wrote of the pig as being 'unclean'. Offerings to King Unas (c. 2494–2345 BC) were recorded as "...milk, three kinds of beer, five kinds of wine, ten loaves, four of bread, ten of cakes, four meats, different cuts, joints, roast, spleen, limb, breast, quail, goose, pigeon, figs, ten other fruits, three kinds of corn, barley, spelt, five kinds of oil, and fresh plants..." It is clear that the Egyptian diet was not lacking for the upper classes and that even the lower classes may have had some selection (Nunn, 2002).

Pharmacology

Like many civilizations in the past, the ancient Egyptians amply discovered the medicinal properties of plant life around them. The

contains many recipes to help heal different ailments. One short section of the papyrus lays out five recipes: one dealing with problems women may have had, three on techniques for refining the complexion, and the fifth recipe for ailments of the colon. The ancient Egyptians were known to use honey as medicine, and the juices of pomegranates served as both an astringent and a delicacy. In the Ebers Papyrus, there are over 800 remedies; some were topical-like ointments and wrappings, others were oral

medication Medication (also called medicament, medicine, pharmaceutical drug, medicinal product, medicinal drug or simply drug) is a drug used to medical diagnosis, diagnose, cure, treat, or preventive medicine, prevent disease. Drug therapy (pharmaco ...

such as pills and mouth rinses; still others were taken through inhalation. The recipes to cure constipation consisted of berries from the castor oil tree, Male Palm, and Gengent beans, just to name a few. One recipe that was to help headaches called for "inner-of-onion, fruit-of-the-am-tree, natron, setseft-seeds, bone-of-the-sword-fish, cooked, redfish, cooked, skull-of-crayfish, cooked, honey, and abra-ointment." Some of the recommended treatments made use of cannabis and incense. "Egyptian medicinal use of plants in antiquity is known to be extensive, with some 160 distinct plant products..." Amidst the many plant extracts and fruits, the Egyptians also used animal feces and even some metals as treatments. These prescriptions of antiquity were measured out by volume, not weight, which makes their prescription-making craft more like cooking than what pharmacists do today. While their treatments and herbal remedies seem almost boundless, they still included incantations along with some therapeutic remedies. Egyptian drug therapy is considered ineffective by today's standards according to Michael D. Parkins, who says that 28% of 260 medical prescriptions in the Hearst Papyrus had ingredients which can be perceived "to have had activity towards the condition being treated" and another third supplied to any given disorder would produce a purgative effect on the gastrointestinal system.

Practices

Egyptians had some knowledge of human

anatomy Anatomy () is the branch of morphology concerned with the study of the internal structure of organisms and their parts. Anatomy is a branch of natural science that deals with the structural organization of living things. It is an old scien ...

. For example, in the classic

mummification A mummy is a dead human or an animal whose soft tissues and organs have been preserved by either intentional or accidental exposure to chemicals, extreme cold, very low humidity, or lack of air, so that the recovered body does not decay furt ...

process, mummifiers knew how to insert a long hooked implement through a nostril, breaking the thin bone of the braincase and removing the

brain The brain is an organ (biology), organ that serves as the center of the nervous system in all vertebrate and most invertebrate animals. It consists of nervous tissue and is typically located in the head (cephalization), usually near organs for ...

, but more commonly created a hole in the back of the head so that the brain and other fluids could drain from the foramen magnum. They also had a general idea that inner organs are in the body cavity. They removed the organs through a small incision in the left groin. Whether this knowledge was passed down to the practitioners is unknown; yet it did not seem to have had any impact on their medical theories. Egyptian physicians were aware of the existence of the pulse and its connection to the heart. The author of the Smith Papyrus even had a vague idea of the cardiac system. However, he did not know about blood circulation and deemed it unimportant to distinguish between blood vessels, tendons, and nerves. They developed their theory of "channels" that carried air, water, and blood to the body by analogies with the

River Nile The Nile (also known as the Nile River or River Nile) is a major north-flowing river in northeastern Africa. It flows into the Mediterranean Sea. The Nile is the longest river in Africa. It has historically been considered the longest river i ...

; if it became blocked, crops became unhealthy. They applied this principle to the body: If a person was unwell, they would use

laxatives Laxatives, purgatives, or aperients are substances that loosen human feces, stools and increase defecation, bowel movements. They are used to treat and prevent constipation. Laxatives vary as to how they work and the side effects they may have. ...

to unblock the "channels". The oldest written text mentioning

enema An enema, also known as a clyster, is the rectal administration of a fluid by injection into the Large intestine, lower bowel via the anus.Cullingworth, ''A Manual of Nursing, Medical and Surgical'':155 The word ''enema'' can also refer to the ...

s is the Ebers Papyrus and many medications were administered using enemas. One of the many types of medical specialists was an Iri, the Shepherd of the Anus. Many of their medical practices were effective, such as the surgical procedures given in the Edwin Smith papyrus. Mostly, the physicians' advice for staying healthy was to wash and shave the body, including under the arms, to prevent infections. They also advised patients to look after their diet, and avoid foods such as raw fish or other animals considered to be unclean.

Imhotep: The Healer and God of Medicine

The Egyptians also held spiritual beliefs that influenced their medical practices. They attributed certain ailments to gods, demons, and spirits with supernatural powers, and one of their most revered deities was Imhotep, the god of medicine and healing. Imhotep was known for his extensive knowledge in fields like astronomy, philosophy, architecture, poetry, and medicine. He made significant observations in medical practices, particularly in surgery and natural remedies. Revered as a “Healer of the sick,” he gained a reputation for his compassionate care toward the ill, and at least three temples were built in his honor. These temples are now important archaeological sites that demonstrate Imhotep’s influence on medicine.

Surgery

The oldest metal (Bronze or copper ) surgical tools in the world were discovered in the tomb of Qar. Surgery was a common practice among physicians as treatment for physical injuries. The Egyptian physicians recognized three categories of injuries; treatable, contestable, and untreatable ailments. Treatable ailments the surgeons would quickly set to right. Contestable ailments were those where the victim could presumably survive without treatment, so patients assumed to be in this category were observed and if they survived then surgical attempts could be made to fix the problem with them. They used knives, hooks, drills, forceps, pincers, scales, spoons, saws and a vase with burning incense.

Circumcision Circumcision is a procedure that removes the foreskin from the human penis. In the most common form of the operation, the foreskin is extended with forceps, then a circumcision device may be placed, after which the foreskin is excised. T ...

of males was the normal practice, as stated by Herodotus in his '' Histories''. Though its performance as a procedure was rarely mentioned, the uncircumcised nature of other cultures was frequently noted, the uncircumcised nature of the

Libya Libya, officially the State of Libya, is a country in the Maghreb region of North Africa. It borders the Mediterranean Sea to the north, Egypt to Egypt–Libya border, the east, Sudan to Libya–Sudan border, the southeast, Chad to Chad–L ...

ns was frequently referenced and military campaigns brought back uncircumcised phalli as trophies, which suggests novelty. However, other records describe initiates into the religious orders as involving circumcision which would imply that the practice was special and not widespread. The only known depiction of the procedure, in The Tomb of the Physician, burial place of Ankh-Mahor at Saqqara, shows adolescents or adults, not babies. Female circumcision may have been practiced, although the single reference to it in ancient texts may be a mistranslation. Prosthetics, such as artificial toes and eyeballs, were also used; typically, they served little more than decorative purposes. In preparation for burial, missing body parts would be replaced; however, these do not appear as if they would have been useful, or even attachable, before death. The extensive use of surgery, mummification practices, and autopsy as a religious exercise gave Egyptians a vast knowledge of the body's morphology, and even a considerable understanding of organ functions. The function of most major organs was correctly presumed—for example, blood was correctly guessed to be a transpiration medium for vitality and waste which is not too far from its actual role in carrying oxygen and removing carbon dioxide—with the exception of the heart and brain whose functions were switched.

Dentistry

Dentistry as an independent profession dated from the early 3rd millennium BC, although it may never have been prominent. The Egyptian diet was high in abrasives from sand left over from grinding grain and bits of rocks in which the way bread was prepared, and so the condition of their teeth was poor. Archaeologists have noted a steady decrease in severity and incidence of worn teeth throughout 4000 BC to 1000 AD, probably due to improved grain grinding techniques. All Egyptian remains have sets of teeth in quite poor states. Dental disease could even be fatal, such as for Djedmaatesankh, a musician from Thebes, who died around the age of thirty five from extensive dental disease and a large infected cyst. If an individual's teeth escaped being worn down, cavities were rare, due to the rarity of sweeteners. Dental treatment was ineffective and the best sufferers could hope for was the quick loss of an infected tooth. The Instruction of Ankhsheshonq contains the maxim "There is no tooth that rots yet stays in place". No records document the hastening of this process and no tools suited for the extraction of teeth have been found, though some remains show sign of forced tooth removal. Replacement teeth have been found, although it is not clear whether they are just post-mortem cosmetics. Extreme pain might have been medicated with

opium Opium (also known as poppy tears, or Lachryma papaveris) is the dried latex obtained from the seed Capsule (fruit), capsules of the opium poppy ''Papaver somniferum''. Approximately 12 percent of opium is made up of the analgesic alkaloid mor ...

Doctors and other healers

The ancient

Egyptian ''Egyptian'' describes something of, from, or related to Egypt. Egyptian or Egyptians may refer to: Nations and ethnic groups * Egyptians, a national group in North Africa ** Egyptian culture, a complex and stable culture with thousands of year ...

word for doctor is "swnw". This title has a long history. The earliest recorded physician in the world, Hesy-Ra, practiced in

. He was "Chief of Dentists and Physicians" to King

Djoser Djoser (also read as Djeser and Zoser) was an ancient Egyptian pharaoh of the 3rd Dynasty during the Old Kingdom, and was the founder of that epoch. He is also known by his Hellenized names Tosorthros (from Manetho) and Sesorthos (from Euse ...

, who ruled in the 27th century BC. The lady Peseshet (2400 BC) may be the first recorded female doctor: she was possibly the mother of Akhethotep, and on a stela dedicated to her in his tomb she is referred to as ''imy-r swnwt'', which has been translated as "Lady Overseer of the Lady Physicians" (''swnwt'' is the feminine of ''swnw''). There were many ranks and specializations in the field of medicine. Royalty employed their own ''swnw'', even their own specialists. There were inspectors of doctors, overseers and chief doctors. Known ancient Egyptian specialists are

ophthalmologist Ophthalmology (, ) is the branch of medicine that deals with the diagnosis, treatment, and surgery of eye diseases and disorders. An ophthalmologist is a physician who undergoes subspecialty training in medical and surgical eye care. Following a ...

, gastroenterologist, proctologist,

dentist A dentist, also known as a dental doctor, dental physician, dental surgeon, is a health care professional who specializes in dentistry, the branch of medicine focused on the teeth, gums, and mouth. The dentist's supporting team aids in provi ...

, "doctor who supervises

butcher A butcher is a person who may Animal slaughter, slaughter animals, dress their flesh, sell their meat, or participate within any combination of these three tasks. They may prepare standard cuts of meat and poultry for sale in retail or wholesale ...

s" and an unspecified "inspector of liquids". The ancient Egyptian term for proctologist, ''neru phuyt'', literally translates as "shepherd of the anus". The latter title is already attested around 2200 BC by Irynachet. Institutions, called (Per Ankh) or ''Houses of Life'', are known to have been established in ancient Egypt since the 1st Dynasty and may have had medical functions, being at times associated in inscriptions with physicians, such as Peftauawyneit and Wedjahorresnet living in the middle of the 1st millennium BC. By the time of the 19th Dynasty their employees enjoyed such benefits as

medical insurance Health insurance or medical insurance (also known as medical aid in South Africa) is a type of insurance that covers the whole or a part of the risk of a person incurring medical expenses. As with other types of insurance, risk is shared among m ...

pensions A pension (; ) is a fund into which amounts are paid regularly during an individual's working career, and from which periodic payments are made to support the person's retirement from work. A pension may be either a "defined benefit plan", wher ...

and

sick leave Sick leave (or paid sick days or sick pay) is paid time off from work that workers can use to stay home to address their health needs without losing pay. It differs from paid vacation time or time off work to deal with personal matters, because ...

Table of ancient Egyptian physicians

Table of ancient Egyptian medical papyri

References

External links

– Transcript from ''History of Science'' by George Sarton
Ancient Egyptian Medicine – Aldokkan

* ttps://books.google.com/books?id=qeApebusL_0C&q=PtahHotep Texts from the Pyramid Age by Nigel C. Strudwick, Ronald J. Leprohon, 2005, Brill Academic Publishers
Ancient Egyptian Science: A Source Book by Marshall Clagett, 1989
*
Site sur la médecine et la chirurgie dans l'Antiquité Egyptienne.
*
Ancient medicine website
{{DEFAULTSORT:Ancient Egyptian Medicine

Medicine Medicine is the science and Praxis (process), practice of caring for patients, managing the Medical diagnosis, diagnosis, prognosis, Preventive medicine, prevention, therapy, treatment, Palliative care, palliation of their injury or disease, ...

Egypt Egypt ( , ), officially the Arab Republic of Egypt, is a country spanning the Northeast Africa, northeast corner of Africa and Western Asia, southwest corner of Asia via the Sinai Peninsula. It is bordered by the Mediterranean Sea to northe ...