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古埃及的泌尿学与科学方法

Urology and the scientific method in ancient Egypt.

作者信息

Gordetsky Jennifer, O'Brien Jeanne

机构信息

Department of Urology, University of Rochester Medical Center, Rochester, New York 14642-8656, USA.

出版信息

Urology. 2009 Mar;73(3):476-9. doi: 10.1016/j.urology.2008.09.045. Epub 2008 Nov 20.

Abstract

OBJECTIVES

To examine the practice of urology in ancient Egypt using various sources, including the Edwin Smith and Ebers Papyri. The sources of knowledge of ancient Egyptian medicine include medical papyri, paleopathology, art, and hieroglyphic carvings.

METHODS

A brief overview of the medical system in ancient Egypt was completed, in addition to an examination of the training and specialization of the physician in the ancient world. Urologic diseases treated in ancient Egypt and some of the first documented urologic surgeries are presented. Finally, we studied the role of the physician-priest and the intertwined use of religion and magic in ancient Egyptian medicine.

RESULTS

The same medical conditions urologists treat in the office today were methodically documented thousands of years ago. Medical papyri show evidence that the ancient Egyptians practiced medicine using a scientific method based on the clinical observation of disease. This has been exemplified by the Edwin Smith Surgical Papyrus, a collection of surgical cases that gives a diagnosis, treatment, and prognosis for each ailment, and the discovery of medical specialization in ancient Egypt, giving us perhaps the world's first urologists. Intertwined with the scientific method was also the rich mysticism and religion of ancient Egypt, which were integral components of the healing process.

CONCLUSIONS

We present an overview of the practice of urology in ancient Egypt, in terms of both pharmacologic and surgical intervention, as well as with a look into the religion of medicine practiced at that time.

摘要

目的

利用各种资料,包括《埃德温·史密斯纸草书》和《埃伯斯纸草书》,研究古埃及的泌尿外科学实践。古埃及医学的知识来源包括医学纸草书、古病理学、艺术和象形文字雕刻。

方法

除了考察古代世界医生的培训和专业化情况外,还对古埃及的医疗体系进行了简要概述。介绍了古埃及治疗的泌尿系统疾病以及一些最早有文献记载的泌尿外科手术。最后,我们研究了医生兼牧师的角色以及宗教和魔法在古埃及医学中的交织运用。

结果

如今泌尿科医生在诊室治疗的相同病症,在数千年前就有系统的记载。医学纸草书表明,古埃及人采用基于对疾病临床观察的科学方法行医。这一点在《埃德温·史密斯外科纸草书》中得到了体现,该书收集了一系列外科病例,对每种病症都给出了诊断、治疗和预后情况,同时还发现了古埃及的医学专业化,这或许让我们看到了世界上最早的泌尿科医生。与科学方法交织在一起的,还有古埃及丰富的神秘主义和宗教,它们是治疗过程中不可或缺的组成部分。

结论

我们从药理和外科干预方面,以及对当时所施行的医学宗教的探究,对古埃及的泌尿外科学实践进行了概述。

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