Fales Frederick M
Dipartmento di Storia e Tutela Dei Beni Culturali (DIBE), University of Udine, Udine, Italy.
Handb Clin Neurol. 2010;95:15-27. doi: 10.1016/S0072-9752(08)02102-7.
No treatise of ancient Mesopotamian clinical neurology has yet been written, although much groundbreaking work on medical or medically-related texts from this area (modern Iraq) has been performed in recent years. All through Mesopotamian civilization (c. 3000-100 BC), literary and erudite knowledge, recorded on clay tablets in cuneiform script, thrived; within the scholarly collections of medical texts, signs and symptoms of many afflictions were referred back to external agents entering in contact with the patient's body, albeit invisibly. This external etiological sphere pertained to the supernatural, although the Mesopotamians viewed it as a constituent part of reality. A similar deterministic approach may be traced in the earliest layers of Greek medicine, but it was repudiated by Hippocratic medical thought. The 40-tablet series of sakikkū ("Symptoms") shows a vast number of entries on neurological symptoms and syndromes pertaining to: headache, motor and sensory impairments, coma, seizure and epilepsy, cranial trauma, spinal cord trauma, brain tumors and abscesses, strokes, pediatric neurology, basal ganglia disorders, (perhaps) Gilles de la Tourette syndrome, rabies, tetanus, and cerebral malaria. Recurring sets of supernatural agents are behind these afflictions: possibly they had become, over time, mere "labels" for a technical pinpointing of the disorders themselves.
尽管近年来在古代美索不达米亚地区(现代伊拉克)的医学或医学相关文本方面已经开展了许多开创性的工作,但尚未有关于古代美索不达米亚临床神经学的论著问世。在整个美索不达米亚文明(约公元前3000年 - 公元前100年)期间,用楔形文字记录在泥板上的文学和学术知识蓬勃发展;在医学文本的学术汇编中,许多疾病的体征和症状都被归因于与患者身体接触的外部因素,尽管这些因素是无形的。这个外部病因领域属于超自然范畴,尽管美索不达米亚人将其视为现实的一个组成部分。在希腊医学的最早层面也可以追溯到类似的决定论方法,但它被希波克拉底医学思想所摒弃。40片的《萨基库》(“症状”)系列展示了大量关于神经症状和综合征的条目,涉及:头痛、运动和感觉障碍、昏迷、癫痫发作和癫痫、颅脑创伤、脊髓创伤、脑肿瘤和脓肿、中风、儿科神经学、基底神经节疾病、(可能)抽动秽语综合征、狂犬病、破伤风和脑型疟疾。这些疾病背后反复出现超自然因素:随着时间的推移,它们可能仅仅成为了精确描述这些疾病本身的“标签”。