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在伊本·纳菲斯诞辰800周年之际——心肺循环的发现者。

On occasion of 800th anniversary of birth of Ibn al-Nafis--discoverer of cardiac and pulmonary circulation.

作者信息

Masic Izet

机构信息

Academy of Medical Sciences, Sarajevo, Bosnia and Herzegovina.

出版信息

Med Arh. 2010;64(5):309-13. doi: 10.5455/medarh.2010.64.309-313.

DOI:10.5455/medarh.2010.64.309-313
PMID:21287961
Abstract

With Ibn Sina great Canon came the "golden age of Arabic medicine", almost to its peak. Since the beginning of XI century, when Ibn Sina died, until the middle of XIII century, when creative was Ibn al-Nafis, medical science continues to develop and progress, and had its brilliant minds. For that time characteristic is the fact that neither the strong authority as Avicenna was could paralyze the progress of medical science. Three hundred years before Paracelsus, in Cairo appears a medical scientist who dares to touch the authority of Ibn Sina-Avicenna in the infallibility of Canon-"Medical Bible". The scholar was called Alauddin Ibn al-Nafis (1210-1288). He, 250 years ago Servet, (Michael Servetus, XVI century) reveals the truly describes the small or pulmonary circulation, but also gives a description of the great forerunner of the bloodstream. In his separate work on the anatomy, Ibn al-Nafis in five places contested arguments of Galen's teachings, which also Ibn Sina was accepted. He very persuasively argues that the blood does not oxidize ("does not mix with air "), passing through some hypothetical pores in the partition between the right half of the heart, in which blood is collected and left half, in which, supposedly is the air, but that this happen when the blood is going from the right ventricle through the pulmonary artery into the lungs, where it is mixed with air and thus "converted" murmurs through the pulmonary vein into the left half of the heart. On occasion of the 800th anniversary of Ibn al-Nafis birth, one of the largest Arab and world doctors of all times we publish this article so that readers get something closer image his creative work, especially the one which relates to his contribution to the discovery of cardiac and pulmonary circulation, revolutionary discoveries in the world of medicine. In the year 1924 a heated debate started regarding the discovery of the pulmonary circulation. This discovery was attributed only to European scholars. It stemmed back to the sixteenth century. When Michael Servetus (1511-1553), Anderea Vesalius (?1514-1654), Nicolai Massa (1485-1569), Realdo Colombo (1520-1654), Valverde De Hamusco (1508-1565), Andera Cesalpino (1519-1603), Fabrici d'Aquapendent (1533-1619) and William Harvey (1578-1657) developed the concept. However, Muhyi-d-din At-Tatawi (1896-1945) presented his thesis "Der Lungenkreislauf nach El-Korachi. Dissert, z.eil. d. Doktorwrde, Freiburg im Brisgau 1924" of the blood circulation according to al Qurashi relaying on his discovery of his description of pulmonary circulation in one of ancient manuscripts, He proposed that the real credit for the discovery of the pulmonary circulation belongs this eminent physician of the thirteenth century: Ibn al-Nafis. Later another doctor Abdul Kareem Chihade (1922- ) presented another dissertation in Paris 1951 entitled" decouverte de la circulatio pulmonaire chez Ibn an-Nafis". Published by Institut Francais De Damas 1955. Other prominent professors like: Paul Galiounji and Salman Qatayyah researched extensively in his manuscripts and produced very important monographs. The general consensus is that Ibn al-Nafis' work exerted great influence on the development of medical science, both in the Islamic world and Europe. A closer look on Ibn al-Nafis contribution would indicate that he also described the coronary circulation, the cranial nerves the gall bladder anatomy and many new aspect of ophthalmology. He advocated as well therapy through nutrition. His work integrated the medical knowledge with great clarity and emphasized precision.

摘要

随着伊本·西那的《医典》问世,迎来了“阿拉伯医学的黄金时代”,几乎达到了顶峰。从11世纪初伊本·西那去世,到13世纪中叶伊本·纳菲斯崭露头角,医学科学持续发展进步,涌现出众多杰出人物。那个时代的特点是,像阿维森纳那样强大的权威也无法阻碍医学科学的进步。在帕拉塞尔苏斯之前三百年,开罗出现了一位医学科学家,他敢于质疑伊本·西那(阿维森纳)在《医典》——“医学圣经”的绝对正确性方面的权威。这位学者名叫阿拉丁·伊本·纳菲斯(1210 - 1288)。他在250年前,就像塞尔维特(迈克尔·塞尔维特,16世纪)一样,不仅真实地描述了小循环或肺循环,还对血液循环的伟大先驱进行了描述。在他关于解剖学的独立著作中,伊本·纳菲斯在五个地方对盖伦学说的观点提出了质疑,而伊本·西那也接受了这些观点。他极具说服力地论证道,血液并非通过心脏右半部分与左半部分之间隔膜上的一些假想孔隙被氧化(“与空气混合”),右半部分收集血液,左半部分据说是空气所在之处,而是当血液从右心室通过肺动脉进入肺部时,在肺部与空气混合,从而“转化”,通过肺静脉进入心脏左半部分。在伊本·纳菲斯诞辰800周年之际,这位有史以来最伟大的阿拉伯及世界医生之一,我们发表这篇文章,以便读者更近距离地了解他的创造性工作,尤其是他对心脏和肺循环发现的贡献,这是医学领域的革命性发现。1924年,一场关于肺循环发现的激烈辩论展开了。这一发现此前仅归功于欧洲学者。其可追溯到16世纪。当时迈克尔·塞尔维特(1511 - 1553)、安德烈亚斯·维萨里(?1514 - 1564)、尼古拉·马萨(1485 - 1569)、雷亚尔多·科隆博(1520 - 1564)、瓦尔韦德·德·哈姆斯科(1508 - 1565)、安德烈亚·切萨尔皮诺(1519 - 1603)、法布里奇·达·阿夸彭登特(1533 - 1619)和威廉·哈维(1578 - 1657)提出了相关概念。然而,穆希 - 丁·阿特 - 塔塔维(1896 - 1945)发表了他的论文《根据艾尔 - 科拉希的肺循环。论文,为获得博士学位,弗赖堡(布赖斯高)1924》,论述了基于他在一份古代手稿中对肺循环描述的发现而得出的血液循环,他提出肺循环发现的真正功劳应归于这位13世纪的杰出医生:伊本·纳菲斯。后来另一位医生阿卜杜勒·卡里姆·奇哈德(1922 - )于1951年在巴黎发表了另一篇论文,题为《伊本·安 - 纳菲斯发现肺循环》。由法国大马士革研究所于1955年出版。其他杰出教授如保罗·加利翁吉和萨尔曼·卡塔亚对他的手稿进行了广泛研究,并撰写了非常重要的专著。普遍的共识是,伊本·纳菲斯的工作对伊斯兰世界和欧洲的医学科学发展都产生了重大影响。仔细审视伊本·纳菲斯的贡献会发现,他还描述了冠状动脉循环、颅神经、胆囊解剖以及眼科的许多新方面。他也提倡营养疗法。他的著作清晰地整合了医学知识,并强调精确性。

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