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阿维森纳《医典》中的肛肠疾病

ANORECTAL DISEASES IN AVICENNA'S "CANON OF MEDICINE".

作者信息

Mosavat Seyed Hamdollah, Ghahramani Leila, Haghighi Ehsan Rahmanian, Chaijan Mahsa Rostami, Hashempur Mohammad Hashem, Heydari Mojtaba

出版信息

Acta Med Hist Adriat. 2015;13 Suppl 2:103-14.

Abstract

Although the development of modern medicine has helped us detect and treat diseases better than in the past, especially in the field of surgery; the history of medicine may be a trigger that can help us use neglected aspects of prior knowledge for the advancement of modern-day science. Since historical papers that have specifically focused on anorectal diseases are rare, but those that exist contain brief discussions in this field, the current study aims to present a detailed review of Avicenna's approach to anorectal diseases. Therefore, we reviewed On the Diseases of the Anus, the 17th chapter of the third volume of the Canon of Medicine written by Avicenna, and compared his views on the classification and diagnosis of, and the approach to anorectal diseases with that of modern proctology. Avicenna discussed in detail about anorectal diseases such as hemorrhoid, fissure, perianal abscess and fistula, rectal prolapse, fecal incontinence, and pruritus ani. In addition, we introduce herbs which Avicenna used to treat these diseases. Our findings show that Avicenna's views on the classification and diagnosis of, and the approach to anorectal diseases have few fundamental differences with modern medicine. In addition, the pharmacological effects of some of the herbs that were recommended by Avicenna, and are used in current medicine are proven. Thus the Medieval knowledge can be further scientifically investigated to develop new therapeutic options for anorectal diseases.

摘要

尽管现代医学的发展已帮助我们比过去能更好地检测和治疗疾病,尤其是在外科领域;但医学史可能是一个触发因素,能帮助我们利用既往知识中被忽视的方面来推动现代科学的进步。由于专门聚焦于肛肠疾病的历史文献很少,而现存的那些文献在该领域只有简短讨论,因此本研究旨在详细回顾阿维森纳对肛肠疾病的论述。所以,我们查阅了阿维森纳所著《医典》第三卷第17章“论肛门疾病”,并将他对肛肠疾病的分类、诊断及治疗方法的观点与现代直肠病学的观点进行了比较。阿维森纳详细讨论了诸如痔疮、肛裂、肛周脓肿和肛瘘、直肠脱垂、大便失禁以及肛门瘙痒等肛肠疾病。此外,我们还介绍了阿维森纳用于治疗这些疾病的草药。我们的研究结果表明,阿维森纳对肛肠疾病的分类、诊断及治疗方法的观点与现代医学并无根本性差异。此外,阿维森纳推荐的一些草药在现代医学中仍在使用,其药理作用已得到证实。因此,中世纪时期的知识可作进一步科学研究,以开发针对肛肠疾病的新治疗方案。

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