Department of Medicine and Surgery, University of Parma, Parma, Italy,
Eur Neurol. 2019;82(4-6):124-128. doi: 10.1159/000504572. Epub 2019 Nov 21.
The relationship between physical activity, sports and headache is a topic of growing interest as testified by a variety of recently published papers. This correlation dates back to the Classical Age. The aim of this study is to understand how the concept of headache of vascular origin has evolved after the publication of the book De motu cordis by William Harvey (1578-1657). We analyzed and compared the books De arte gymnastica written by Girolamo Mercuriale (1601 edition) and De Morbis Artificum Diatriba written by Bernardino Ramazzini (1713 edition) focusing our attention on headache in the sportsman. By studying the De morbis artificum diatriba, it is clear that its description of the etiopathogenesis of exercise headache of cardiovascular origin is much more complete and precise than the one provided in De arte gymnastica. The limits of scientific knowledge of his time put Mercuriale at disadvantage, since cardiovascular physiology was not elucidated until 1628 with the publication of De motu cordis.
体力活动、运动与头痛之间的关系是一个日益受到关注的话题，这一点可以从最近发表的大量论文中得到证明。这种相关性可以追溯到古典时代。本研究旨在了解威廉·哈维（William Harvey）（1578-1657 年）出版《心血运动论》（De motu cordis）后，血管性头痛概念是如何演变的。我们分析并比较了吉罗拉莫·梅库里亚莱（Girolamo Mercuriale）撰写的《体操艺术》（De arte gymnastica）（1601 年版）和贝尔纳迪诺·拉马齐尼（Bernardino Ramazzini）撰写的《论工匠病》（De Morbis Artificum Diatriba）（1713 年版），重点关注运动员的头痛问题。通过研究《论工匠病》，可以清楚地看出，它对心血管源性运动性头痛的病因发病机制的描述比《体操艺术》中提供的描述要完整和准确得多。由于直到 1628 年哈维出版《心血运动论》才阐明心血管生理学，因此梅库里亚莱当时的科学知识有限，处于不利地位。
