Prehistoric medicine

Prehistoric medicine is a term used to describe the use of medicine before the invention of writing. Because writing was invented at different times in different places, the term "prehistoric medicine" encompasses a large number of time periods and dates, [http://books.google.co.uk/books?id=1qiFEQ1tAHQC&pg=PA1&lpg=PA1&dq=prehistoric+medicine&source=web&ots=rh9lgkUwWt&sig=HG8znNS8Icl1g6qRfB4xyf23OUE&hl=en#PPA1,M1 Medicine Through Time Book] 'The Egyptains believed many diseases were caused by an evil spirit entering the body. They often wore charms to keep these spirits away.'] and should not be thought of as a set period in time. Prehistoric medicine predates written records and so study of the subject relies heavily on artifacts and skeletons, and on anthropology; previously uncontacted peoples and certain indigenous peoples who live in a traditional way have been the subject of anthropological studies in order to gain insight into both contemporary and ancient practicestraditional medicine in various cultures can include practices originating from both before and after the invention of writing. [ [http://www.wpro.who.int/health_topics/traditional_medicine/ Overview of Traditional Medicine] '...traditional medicine still exists in all countries and areas in the Western Pacific Region.']

Beliefs and ideas of disease

Prehistoric people believed in both supernatural causes and cures for diseases [http://www.healthguidance.org/entry/6306/1/Primitive-Medicine.html Primitive Medicine Article] 'Primitive man apparently often distinguished between ordinary conditions (such as old age, coughs, colds, and fatigue) and illnesses caused by spirits and evil forces that required the special services of a medicine man, shaman, or witch doctor.'] , beliefs which would continue in part to be used by the Ancient Civilisations [ [http://www.selfgrowth.com/articles/kousiounis1.html Asclepius and dream healing] 'The Greeks had a wonderful marriage of the scientific and their belief in the supernatural (or that which is beyond the rational). When somebody could not be cured by the modern medicine, the physician would acknowledge this and would then look towards Asclepius or the gods.'] [ [http://www.unrv.com/culture/roman-medicine.php Roman Medicine] 'The Romans expanded on Hippocrates scientific methods by combining it with the religious and mythological ceremony of the day. Adding to the concept of observation and record keeping, the Romans included prayers, offerings and sacrificing to the gods in hopes of greater success.'] (see Medicine in ancient Rome, Ancient Egyptian medicine, Ancient Greek medicine). They blamed certain, usually serious or disabling, diseases which did not have a rational or obvious cause on the supernatural—gods, evil spirits and sorcery. [OCR GCSE: Medicine Through Time] They believed that evil spirits could 'inhabit' the body and cause a person to become ill, and that these spirits could be removed from the body through the skull by the patient undergoing Trepanning, and through other treatments carried out by a Medicine man.

Prehistoric people used their common sense to understand the causes of many diseases and injuries, but most primarily the latter for which there was usually a clear cause; they did not have to blame injuries on the gods or spirits because they were able to understand how they were caused; if someone was injured by a fall then they realised that the fall must have been the cause. [http://www.thehistorychannel.co.uk/site/encyclopedia/article_show/prehistoric_medicine/m0097007.html Prehistoric medicine ] ] The discovery of a mummified body in the Tyrolean Alps in Northern Italy in 1991 gave rise to the suggestion that prehistoric people may have known more about the causes of disease than was previously thought. In a Lancet study, Dr. Luigi Capasso concluded that "the discovery of the fungus suggests that the Iceman was aware of his intestinal parasites and fought them with measured doses of Piptoporus betulinus." Although the person found could not have had a detailed understanding of intestinal parasites, the findings suggest that prehistoric people were willing to accept a practical outlook on disease.

Disease and mortality

Different diseases and ailments were common in prehistory than are prevalent today; there is evidence that many people suffered from osteoarthritis, probably caused by the lifting of heavy objects which would have been a daily and necessary task in their societies.Fact|date=June 2008 (The transport of latte stones, involving hyperextension and torque of the lower back, while dragging the stones, probably contributed to the development of microfractures in the spine and subsequent spondylolysis.) Things such as cuts, bruises and breakages of bone, without antiseptics, proper facilities or knowledge of germs, would become very serious if infected. [ [http://www.britishempire.co.uk/boniface/humanities/history/year10/prehistoric.htm St. Boniface's College, History of Medicine - Pre-history] See the presentation] There is also evidence of rickets bone deformity and bone wastage (Osteomalacia), [http://www.revolutionaryplayers.org.uk/article_01_01.stm A short journey through medicine to the end of the 18th century] A fascinating medical article, though only the first page is of relevance to Prehistoric medicine] which is caused by a lack of Vitamin D.

The life expectancy in prehistoric times was very low, 25–40 years, [SHP: Medicine & Health Through Time] with men living longer than women; archaeological evidence of women and babies found together suggests that many women would have died in childbirth, perhaps accounting for the lower life expectancy in women than men. Another possible explanation for the shorter life spans of prehistoric women may be malnutrition; men, as hunters, generally received better food that their female counterparts, who would subsequently have been less resistant to disease. [ [http://www.healthguidance.org/entry/6303/1/Prehistoric-Medicine.html Health Article on Prehistoric Medicine] ]

Treatments for disease

Herbs

"Herbs", and substances derived from natural sources (spices), [ [http://unitproj.library.ucla.edu/biomed/spice/index.cfm?spicefilename=SpicesAsMeds.txt&itemsuppress=yes&displayswitch=0 Use of Spices for Medical Purposes] Mentions spices being used by some prehistoric cultures] would have been one of the only treatments for diseases in all prehistoric cultures. However because herbs will rot away in most conditions and because no written notes could have been made about them or their uses, historians are unlikely ever to know exactly which herbs were used in prehistoric medicine. Of course an idea of which herbs they used has been obtained by looking at the area in which the prehistoric tribes lived in and the herbs that grow there naturally, [cite book |author= Compiled by Robin Lock|title= Plants of the Humid Tropics Biome|year=2002 |month= |publisher=Eden Project books |pages=128 ] and of course through anthropological studies of existing indigenous peoples; [ [http://www.powersource.com/cherokee/herbal.html Native American Herbal Remedies] Sources: Millspaugh, Charles F. American Medicinal Plants. NY: Dover Publications, 1974.Mooney, James. Myths of the Cherokee and Sacred Formulas of the Cherokees. Nashville TN: Charles and Randy Elders, Publishers, 1982.Weiner, Michael. Earth Medicine Earth Food. NY: Fawcett Columbine, 1980.] unlike the Ancient Civilisations who were able to transport and trade herbs from across their own and others empires, prehistoric people would have relied on locally sourced herbs. Of course if they were nomadic, as many of the earliest tribes were, they would have been able to move their settlements closer to different herb sources, subsequently increasing the range of herbal treatments available to them.The effects of different herbs would have been found through trial and error, [ [http://www.bbc.co.uk/schools/gcsebitesize/history/shp/ancient/prehistoriccivilisationrev2.shtml BBC - GCSE Bitesize, Prehistoric Civilisation] 'They have done this through a process of trial and error and natural selection..'] on behalf of the medicine man of the tribe, most likely resulting in many deaths. They would have been dispensed and gathered by medicine men or by women; women usually looked after the health of their family. [ [http://www.healthy.net/asp/templates/article.asp?PageType=Article&ID=901 Outline/Overview of the History of Herbalism] 'In.. herbalism, women prepared food and healing potions--women generally practiced herbalism on a day to day basis, as well as took care of the ills of other members of the family or tribal unit' Source: ibid] Herbs have remained an important cure for diseases throughout history, despite the advancement of other cures and techniques, and are known to be an effective way of treating many ailments. [http://www.historyworld.net/wrldhis/PlainTextHistories.asp?historyid=aa52 Primtive Medicine] 'Herbal medicine is the earliest scientific tradition in medical practice, and it remains an important part of medicine to this day'] [ [http://www.herbalextractsplus.com/?gclid=CNT2wLqekpECFQTtlAodd02NIQ Herbal Extraxt Plus Website Herbal] details and examples of Herbal Remedies] [ [http://en.wikipedia.org/wiki/List_of_medicinal_herbs Wikipedia's List of Medicinal Herbs] further details and examples of Herbal Remedies] As they would not have been able to record the effects of different herbs, knowledge of them would have been passed down orally through the generations.

There has been suggestion that the fruit of the birch fungus, "Piptoporus betulinus", which are commonly found in alpine environments, could have been used as a basic laxative by prehistoric peoples living in those areas (Northern Europe), since it is know to bring on short bouts of diarrhoea when ingested, [http://query.nytimes.com/gst/fullpage.html?res=9502E3DD173AF93BA35751C1A96E958260 Lessons in Iceman's Prehistoric Medicine Kit] ] and was found among the possessions of a mummified man.

Surgery

"Trepanning" (or sometimes called "trephining") is a basic surgical operation which was carried out, usually by medicine men, in prehistoric societies across the world, [ [http://www.ncbi.nlm.nih.gov/sites/entrez?db=pubmed&cmd=Retrieve&dopt=AbstractPlus&list_uids=10414577&query_hl=43&itool=pubmed_docsum Stone age skull surgery in Mecklenburg-Vorpommern] A small but informative text] although particularly in Peru. [ [http://www.uic.edu/classes/osci/osci590/6_2Trephination.htm Trephination, An Ancient Surgery] 'In Peruvian practice there is considerable evidence that many of the operations were performed for the naturalistic purpose of removing a bone fragment..' '..and trephination undertaken as a supernatural curative procedure by shamans (sancoyoc) with little technical ability as surgeons.'] [http://www.neurosurgery.org/cybermuseum/pre20th/treph/trephination.html Trepanning] ] There are many theories as to why it was carried out, some say it was used to cure certain conditions such as headaches and epilepsy, [ [http://www.brain-surgery.com/history.html History of Brain Surgery] ] [ [http://etext.virginia.edu/etcbin/toccer-new2?id=OslEvol.sgm&
] See the section on Trephining, from Lucas-Championnière] but also that prehistoric humans might have considered these conditions effects of having an evil spirit trapped within someone. Despite it being medically inappropriate in the vast majority of cases, and very dangerous procedure to carry out [ [http://www.bbc.co.uk/dna/h2g2/A471287 h2g2 - Trepanation] 'The disadvantages of drilling holes in the head include possible damage to the cerebral membrane or complete, and unexpected, lobotomy. Death is also a high risk.'] (if the drill went into the brain then the patient would have died) there is evidence that many people survived it; skeletons have been recovered showing signs that the bone tissue surrounding the hole has partially grown back. The plate of skull bone (sometimes as large as 5cm/2in in diameter) was kept with the person (often as a lucky charm) until their death when it was buried with them, supposedly returning the body to its full state for the afterlife.Fact|date=June 2008 Trepanning is one of the few surgical operations that would have been carried out in prehistoric times;Fact|date=June 2008 other kinds of, more complicated, surgery were not usually undertaken and would have undoubtedly failed if they had; Medicine men had neither the training or the specialised equipment required to do surgery on the internal body.

There is evidence to suggest that many prehistoric peoples, where the climate and resources allowed, were able to set broken or fractured bones using clay; the broken area was covered in clay, which then set hard so that the bone could heal properly without interference. [Heinemann: Medicine Through Time] Also, primarily in the Americas, the pincers of certain ant species were used to close up wounds from infection; the ant was held above the wound until it bit it, then its head would be removed but the pincers holding the wound would remain. [cite journal |quotes=no |author=F. Gottrup & David Leaper |year=2004 |title=Wound healing: historical aspects |journal=EWMA Journal |volume=4 |issue=2 |url=http://www.ewma.org/pdf/fall04/Historical_Aspects.pdf] [cite journal|last=Gudger|first=E. W.|year=1925|title=Stitching Wounds With the Mandibles of Ants and Beetles.|journal=J. Amer. Med. Assoc.|volume=84|ages=1861-1864]

Magic and medicine men

Medicine Men (or witch-doctors/shamans), along with the women (who cared for the health of their families), would have looked after the health of their tribe, gathering and distributing herbs, performing minor surgical procedures, [ [http://www.encounter.co.za/cgi-bin/magazine/ds.cgi?id=7 Mysteries of Africa - Article on Medicine Men] Some interesting information on stories of Medicine Men in Africa] providing medical advice and supernatural treatments, such as charms, spells and amulets to ward off evil spirits. [ [http://books.google.co.uk/books?id=Btx3M5t6lDEC&pg=PA8&lpg=PA8&dq=prehistoric+medicine&source=web&ots=lfOpUn5wTm&sig=V2PByon7RGZ5X1ZmZn_LggPqlfY&hl=en#PPA13,M1A Short History of Medicine by Erwin Heinz Ackerknecht] ] In Apache society, as would likely have been the case in many others, the medicine men initiate a ceremony over the patient, which is attended by family and friends. It consists of magic forumlas, prayers and drumming. The medicine man then, from the patient's recalling of their past and possible offenses against their religion or tribal rules, reveals the nature of the disease and how to treat it.

They were believed by the tribe to be able to contact the gods and use their supernatural powers to cure the patient, and therefore in the process remove the evil spirits. If both this method and trepanning did not work, the spirit was considered too powerful to be driven out of the person. A medicine man would likely have been a central figure in the tribal system, because of the their medical knowledge and because they could seemingly contact the gods; many prehistoric cave paintings have been discovered showing a medicine man wearing antlers, which seems to agree with this theory. Because they would not have received any formal training in medicine (due to the fact there was no way to record medical details), it is likely that any medical knowledge would have been passed down orally. [ [http://www.bri.net.au/medicine.html Healing Secrets of Aboriginal Bush Medicine] 'Trained from an early age by their elders and initiated into the deepest of tribal secrets...']

The problem of evidence

Because of the nature of the time period (by definition before the invention of writing) it is harder for historians to gather strong evidence on matters relating to prehistoric medicine. As there is a lack of written evidence they have turned to other sources such as skeletons and anthropological studies of people nowadays who live a similar nomadic lifestyle, though there are problems with both sources of evidence.

Human skeletons are very rare (many having been destroyed or removed due to burial rituals) and it is a matter of luck as to which ones survive [ [http://www.kented.org.uk/ngfl/subjects/history/medhist/page9_pkent.html The History of Health - Prehistoric Kent] 'It is a matter of luck because only some skeletons survive'] (and many that are recovered may have been damaged). [ [http://en.wikipedia.org/wiki/Ötzi_the_Iceman#The_body Wikipedia's Ötzi the Iceman Article] '..three or four of his right ribs had been squashed when he had been lying face down after death, or where the ice had crushed his body.'] The best kinds of archaeological evidence are mummies, bodies which have been preserved either by freezing (in colder regions), or in peat bogs; [ [http://www.mydigiguide.com/dgx/wbl.dll?a=6&h=49&PID=23519 Mystery of the Mummies, Five Documentary] ] [Megabites: Mummies, and the Secrets of Ancient Egypt] there is no evidence to suggest that prehistoric people purposely mummified the dead for religious reasons, as the Ancient Egyptians did. From these bodies scientists can discover the subject's weight at the time of death, any illnesses they were suffering from, their height, weight, diet, age (at time of death) and condition of bones, [ [http://en.wikipedia.org/wiki/Mummy_Juanita#Identity Wikipedia's Article on the Mummy Juanita] ] all of which give vital indications of how prehistoric medicine worked. However, even with all of the physical evidence, without written evidence it is impossible for us to find out exactly what certain prehistoric societies believed, thought and felt.

Though not technically classed as 'written evidence', prehistoric people left many kinds of paintings, using paints made of minerals such as lime, clay & charcoal and brushes made from feathers, animal fur or twigs, on the walls of the caves they inhabited. Although many of these paintings are thought to have a spiritual or religious purpose behind their creation, [Parragon, World History Encyclopedia] there have been some, such as a man with antlers (thought to be a medicine man), which have revealed some part of prehistoric medicine; many cave paintings of human hands have shown missing fingers (none have been shown without thumbs), which suggests that these were cut off for sacrificial or practical purposes, as is the case among the Pygmies and Hottentots. [ [http://www.pubmedcentral.nih.gov/pagerender.fcgi?artid=1034309&pageindex=4#page Medical Views on Prehistoric representations of Human hands] Pages 318 - 21 are of particular interest in this subject]

The writings of certain cultures (such as the Romans) can be used as evidence in discovering how their contemporary prehistoric cultures (who had not yet discovered writing) practiced medicine. People who live a similar nomadic existence today have been used as a source of evidence too, but obviously there are distinct differences in the environment in which nomadic people lived; prehistoric people in Britain for example cannot be effectively compared to aboriginal peoples in Australia, because of the obvious differences in what resources would have been available to each. [ [http://www.educationforum.co.uk/prehistoricmedicine.htm Medicine in Prehistoric Times ] ]

See also

* Primitive skills
* Sweat lodge
* Mellified Man
* Venus of Willendorf
* Anthropology

References

External links

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