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  • Infection in the Graeco-Roman Era with the emphasis on epidemic ilness.
    Suid-Afrikaanse Tydskrif vir Natuurwetenskap en Tegnologie, 2013
    Co-Authors: Louise Cilliers, Francois P. Retief
    Abstract:

    In hierdie artikel word die sienings van die antieke Grieke en Romeine oor die etiologie van aansteeklike siektes bespreek. Dit blyk dat hierdie sienings in verskeie opsigte verbasend korrek is. Hippokrates het byvoorbeeld geglo dat ’n wanbalans in die humore siekte voorafgegaan het, terwyl ons vandag weet dat ’n ondervoede liggaam ’n pasient vatbaar maak vir epidemiese siektes. Verdere fyn waarnemings is opgeteken tydens die pes wat die Atheners in die 5de eeu voor Christus geteister het, toe daar opgemerk is dat die siekte (waarskynlik pokkies) versprei is deur nabye kontak met pasiente en dat dieselfde persoon die siekte nooit ’n tweede keer opgedoen het nie. Dit was die eerste beskrywing van verworwe immuniteit in die Westerse geskiedenis. Verder was die antieke Grieke en Romeine se teoriee oor miasmata en ‘sade van siekte’ in die lug die voorlopers van wat hedendaags geidentifiseer is as die patologiese mikro-organismes wat siekte veroorsaak. Weinig vooruitgang in die studie van die etiologie van aansteeklike siektes is sedert die Grieks-Romeinse tyd gemaak; trouens, in die 19de eeu is daar nog in London geglo dat infeksie die gevolg is van ‘slegte lug’. Die probleem is eventueel opgelos toe Robert Koch in die 19de eeu met behulp van ’n mikroskoop die patogeniese organismes ontdek het wat aansteeklike siekte veroorsaak. In baie opsigte het die wetenskaplike ontdekkings gedurende die laaste twee eeue slegs die waarnemings van die antieke Grieke en Romeine wat meer as 2000 jaar gelede gemaak is, bevestig.

  • Orthopedics in the Graeco - Roman Era
    Suid-Afrikaanse Tydskrif vir Natuurwetenskap en Tegnologie, 2009
    Co-Authors: Louise Cilliers, Francois P. Retief
    Abstract:

    In this study the evolutionary development of orthopedics (management of diseases of bones and joints), which commenced in early Mesopotamia and Egypt, is followed through Classical times.The Greek infl  uence probably commenced in the 6thcentury BC with Democedes of Croton who cured the Persian king’s dislocated ankle. The Corpus Hippocraticum laid the foundation of orthopedic practice in antiquity. Although knowledge of anatomy was limited, its four books on orthopedics (The Nature of Bones, Mochlicon, On Fractures, On Joints) count amongst the outstanding contributions of Hippocratic writers. In systematic manner the genEral recognition and management of fractures and dislocations are covered, followed by the handling of individual lesions. Hippocrates differentiated between closed and open fractures (with overlaying skin wounds). Closed fractures were reduced to as normal a position as possible – manually where possible, but with large bones and in the presence of formidable muscle mass, mechanical traction was often employed (e.g. the Hippocratic bench and the bizarre succusion ladder for spinal deformities). There is no mention of the use of analgetic drugs. After application of cErate (mixture of olive oil, soda and pitch) to the skin, the fracture was immobilized by a combination of plasters and compresses (often fi  rmed up with gum-mixtures) – but never very fi  rmly. On the 3rd, 6/7th, 9thand 12th days the bandaging was removed, the lesion inspected and if considered necessary, re-aligned, A variety of splints were then applied. Strict bed rest was enforced, as well as a light diet (no wine or meat for 10 days). It was believed that fractures of the feet, clavicle, ribs and jaw healed after 20 days, of the forearm after 30 days, and fractures of the upper arm and leg after 40 days. Open fractures were considered very serious injuries, and reduced very carefully. Protruding bone fragments were removed (sawn off if necessary) and the wound was covered with black cErate, compresses and light bandages. Pressure and heavy splints were thought to induce infection and gangrene and thus avoided. Dislocations were reduced as soon and as effectively as possible, before muscle spasm set in. As with fractures manual reduction was, where necessary, complemented by mechanical traction. After extensive washing of the joint area with warm water, cErate was applied to the wound and specialised bandaging (even splints) ensured immobilization. Open dislocations like open fractures were considered very serious and reduction was not attempted. Again all pressure bandaging was avoided. A non-functional joint was commonly the end result. The management of 18 specifi  c fractures is described in detail. Jaw fractures were fi  xed by the binding of contiguous teeth. Fractures of the spinal column clearly presented a major problem. Although knowledge of spinal anatomy was surprisingly good, the diagnosis of fractures was very difficult and its association with spinal curvatures presented almost insurmountable problems of management. It was recognized that rib fractures could cause serious damage to the lung and pleura. Complex problems caused by arm fractures involving the elbow or shoulder joints, and combined radius and ulna fractures, are addressed. Femur fractures presented major problems and permanent leg deformity was very common. Open femur fractures were extremely serious and Hippocrates even stated that a physician who could ethically avoid becoming involved in treating such an injury, should do so. Fractures of femur necks were not recognised. The Hippocratic work, Wounds of the head, dealing with fractures of the skull, is not covered in this study.Management of the major joints are individually described. Seven different techniques of reducing a dislocated shoulder joint are mentioned The original description of the management of the dislocation of the wrist and hand is lost. Proper reduction of hip-dislocation was essential to avoid muscle atrophy and life-long limping, and was achieved by intricate mechanical suspension. Strangely enough, latEral dislocation of the knee was a common occurrence and not seen as a serious problem. Congenital club feet were effectively treated by prolonged fi  xation in the correct position by way of tight bandaging with compresses stiffened in glue-mixtures.There is abundant skeletal evidence of osteo-arthritis in Neolithic man, but no clear description of it in the Corpus Hippocraticum. Gout is repeatedly mentioned in the Corpus but without detailed descriptions of the disease. In the Roman Era authors like Heliodorus, Antyllus and Celsus in particular, wrote authoritatively on orthopedic subjects, Osteo-archaeological evidence is that fractures were treated expertly in the Roman army. Conditions consistent with degenErative osteoarthritis and true gout (as podagra and chiragra) were described by Celsus and Aretaeus of Cappadocia. Soranus, Rufus of Ephesus and Galen also wrote on orthopedic subjects. We will today differ from many statements made in the Corpus Hippocraticum, but it is clear that the orthopedic basis laid by those documents was not seriously challenged for 1 000 years.

  • Mental illness in the Greco-Roman Era
    2009
    Co-Authors: Louise Cilliers, Francois P. Retief
    Abstract:

    Mental illness was the subject of significant attention during the Greco-Roman Era, but within two distinct groups : litErary and philosophical texts on the one hand, and medical writings on the other. While there were many similarities in the descriptions of these two groups, the most prominent difference was that from the 5th century BC physicians ascribed illness almost exclusively to biological-organic causes, while litErature consistently held it to be of supernatural origin and in particular a result of divine intervention. From a modern medical perspective, the precise definition and classification of mental illness remain an extremely challenging problem, inextricably interwoven over the centuries with cultural, religious and educational views. Feder suggests that psychosis (the most advanced psychiatric disorder) should be defined as a condition in which uncontrollable processes overcome voluntary action to such an extent that logical thought, emotions and actions become confused and inappropriate as judged by normal, genErally-accepted standards. Mental illness could then be seen as comprising a continuum of conditions ranging from such total disassociation from reality to a completely compos mentis state, nevertheless marked by minor dErangement(s).

  • HORTICULTURE IN ANTIQUITY, WITH EMPHASIS ON THE GRAECO-Roman Era
    Akroterion, 2009
    Co-Authors: Louise Cilliers, Francois P. Retief
    Abstract:

    The evolution of horticulture (gardening) in antiquity, as distinct from largescale agriculture and forestry, is traced from its humble origins in ancient Egypt and Mesopotamia, to the Graeco-Roman Era. Little is known about horticulture in the Greek Bronze Age and Homeric period, but from the 5th century onwards, public rather than private gardens became popular. In Athens a market garden was planted on the agora, and public parks (containing trees without flowers or decorative shrubs) like the Academy and Lyceum, appeared on the outskirts of the cities. Orchards and vegetable gardens were usually placed outside city walls and domestic gardening in and around homes were virtually unknown. The Greeks used wild flowers rather than cultivated flowers. Graveyards were planted with trees, and sacred groves, often in idyllic settings, were associated with shrines and divinity. During the Hellenistic Era, exotic gardens based on the Persian paradeisos, were introduced by the affluent. The Romans made extensive use of private and domestic horticulture. In their homes (domus) built on the Greek model, the peristyle in particular, was converted into a garden containing trees, shrubs, flowers and vegetables. Further walled gardens were often attached to the domus. In large cities where the majority of citizens lived in multi-storied apartments (cenaculae), domestic gardening was restricted to occasional climbing plants and potted flowers decorating pillars, balconies and window sills. Wealthy Romans erected villas on country estates where indoor gardens and outside horticultural projects often included large orchards, gardens and vegetables shrubs and flowers, as well as tree-lined walking lanes, shrines, statues and water features. Facilities for horse riding were common, as well as pleasure gardens on the paradeisos model.

  • Medications and their use in the Graeco-Roman Era
    Suid-Afrikaanse Tydskrif vir Natuurwetenskap en Tegnologie, 2007
    Co-Authors: Francois P. Retief, Louise Cilliers
    Abstract:

    Van die drie genesingsmodaliteite wat minstens sedert die 6de eeu v.C. in die Grieks-Romeinse Era gebruik is, naamlik dieet en gesonde leefwyse (regimen), chirurgie, en behandeling met medikamente, is laasgenoemde die oudste. Alhoewel die Corpus Hippocraticum (5de eeu v.C.) nie ’n geneesmiddelhandboek bevat het nie, en Hippokrates oenskynlik regimen bo medikamente verkies het, was hierdie dokumente met geringe Egiptiese beinvloeding die basis van empiriese geneesmiddeltErapie (sonder magiese beinvloeding) vir bykans ’n millennium. Die eerste waardige Griekse geneesmiddelhandboek is in die 4de eeu v.C. deur Diokles opgestel, en Teofrastos het as botaniese navorser ’n baanbrekerswerk oor plantaardige medikamente die lig laat sien. Die Aleksandrynse mediese skool het die kennis van farmakotErapie ’n stewige hupstoot gegee, en Herophilus het kombinasiepreparate uitgebou. Die Hippokratiese konsep dat die doel van tErapie was om die liggaam gesond te hou deur sy humore en primere kragte in balans te hou, is deur die meeste geneeshere aanvaar, alhoewel afwykende stemme ook gehoor is. Min oorspronklike werk van Hellenistiese geneeshere het egter behoue gebly, en ons kennis daarvan spruit oorwegend uit die kommentaar van persone soos Celsus en Galenus uit die Romeinse Era. Dioskorides se Materia Medica (1ste eeu n.C.) was ’n gesaghebbende teks. Die ontstaansgeskiedenis van die komplekse teengifmiddel, teriaka, word geskets. Die dominerende stellings van Galenus (2de eeu), steeds oorwegend op Hippokrates gebou, het tot in die Middeleeue (selfs vir die jong Christenkerk) as dogma gedien. Mettertyd het bygeloof en magiese faktore weer toegang tot tErapie gekry, en dit word uitgewys dat geneesmiddels van die Grieks-Romeinse Era (met uitsondering van ’n paar analgetika en dwelms soos opium) oorwegend as plasebo’s of gifstowwe ingewerk het, sonder werklik genesende aksies. Die gebruik van medikamente (vEral van plantaardige aard) om siekte te hanteer, dateer sekerlik erug na heel vroee menslike ontwikkeling. In die Grieks-Romeinse Era het geneesmiddels, dieet en gesonde leefwyse (regimen), en chirurgie, die drie basiese komponente van geneeskundetErapie uitgemaak. 1 In hierdie artikel word die rol van geneesmiddels in die tyd, ondersoek.

Francois P. Retief - One of the best experts on this subject based on the ideXlab platform.

  • Infection in the Graeco-Roman Era with the emphasis on epidemic ilness.
    Suid-Afrikaanse Tydskrif vir Natuurwetenskap en Tegnologie, 2013
    Co-Authors: Louise Cilliers, Francois P. Retief
    Abstract:

    In hierdie artikel word die sienings van die antieke Grieke en Romeine oor die etiologie van aansteeklike siektes bespreek. Dit blyk dat hierdie sienings in verskeie opsigte verbasend korrek is. Hippokrates het byvoorbeeld geglo dat ’n wanbalans in die humore siekte voorafgegaan het, terwyl ons vandag weet dat ’n ondervoede liggaam ’n pasient vatbaar maak vir epidemiese siektes. Verdere fyn waarnemings is opgeteken tydens die pes wat die Atheners in die 5de eeu voor Christus geteister het, toe daar opgemerk is dat die siekte (waarskynlik pokkies) versprei is deur nabye kontak met pasiente en dat dieselfde persoon die siekte nooit ’n tweede keer opgedoen het nie. Dit was die eerste beskrywing van verworwe immuniteit in die Westerse geskiedenis. Verder was die antieke Grieke en Romeine se teoriee oor miasmata en ‘sade van siekte’ in die lug die voorlopers van wat hedendaags geidentifiseer is as die patologiese mikro-organismes wat siekte veroorsaak. Weinig vooruitgang in die studie van die etiologie van aansteeklike siektes is sedert die Grieks-Romeinse tyd gemaak; trouens, in die 19de eeu is daar nog in London geglo dat infeksie die gevolg is van ‘slegte lug’. Die probleem is eventueel opgelos toe Robert Koch in die 19de eeu met behulp van ’n mikroskoop die patogeniese organismes ontdek het wat aansteeklike siekte veroorsaak. In baie opsigte het die wetenskaplike ontdekkings gedurende die laaste twee eeue slegs die waarnemings van die antieke Grieke en Romeine wat meer as 2000 jaar gelede gemaak is, bevestig.

  • Orthopedics in the Graeco - Roman Era
    Suid-Afrikaanse Tydskrif vir Natuurwetenskap en Tegnologie, 2009
    Co-Authors: Louise Cilliers, Francois P. Retief
    Abstract:

    In this study the evolutionary development of orthopedics (management of diseases of bones and joints), which commenced in early Mesopotamia and Egypt, is followed through Classical times.The Greek infl  uence probably commenced in the 6thcentury BC with Democedes of Croton who cured the Persian king’s dislocated ankle. The Corpus Hippocraticum laid the foundation of orthopedic practice in antiquity. Although knowledge of anatomy was limited, its four books on orthopedics (The Nature of Bones, Mochlicon, On Fractures, On Joints) count amongst the outstanding contributions of Hippocratic writers. In systematic manner the genEral recognition and management of fractures and dislocations are covered, followed by the handling of individual lesions. Hippocrates differentiated between closed and open fractures (with overlaying skin wounds). Closed fractures were reduced to as normal a position as possible – manually where possible, but with large bones and in the presence of formidable muscle mass, mechanical traction was often employed (e.g. the Hippocratic bench and the bizarre succusion ladder for spinal deformities). There is no mention of the use of analgetic drugs. After application of cErate (mixture of olive oil, soda and pitch) to the skin, the fracture was immobilized by a combination of plasters and compresses (often fi  rmed up with gum-mixtures) – but never very fi  rmly. On the 3rd, 6/7th, 9thand 12th days the bandaging was removed, the lesion inspected and if considered necessary, re-aligned, A variety of splints were then applied. Strict bed rest was enforced, as well as a light diet (no wine or meat for 10 days). It was believed that fractures of the feet, clavicle, ribs and jaw healed after 20 days, of the forearm after 30 days, and fractures of the upper arm and leg after 40 days. Open fractures were considered very serious injuries, and reduced very carefully. Protruding bone fragments were removed (sawn off if necessary) and the wound was covered with black cErate, compresses and light bandages. Pressure and heavy splints were thought to induce infection and gangrene and thus avoided. Dislocations were reduced as soon and as effectively as possible, before muscle spasm set in. As with fractures manual reduction was, where necessary, complemented by mechanical traction. After extensive washing of the joint area with warm water, cErate was applied to the wound and specialised bandaging (even splints) ensured immobilization. Open dislocations like open fractures were considered very serious and reduction was not attempted. Again all pressure bandaging was avoided. A non-functional joint was commonly the end result. The management of 18 specifi  c fractures is described in detail. Jaw fractures were fi  xed by the binding of contiguous teeth. Fractures of the spinal column clearly presented a major problem. Although knowledge of spinal anatomy was surprisingly good, the diagnosis of fractures was very difficult and its association with spinal curvatures presented almost insurmountable problems of management. It was recognized that rib fractures could cause serious damage to the lung and pleura. Complex problems caused by arm fractures involving the elbow or shoulder joints, and combined radius and ulna fractures, are addressed. Femur fractures presented major problems and permanent leg deformity was very common. Open femur fractures were extremely serious and Hippocrates even stated that a physician who could ethically avoid becoming involved in treating such an injury, should do so. Fractures of femur necks were not recognised. The Hippocratic work, Wounds of the head, dealing with fractures of the skull, is not covered in this study.Management of the major joints are individually described. Seven different techniques of reducing a dislocated shoulder joint are mentioned The original description of the management of the dislocation of the wrist and hand is lost. Proper reduction of hip-dislocation was essential to avoid muscle atrophy and life-long limping, and was achieved by intricate mechanical suspension. Strangely enough, latEral dislocation of the knee was a common occurrence and not seen as a serious problem. Congenital club feet were effectively treated by prolonged fi  xation in the correct position by way of tight bandaging with compresses stiffened in glue-mixtures.There is abundant skeletal evidence of osteo-arthritis in Neolithic man, but no clear description of it in the Corpus Hippocraticum. Gout is repeatedly mentioned in the Corpus but without detailed descriptions of the disease. In the Roman Era authors like Heliodorus, Antyllus and Celsus in particular, wrote authoritatively on orthopedic subjects, Osteo-archaeological evidence is that fractures were treated expertly in the Roman army. Conditions consistent with degenErative osteoarthritis and true gout (as podagra and chiragra) were described by Celsus and Aretaeus of Cappadocia. Soranus, Rufus of Ephesus and Galen also wrote on orthopedic subjects. We will today differ from many statements made in the Corpus Hippocraticum, but it is clear that the orthopedic basis laid by those documents was not seriously challenged for 1 000 years.

  • Mental illness in the Greco-Roman Era
    2009
    Co-Authors: Louise Cilliers, Francois P. Retief
    Abstract:

    Mental illness was the subject of significant attention during the Greco-Roman Era, but within two distinct groups : litErary and philosophical texts on the one hand, and medical writings on the other. While there were many similarities in the descriptions of these two groups, the most prominent difference was that from the 5th century BC physicians ascribed illness almost exclusively to biological-organic causes, while litErature consistently held it to be of supernatural origin and in particular a result of divine intervention. From a modern medical perspective, the precise definition and classification of mental illness remain an extremely challenging problem, inextricably interwoven over the centuries with cultural, religious and educational views. Feder suggests that psychosis (the most advanced psychiatric disorder) should be defined as a condition in which uncontrollable processes overcome voluntary action to such an extent that logical thought, emotions and actions become confused and inappropriate as judged by normal, genErally-accepted standards. Mental illness could then be seen as comprising a continuum of conditions ranging from such total disassociation from reality to a completely compos mentis state, nevertheless marked by minor dErangement(s).

  • HORTICULTURE IN ANTIQUITY, WITH EMPHASIS ON THE GRAECO-Roman Era
    Akroterion, 2009
    Co-Authors: Louise Cilliers, Francois P. Retief
    Abstract:

    The evolution of horticulture (gardening) in antiquity, as distinct from largescale agriculture and forestry, is traced from its humble origins in ancient Egypt and Mesopotamia, to the Graeco-Roman Era. Little is known about horticulture in the Greek Bronze Age and Homeric period, but from the 5th century onwards, public rather than private gardens became popular. In Athens a market garden was planted on the agora, and public parks (containing trees without flowers or decorative shrubs) like the Academy and Lyceum, appeared on the outskirts of the cities. Orchards and vegetable gardens were usually placed outside city walls and domestic gardening in and around homes were virtually unknown. The Greeks used wild flowers rather than cultivated flowers. Graveyards were planted with trees, and sacred groves, often in idyllic settings, were associated with shrines and divinity. During the Hellenistic Era, exotic gardens based on the Persian paradeisos, were introduced by the affluent. The Romans made extensive use of private and domestic horticulture. In their homes (domus) built on the Greek model, the peristyle in particular, was converted into a garden containing trees, shrubs, flowers and vegetables. Further walled gardens were often attached to the domus. In large cities where the majority of citizens lived in multi-storied apartments (cenaculae), domestic gardening was restricted to occasional climbing plants and potted flowers decorating pillars, balconies and window sills. Wealthy Romans erected villas on country estates where indoor gardens and outside horticultural projects often included large orchards, gardens and vegetables shrubs and flowers, as well as tree-lined walking lanes, shrines, statues and water features. Facilities for horse riding were common, as well as pleasure gardens on the paradeisos model.

  • Medications and their use in the Graeco-Roman Era
    Suid-Afrikaanse Tydskrif vir Natuurwetenskap en Tegnologie, 2007
    Co-Authors: Francois P. Retief, Louise Cilliers
    Abstract:

    Van die drie genesingsmodaliteite wat minstens sedert die 6de eeu v.C. in die Grieks-Romeinse Era gebruik is, naamlik dieet en gesonde leefwyse (regimen), chirurgie, en behandeling met medikamente, is laasgenoemde die oudste. Alhoewel die Corpus Hippocraticum (5de eeu v.C.) nie ’n geneesmiddelhandboek bevat het nie, en Hippokrates oenskynlik regimen bo medikamente verkies het, was hierdie dokumente met geringe Egiptiese beinvloeding die basis van empiriese geneesmiddeltErapie (sonder magiese beinvloeding) vir bykans ’n millennium. Die eerste waardige Griekse geneesmiddelhandboek is in die 4de eeu v.C. deur Diokles opgestel, en Teofrastos het as botaniese navorser ’n baanbrekerswerk oor plantaardige medikamente die lig laat sien. Die Aleksandrynse mediese skool het die kennis van farmakotErapie ’n stewige hupstoot gegee, en Herophilus het kombinasiepreparate uitgebou. Die Hippokratiese konsep dat die doel van tErapie was om die liggaam gesond te hou deur sy humore en primere kragte in balans te hou, is deur die meeste geneeshere aanvaar, alhoewel afwykende stemme ook gehoor is. Min oorspronklike werk van Hellenistiese geneeshere het egter behoue gebly, en ons kennis daarvan spruit oorwegend uit die kommentaar van persone soos Celsus en Galenus uit die Romeinse Era. Dioskorides se Materia Medica (1ste eeu n.C.) was ’n gesaghebbende teks. Die ontstaansgeskiedenis van die komplekse teengifmiddel, teriaka, word geskets. Die dominerende stellings van Galenus (2de eeu), steeds oorwegend op Hippokrates gebou, het tot in die Middeleeue (selfs vir die jong Christenkerk) as dogma gedien. Mettertyd het bygeloof en magiese faktore weer toegang tot tErapie gekry, en dit word uitgewys dat geneesmiddels van die Grieks-Romeinse Era (met uitsondering van ’n paar analgetika en dwelms soos opium) oorwegend as plasebo’s of gifstowwe ingewerk het, sonder werklik genesende aksies. Die gebruik van medikamente (vEral van plantaardige aard) om siekte te hanteer, dateer sekerlik erug na heel vroee menslike ontwikkeling. In die Grieks-Romeinse Era het geneesmiddels, dieet en gesonde leefwyse (regimen), en chirurgie, die drie basiese komponente van geneeskundetErapie uitgemaak. 1 In hierdie artikel word die rol van geneesmiddels in die tyd, ondersoek.

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