According to the compendium of Charaka, the Charakasamhitā, health and disease are not predetermined and life may be prolonged by human effort. The compendium of Suśruta, the Suśrutasamhitā defines the purpose of medicine to cure the diseases of the sick, protect the healthy, and to prolong life. Both these ancient compendia include details of the examination, diagnosis, treatment, and prognosis of numerous ailments. The Suśrutasamhitā is notable for describing procedures on various forms of surgery, including rhinoplasty, the repair of torn ear lobes, perineal lithotomy, cataract surgery, and several other excisions and other surgical procedures. Most remarkable is Sushruta's penchant for scientific classification: His medical treatise consists of 184 chapters, 1,120 conditions are listed, including injuries and illnesses relating to aging and mental illness.
As we prepare to present the Evolution of Environmental Medicine next week, Dr. Pizzorno shares with us that toxins either contribute to or cause virtual every chronic illness we see today. What can practitioners do when toxins have been proven to be trans-generational? Dr. Pizzorno explains how you can approach treatment for those exposed to toxins, indicators of toxin exposure, and what to measure when testing for exposure. He goes into greater details in his new book: The Toxin Solution: How Hidden Poisons in the Air, Water, Food, and Products We Use Are Destroying Our Health--AND WHAT WE CAN DO TO FIX IT. This book is a culmination of the decades of research that he's done around toxins and how to avoid those you can and what to do to mitigate the effects of the ones you can't.
^ Bynum, W.F. (1974). "Rationales for therapy in British psychiatry: 1780–1835". Medical History. 18 (4): 317–34. doi:10.1017/s0025727300019761. PMC 1081592. PMID 4618306.; Digby, Anne (1988). "Moral Treatment at the Retreat 1796–1846". In Porter, Roy; Bynum, W.F.; Shepherd, Michael. The Anatomy of Madness: Essays in the History of Psychiatry. 2. London & New York: Tavistock. pp. 52–71. ISBN 978-0415008594.
Since its founding in 1967, the Medical School’s Program in the History of Medicine has been dedicated to research and teaching in the intellectual, political, cultural, and social history of disease, health care, and medical science. The history of medicine provides students with a historical perspective on the role health, medicine, and disease play in society today. It prepares students to think critically about historical and contemporary health issues.
Some 200 years later another doctor, Peseshet, was immortalised on a monument in the tomb of her son, Akhet-Hetep (aka Akhethetep), a high priest. Peseshet held the title ‘overseer of female physicians’, suggesting that women doctors weren’t just occasional one-offs. Peseshet herself was either one of them or a director responsible for their organisation and training.
At the same time Greek doctors developed a rational theory of disease and sought cures. However one did not replace the other. The cult of Asclepius and Greek medicine existed side by side. Medical schools were formed in Greece and in Greek colonies around the Mediterranean. As early as 500 BC a man named Alcmaeon from Croton in Italy said that a body was healthy if it had the right balance of hot and cold, wet and dry. It the balance was upset the body grew ill. However the most famous Greek doctor is Hippocrates (C.460-377 BC). (Although historians now believe that he was much less famous in his own time that was once thought. It is believed that many of the medical books ascribed to him were actually written by other men). Hippocrates stressed that doctors should carefully observe the patients symptoms and take note of them. Hippocrates also rejected all magic and he believed in herbal remedies.
Many contemporary humans engage in little physical exercise compared to the physically active lifestyles of ancestral hunter-gatherers. Prolonged periods of inactivity may have only occurred in early humans following illness or injury, so a modern sedentary lifestyle may continuously cue the body to trigger life preserving metabolic and stress-related responses such as inflammation, and some theorize that this causes chronic diseases.
This week’s podcast features: Daniel Schmachtenburger, co-founder and director of research and development at Neurohacker Collective, in Complexity Medicine: The Basis for a Functional Standard of Care. Daniel is a deep thinker and researcher on how human regulatory systems function, how they break down and how they can be supported to function with greater resilience.
Unfortunately in the 17th century medicine was still handicapped by wrong ideas about the human body. Most doctors still thought that there were four fluids or 'humors' in the body, blood, phlegm, yellow bile and black bile. Illness resulted when you had too much of one humor. Nevertheless during the 17th century a more scientific approach to medicine emerged and some doctors began to question traditional ideas. Apart from Harvey the most famous English doctor of the 17th century was Thomas Sydenham (1624-1689). He is sometimes called the English Hippocrates because he emphasized the importance of carefully observing patients and their symptoms.
Antibiotics were discovered too. Penicillin was discovered in 1928 by Alexander Fleming but it was not widely used till after 1940. Another antibiotic, streptomycin was isolated in 1944. It was used to treat tuberculosis. They were followed by many others. Meanwhile the iron lung was invented in 1928 and in 1943 Willem Kolff built the first artificial kidney machine. (The first kidney transplant was performed in 1950 by Richard Lawler).
This week on the Evolution of Medicine podcast we feature one of the world's leading authorities on science-based natural/integrative medicine, Dr. Joe Pizzorno, ND. Dr. Pizzorno is the founder of Bastyr University and he joins us to talk about environmental toxins. He's been on the cutting edge of this topic for several decades and we're excited to welcome to the podcast.
I’m really excited to have James Maskell from Functional Forum and Revive Primary Care. He’s also the director of the Evolution of Medicine Summit just coming up that I’m participating in. I asked James to come on this show so we could chat about functional medicine and the future of medicine in general, because there are some really big and exciting changes happening in the world of medicine and functional medicine in particular, and James has his hands in a lot of different pots in this field.
3 Schwarz, Richard W. “John Harvey Kellogg, M.D.: Pioneering Health Reformer.” John Harvery Kellogg, M.D.: Pioneering Health Reformer – Richard W. Schwarz – Google Books. Google Books, 2006. Web. 26 Jan. 2014.
^ Porter, Roy (1999). The Greatest Benefit to Mankind: A Medical History of Humanity from Antiquity to the Present. London: Fontana. p. 493. ISBN 978-0393319804.; Porter, Roy (1992). "Madness and its Institutions". In Wear, Andrew. Medicine in Society: Historical Essays. Cambridge: Cambridge University Press. pp. 277–302. ISBN 978-0521336390.; Suzuki, A. (1991). "Lunacy in seventeenth- and eighteenth-century England: Analysis of Quarter Sessions records Part I". History of Psychiatry. 2 (8): 437–56. doi:10.1177/0957154X9100200807. PMID 11612606.; Suzuki, A. (1992). "Lunacy in seventeenth- and eighteenth-century England: Analysis of Quarter Sessions records Part II". History of Psychiatry. 3 (9): 29–44. doi:10.1177/0957154X9200300903. PMID 11612665.
^ Heeßel, N. P. (2004). "Diagnosis, Divination, and Disease: Towards an Understanding of the Rationale Behind the Babylonian Diagonostic Handbook". In Horstmanshoff, H.F. .; Stol, Marten; Tilburg, Cornelis. Magic and Rationality in Ancient Near Eastern and Graeco-Roman Medicine. Studies in Ancient Medicine. 27. Leiden, The Netherlands: Brill. pp. 97–116. ISBN 978-9004136663.
In the Middle Ages the church operated hospitals. In 542 a hospital called the Hotel-Dieu was founded in Lyon, France. Another hospital called the Hotel-Dieu was founded in Paris in 1660. The number of hospitals in western Europe greatly increased from the 12th century. In them monks or nuns cared for the sick as best they could. Meanwhile, during the Middle Ages there were many hospitals in the Byzantine Empire and the Islamic world.
In 1954 Joseph Murray, J. Hartwell Harrison and others accomplished the first kidney transplantation. Transplantations of other organs, such as heart, liver and pancreas, were also introduced during the later 20th century. The first partial face transplant was performed in 2005, and the first full one in 2010. By the end of the 20th century, microtechnology had been used to create tiny robotic devices to assist microsurgery using micro-video and fiber-optic cameras to view internal tissues during surgery with minimally invasive practices.
Cartier repaid Dom Agaya by kidnapping him again along with nine other people. By the time of Cartier’s next voyage – to Canada in 1541 – most of the prisoners were dead, but Cartier informed their relatives that they were living in style in France. The scurvy cure did not gain widespread recognition and the disease continued to claim the lives of sailors for more than 200 years.
Chris Kresser: It keeps directing our attention back to the simple things. So in the example that you used, you know, we can bend over backwards trying to figure out how to address a certain pathogen or what combination of factors led to something happening. But really, we know that taking care of our immune system means eating good food, managing our stress, getting plenty of sleep, and then the body really takes care of the rest. But it’s when we go off the rails and stray from those fundamental factors that things really go haywire. It’s like we have the capacity for health in our bodies at all times, and we have the capacity for disease in our bodies at all times. Our role is how we create circumstances for health or disease to emerge from that incredibly complex interaction of factors that’s happening in our body at all times. And I don’t mean that we’re not going to find out, you know, develop new, incredible, advanced therapies that can be helpful in more complex situations. But even that won’t detract from the simplicity of it when it comes right down to it.
In the 17th century medicine continued to advance. In the early 17th century an Italian called Santorio invented the medical thermometer. In 1628 William Harvey published his discovery of how blood circulates around the body. Harvey realized that the heart is a pump. Each time it contracts it pumps out blood. The blood circulates around the body. Harvey then estimated how much blood was being pumped each time.
The University of Padua was founded about 1220 by walkouts from the University of Bologna, and began teaching medicine in 1222. It played a leading role in the identification and treatment of diseases and ailments, specializing in autopsies and the inner workings of the body. Starting in 1595, Padua's famous anatomical theatre drew artists and scientists studying the human body during public dissections. The intensive study of Galen led to critiques of Galen modeled on his own writing, as in the first book of Vesalius's De humani corporis fabrica. Andreas Vesalius held the chair of Surgery and Anatomy (explicator chirurgiae) and in 1543 published his anatomical discoveries in De Humani Corporis Fabrica. He portrayed the human body as an interdependent system of organ groupings. The book triggered great public interest in dissections and caused many other European cities to establish anatomical theatres.
Founder and currently Executive Editor of Science-Based Medicine Steven Novella, MD is an academic clinical neurologist at the Yale University School of Medicine. He is also the host and producer of the popular weekly science podcast, The Skeptics’ Guide to the Universe, and the author of the NeuroLogicaBlog, a daily blog that covers news and issues in neuroscience, but also general science, scientific skepticism, philosophy of science, critical thinking, and the intersection of science with the media and society. Dr. Novella also has produced two courses with The Great Courses, and published a book on critical thinking - also called The Skeptics Guide to the Universe.
Our programs were designed to meet the changing needs of today’s integrative functional practices. The tools, systems and resources taught have been used by the world’s most successful doctors to create low-overhead, high-earning, purpose-driven practices. Our goal, like yours, is to help solve chronic disease worldwide. We fulfill this by helping practitioners create practices that thrive—for doctor, patient and planet.