Kidney disease in medieval Serbian manuscripts from the Chilandar monastery (Mount Athos, Greece)

Gordana Subaric Gorgieva1

  • 1Faculty of Medicine, University of Pristina, Kosovska Mitrovica, Serbia. subaricgorgieva@Yahoo.com

Journal of Nephrology
|July 29, 2006
PubMed

Insights

The Chilandar Medical Codex, an ancient Serbian manuscript, details uroscopy and kidney diseases with herbal remedies. It provides insights into medieval medical practices and treatments for urinary tract ailments.

Area of Science:

  • Medieval Medicine
  • Urology
  • History of Science

Background:

  • The Chilandar Medical Codex, discovered in 1952, is a comprehensive collection of Old Serbian Slavonic medical texts.
  • It spans various medical fields including Internal Medicine, Infectious Diseases, Toxicology, Pediatrics, Pharmacology, and Surgery.
  • The oldest section, a text on uroscopy, dates to the 13th or 14th century.

Observation:

  • The uroscopy text details macroscopic urine examination, describing characteristics like color, consistency, sediment, and odor.
  • It presents a Hippocratic view of urine formation through filtration of metabolic waste, contrasting with other contemporary theories.
  • The codex includes descriptions of normal and pathological urine, and identifies the urinary bladder as a urine collection organ.

Findings:

  • Approximately one hundred kidney and urinary tract diseases and disorders are described.
  • Symptoms such as hematuria, dysuria, pyuria, renal colic, anuria, polyuria, edema, and fever are linked to conditions like lithiasis, pyelonephritis, cystitis, nephritis, renal failure, and gout.
  • Specific pharmacological treatments, primarily herbal medicines, are prescribed for these renal ailments.

Implications:

  • The Chilandar Medical Codex offers valuable insights into medieval medical knowledge and practices, particularly in urology and pharmacology.
  • It highlights the sophisticated understanding of urine analysis and disease symptomatology in the medieval period.
  • The manuscript serves as a crucial resource for studying the history of medicine and the evolution of therapeutic approaches to kidney and urinary tract conditions.

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