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Kidney disease in medieval Serbian manuscripts from the Chilandar monastery (Mount Athos, Greece)
1Faculty of Medicine, University of Pristina, Kosovska Mitrovica, Serbia. subaricgorgieva@Yahoo.com
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.
Abstract:
In the Chilandar monastery (Mount Athos, Greece) library, a collection of medical texts written in the Old Serbian Slavonic language was discovered in 1952. Because of its size and comprehensiveness, this manuscript was named the Chilandar Medical Codex. The Collection contains several manuscripts, which according to modern medical terminology, the manuscripts can be classified as texts on Internal Medicine, Infectious diseases, Toxicology, Pediatrics, Pharmacology and Surgery, belonging to different time periods. The oldest part, Text on uroscopy, is considered to have been written in 13th or 14th century and consists of 35 text pages divided into 62 paragraphs. Following the popular uroscopy methodology of macroscopic examination of urine, this text contains detailed descriptions of urine characteristics (color, consistency, sediment, odor), as well as a convincing Hippocratic description of urine formation from the filtration of metabolic and waste materials (involving the four humors) rather than blood and fumes (toxic metabolites) according to the theory of Theophilus Protospatharius and Isaac Israeli. Precise descriptions of normal and pathological urine characteristics are provided. Although kidney anatomy and function is unclear, the urinary bladder is very undoubtedly described as an organ for urine collection. In the Chilandar Medical Codex, there are about one hundred descriptions of kidney and urinary tract diseases and disorders. Many symptoms and syndromes such as hematuria, dysuria, pyuria, renal colic, anuria, polyuria, edema and dropsy, urine retention and fever, are incorporated in the broader clinical pictures of lithiasis of the kidney and/or bladder, pyelonephritis, cystitis, necrotic renal disease indicative of renal tuberculosis and tumors, acute and chronic nephritis, renal failure, and gout. Specific pharmacological prescriptions, mostly simple or compound herbal medicines, are given for each of those renal ailments.
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