Prehistoric medicine
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Prehistoric medicine is any use of
medicine Medicine is the science and practice of caring for a patient, managing the diagnosis, prognosis, prevention, treatment, palliation of their injury or disease, and promoting their health. Medicine encompasses a variety of health care pract ...
from before the
invention An invention is a unique or novel device, method, composition, idea or process. An invention may be an improvement upon a machine, product, or process for increasing efficiency or lowering cost. It may also be an entirely new concept. If an i ...
of
writing Writing is a medium of human communication which involves the representation of a language through a system of physically Epigraphy, inscribed, Printing press, mechanically transferred, or Word processor, digitally represented Symbols (semiot ...
and the documented
history of medicine The history of medicine is both a study of medicine throughout history as well as a multidisciplinary field of study that seeks to explore and understand medical practices, both past and present, throughout human societies. More than just histo ...
. Because the timing of the invention of writing per
culture Culture () is an umbrella term which encompasses the social behavior, institutions, and norms found in human societies, as well as the knowledge, beliefs, arts, laws, customs, capabilities, and habits of the individuals in these groups.Tyl ...
and region, the term "prehistoric medicine" encompasses a wide range of time periods and dates. The study of
prehistoric Prehistory, also known as pre-literary history, is the period of human history between the use of the first stone tools by hominins 3.3 million years ago and the beginning of recorded history with the invention of writing systems. The use of ...
medicine relies heavily on artifacts and
human remains Human remains may refer to: A corpse or skeleton * A deceased human body ** A cadaver ** A Human skeleton, skeleton Music * Human Remains (band), an American grindcore band * Human Remains (Hell album), ''Human Remains'' (Hell album), 2011 * Huma ...
, and on
anthropology Anthropology is the scientific study of humanity, concerned with human behavior, human biology, cultures, societies, and linguistics, in both the present and past, including past human species. Social anthropology studies patterns of behavi ...
. Previously uncontacted peoples and certain
indigenous peoples Indigenous peoples are culturally distinct ethnic groups whose members are directly descended from the earliest known inhabitants of a particular geographic region and, to some extent, maintain the language and culture of those original people ...
who live in a traditional way have been the subject of anthropological studies in order to gain insight into both contemporary and ancient practices.


Disease and mortality

Some diseases and ailments were more common in prehistory than they are today; there is evidence that many people suffered from
osteoarthritis Osteoarthritis (OA) is a type of degenerative joint disease that results from breakdown of joint cartilage and underlying bone which affects 1 in 7 adults in the United States. It is believed to be the fourth leading cause of disability in the w ...
, probably caused by the lifting of heavy objects which would have been a daily and necessary task in their societies. For example, the transport of latte stones, a practice started during the neolithic era, which involved hyper extension and torque of the lower back while dragging the stones, may have contributed to the development of micro fractures 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, as they did not have sufficient ways to treat infection. There is also evidence of rickets, bone deformity and bone wastage ( Osteomalacia), which is caused by a lack of
Vitamin D Vitamin D is a group of fat-soluble secosteroids responsible for increasing intestinal absorption of calcium, magnesium, and phosphate, and many other biological effects. In humans, the most important compounds in this group are vitamin D3 (c ...
. The life expectancy in prehistoric times was low, 25–40 years, 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 humans may be malnutrition; also, men as hunters may have sometimes received better food than the woman, who would consequently have been less resistant to disease.


Treatments for diseases


Plant materials

Plant materials (
herbs In general use, herbs are a widely distributed and widespread group of plants, excluding vegetables and other plants consumed for macronutrients, with savory or aromatic properties that are used for flavoring and garnishing food, for medicinal ...
and substances derived from natural sources) were among the treatments for diseases in prehistoric cultures. Since plant materials quickly rot under most conditions, historians are unlikely to fully understand which species were used in prehistoric medicine. A speculative view can be obtained by researching the climate of the respective society and then checking which species continue to grow in similar conditions today and through anthropological studies of existing indigenous peoples. Unlike the ancient civilisations which could source plant materials internationally, prehistoric societies would have been restricted to localised areas, though nomadic tribes may have had a greater variety of plant materials at their disposal than more stationary societies. The effects of different plant materials could have been found through trial and error. Gathering and dispensing of plant materials was in most cultures handled by women, who cared for the health of their family. Plant materials were an important cure for diseases throughout history. This fund of knowledge would have been passed down orally through the generations. The ''
birch polypore ''Fomitopsis betulina'' (previously ''Piptoporus betulinus''), commonly known as the birch polypore, birch bracket, or razor strop, is a common bracket fungus and, as the name suggests, grows almost exclusively on birch trees. The brackets burs ...
'' fungus, commonly found in alpine environments, may have been used as a laxative by prehistoric people living in Northern Europe, since it is known to bring on short bouts of diarrhoea when ingested, and was found among the possessions of a mummified man.


The use of earth and clays

Earths and
clays Clay is a type of fine-grained natural soil material containing clay minerals (hydrous aluminium phyllosilicates, e.g. kaolin, Al2 Si2 O5( OH)4). Clays develop plasticity when wet, due to a molecular film of water surrounding the clay par ...
may have provided prehistoric peoples with some of their first medicines. This is related to
geophagy Geophagia (), also known as geophagy (), is the intentional practice of eating earth or soil-like substances such as clay, chalk, or termite mounds. It is a behavioural adaptation that occurs in many non-human animals and has been documented in ...
, which is extremely widespread among animals in the wild as well as among domesticated animals. In particular, geophagy is widespread among contemporary non-human primates. Also, early humans could have learned about the use of various
healing clay The use of medicinal clay in folk medicine goes back to prehistoric times. Indigenous peoples around the world still use clay widely, which is related to geophagy. The first recorded use of medicinal clay goes back to ancient Mesopotamia. A wid ...
s by observing animal behaviour. Such clay is used both internally and externally, such as for treating wounds, and after surgery (see below). Geophagy, and the external use of clay are both still quite widespread among aboriginal peoples around the world, as well as among pre-industrial populations.


Surgery

''
Trepanning Trepanning, also known as trepanation, trephination, trephining or making a burr hole (the verb ''trepan'' derives from Old French from Medieval Latin from Greek , literally "borer, auger"), is a surgical intervention in which a hole is drill ...
'' (sometimes ''Trephining'') was a basic
surgical operation Surgery ''cheirourgikē'' (composed of χείρ, "hand", and ἔργον, "work"), via la, chirurgiae, meaning "hand work". is a medical specialty that uses operative manual and instrumental techniques on a person to investigate or treat a pat ...
carried out in prehistoric societies across the world, although evidence shows a concentration of the practice in
Peru , image_flag = Flag of Peru.svg , image_coat = Escudo nacional del Perú.svg , other_symbol = Great Seal of the State , other_symbol_type = Seal (emblem), National seal , national_motto = "Fi ...
. Several theories question the reasoning behind trepanning; it could have been used to cure certain conditions such as
headache Headache is the symptom of pain in the face, head, or neck. It can occur as a migraine, tension-type headache, or cluster headache. There is an increased risk of depression in those with severe headaches. Headaches can occur as a result ...
s and
epilepsy Epilepsy is a group of non-communicable neurological disorders characterized by recurrent epileptic seizures. Epileptic seizures can vary from brief and nearly undetectable periods to long periods of vigorous shaking due to abnormal electrical ...
. There is evidence discovered of bone tissue surrounding the surgical hole partially grown back, so therefore survival of the procedure did occur at least on occasion. Many prehistoric peoples, where applicable (geographically and technologically), were able to set broken or
fracture Fracture is the separation of an object or material into two or more pieces under the action of stress. The fracture of a solid usually occurs due to the development of certain displacement discontinuity surfaces within the solid. If a displa ...
d bones using clay materials. An injured area was covered in clay, which then set hard so that the bone could heal properly without interference. Also, primarily in the
Americas The Americas, which are sometimes collectively called America, are a landmass comprising the totality of North and South America. The Americas make up most of the land in Earth's Western Hemisphere and comprise the New World. Along with th ...
, the pincers of certain ant species were used to close up wounds from infection; the ant was held above the wound until it bit, where its head would be removed allowing the pincers to remain and hold closed the wound.


Magic and medicine men

'' Medicine men'' (also witch-doctors, shamans) maintained the health of their tribe by gathering and distributing herbs, performing minor surgical procedures, providing medical advice, and supernatural treatments such as charms, spells, and
amulet An amulet, also known as a good luck charm or phylactery, is an object believed to confer protection upon its possessor. The word "amulet" comes from the Latin word amuletum, which Pliny's ''Natural History'' describes as "an object that protects ...
s to ward off evil spirits. In
Apache The Apache () are a group of culturally related Native American tribes in the Southwestern United States, which include the Chiricahua, Jicarilla, Lipan, Mescalero, Mimbreño, Ndendahe (Bedonkohe or Mogollon and Nednhi or Carrizaleño an ...
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 formulas, prayers, and drumming. The medicine man then, from patients' 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 spirits or gods and use their supernatural powers to cure the patient, and, in the process, remove evil spirits. If neither this method nor trepanning worked, the spirit was considered too powerful to be driven out of the person. Medicine men would likely have been central figures in the tribal system, because of their medical knowledge and because they could seemingly contact the gods. Their religious and medical training were, necessarily, passed down orally.


Dentistry

Archaeologists in
Mehrgarh Mehrgarh (; ur, ) is a Neolithic archaeological site (dated ) situated on the Kacchi Plain of Balochistan in Pakistan. It is located near the Bolan Pass, to the west of the Indus River and between the modern-day Pakistani cities of Quetta, Ka ...
in
Balochistan Balochistan ( ; bal, بلۏچستان; also romanised as Baluchistan and Baluchestan) is a historical region in Western and South Asia, located in the Iranian plateau's far southeast and bordering the Indian Plate and the Arabian Sea coastline. ...
province in the present day
Pakistan Pakistan ( ur, ), officially the Islamic Republic of Pakistan ( ur, , label=none), is a country in South Asia. It is the world's List of countries and dependencies by population, fifth-most populous country, with a population of almost 24 ...
discovered that the people of
Indus Valley civilization The Indus Valley Civilisation (IVC), also known as the Indus Civilisation was a Bronze Age civilisation in the northwestern regions of South Asia, lasting from 3300 BCE to 1300 BCE, and in its mature form 2600 BCE to 1900&n ...
from the early
Harappa Harappa (; Urdu/ pnb, ) is an archaeological site in Punjab, Pakistan, about west of Sahiwal. The Bronze Age Harappan civilisation, now more often called the Indus Valley Civilisation, is named after the site, which takes its name from a mode ...
n periods (c. 3300 BC) had knowledge of medicine and
dentistry Dentistry, also known as dental medicine and oral medicine, is the branch of medicine focused on the teeth, gums, and mouth. It consists of the study, diagnosis, prevention, management, and treatment of diseases, disorders, and conditions o ...
. The
physical anthropologist Biological anthropology, also known as physical anthropology, is a scientific discipline concerned with the biological and behavioral aspects of human beings, their extinct hominin ancestors, and related non-human primates, particularly from an e ...
who carried out the examinations, Professor Andrea Cucina from the
University of Missouri The University of Missouri (Mizzou, MU, or Missouri) is a public university, public Land-grant university, land-grant research university in Columbia, Missouri. It is Missouri's largest university and the flagship of the four-campus Universit ...
, made the discovery when he was cleaning the teeth from one of the men. Later research in the same area found evidence of teeth having been drilled dating to 7,000 B.C.E.


The problem of evidence

There is no written evidence that can be used for investigation into the prehistoric period of history by definition. Historians must use other sources such as
human remains Human remains may refer to: A corpse or skeleton * A deceased human body ** A cadaver ** A Human skeleton, skeleton Music * Human Remains (band), an American grindcore band * Human Remains (Hell album), ''Human Remains'' (Hell album), 2011 * Huma ...
and anthropological studies of societies living under similar conditions. A variety of problems arise when the aforementioned sources are used. Human remains from this period are rare and many have undoubtedly been destroyed by burial rituals or made useless by damage. The most informative archaeological evidence are
mummies A mummy is a dead human or an animal whose soft tissues and organs have been preserved by either intentional or accidental exposure to chemicals, extreme cold, very low humidity, or lack of air, so that the recovered body does not decay furth ...
, remains which have been preserved by either freezing or in peat bogs; no evidence exists to suggest that prehistoric people mummified the dead for religious reasons, as Ancient Egyptians did. These bodies can provide scientists with subjects' (at the time of death): weight, illnesses, height, diet, age, and bone conditions, which grant vital indications of how developed prehistoric medicine was. Not technically classed as 'written evidence', prehistoric people left many kinds of paintings, using paints made of minerals such as lime, clay and charcoal, and brushes made from feathers, animal fur, or twigs on the walls caves. Although many of these paintings are thought to have a spiritual or religious purpose, 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 In anthropology, pygmy peoples are ethnic groups whose average height is unusually short. The term pygmyism is used to describe the phenotype of endemic short stature (as opposed to disproportionate dwarfism occurring in isolated cases in a pop ...
and Khoikhoi. The writings of certain cultures (such as the Romans) can be used as evidence in discovering how their contemporary prehistoric cultures 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 environments in which nomadic people lived; prehistoric people who once lived in Britain for example, cannot be effectively compared to aboriginal peoples in
Australia Australia, officially the Commonwealth of Australia, is a Sovereign state, sovereign country comprising the mainland of the Australia (continent), Australian continent, the island of Tasmania, and numerous List of islands of Australia, sma ...
, because of the geographical differences.


See also

*
Anthropology Anthropology is the scientific study of humanity, concerned with human behavior, human biology, cultures, societies, and linguistics, in both the present and past, including past human species. Social anthropology studies patterns of behavi ...
*
Bush medicine Bush medicine comprises traditional medicines used by Indigenous Australians, being Aboriginal and Torres Strait Islander people. Indigenous people have been using various components of native Australian flora and some fauna as medicine for t ...
*
Human fat :''This article deals with the pharmaceutical uses of human fat. For a general view, see Adipose tissue.'' Human fat ( German ''Menschenfett'', Latin '' Axungia hominis'') was mentioned in European pharmacopoeias since the 16th century as an imp ...
* Mellified Man *
Native American ethnobotany This is a list of plants used by the indigenous people of North America. For lists pertaining specifically to the Cherokee, Iroquois, Navajo, and Zuni, see Cherokee ethnobotany, Iroquois ethnobotany, Navajo ethnobotany, and Zuni ethnobotany. ...
* Paleolithic diet *
Primitive skills Survivalism is a social movement of individuals or groups (called survivalists or preppers) who proactively prepare for emergencies, such as natural disasters, as well as other disasters causing disruption to social order (that is, civil dis ...
*
Sweat lodge A sweat lodge is a low profile hut, typically dome-shaped or oblong, and made with natural materials. The structure is the ''lodge'', and the ceremony performed within the structure may be called by some cultures a purification ceremony or simply ...
* Venus of Willendorf


References


External links

* {{DEFAULTSORT:Prehistoric Medicine Traditional medicine History of ancient medicine
Medicine Medicine is the science and practice of caring for a patient, managing the diagnosis, prognosis, prevention, treatment, palliation of their injury or disease, and promoting their health. Medicine encompasses a variety of health care pract ...