This study of the original Arabic edition of the book Al-Taisir Fil-Mudawat Wal-Tadbeer (Book of Simplification Concerning Therapeutics and Diet) written by the Muslim physician Abu-Marwan Abdel-Malik Ibn Zuhr (Avenzoar, 1093-1162 AD) aimed at evaluating his contributions to the progress of surgery and providing English translations of relevant excerpts. Ibn Zuhr s unique experiment performing a tracheotomy on a goat, proved the safety of this operation in humans and represented a further step in the development of the experimental school started by Al-Razi (Rhazes) of Baghdad in the ninth century who is known to have given monkeys doses of mercury to test it as a drug for human use. Ibn Zuhr also performed post mortems on sheep in the course of his clinical research on treatment of ulcerating diseases of the lungs. Same as all his predecessors in the Islamic Era, he stressed the importance of a practical and sound knowledge of anatomy for surgical trainees. Furthermore, Ibn Zuhr insisted on a well supervised and structured training program for the surgeon-to-be, before allowing him to operate independently. He also drew the red lines at which a physician should stop, during his general management of a surgical condition; a step forward in the evolution of general surgery as a specialty of its own. He believed in prophylaxis against urinary stone disease and reported the importance of dietary management for that purpose. Furthermore, Ibn Zuhr enriched surgical and medical knowledge by describing many diseases and treatment innovations not ever described before him.
Source
Abdel-Halim RE, Division of Urology, Department of Surgery, King Saud University, College of Medicine and King Khalid University Hospital, PO Box 2925, Riyadh 11461, Kingdom of Saudi Arabia. [email protected]
Who Was Ibn Zuhr?
Abu Marwan Abd al-Malik Ibn Zuhr was born at Seville in 1091/c. 1094 C.E. After completing his education and specializing in medicine, he entered the service of Almoravides (Al-Murabatun), but after their defeat by the Al-Mohades (Al-Muwahadun), he served under ‘Abd al-Mu’min, the first Muwahid ruler. He died in Seville in 1161/c. 1162 C.E. As confirmed by George Sarton, he was not a Jew, but an orthodox Muslim.
Ibn Zuhr, The Great Physician
Ibn Zuhr was one of the greatest physicians and clinicians of the Muslim golden era and has rather been held by some historians of science as the greatest of them. Contrary to the general practice of the Muslim scholars of that era, he confined his work to only one field medicine. This enabled him to produce works of everlasting fame.
As a physician, he made several discoveries and breakthroughs. He described correctly, for the first time, scabies, the itch mite and may thus be regarded as the first parasitologist. Likewise, he prescribed tracheotomy and direct feeding through the gullet and rectum in the cases where normal feeding was not possible. He also gave clinical descriptions of mediastinal tumours, intestinal phthisis, inflammation of the middle ear, pericarditis, etc.
What Did Ibn Zuhr Write?
His contribution was chiefly contained in the monumental works written by him; out of these, however, only three are extant. Kitab al-Taisir fi al-Mudawat wa al-Tadbir (Book of Simplification concerning Therapeutics and Diet), written at the request of Ibn Rushd (Averroes), is the most important work of Ibn Zuhr. It describes several of Ibn Zuhr’s original contributions. The book gives in detail pathological conditions, followed by therapy. His Kitab al-Iqtisad fi Islah al-Anfus wa al-Ajsad (Book of the Middle Course concerning the Reformation of Souls and the Bodies) gives a summary of diseases, therapeutics and hygiene written specially for the benefit of the layman. Its initial part is a valuable discourse on psychology. Kitab al-Aghthiya (Book on Foodstuffs) describes different types of food and drugs and their effects on health.
Ibn Zuhr in his works lays stress on observation and experiment and his contribution greatly influenced the medical science for several centuries both in the East and the West. His books were translated into Latin and Hebrew and remained popular in Europe as late as the advent of the 18th century.
References:
Saudi Med J. 2005 Sep;26(9):1333-9. Contributions of Ibn Zuhr (Avenzoar) to the progress of surgery: a study and translations from his book Al-Taisir. Abdel-Halim
http://www.webgaza.net/scientists-scholars/Zuhr.htm
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