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Prehistoric medicine

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Medicine in the time before the invention of writing
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A skull showing evidence oftrepanning

Prehistoric medicine is any use ofmedicine from before theinvention ofwriting and the documentedhistory of medicine. Because the timing of the invention of writing varies perculture and region, the term "prehistoric medicine" encompasses a wide range of time periods and dates.[1]

The study ofprehistoric medicine relies heavily onartifacts andhuman remains, and onanthropology. Previouslyuncontacted peoples and certainindigenous peoples who live in a traditional way have been the subject of anthropological studies in order to gain insight into both contemporary and ancient practices.[2]

Disease and mortality

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Some diseases and ailments were more common in prehistory than they are today; there is evidence that many people suffered fromosteoarthritis, probably caused by the lifting of heavy objects which would have been a daily and necessary task in their societies.[citation needed] For example, the transport oflatte stones, a practice started during theNeolithic 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 subsequentspondylolysis. 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.[3][unreliable source?]There is also evidence ofrickets, bone deformity and bone wastage (osteomalacia),[4] which is caused by a lack ofvitamin D.

The life expectancy in prehistoric times was low, 25–40 years,[5] 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 women, who would consequently have been less resistant to disease.[6]

Treatments for diseases

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Plant materials

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See also:History of pharmacy
Herbs such asrosemary may have been used for medical purposes by prehistoric people.[which?][7][8][9]

Plant materials (herbs and substances derived fromnatural sources)[10] were among the treatments for diseases in prehistoric cultures.[which?][11] 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[12] and through anthropological studies of existing indigenous peoples.[13][14]Unlike the ancient civilisations which could source plant materials internationally, prehistoric societies would have been restricted to localised areas, thoughnomadic 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.[15][unreliable source?] Gathering and dispensing of plant materials was in most cultures handled by women, who cared for the health of their family.[16] Plant materials were an important cure for diseases throughout history.[17] This fund of knowledge would have been passed down orally through the generations.

Thebirch polypore 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.[18]

The use of earth and clays

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Earths andclays may have provided prehistoric peoples with some of their first medicines. This is related togeophagy, 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.[19] Also, early humans could have learned about the use of varioushealing clays by observing animal behaviour. Such clay is used both internally and externally, such as for treating wounds, and after surgery (see below).[citation needed] 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

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Trepanning (sometimesTrephining) was a basicsurgical operation in which a hole was drilled or scraped into the skull. It was carried out in prehistoric societies across the world,[20][21] although evidence shows a concentration of the practice inPeru.[17][20][22] Several theories question the reasoning behind trepanning; it could have been used to cure certain conditions such asheadaches andepilepsy.[23][24] 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.[17]

The first knowntrepanning operation was carried outc. 5000 BCE inEnsisheim, France.[25] A possibleamputation was carried outc. 4,900 BCE in Buthiers-Bulancourt, France.

Many prehistoric peoples,[which?] where applicable (geographically and technologically), were able to set broken orfractured bones using clay materials. An injured area was covered in clay, which then set hard so that the bone could heal properly without interference.[1] Also, primarily in theAmericas, 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.[26]

Magic and medicine men

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Yup'ikshaman exorcising evil spirits from a sick boy[27]
Main articles:Medicine man andShamanism

Medicine men (also witch-doctors, shamans) maintained the health of their tribe by gathering and distributing herbs, performing minor surgical procedures,[28] providing medical advice, andsupernatural treatments such as charms, spells, andamulets to ward off evil spirits.[29] InApache 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.[citation needed] 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.[30]

Dentistry

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The earliest example of a drilled and filled in tooth dates back to 13,000 years ago in Italy where a tooth was filled with a mix of bitumen, hair and plant fiber.[31]Archaeologists inMehrgarh inBalochistan province in the present dayPakistan discovered that the people ofIndus Valley civilization from the earlyHarappan periods (c. 3300 BC) had knowledge of medicine anddentistry. Thephysical anthropologist who carried out the examinations, Professor Andrea Cucina from theUniversity of Missouri, 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 BCE.[32]

The problem of evidence

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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 ashuman remains 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 been destroyed or damaged beyond the point of providing useful information.[33] The most informative pieces of archaeological evidence aremummies, human remains which have been preserved either artificially, as withAncient Egyptian funerary practices, or naturally, as with theSiberian Ice Maiden or abog body.[34][35] From the examination of these mummies, scientists can gather health-related information related to age, diet, illnesses, and injuries,[36][37] 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,[38] 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 thePygmies andKhoikhoi.[39]

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 inBritain for example, cannot be effectively compared to aboriginal peoples inAustralia, because of the geographical differences.[40]

See also

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References

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  1. ^abKelly, Nigel; Rees, Bob; Shuter, Paul (2003).Medicine Through Time.Heinemann.ISBN 978-0-435-30841-4.
  2. ^"Traditional Medicine".World Health Organization. Archived fromthe original on June 25, 2012. Retrieved2015-12-30.
  3. ^"The History of Medicine, Pre-history".Student reference and support materials.St Boniface's College. Retrieved2009-02-19.
  4. ^"Babylon to Birmingham, A short journey through medicine to the end of the 18th Century".Revolutionary Players. History West Midlands. 18 May 2015. Retrieved2015-12-30.
  5. ^Schools History Project (26 September 1996).Medicine & Health Through Time: an SHP Development Study.Hodder Education.ISBN 978-0719552656.
  6. ^"Prehistoric Medicine". HealthGuidance.Org. Retrieved2009-02-19.
  7. ^Browning, Marie (1999).Natural Soapmaking.Sterling Publishing. p. 128.ISBN 978-0-8069-6289-4.
  8. ^"Aboriginal Plant Use in SE Australia". Australian Government,Australian National Botanic Gardens. Archived fromthe original on 2015-05-13. Retrieved2015-12-30.
  9. ^"Medical use of Spices".UCLA Library, History and Special collections. Retrieved2009-02-19.
  10. ^"Use Of Spices As Medicines".UCLA Library, History and Special collections. Retrieved2009-02-19. Mentions spices being used by some prehistoric cultures
  11. ^Samorini, Giorgio (2019-06-01)."The oldest archeological data evidencing the relationship of Homo sapiens with psychoactive plants: A worldwide overview".Journal of Psychedelic Studies.3 (2):63–80.doi:10.1556/2054.2019.008.
  12. ^Lock, Robin (2002).Plants of the Humid Tropics Biome. Eden Project books. p. 128.ISBN 978-1-90391913-2.
  13. ^Moerman, Daniel E. (2009).Native American Medicinal Plants: an ethnobotanical dictionary. Portland, OR / London:Timber Press.ISBN 978-0-88192-987-4.{{cite encyclopedia}}:Missing or empty|title= (help)
  14. ^"Native American Herbal Remedies".Cherokee Messenger. Cherokee Cultural Society of Houston. 1996. Archived fromthe original on 2011-07-23. Retrieved2009-02-19.
  15. ^Schools History Project."BBC - GCSE Bitesize, Prehistoric Civilisation".GCSE Bitesize.BBC. Archived fromthe original on April 7, 2016.They have done this through a process of trial and error and natural selection.
  16. ^Hobbs, Christopher (6 December 2000)."Herbal Medicine: An Outline of The History of Herbalism An Overview and Literature Resource List".healthy.net. HealthWorld Online. RetrievedDecember 30, 2015.... women prepared food and healing potions--women generally practiced herbalism on a day to day basis, taking care of the ills of other members of the family or tribal unit
  17. ^abc"Primitive Medicine".HistoryWorld. RetrievedDecember 30, 2015.
  18. ^Wilford, John Noble (December 8, 1998)."Lessons in Iceman's Prehistoric Medicine Kit".The New York Times. New York. RetrievedDecember 30, 2015.
  19. ^Krishnamani, R.; Mahaney, William C. (2000). "Geophagy among primates: Adaptive significance and ecological consequences".Animal Behaviour.59 (5):899–915.Bibcode:2000AnBeh..59..899K.doi:10.1006/anbe.1999.1376.PMID 10860518.S2CID 43702331.
  20. ^ab"Pre-Columbian Trephination".NEUROSURGERY://ON-CALL/Cyber Museum of Neurosurgery.American Association of Neurological Surgeons andCongress of Neurological Surgeons. Archived fromthe original on 2018-10-20. Retrieved2009-02-19.{{cite web}}:External link in|website= (help)
  21. ^Piek J, Lidke G, Terberger T, von Smekal U, Gaab MR (July 1999). "Stone age skull surgery in Mecklenburg-Vorpommern: a systematic study".Neurosurgery.45 (1):147–51, discussion 151.doi:10.1097/00006123-199907000-00033.PMID 10414577. A small but informative text
  22. ^"Trephination, An Ancient Surgery".UIC Oral Sciences OSCI 590: Hominid Evolution, Dental Anthropology, and Human Variation.University of Illinois at Chicago. Archived fromthe original on March 3, 2016. RetrievedDecember 30, 2015.In Peruvian practice there is considerable evidence that many of the operations were performed for the naturalistic purpose of removing a bone fragment ... and trephination undertaken as a supernatural curative procedure by shamans (sancoyoc) with little technical ability as surgeons.
  23. ^Siegfried, Juliette."History of Brain Surgery".Brain-Surgery.com. RetrievedDecember 30, 2015.
  24. ^Osler, Sir William (1922).The Evolution of Modern Medicine: A Series of Lectures Delivered at Yale University on the Silliman Foundation in April, 1913. Silliman memorial lectures. New Haven:Yale University Press. pp. 6–9. See the section "Origin Of Medicine"
  25. ^Walker AA (September–October 1997)."Neolithic Surgery".Archaeology Magazine Archive.50 (5).
  26. ^Gudger, E. W. (1925). "Stitching Wounds With the Mandibles of Ants and Beetles".J. Am. Med. Assoc.84:1861–4.
  27. ^Fienup-Riordan, Ann (1994).Boundaries and Passages: Rule and Ritual in Yup'ik Eskimo Oral Tradition. Norman, OK:University of Oklahoma Press.ISBN 978-0-585-12190-1.
  28. ^"Mysteries of Africa".Encounter South Africa. Encounter Magazine. Archived fromthe original on March 4, 2016. RetrievedDecember 30, 2015. Stories of Medicine Men in Africa
  29. ^Ackerknecht, Erwin Heinz (1982) [1955].A Short History of Medicine (Johns Hopkins Paperbacks ed.). Baltimore:Johns Hopkins University Press.ISBN 978-0-8018-2726-6.
  30. ^"Healing Secrets of Aboriginal Bush Medicine". Big River Internet. Archived fromthe original on March 6, 2019. RetrievedDecember 30, 2015.Trained from an early age by their elders and initiated into the deepest of tribal secrets...
  31. ^"Oldest tooth filling was made by an Ice Age dentist in Italy".
  32. ^"Stone age man used dentist drill".BBC News. 2006-04-06. Retrieved2010-05-22.
  33. ^Coulson, Ian."Prehistoric Medicine In Kent".The History of Health and Medicine in Kent. Kent County Council. Archived fromthe original on December 2, 2008. RetrievedDecember 30, 2015.It is a matter of luck because only some skeletons survive
  34. ^"myDigiGuide: The Best UK TV Guide".www.mydigiguide.com. Archived fromthe original on 2012-09-13. Retrieved2019-07-21.
  35. ^Malam, John (2001).Secret Worlds: Mummies, and the Secrets of Ancient Egypt. Megabites.DK Children.ISBN 978-0-78947976-1.
  36. ^Jackowsky, Christian; Bolliger, Stephan; Thali, Michael J. (2008). "Common and Unexpected Findings in Mummies from Ancient Egypt and South America as Revealed by CT".Radiographics.28 (5):1477–1492.doi:10.1148/rg.285075112.PMID 18794321.
  37. ^McLean, Stuart (2008)."BODIES FROM THE BOG: METAMORPHOSIS, NON-HUMAN AGENCY AND THE MAKING OF 'COLLECTIVE' MEMORY; pp. 299–308"(PDF).TRAMES: A Journal of the Humanities & Social Sciences.12 (3):302–303.doi:10.3176/tr.2008.3.05. Retrieved21 October 2025.
  38. ^Ganeri, Anita; Martell, Hazel Mary; Williams, Brian (2007).World History Encyclopedia: A Complete and Comprehensive Guide to the History of the World.Parragon.ISBN 978-1-40549120-4.
  39. ^Janssens PA (October 1957)."Medical Views on Prehistoric Representations of Human Hands".Med Hist.1 (4):318–22.doi:10.1017/s0025727300021499.PMC 1034309.PMID 13476920. Pages 318–21 are of particular interest in this subject
  40. ^"Prehistoric Medicine".History GCSE / History of Medicine Lessons. Education Forum. Retrieved5 April 2021.

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