1. The Impact of Civilisation on Medical Developments
Ancient Egypt
The Impact of Civilisation on Medical Developments

2. The Nile Gives Birth to a New Civilisation
(A) THE DELTA North of Memphis, the Nile divided into channels, to form a delta. Much of this land was swampy, but the rest was good for farming. (B) OASIS The Western Desert had a few places where enough water was available for crops to be grown. These were called oases. (C) THE EASTERN DESERT The Eastern Desert had no oases but it contained valuable minerals, including gold. (D) THE VALLEY The valley was only 19 km wide but over 5,960 km long. (E) CATARACTS Ships sailing south were stopped by cataracts (rapids).
Good Farming Land
Irrigation systems
Complex flood patterns
Mathematical skills required
Advanced planning required

3. Producing More than enough Food
(A) HARVEST When the main crops were ready, nearly everyone - men and women, even priests - helped with the harvest. (B) MUSIC Musicians played while work went on in the fields. At planting time, magic spells were chanted to make the crops grow. (C) WINNOWING Women scooped the grain up with wooden trays, letting the chaff blow away while the heavier grain fell to the ground. (D) TAXES Farmers paid part of their crop as taxes. Scribes kept careful records of the amounts. (E) CATTLE Young boys helped to look after the livestock. A man's wealth could be judged by the cattle he owned. Farmers also owned sheep, goats, and donkeys.
Surplus Food Produced
Store for future use
Trade for other goods
Not everyone needs to farm
New trades and specialities develop

4. Trading the Surplus New Products and Ideas can be imported
Makes money which can be invested
Cities
To please the Gods
(A) MERCHANT SHIP Small boats were made of bundles of reeds tied together. Larger ships were built of wood. This one sailed through the dangerous Red Sea. (B) CARGO Ships had no deck, except for short sections at each end, and the crew stowed cargo in the open hold. The ship had oars and one large sail. (C) THE LAND OF PUNT Ships that sailed to Punt were carried across the desert in pieces and built on the shore of the Red Sea. Punt was probably in eastern Africa, but nobody knows exactly where.

5. Craftsmen New jobs available for talented craftsmen
(A) POTTERY Pots of many shapes and sizes were made from local clay. It was shaped by hand in a mold made of stiff sand, given a glaze, and hardened in fire. (B) GOLD The Egyptians had plenty of gold, mostly from mines in Nubia. Jewellery and gold-plated objects were made. Statues and even a king's coffin were made of solid gold.
(C) SANDALS The shoemaker's trade was simple, because the only shoes people wore were sandals, made of leather or papyrus reed. Usually they went barefoot. (D) WOOD CARVING This man is making a wooden animal. Most woodworking tools, such as saws and chisels, have not changed much since.
New jobs available for talented craftsmen
Surplus food Production allows for their wages to be paid
New Products and Skills Develop
Some with medical application!

6. A New Hierarchy Develops
Agricultural and Trading opportunities allow New Hierarchy to be formed
Elite/Aristocracy
Pay wages to others to work for them
Life of leisure
Free time to think
New ideas
New Inventions
New Skills

8. Hieroglyphics Development of Writing Papyrus Pictographs
Allows ideas to be transferred
Can spread throughout Egypt
Can be passed down through generations

9. Sophisticated Civilisation
Large Scale projects were now feasible
Planning
Writing and Mathematics
New Tools
Public Works projects
(A) RAISING STONE BLOCKS One of the hardest jobs was moving the heavy stone blocks into place. The builders made huge ramps of earth and dragged the stones up the ramps with ropes. (B) SUPERVISORS Officials, who were probably priests, directed the gangs of workmen. (C) SHAPING THE STONE Each stone was carefully measured and shaped to fit into place. (D) ACCIDENTS Many workmen were killed or injured, crushed by the heavy stone blocks.

10. Towns and Cities Develop
Craftsmen, traders, labourers find it easier and more convenient to live in towns and cities.
Urban economy and lifestyle develops
Medical threats to an urban population?

11. Hygienic Lifestyle Personal Hygiene Public Works allow for
Very important
Public Works allow for
Drain Systems
Water Delivery systems
Bathing

12. Who were the Medical Care Givers?
“It is seven days from yesterday since I saw my love,
And Sickness has crept over me,
My limbs have become heavy,
I cannot feel my own body.
If the Master-Physicians come to me
I gain no comfort from their remedies.
And the priest-magicians have no cures,
My sickness is not diagnosed.
My love is better by far for me than any remedies.
She is more important than all the books of medicine.”
Egyptian Love Poem c1500 BC

13. Religion Very Important Temples Priests Charms
Alternative medical care from master physicians
Charms
Still used extensively

14. Imphotep Master Physicians Pharoah Zozer’s Physician c2600 BC
can be afforded by the very wealthy
Pharoah Zozer’s Physician
Adviser
Architect on some Pyramids
Healer
c2600 BC
Becomes God of Medicine
For Greeks and Egyptians
c500 BC

15. The Nile Theory
Attempt to Explain how the Body works and why people get sick
Related to their Natural Environment and their understanding of how the world works
River Nile
Channels (River)
Mixture of Blood and Air
Flows from the centre to extremeties
Disease
Caused by blockages of the channels
Caused by rotting food
Letting off gases
Prevents normal flow
A Rational Explanation

16. Ebers and Smith Papyri Smith Papyrus Ebers Papyrus
C1700 BC (but refers to Imphotep’s era)
Surgical treatments for wounds
Ebers Papyrus
C1500 BC
110 Pages
Treatments for diseases
Herbal Remedies
Remedies used by Gods

17. Medical Kit
1) knives; (2) drill; (3) saw; (4) forceps or pincers; (5) censer; (6) hooks; (7) bags tied with string; (8, 10) beaked vessel; (11) vase with burning incense; (12) Horus eyes; (13) scales; (14) pot with flowers of Upper and Lower Egypt; (15) pot on pedestal; (16) graduated cubit or papyrus scroll without side knot (or a case holding reed scalpels); (17) shears; (18) spoons.

18. The Afterlife? Elaborate death ritual Embalming Procedure
Directed by Priests
Uses sophisticated tools and techniques
HOWEVER
It is not a medical procedure
He is already dead!

19. Mummification
Excessive respect for the Dead body
Will hinder medical developments for many years
Sacred Body does not allow for exploration or experimentation.
Dissection Forbidden
(A) ANUBIS The priest in charge of the mummification wore the mask of Anubis (the god of the dead). (B) INCENSE A priest stands by, holding sweet-smelling incense. (C) WRAPPING THE BODY The body, or mummy, was wrapped in layers of linen before being placed in the coffin. (D) NATRON Natron, a kind of soda, was placed in the body to dry it out before it was wrapped in linen. (E) SOAKING THE BANDAGES Sometimes, linen strips were soaked in plaster so they would harden when dry.

20. Legacy of Egypt Greece and Rome conquer Egypt
Greece and Rome respect many of the Egyptian ideas on medicine
Egyptian Physicians in demand in Ancient Greece
Role of Alexandria

21. What was new in Egyptian Medicine? What was the same?
(compared to Prehistoric Medicine)
What was the same?

22. What was new in Egyptian Medicine? What was the same?
(compared to Prehistoric Medicine)
What was the same?
Master Physicians
Herbal remedies
Attempt to explain diseases
(Nile Theory)
Role of Gods and Spirits
Can identify parts of the body
Little understanding of internal workings of body
Imported new herbs from other civilisations
No idea what actually caused diseases
Metal Instruments
Paid for medical care
Some Public Health measures
Hygiene identified

23. Marking Scheme
Level 0
General or simplistic Answer (1 Mark)
Level 1
Specifically answers question with relevant example or explanation (2 – 3 Marks)
Level 2
Sophisticated answer that shows an understanding of the complex forces involved. Good use of relevant examples (4 – 5 Marks)
Write a simple paragraph explaining how the following affected medicine
Wealth
Trade
Writing
Religion
The Nile and Farming
Which is the most important of the 5?
List all the kinds of healers mentioned sources 1 to 5 on page 18
Answer questions 1, 5, 6 and 7 on pages 20/21
Homework
Activity on page 21
Design an advertisement for one of the treatments described on pages 20/21