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	<title>physician &#8211; Fountain Magazine</title>
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		<title>Ibn Sina: An Exemplary Scientist</title>
		<link>https://fountainmagazine.com/all-issues/2012/issue-89-september-october-2012/ibn-sina-an-examplary-scientist-september-october-2012/</link>
		
		<dc:creator><![CDATA[Louima Cunningham]]></dc:creator>
		<pubDate>Sat, 01 Sep 2012 00:00:00 +0000</pubDate>
				<category><![CDATA[Issue 89 (September - October 2012)]]></category>
		<category><![CDATA[age]]></category>
		<category><![CDATA[book]]></category>
		<category><![CDATA[canon]]></category>
		<category><![CDATA[centuries]]></category>
		<category><![CDATA[History]]></category>
		<category><![CDATA[ibn sina]]></category>
		<category><![CDATA[infections]]></category>
		<category><![CDATA[latin]]></category>
		<category><![CDATA[leeuwenhoek]]></category>
		<category><![CDATA[life]]></category>
		<category><![CDATA[medicine]]></category>
		<category><![CDATA[medieval]]></category>
		<category><![CDATA[microorganisms]]></category>
		<category><![CDATA[muslim]]></category>
		<category><![CDATA[physician]]></category>
		<category><![CDATA[press]]></category>
		<category><![CDATA[scholars]]></category>
		<category><![CDATA[time]]></category>
		<category><![CDATA[world]]></category>
		<guid isPermaLink="false">http://107.21.79.195/all-issues/2012/issue-89-september-october-2012/ibn-sina-an-examplary-scientist-september-october-2012/</guid>

					<description><![CDATA[Ibn Sina (known as Avicenna in Latin and in the West) in his masterpiece The Canon of Medicine (United States National Library of Medicine, MS A 53) states that &#8220;Body secretions of a host organism (e.g., human being) are contaminated by tainted foreign organisms that are not visible by naked eye before the infection.&#8221; Let&#8217;s [&#8230;]]]></description>
										<content:encoded><![CDATA[<p>Ibn Sina (known as Avicenna in Latin and in the West) in his masterpiece The Canon of Medicine (United States National Library of Medicine, MS A 53) states that &#8220;Body secretions of a host organism (e.g., human being) are contaminated by tainted foreign organisms that are not visible by naked eye before the infection.&#8221; Let&#8217;s paraphrase this millennium-old statement as &#8220;Infections are caused by the contamination of body secretions of host organisms by foreign tainted microorganisms.&#8221; It is quite impressive that this definition is almost the same definition we use today for infections and more importantly that Ibn Sina hypothesized on the existence of microorganisms. Ibn Sina went even further to hypothesize that microbial diseases (e.g. tuberculosis) could be contagious and that those who are infected should be quarantined. Let&#8217;s briefly review the discovery of microorganisms and be further astonished with the intuition and vision of the &#8220;Father of Early Modern Medicine,&#8221; Ibn Sina (Colgan 2009).</p>
<p><span id="more-1407"></span></p>
<p>In the seventeenth century, nearly seven centuries after Ibn Sina, the Dutch scientist Anton van Leeuwenhoek (also referred to as the &#8220;Father of Microbiology&#8221;) observed microorganisms under a microscope (van Leeuwenhoek 1980). With his fundamental discovery, he showed that there were living organisms that were not visible to the naked eye. What van Leeuwenhoek did not realize was that these microorganisms (e.g. pathogen: a disease causing microbe) could actually be the cause of infections. This is contrary to the discoveries made by Ibn Sina seven centuries earlier that microorganisms could be the cause of infections despite the extremely limited evidence for the existence of microorganisms at the time. Nearly two centuries after Leeuwenhoek&#8217;s first observation of microorganisms, in 1876, Robert Koch, a German physician, postulated that microorganisms could actually be the cause of infection and therefore disease by his fundamental observation that the blood of an infected animal that contained pathogenic bacteria that, when transferred to a healthy animal caused the recipient animal to become sick (Koch 1999).</p>
<p>Let&#8217;s take a moment to reflect on Ibn Sina&#8217;s life story to encourage readers to learn more about him (McGinnis 2010) and his contributions to modern medicine and science.</p>
<p>Ibn Sina was born in 980 in in the village of Afshana near Bukhara, Uzbekistan (previously known as Khorasan) to a local governor named Abdullah, from Balkh, and his wife Setareh, a local from Afshana. Thanks to his father&#8217;s position as a governor as well as his background as a scholar, Ibn Sina had access to an excellent education in Bukhara, which at the time was the capital and intellectual center of the Samanids. Ibn Sina was taught by some of the most famous scholars of the time in the sciences and in Islamic theology. By the age of 18, Ibn Sina had already mastered the sciences of his day and had become a practicing physician. In addition to his expertise in medicine, for which he became world-renown, he was also a well-known philosopher, astrophysicist, mathematician, and theologian. He spent his life educating people, treating patients and writing books that not only enlightened the people of his age but later generations throughout the world as well.</p>
<p>Although Ibn Sina was considered one of the greatest Muslim philosophers of the medieval age he was a widely respected and well-known physician and was known as the &#8220;Prince of Physicians&#8221; in the West, and al-Sheikh al-Rais (Leader of the Scholars) among his students and colleagues (McGinnis 2010, 227). His gigantic medical encyclopedia al-Qanun fi al-Tibb (The Canon of Medicine), comprising of upwards of a million words, has been used as the standard medical textbook up until the seventeenth century and is still widely considered a valuable resource for the study of medicine. It was printed thirty-six times in the fifteenth and sixteenth centuries alone (Ullman 1978) and is regarded as one of the most influential books in Europe during the Middle Ages and Renaissance (Siraisi 2001).</p>
<p>The Canon of Medicine consists of five books with each book subdivided into various subjects, subsidiary subjects, summaries, and sections. The first book, also called al-Kulliyyat (The Collection), discusses the scientific background of medicine and anatomy such as physiology, symptomatology, and the principles of therapy. The second book has an account of the therapeutic properties of substances used in medicine. The third book is devoted to pathology and specific or localized ailments. Diseases that affect the whole body, such as fever, are discussed in the fourth book. Ibn Sina explained the mixing of drugs in the final volume, which is a book on pharmacology. Ibn Sina, in his Canon, derives his system of medicine from the Greco-Roman physician Galen (Galen of Pergamon, modern day Bergama, Izmir, Turkey, 129-200 CE) who himself based his approach on Hippocrates (460-370 BCE). Ibn Sina also benefited from ar-Razi (Rhazes in Latin, 865-925 CE) and al-Majusi (Haly Abbas in Latin, died circa 990) to present a systematized and comprehensive view of the medical sciences of the time (Prioreschi 2003).</p>
<p>Ibn Sina is only one of many great minds of the Muslim World during the medieval era. There were other great minds such as Ibn Rushd (Averroes in Latin), Ali Kuscu, al-Farabi (Alpharabius), Omar Khayyam and many more whose multifaceted studies encompassed diverse scholarly fields such as exegesis, law, logic, metaphysics, mathematics, astronomy, and medicine. The great Mesopotamia and Andalusia Civilizations &#8211; civilizations that were built by these brilliant scientists and philosophers &#8211; established the foundations of the science, art and philosophy of our age. The knowledge developed by the Muslim scholars was later transmitted to Europeans and enabled Europe to emerge from the Dark Ages and into the Renaissance.</p>
<p>A Renaissance is also needed for the Muslim world today. This can only be possible when they can raise a new generation of scholars like Ibn Sina who can lead the society with their groundbreaking findings and illuminating interpretations.</p>
<h3><b>References</b></h3>
<ul>
<li>Colgan, Richard. 2009. Advice to the Young Physician. Springer, New York.</li>
<li>Koch, Robert. 1999. A Life in Medicine and Bacteriology. ASM Press, Washington, D.C.</li>
<li>Life and work of Anton van Leeuwenhoek of Delft in Holland; 1632-1723. Municipal Archives, Delft, 1980.</li>
<li>McGinnis, Jon. 2010. Avicenna. Oxford University Press, New York.</li>
<li>Prioreschi, Plinio. 2003. Medieval Medicine vol. 5: Medieval Medicine, Horatius Press, Omaha, Nebraska.</li>
<li>Siraisi, Nancy. 2001. Medicine and the Italian Universities 1250-1600. Leiden, The Netherlands.</li>
<li>Ullman, Manfred. 1978. Islamic Medicine. Edinburgh University Press, Edinburgh, United Kingdom.</li>
<li>United States National Library of Medicine, MS A 53</li>
<li>http://www.pbs.org/wgbh/globalconnections/mideast/themes/science/index.html</li>
</ul>
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		<item>
		<title>How should we establish balance with respect to the spiritual and worldly dimensions of our life?</title>
		<link>https://fountainmagazine.com/all-issues/2005/issue-50-april-june-2005/how-should-we-establish-balance-with-respect-to-the-spiritual-and-worldly-dimensions-of-our-life/</link>
		
		<dc:creator><![CDATA[Louima Cunningham]]></dc:creator>
		<pubDate>Fri, 01 Apr 2005 00:00:00 +0000</pubDate>
				<category><![CDATA[Issue 50 (April - June 2005)]]></category>
		<category><![CDATA[balance]]></category>
		<category><![CDATA[blessings]]></category>
		<category><![CDATA[god]]></category>
		<category><![CDATA[green]]></category>
		<category><![CDATA[khidr]]></category>
		<category><![CDATA[life]]></category>
		<category><![CDATA[lord]]></category>
		<category><![CDATA[messenger]]></category>
		<category><![CDATA[pain]]></category>
		<category><![CDATA[parents]]></category>
		<category><![CDATA[peace]]></category>
		<category><![CDATA[physician]]></category>
		<category><![CDATA[place]]></category>
		<category><![CDATA[prophet]]></category>
		<category><![CDATA[Questions & Answers]]></category>
		<category><![CDATA[religious]]></category>
		<category><![CDATA[result]]></category>
		<category><![CDATA[rights]]></category>
		<category><![CDATA[studies]]></category>
		<guid isPermaLink="false">http://107.21.79.195/all-issues/2005/issue-50-april-june-2005/how-should-we-establish-balance-with-respect-to-the-spiritual-and-worldly-dimensions-of-our-life/</guid>

					<description><![CDATA[Balance holds a very significant place in every phase of life. Balanced action is necessary over the spectrum which covers the essentials of belief and worship, as well as those of eating and social conduct with people, both far and near. “Your Lord enjoys rights over you; your self and your family enjoy rights over [&#8230;]]]></description>
										<content:encoded><![CDATA[<p>Balance holds a very significant place in every phase of life. Balanced action is necessary over the spectrum which covers the essentials of belief and worship, as well as those of eating and social conduct with people, both far and near. “Your Lord enjoys rights over you; your self and your family enjoy rights over you; recompense all these rights to their owners.” This is the consciousness that every individual should pursue in their life with firm balance and composure. The perception of “servanthood” must be duly interpreted before all else. The goal sought in the remembrance of God is the attainment of His good pleasure. The attainment of extraordinary qualities or the manifestation of wonders is not the purpose; such actions have been considered by saints as being little more than “menstruation blood”; i.e., something that should not be highly regarded. Wonders may come about without having been demanded as a result of sincere efforts; the servant then accepts them as a gift from God, in a dual mood of joy and concern. The most fitting attitude would be to make sure of one’s own loyalty saying, “My Lord, do you offer me something so sweet because have you seen disloyalty in me?”</p>
<p>Taking refuge in a remote place, seeking seclusion to put in order one’s relationship with the Lord is not the only approach. This relationship can also be maintained by restoring one’s interpretation of overall existence and one’s personal life, keeping it fresh with self-accounting and by seeking nearness, love, and zeal. A person engaged in this sort of practice does not spend even one minute in neglect, and feels greater peace as they deepen in servanthood. A physician, to give an example, perfects their studies of human anatomy and physiology as they research these subjects. Perhaps, for this reason, Imam Ghazzali ascribes equal importance to both medicine and religious studies in his work Ihya’ Ulum al-Din (Reviving the Religious Sciences), and he stresses the fact that the negligence of either will bring harm to the nation of Islam. What a great negligence that would be! Imagine, when even the smallest toenail gives discomfort to your foot, you look for someone to alleviate the pain. Then someone comes and soothes your pain; you look upon such a person as being Khidr.<sup>1</sup> A believing physician assumes the same role when they heal any major or trivial maladies. Rewarded for being helpful to others as a member of the community and providing services to people, physicians may be considered to be saints at a level which no one else can reach. It is my opinion that a believing physician can be saved just by engaging in medicine. This is a balance, and it should be considered as such. It is the same for religious studies; if you retreat in seclusion, others may suffer from denial and atheism, as they would be deprived of religious teaching.</p>
<p>I would like to refer to the experience of some of the Prophet’s Companions who came to his house one day when he was absent. They asked the Prophet’s purest wives about his prayers and his worship. His wives explained the Prophet’s way to them, but considering their level in God’s sight in comparison to that of the Prophet’s, they thought that they needed to do more than the Prophet did: “Who are we and who is the Prophet (how can we be compared to him)? The past and future sins of the Prophet have already been forgiven.” One of them said, “From now on I will say my prayers (perform salat) the whole night until the morning.” A second one said, “I will fast all my life, I will not miss a day.” The third said, “I will abandon women, and will never touch them.” They left the Prophet’s house with these thoughts. When the Messenger of God was informed of this, he commanded them as follows: “(I was told that) you said this and that. I swear by God that I am the one among you who fears God most and who avoids His prohibitions most. But, sometimes I fast and sometimes I eat, sometimes I pray and sometimes I sleep, and I sleep with women. (This is my way, Sunna) whoever turns away from my Sunna is not of me.”</p>
<p>This incident clearly reveals that the Messenger of God, peace and blessings be upon him, hated any extremism in the conduct of religion, just as he hated disobedience (ma’siyat). Like disobedience, or sinning, which upsets the balance in Islamic life and diverts one from one’s orbit, extremism in religion is an imbalance; it is something to keep well away from.</p>
<p>Perhaps all of us have had some kind of imbalance in our life. During my mission in Trakya, in order to restrain my human dispositions, and to avoid stumbling over the carnal desires of my youth, I used to eat one meal a day with no calorie. The Messenger of God, peace and blessings be upon him, recommended fasting to bring these desires under control. I could probably have obtained the same result if I had eaten less, slept less, and performed more services for the faith. I remember that I prayed “My Lord, send me affliction, so that I can only deal with my pain and forget about my carnal self.” I prayed for even harsher demands to demote my self. This was a mistake, and a result of ignorance about balance. The Messenger of God, peace and blessings be upon him, said, “Ask forgiveness and health from God.” We are supposed to keep to the balance which the Prophet enjoined us.</p>
<p>Another issue in which proper balance is not maintained today is the rights of parents and visiting relatives. God emphasizes this issue in the Qur’an to such an extent that showing respect to parents is listed next to worshipping Him. Even while running at the forefront in the service of the faith and the Qur’an, we have to make use of every opportunity to kiss their hands and win their hearts. We may have too many other things that we have to do; our parents may think differently from us on many issues. Unless they rebel against God, they are worth everything we can do for them; they are the means by which we were born into this life</p>
<p>Before we plan anything, we have to take into account every possible difficulty that we may confront-illness, elderliness, etc. When we decide on something, we have to focus to accomplish the work to the end; but we must make sure not to undertake a load we cannot carry.</p>
<h3><b>Footnote</b></h3>
<ol>
<li>Khidr, peace be upon him, is a blessed person whose name is mentioned in the Qur’anic commentaries and the hadith (Bukhari, Tafsir, 249). Khidr (or Khadir) literally means green or a place with abundant green plantation. According to a hadith Khidr was named so because he sat over a barren white land and it turned green with plantation after (his sitting over it) (Bukhari, Anbiya, 29). It is also reported that since Khidr drank from a fountain in Paradise, every place he stepped on turned green (Makdisi, III, 78). </li>
</ol>
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		<item>
		<title>Ibn Rushd on Anatomy</title>
		<link>https://fountainmagazine.com/all-issues/1996/issue-13-january-march-1996/ibn-rushd-on-anatomy/</link>
		
		<dc:creator><![CDATA[Louima Cunningham]]></dc:creator>
		<pubDate>Mon, 01 Jan 1996 00:00:00 +0000</pubDate>
				<category><![CDATA[Issue 13 (January - March 1996)]]></category>
		<category><![CDATA[anatomy]]></category>
		<category><![CDATA[body]]></category>
		<category><![CDATA[bone]]></category>
		<category><![CDATA[bones]]></category>
		<category><![CDATA[brain]]></category>
		<category><![CDATA[eye]]></category>
		<category><![CDATA[Health & Medicine]]></category>
		<category><![CDATA[ibn rushd]]></category>
		<category><![CDATA[judge]]></category>
		<category><![CDATA[layer]]></category>
		<category><![CDATA[medicine]]></category>
		<category><![CDATA[nerve]]></category>
		<category><![CDATA[nerves]]></category>
		<category><![CDATA[philosophy]]></category>
		<category><![CDATA[physician]]></category>
		<category><![CDATA[veins]]></category>
		<guid isPermaLink="false">http://107.21.79.195/all-issues/1996/issue-13-january-march-1996/ibn-rushd-on-anatomy/</guid>

					<description><![CDATA[Ibn Rushd was one of the greatest intellectual geniuses in human history. He was acquainted with all the sciences of his time and an authority in several of them-philosophy, jurisprudence, astronomy, and medicine. He became known in Europe under the name of Averroes, in particular for his brilliant commentaries on Aristotle which shaped European thinking [&#8230;]]]></description>
										<content:encoded><![CDATA[<p>Ibn Rushd was one of the greatest intellectual geniuses in human history. He was acquainted with all the sciences of his time and an authority in several of them-philosophy, jurisprudence, astronomy, and medicine. He became known in Europe under the name of Averroes, in particular for his brilliant commentaries on Aristotle which shaped European thinking throughout the later Medieval and early Renaissance periods. Here, we shall be reflecting mainly on his contribution to the study of human anatomy.</p>
<p>He was born in Cordova in 52OAH (1126) and named after his grandfather Abu al-Walid Muhammad ibn Ahmad ibn Rushd, who died in the same year. His grandfather was the Chief Judge in Cordova and the foremost authority in Maliki jurisprudence. To distinguish him from his illustrious ancestor, Ibn Rushd was later known as Ibn Rushd al-Hafid (the grandson).</p>
<p>Cordova, where Ibn Rushd grew up, was a thriving centre of all the diverse arts of civilization and culture attracting many great scholars from around the then known world to its wonderful libraries. Ibn Rushd studied and memorized the Qur’an and the <em>Muwatta </em> of Imam Malik. He was an excellent student of jurisprudence and quickly qualified to give legal opinions and sit as judge.</p>
<p>Following his work in the sciences of law, language and Hadith, he went on to study mathematics, astronomy and astrology and then medicine. He was a friend to the most prominent thinkers and writers of his age: Ibn al-Tufayl (d. 1186/6), author of the famous allegory <em>Hayy ibn Yaqzan </em> (said to have influenced <em>Robinson Crusoe </em>); the philosopher, Ibn Bajja (Avempace in the West, d. 1139); the great jurist and judge Abu Bakr ibn al ‘Arabi (d. l148); the famous physician Abu Marwan ‘Abd al-Malik ibn Zuhr (Avenzoar in the West, d. 1161) and his son Abu Bakr (d. 1198).</p>
<p>Ibn Rushd served as a judge in Ishbiliya (Seville) in 1171 and then in Cordova two years later. His reputation for wide knowledge, correctness and fairness in giving verdicts, led to his appointment as Chief Judge. His book <em>Bidayat al-mujtahid wa nihayat al-muqtasid </em> (The reference for the searcher and the resort for the fair) remains an important reference for students of jurisprudence and is still taught in universities to this day. Although he was a Maliki he used the ideas of other schools of thought. Because he had so many activities and interests besides his public duties, Ibn Rushd had to organize his time very fully: he spent his days working as a judge, teaching, and in academic discussion with other scholars; he reserved his nights for reading and writing.</p>
<p>His friend Ibn al-Tufayl wrote to invite him to visit Marrakech, the capital of the Muwahhidun (Almohades) who had established a powerful and stable state in North Africa after they took over from the Murabitun (Almoravides), and were famous for their patronage of scientists, physicians, theologians and philosophers. Ibn Rushd’s intelligence, learning and ideas so impressed the ruler, Abu Yusuf ‘Abd al-Mu’min, that he was appointed to reform the educational system. This he did successfully before returning to Cordova.</p>
<p>When Abu Ya‘qub ibn ‘Abd al-Mu’min came to power, he appointed Ibn Rushd as his personal physician after Ibn Tufayl. Ibn Rushd held this post for a year (1183) when he was appointed as Chief judge. His success provoked court envy and he was falsely accused of heresy, in particular that he adhered too closely to the doctrines of Aristotle. He was indeed a supporter of Aristotle’s doctrines after these were properly reformed and adapted to Islam. Ibn Rushd fell out of favour at the court and was ill-treated. His books on philosophy were burnt, though his works on medicine and theology were not censored. When Abu Ya‘qub discovered he had been misinformed, he tried to invite Ibn Rushd back to apologise to him, but he was too late. Ibn Rushd died on 9th Safar 595AH (December 1198).</p>
<h3><b>His writings</b></h3>
<p>Ibn Rushd was broadly cultured indeed and wrote on many different subjects. Here we can mention only the most famous of his great works. In jurisprudence, as noted above, he wrote <em>Bidayat al-mujtahid wa nihayat al-muqtasid </em> (The reference for the searcher and the resort for the fair). In philosophy, he wrote <em>Tahafut al-tahafut </em> (refutation of the refutation), his response to Imam al-Ghazali’s famous <em>Tahafut al-falsafa </em> (refutation of philosophy). Ibn Rushd combined both philosophy and religion in mainly two books: <em>Fasl al-maqal wa taqrib ma bayna l-shari‘a wa l-hikma min al-ittisal </em> (an authoritative treatise on the convergence between the religious law and philosophy), and <em>Kitab al-kashf ‘an manahij al-adilla fi ‘aqa’id al-milla wa ta‘rif ma waqa‘a fiha bi hasb al-ta‘wil min al-subah al-muzayyifa wa 1-bida‘ al-mudilla </em> (an exposition of the methodology of demonstrating the creeds and description of the confusions and innovations in interpretation which confound truth and lead to error). In medicine, Ibn Rushd wrote the <em>Kitab al-kulliyyat fi al-tibb </em> (a general reference on medicine) which was translated into Latin and Hebrew and European vernaculars. It was a major reference in medicine though it never reached the standard of <em>al-Qanun fi al-Tibb of Ibn Sina </em> (Avicenna, d. 1037) which was used everywhere as simply T <em>he Canon of Medicine. </em></p>
<p>Ibn Rushd had prepared this book especially for practising physicians and students of medicine. He apologised for the work’s brevity, a limitation he attributed to his preoccupation with commitments to judging, political affairs and philosophy. He advised those who sought greater detail to consult al-Taysir (The simplification) of Abu Marwan ‘Abd Al-Malik ibn Zuhr. <em>Al-Kulliyyat </em> is organized under seven broad headings or chapters:</p>
<ol>
<li>Anatomy</li>
<li>The function of the organs</li>
<li>Diseases (pathology)</li>
<li>Syndromes: a brief clinical review</li>
<li>Health care, especially sports, massage and sleep</li>
<li>Medication and diet</li>
<li>Healing (particularly of different types of fevers).</li>
</ol>
<h3><b>The chapter on anatomy in al-Kulliyat</b></h3>
<p>Ibn Rushd criticized the physicians and students of medicine of his time for neglecting anatomy. His own presentation of the subject is both concise and precise. He divides it into two major areas:</p>
<p><b>a. </b> Anatomy of ‘simple’ organs such as bones, flesh, and veins.</p>
<p><b>b.</b> Anatomy of ‘compound’ organs-for example, the arm which comprises bones, flesh, veins, tendons, nerves etc.</p>
<p>His description starts with the bones of the head and the teeth. </p>
<h3><b>Bones</b></h3>
<p>There are six bones in the cranium and 14 in the upper jaw (the maxilla) and the ear, and two in the lower jaw (the mandible). All these bones are attached by seams except the two bones of the mandible that are articulately joined. This was later established as untrue-the mandible in fact has a single bone not two. The first to discover this was the physician and linguist ‘Abd al-Latif al-Baghdadi (Ibn al-Labbad). He examined 10,000 cadavers removed from the hills of al-Muqattam, east of Cairo, during the construction of a road. He realized this fact after observing thousands of examples. This was revealed in his wonderful book <em>al-Ifada wa l-i’tibar fi l-umur al-mushahada wa l-ahwal al-mu‘ayana fi ardi Misr, </em> (review and lessons from examinations and experiences in Egypt).</p>
<p>Ibn Rushd wrote of the teeth that there are 16 in each jaw-two central incisors, two lateral incisors and two canines, and five molars and premolars on both right and left sides. There are three or four roots in the maxilla but only two in the mandible, the remaining teeth have only one root.</p>
<p>He also described the large aperture in the back part of the skull, the foramen magnum, and its relation with the seven vertebra of the neck (cervical vertebrae), which have apertures on the sides. The vertebrae of the chest region are twelve; in the lumbar there are five, linked to the sacrum in which he counted three bones (in fact there are five) attached to the bone of the coccyx which is also composed of three attached vertebrae.</p>
<p>Ibn Rushd said that all vertebrae are articulate except the first two from the neck, because the first vertebra is attached to two appendices ramified from the skull.</p>
<p>He also said the bone of the sacrum is attached from the sides of the hips, in each of which is the acetabulum (socket) which contains the ‘head’ of the thigh bone (femur), often referred to as the ‘pomegranate’.</p>
<p>Ibn Rushd described in detail the bones of the front side starting from the clavicles up to the pubic bone, passing by the ribs and the bones of the shoulders. He also described the upper and lower limbs very precisely. What he wrote is not different from what we know today except that, for the bones of the arm, he uses ‘lower’ and ‘upper’ zanad (forearm) to mean the radius and the ulna. He indicated the bones of the leg, nowadays known as the fibula and tibia, in the same terms.</p>
<h3><b>Veins and arteries</b></h3>
<p>In the old days, the arteries were called the ‘beating veins’ (<em>dhawarib </em>), and jugular veins were the ‘non-beating’ veins (<em>ghayr al-dhawarib </em>). Ibn Rushd made a precise distinction between the two types of veins which remains accurate and valid. He wrote:‘Arteries come out of the heart whereas the jugular veins come back to it.’ He also described the difference precisely, the arteries are more solid and have two similar layers: the fibres of the inner layer are crosswise while the outer layer fibres are length-ways-even by modern standards a very professional anatomical description.</p>
<p>Two arteries of different size come out of the heart, the smaller one goes to the lungs and ramifies into them (pulmonary artery). The other (aorta) is larger, divided into many sections and ramifies into the whole body, one section going up to the head and upper limbs, another going alongside the vertebral column with branches leading to the chest and abdomen; it ends in the lower body and feeds the two lower limbs.</p>
<p>Ibn Rushd’s fascinating description is confirmed as correct and accurate. However, he failed to observe the circulation of the blood accurately. This was not properly described until nearly a hundred years later by Ibn al-Nafis (d. 1288) a Damascus-born physician who worked in hospitals in Cairo, and many centuries before William Harvey (1578-1657). </p>
<h3><b>The nervous system</b></h3>
<p>The nervous system is the most complicated organ in the human body and its anatomy has only gradually become known over recent centuries. Nevertheless, Ibn Rushd was able to describe the brain, its membranes and the cranial nerves. He describes the smelling nerve perfectly, pointing out that it ends with a nipple like that of the breast. He does not consider this nerve as the primary one, giving that distinction to the optical nerve. The first pair of nerves issue from the brain and form the sclera inside the cranium, then come out to the eyes each from its side. This is a wonderfully precise description.</p>
<p>Ibn Rushd then describes the nerves that feed the muscles of the eye. According to modern anatomy, these nerves are the third, fourth and sixth, but Ibn Rushd considers them all as the second pair that ramifies in the muscles of the eyes. He considers the third pair as related to the next (the fourth), and these feed areas of the face, the ear, the palate and the nose-in fact, he was writing about the fifth and seventh pair of nerves according to modern anatomy. As for the fifth, Ibn Rushd says that a part of it leads to the ears and the muscles of the cheeks, whereas this is identified as part of the seventh pair.</p>
<p>Ibn Rushd writes that the sixth nerve feeds the pharynx and the tongue and part of it leads to the muscles near and around the shoulder and another part deviates to the neck and a branch of that goes to the larynx. This is actually the eleventh nerve (the accessory nerve) and there is some confusion in Ibn Rushd’s account with the description of the tenth nerve (vagus; the wandering or confused nerve). Although he attributes many characteristics of the vagus nerve to the accessory one, Ibn Rushd is very accurate in the description of the characteristics themselves. He observes that some of the branches of this nerve lead to the chest and feed the heart, lungs, and esophagus; that it runs through the diaphragm and makes the link with the cardiac and liver membranes, the spleen and the rest of the intestines/bowels.</p>
<p>Ibn Rushd describes the seventh nerve as starting from the back of the brain and ramified in the tongue: he is describing accurately the twelfth nerve (hypo-glossal).</p>
<p>He describes as accurately as modern anatomy does, the nerves that go along the vertebrae. He mentions the eight pairs of cervical nerves, sixteen pairs of dorsal nerves, and five pairs of lumbar nerves.</p>
<p>He misses the correct number of the sacral nerves, they seemed only three to him because they are very closely attached-in fact they are five. Three nerves come from the bone of the coccyx and a single nerve comes out on the sides from the middle. This is absolutely accurate.</p>
<p>Ibn Rushd wrote;</p>
<p>‘The brain has two nipple-shaped appendices that grow from its two advanced abdomens (olfactory bulb). They reach the bone that resembles the cribrium (cribriform plate), which is perforated with many holes [i.e. like a sieve], not smooth but rough with its position in the cranium, where it reaches the end of the nose.’</p>
<p>It would be very hard to improve on the concision or accuracy of this account even today.</p>
<p>About the membranes of the brain, he wrote, again with wonderful, inspiring accuracy:</p>
<p>The brain has two membranes, one is hard and thick (dura mater), and the other is thin (pia mater), they cover the brain very closely and in some locations are completely joined. The thick one is adherent to the cranium. This membrane has many perforations in two places, the first at the canal at the end of the nose (cribriform plate), and the second at the bone of the palate. Under the brain on the thick cover, there is the mysterious net composed of veins that go up to the head.’</p>
<h3><b>The structure of eye</b></h3>
<p>Ibn Rushd’s ability and competence as an anatomist is most clearly demonstrated in his description of the eye and its layers, which compares most favorably with what is known today except some minor differences in terminology. Ibn Rushd had even established the original development of the layers of the eye in the fetus, and discovered that they appear to imitate the layers of the brain and its membranes. Ibn Rushd combined accurate observation with brilliant exposition, sight with insight, presenting the structures of the eye as well as any twentieth-century expert could, and did so many centuries ahead of any physician in Europe.</p>
<p>He wrote:</p>
<p>The eye is composed of seven layers and three liquid areas. The first, from the side of the cranium, is a membranous layer that develops from the thick layer (sclera). The next layer from outside develops from the thinner membrane of the brain; it is called <em>al-mashima</em> (choroid). The next is a layer similar to the net (retina). It grows from the same nerve that comes out of the brain. In the middle of this layer, there is a soft and liquid area called <em>al-rutuba al-zujajiyya </em> (vitreous humour). Inside it, there is another spherical body but with some minor flatness. It is as clear as the ice and called <em>al-rutuba al-jalidiyya </em>, and we call it nowadays al- ‘adasa (lens).’</p>
<p>Ibn Rushd continues this wonderful description, by mentioning <em>al-rutuba al-ma’iyya al-amamiyya </em> (aqueous humour), he also called it <em>al-rutuba al-baydhiyya </em> because its liquid is similar to the soft liquid egg-white:</p>
<p>‘On the outside of this liquid appears a soft body whose inner texture is velvet-like, that follows the <em>al-rutuba of baydhiyya </em> (aqueous humour); smooth from the outside its colour is different from the body of the other, it can be very black or less dark or even blue.’ This is an extremely precise description of the iris (quzahiyyatu al-‘ayn) and the ciliary body (al-jism al-hudhabi).</p>
<p>He adds:</p>
<p>‘Inside the ciliary body, next to the lens, a hole that widens and narrows depending on the extent of darkness that it needs, the hole is called <em>hadaqa </em> (pupil) and the membrane itself is called the <em>inabiyya </em> (grape- like) layer.</p>
<p>‘Next to this layer, a cover that has a hard and clear white and thin plate which is called <em>al-qarniyya</em> (cornea). It takes the colour of the layer below it. On the top of this rises a white body called <em>al-multahim</em> (conjunctiva).’</p>
<p>Ibn Rushd also wrote about the physiology of sight:</p>
<p>‘The sight is not a thing that comes out of the eye as Galinius used to think. The eye receives the colours through the reflecting objects in which they are held, in the same way as a mirror does. Once the colours are reflected in the eye, the object is then conceived by the visioning power.</p>
<p>‘This could well be proved in natural science (physics). That is why any of those parts of the eye is able to reflect the colours because of its very glossy surface. So that body is the special tool to the lens and the advantage of the <em>qarniyya</em> (cornea) is . . . [that] it is made clear and thin so that it does not prevent the ice-like liquid (lens) from receiving the images.’</p>
<p>This is an accurate description of the eye and the physiology of sight that does not differ much from what we know today.</p>
<p>From this brief dip into a chapter of <em>al-Kulliyyat fi al-Tibb </em>, we realize the importance of the work of Ibn Rushd-jurist, philosopher, physician. He was an expert in each of these fields and the most distinguished scholar in Spain and North Africa. He neither experienced nor discovered any contradiction between his religion and his science; rather, his quest for knowledge and excellence, his wonderful curiosity, enlightened and improved his faith. His famous observation- <em>who practises autopsy, his faith in God increases </em>-should silence the false allegation that Muslims never practised anatomy and that they are against applied sciences. What has been written by so many Muslims in all fields of knowledge refutes this allegations. Medicine and the other applied sciences are a necessary and essential contribution to the well-being of humankind. Therefore, to work in them is <em>fard kifaya </em>, a collective obligation upon the community of Muslims as a whole, an obligation which some members of the community must undertake on behalf of the others who cannot.</p>
<p>Islam is the guide for those who seek true and sound knowledge in every subject. All sciences, so long as they are directed to God and not to merely worldly ends or personal glory, bring their students closer to God and make easier the way to approach and please Him: <em>Those who fear God, amongst his servants, are those who have knowledge. </em> And God is the Guide to the straight path.</p>
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