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History of anatomy

The history of anatomy extends from the earliest examinations of sacrificial victims to the sophisticated analyses of the body performed by modern anatomists and scientists. Written descriptions of human organs and parts can be traced back thousands of years to ancient Egyptian papyri, where attention to the body was necessitated by their highly elaborate burial practices.

Dissection of a cadaver, 15th-century painting

Theoretical considerations of the structure and function of the human body did not develop until far later, in Ancient Greece. Ancient Greek philosophers, like Alcmaeon and Empedocles, and ancient Greek doctors, like Hippocrates and his school, paid attention to the causes of life, disease, and different functions of the body. Aristotle advocated dissection of animals as part of his program for understanding the causes of biological forms. During the Hellenistic Age, dissection and vivesection of human beings took place for the first time in the work of Herophilos and Erasistratus. Anatomical knowledge in antiquity would reach its apex in the person of Galen, who made important discoveries through his medical practice and his dissections of monkeys, oxen, and other animals.

The development of the study of anatomy gradually built upon concepts that were present in Galen's work, which was a part of the traditional medical curriculum in the Middle Ages.[1] The Renaissance brought a reconsideration of classical medical texts, and anatomical dissections became once again fashionable for the first time since Galen. Important anatomical work was carried out by Mondino de Luzzi, Berengario da Carpi, and Jacques Dubois, culminating in Andreas Vesalius's seminal work De Humani Corporis Fabrica (1543). An understanding of the structures and functions of organs in the body has been an integral part of medical practice and a source for scientific investigations ever since.

Ancient Anatomy

Egypt

 
Hieroglyph designating the brain or skull in the Edwin Smith papyrus.

The study of anatomy begins at least as early as 1600 BC, the date of the Edwin Smith Surgical Papyrus. This treatise shows that the heart, its vessels, liver, spleen, kidneys, hypothalamus, uterus and bladder were recognized, and that the blood vessels were known to emanate from the heart. Other vessels are described, some carrying air, some mucus, and two to the right ear are said to carry the "breath of life",[clarification needed] while two to the left ear the "breath of death".[citation needed]The Ebers Papyrus (c. 1550 BC) features a treatise on the heart. It notes that the heart is the center of blood supply, and attached to it are vessels for every member of the body. The Egyptians seem to have known little about the function of the kidneys and the brain and made the heart the meeting point of a number of vessels which carried all the fluids of the body – blood, tears, urine and semen. However, they did not have a theory as to where saliva and sweat came from.[2]

Ancient Greece

Much of the nomenclature, methods, and applications for the study of anatomy can be traced back to the works of the ancient Greeks.[3] In the fifth-century BCE, the philosopher Alcmaeon may have been one of the first to have dissected animals for anatomical purposes, and possibly identified the optic nerves and Eustachian tubes.[4] Ancient physicians such as Acron, Pausanias, and Philistion of Locri may had also conducted anatomical investigations. Another important philosopher at the time was Empedocles, who viewed blood as the innate heat and argued that the heart was the chief organ of the body and the source of pneuma (this could refer to either breath or soul), which was distributed by the blood vessels.[5]

Many medical texts by various authors are collected in the Hippocratic Corpus, none of which can definitely be ascribed to Hippocrates himself. The texts show an understanding of musculoskeletal structure, and the beginnings of understanding of the function of certain organs, such as the kidneys. The tricuspid valve of the heart and its function is documented in the treatise On the Heart.[citation needed]

The philosopher Aristotle (4th century BCE), alongside some of his contemporaries, labored to produce a system that made room for empirical research. Through his work with animal dissections and biology, Aristotle engaged in comparative anatomy. Around this time, Praxagoras may have been the first to identify the difference between arteries and veins, with more accurate descriptions of organs than in previous works.[citation needed]

In the Hellenistic period, the first recorded school of anatomy was formed in Alexandria from the late fourth century to the second century BCE.[6] Beginning with Ptolemy I Soter, medical officials were allowed to cut open and examine cadavers for the purposes of learning how human bodies operated. The first use of human bodies for anatomical research occurred in the work of Herophilos and Erasistratus, who gained permission to perform live dissections, or vivisection, on condemned criminals in Alexandria under the auspices of the Ptolemaic dynasty. Herophilos in particular developed a body of anatomical knowledge much more informed by the actual structure of the human body than previous works had been. He also reversed the longstanding notion made by Aristotle that the heart was the "seat of intelligence", arguing for the brain instead.[7] He also wrote on the distinction between veins and arteries, and made many other accurate observations about the structure of the human body, especially the nervous system.[8]

Galen

 
Galen examining a human skeleton.

The final major anatomist of ancient times was Galen, active in the second century CE.[6] He was born in the ancient Greek city of Pergamon (now in Turkey), the son of a successful architect who gave him a liberal education. Galen was instructed in all major philosophical schools (Platonism, Aristotelianism, Stoicism and Epicureanism) until his father, moved by a dream of Asclepius, decided he should study medicine. After his father's death, Galen traveled widely searching for the best doctors in Smyrna, Corinth, and finally Alexandria.[9][10]

Galen compiled much of the knowledge obtained by his predecessors, and furthered the inquiry into the function of organs by performing dissections and vivisections on Barbary apes, oxen, pigs, and other animals. Due to a lack of readily available human specimens, discoveries through animal dissection were broadly applied to human anatomy as well. In 158 CE, Galen served as chief physician to the gladiators in his native Pergamon. Through his position with the gladiators, Galen was able to study all kinds of wounds without performing any actual human dissection. Galen was able to view much of the abdominal cavity. His study on pigs and apes, however, gave him more detailed information about the organs and provided the basis for his medical works. Around 100 of these works survive—the most for any ancient Greek author—and fill 22 volumes of modern text.

Anatomy was a prominent part of Galen's medical education and was a major source of interest throughout his life. He wrote two great anatomical works, On anatomical procedure and On the uses of the parts of the body of man.[11] The information in these tracts became the foundation of authority for all medical writers and physicians for the next 1300 years until they were challenged by Vesalius and Harvey in the 16th century.[12][13]

It was through his experiments that Galen was able to overturn many long-held beliefs, such as the theory that the arteries contained air which carried it to all parts of the body from the heart and the lungs. This belief was based originally on the arteries of dead animals, which appeared to be empty. Galen was able to demonstrate that living arteries contain blood, but his error, which became the established medical orthodoxy for centuries, was to assume that the blood goes back and forth from the heart in an ebb-and-flow motion.[14] Galen also made the mistake of assuming that the circulatory system was entirely open-ended.[15] Galen believed that all blood was absorbed by the body and had to be regenerated via the liver using food and water.[16] Galen viewed the cardiovascular system as a machine in which blood acts as fuel rather than a system that constantly recirculates.[17]

Although Galen correctly identified some of the organs involved in the vascular system, many of their functions were not correctly established. Galen believed that the liver played a vital role in the circulatory system by creating all nutritious blood in the body. The heart, according to Galen, kept the body warm and mixed the two types of blood via pores in the wall of the heart that separates the left and right ventricles.[16] Galen proposed that the heart's warmth allowed the lungs to expand and inhale air.[16] In contrast, Galen viewed the lungs as a cooling region in the body that also worked to expel sooty waste products from the lungs as they contract. In addition, Galen believed that the lungs kept the heart functioning properly by reducing the amount of blood in the right atrium, for if the right atrium contains too much blood, the pores in the heart do not dilate properly.[16]

Medieval to Early Modern Anatomy

Throughout the Middle Ages, human anatomy was mainly learned through books and animal dissection.[18] While it was claimed by 19th century polemicists that dissection became restricted after Boniface VIII passed a papal bull that forbade the dismemberment and boiling of corpses for funerary purposes and this is still repeated in some generalist works, this claim has been debunked as a myth by modern historians of science.[19]

For many decades human dissection was thought unnecessary when all the knowledge about a human body could be read about from early authors such as Galen.[20] In the 12th century, as universities were being established in Italy, Emperor Frederick II made it mandatory for students of medicine to take courses on human anatomy and surgery.[21] Students who had the opportunity to watch Vesalius in dissection at times had the opportunity to interact with the animal corpse. At the risk of letting their eagerness to participate become a distraction to their professors, medical students preferred this interactive teaching style at the time.[22] In the universities the lectern would sit elevated before the audience and instruct someone else in the dissection of the body, but in his early years Mondino de Luzzi performed the dissection himself making him one of the first and few to use a hands on approach to teaching human anatomy.[23] Specifically in 1315, Mondino de' Liuzzi is credited with having "performed the first human dissection recorded for Western Europe."[24]

Mondino de Luzzi "Mundinus" was born around 1276 and died in 1326; from 1314 to 1324 he presented many lectures on human anatomy at Bologna university.[25] Mondino de'Luzzi put together a book called "Anathomia" in 1316 that consisted of detailed dissections that he had performed, this book was used as a text book in universities for 250 years.[26] "Mundinus" carried out the first systematic human dissections since Herophilus of Chalcedon and Erasistratus of Ceos 1500 years earlier.[27][28] The first major development in anatomy in Christian Europe since the fall of Rome occurred at Bologna, where anatomists dissected cadavers and contributed to the accurate description of organs and the identification of their functions. Following de Liuzzi's early studies, 15th century anatomists included Alessandro Achillini and Antonio Benivieni.[27][29]

Leonardo da Vinci

 
Anatomical study of the arm, by Leonardo da Vinci, c. 1510

Leonardo da Vinci (1452–1519) was trained in anatomy by Andrea del Verrocchio. In 1489 Leonardo began a series of anatomical drawings depicting the ideal human form. This work was carried out intermittently for over two decades. During this time he made use of his anatomical knowledge in his artwork, making many sketches of skeletal structures, muscles, and organs of humans and other vertebrates that he dissected.[30][31]

Initially adopting an Aristotlean understanding of anatomy, he later studied Galen and adopted a more empirical approach, eventually abandoning Galen altogether and relying entirely on his own direct observation.[32] His surviving 750 drawings represent groundbreaking studies in anatomy. Leonardo dissected around thirty human specimens until he was forced to stop under order of Pope Leo X.[citation needed]

As an artist-anatomist, Leonardo made many important discoveries, and had intended to publish a comprehensive treatise on human anatomy.[32] For instance, he produced the first accurate depiction of the human spine, while his notes documenting his dissection of the Florentine centenarian contain the earliest known description of cirrhosis of the liver and arteriosclerosis.[32][33] He was the first to develop drawing techniques in anatomy to convey information using cross-sections and multiple angles, although centuries would pass before anatomical drawings became accepted as crucial for learning anatomy.[34]

None of Leonardo's Notebooks were published during his lifetime, many being lost after his death, with the result that his anatomical discoveries remained unknown until they were later found and published centuries after his death.[35]

Vesalius

 
A portrait of Andreas Vesalius from De Humani Corporis Fabrica (1543)

The Galenic doctrine in Europe was first seriously challenged in the 16th century. Thanks to the printing press, all over Europe a collective effort proceeded to circulate the works of Galen and later publish criticisms on their works. Andreas Vesalius, born and educated in Belgium, contributed the most to human anatomy. Vesalius's success were due in large part to him exercising the skills of mindful dissections for the sake of understanding anatomy, much to the tune of Galen's "anatomy project" instead of focusing on the work of other scholars of the time in recovering the ancient texts of Hippocrates, Galen and others (which much of the medical community was focused around at the time).[36]

Vesalius was the first to publish a treatise, De Humani Corporis Fabrica, that challenged Galen's anatomical teachings, arguing that they are based on observations of other mammals, not human bodies.[37] The book included a detailed series of explanations and vivid drawings of the anatomical parts of human bodies. Vesalius traveled all the way from Leuven to Padua for permission to dissect victims from the gallows without fear of persecution. His superbly executed drawings are triumphant descriptions of the differences between dogs and humans, but it took a century for Galen's influence to fade.

Vesalius' work marked a new era in the study of anatomy and its relation to medicine. Under Vesalius, anatomy became an actual discipline. "His skill in and attention to dissection featured prominently in his publications as well as his demonstrations, in his research as well as his teaching."[38] In 1540, Vesalius gave a public demonstration of the inaccuracies of Galen's anatomical theories, which are still the orthodoxy of the medical profession. Vesalius now has on display, for comparison purposes, the skeletons of a human being alongside that of an ape of which he was able to show, that in many cases, Galen's observations were indeed correct for the ape, but bear little relation to man. Clearly what was needed was a new account of human anatomy. While the lecturer explained human anatomy, as revealed by Galen more than 1000 years earlier, an assistant pointed to the equivalent details on a dissected corpse. At times, the assistant was unable to find the organ as described, but invariably the corpse rather than Galen was held to be in error. Vesalius then decided that he will dissect corpses himself and trust to the evidence of what he found. His approach was highly controversial, but his evident skill led to his appointment as professor of surgery and anatomy at the University of Padua.

A succession of researchers proceeded to refine the body of anatomical knowledge, giving their names to a number of anatomical structures along the way. The 16th and 17th centuries also witnessed significant advances in the understanding of the circulatory system, as the purpose of valves in veins was identified, the left-to-right ventricle flow of blood through the circulatory system was described, and the hepatic veins were identified as a separate portion of the circulatory system. The lymphatic system was also identified as a separate system at this time.

Anatomical theatres

In the late 16th century, anatomists began exploring and pushing for contention that the study of anatomy could contribute to advancing the boundaries of natural philosophy. However, the majority of students were more interested in the practicality of anatomy, and less so in the advancement of knowledge of the subject. Students were interested in the technique of dissection rather than the philosophy of anatomy, and this was reflected in their criticism of Professors such as Girolamo Fabrici.[22]

Anatomical theatres became a popular form for anatomical teaching in the early 16th century. The University of Padua was the first and most widely known theatre, founded in 1594. As a result, Italy became the centre for human dissection. People came from all over to watch as professors taught lectures on the human physiology and anatomy, as anyone was welcome to witness the spectacle. Participants "were fascinated by corporeal display, by the body undergoing dissection".[39] Most professors did not do the dissections themselves. Instead, they sat in seats above the bodies while hired hands did the cutting. Students and observers would be placed around the table in a circular, stadium-like arena and listen as professors explained the various anatomical parts. As anatomy theatres gained popularity throughout the 16th century, protocols were adjusted to account for the disruptions of students. Students moved beyond simply being eager to participate, and began stealing and vandalizing cadavers. Students were thus instructed to sit quietly and were to be penalized for disrupting the dissection. Moreover, preparatory lectures were mandatory in order to introduce the "subsequent observation of anatomy". The demonstrations were structured into dissections and lectures. The dissections focused on the skill of autopsy/vivisection while the lectures would center on the philosophical questions of anatomy. This is exemplary of how anatomy was viewed not only as the study of structures but also the study of the "body as an extension of the soul".[40] The 19th century eventually saw a move from anatomical theatres to classrooms, reducing "the number of people who could benefit from each cadaver".[6]

17th century

 
Harvey's anatomical researches from De Motu Cordis (1628)

At the beginning of the 17th century, the use of dissecting human cadavers influenced anatomy, leading to a spike in the study of anatomy. The advent of the printing press facilitated the exchange of ideas. Because the study of anatomy concerned observation and drawings, the popularity of the anatomist was equal to the quality of his drawing talents, and one need not be an expert in Latin to take part.[41] Many famous artists studied anatomy, attended dissections, and published drawings for money, from Michelangelo to Rembrandt. For the first time, prominent universities could teach something about anatomy through drawings, rather than relying on knowledge of Latin. Contrary to popular belief, the Church neither objected to nor obstructed anatomical research.[42]

Only certified anatomists were allowed to perform dissections, and sometimes then only yearly. These dissections were sponsored by the city councilors and often charged an admission fee, rather like a circus act for scholars. Many European cities, such as Amsterdam, London, Copenhagen, Padua, and Paris, all had Royal anatomists (or some such office) tied to local government. Indeed, Nicolaes Tulp was Mayor of Amsterdam for three terms. Though it was a risky business to perform dissections, and unpredictable depending on the availability of fresh bodies, attending dissections was legal.[citation needed]

The supply of printed anatomy books from Italy and France led to an increased demand for human cadavers for dissections. Since few bodies were voluntarily donated for dissection, royal charters were established which allowed prominent universities to use the bodies of hanged criminals for dissections. However, there was still a shortage of bodies that could not accommodate for the high demand of bodies.

Modern Anatomy

18th century

Until the middle of the 18th century, there was a quota of ten cadavers for each the Royal College of Physicians and the Company of Barber Surgeons, the only two groups permitted to perform dissections. During the first half of the 18th century, William Cheselden challenged the Company of Barber Surgeon's exclusive rights on dissections. He was the first to hold regular anatomy lectures and demonstrations. He also wrote The Anatomy of the Humane Body, a student handbook of anatomy.[43] In 1752, the rapid growth of medical schools in England and the pressing demand for cadavers led to the passage of the Murder Act. This allowed medical schools in England to legally dissect bodies of executed murderers for anatomical education and research and also aimed to prevent murder. To further increase the supply of cadavers, the government increased the number of crimes in which hanging was a punishment. Although the number of cadavers increased, it was still not enough to meet the demand of anatomical and medical training.[44]

Since few bodies were voluntarily donated for dissection, criminals that were hanged for murder were dissected. However, there was a shortage of bodies that could not accommodate the high demand of bodies.[45] To cope with shortages of cadavers and the rise in medical students during the 17th and 18th centuries, body-snatching and even anatomy murder were practiced to obtain cadavers.[46] 'Body snatching' was the act of sneaking into a graveyard, digging up a corpse and using it for study. Men known as 'resurrectionists' emerged as outside parties, who would steal corpses for a living and sell the bodies to anatomy schools. The leading London anatomist John Hunter paid for a regular supply of corpses for his anatomy school.[47] During the 17th and 18th centuries, the perception of dissections had evolved into a form of capital punishment. Dissections were considered a dishonor. The corpse was mutilated and not suitable for a funeral. By the end of the 18th century, many European countries had passed legislation similar to the Murder Act in England to meet the demand of fresh cadavers and to reduce crime. Countries allowed institutions to use unclaimed bodies of paupers, prison inmates, and people in psychiatric and charitable hospitals for dissection.[44] Unfortunately, the lack of bodies available for dissection and the controversial air that surrounded anatomy in the late 17th century and early 18th century caused a halt in progress that is evident by the lack of updates made to anatomical texts of the time between editions. Additionally, most of the investigations into anatomy were aimed at developing the knowledge of physiology and surgery. Naturally this meant that a close examination of the more detailed aspects of anatomy that could advance anatomical knowledge was not a priority.[48]

Paris Medicine was notorious for its influence on medical thought and its contributions to medical knowledge. The new hospital medicine in France during the late 18th century was brought about in part by the Law of 1794 which made physicians and surgeons equals in the world of medical care. The law came as a response to the increase demand for medical professionals capable of caring for the increase in injuries and diseases brought about by French Revolution. The law also supplemented schools with bodies for anatomical lessons. Ultimately this created the opportunity for the field of medicine to grow in the direction of "localism of pathological anatomy, the development of appropriate diagnostic techniques, and the numerical approach to disease and therapeutics."[49]

The British Parliament passed the Anatomy Act 1832, which finally provided for an adequate and legitimate supply of corpses by allowing legal dissection of executed murderers. The view of anatomist at the time, however, became similar to that of an executioner. Having one's body dissected was seen as a punishment worse than death, "if you stole a pig, you were hung. If you killed a man, you were hung and then dissected." Demand grew so great that some anatomists resorted to dissecting their own family members as well as robbing bodies from their graves.[50]

Many Europeans interested in the study of anatomy traveled to Italy, then the centre of anatomy. Only in Italy could certain important research methods be used, such as dissections on women. Realdo Colombo (also known as Realdus Columbus) and Gabriele Falloppio were pupils of Vesalius. Columbus, as Vesalius's immediate successor in Padua, and afterwards professor at Rome, distinguished himself by describing the shape and cavities of the heart, the structure of the pulmonary artery and aorta and their valves, and tracing the course of the blood from the right to the left side of the heart.[51]

The rise in anatomy lead to various discoveries and findings. In 1628, English physician William Harvey observed circulating blood through dissections of his father's and sister's bodies. He published De moto cordis et sanguinis, a treatise in which he explained his theory.[44] In Tuscany and Florence, Marcello Malpighi founded microscopic anatomy, and Nils Steensen studied the anatomy of lymph nodes and salivary glands. By the end of the 17th century, Gaetano Zumbo developed anatomical wax modeling techniques.[52] Antonio Valsalva, a student of Malpighi and a professor of anatomy at University of Bologna, was one of the greatest anatomists of the time. He is known by many as the founder of anatomy and physiology of the ear.[53] In the 18th century, Giovanni Batista Morgagni related pre-mortem symptoms with post-mortem pathological findings using pathological anatomy in his book De Sedibus.[54] This led to the rise of morbid anatomy in France and Europe. The rise of morbid anatomy was one of the contributing factors to the shift in power between doctors and physicians, giving power to the physicians over patients.[55] With the invention of the Stethoscope in 1816, R.T.H. Laennec was able to help bridge the gap between a symptomatic approach to medicine and disease, to one based on anatomy and physiology. His disease and treatments were based on "pathological anatomy" and because this approach to disease was rooted in anatomy instead of symptoms, the process of evaluation and treatment were also forced to evolve.[56] From the late 18th century to the early 19th century, the work of professionals such as Morgagni, Scott Matthew Baillie, and Xavier Bichat served to demonstrate exactly how the detailed anatomical inspection of organs could lead to a more empirical means of understanding disease and health that would combine medical theory with medical practice. This "pathological anatomy" paved the way for "clinical pathology that applied the knowledge of opening up corpses and quantifying illnesses to treatments."[57] Along with the popularity of anatomy and dissection came an increasing interest in the preservation of dissected specimens. In the 17th century, many of the anatomical specimens were dried and stored in cabinets. In the Netherlands, there were attempts to replicate Egyptian mummies by preserving soft tissue. This became known as Balsaming. In the 1660s the Dutch were also attempting to preserve organs by injecting wax to keep the organ's shape. Dyes and mercury were added to the wax to better differentiate and see various anatomical structures for academic and research anatomy. By the late 18th century, Thomas Pole published The Anatomic Instructor, which detailed how to dry and preserve specimens and soft tissue.[58]

19th century anatomy

During the 19th century, anatomical research was extended with histology and developmental biology of both humans and animals. Women, who were not allowed to attend medical school, could attend the anatomy theatres. From 1822 the Royal College of Surgeons forced unregulated schools to close.[59] Medical museums provided examples in comparative anatomy, and were often used in teaching.[60]

Current Research

Anatomical research in the past hundred years has taken advantage of technological developments and growing understanding of sciences such as evolutionary and molecular biology to create a thorough understanding of the body's organs and structures. Disciplines such as endocrinology have explained the purpose of glands that anatomists previously could not explain; medical devices such as MRI machines and CAT scanners have enabled researchers to study organs, living or dead, in unprecedented detail. Progress today in anatomy is centered in the development, evolution, and function of anatomical features, as the macroscopic aspects of human anatomy have largely been catalogued. Non-human anatomy is particularly active as researchers use techniques ranging from finite element analysis to molecular biology.

To save time, some medical schools such as Birmingham, England have adopted prosection, where a demonstrator dissects and explains to an audience, in place of dissection by students. This enables students to observe more than one body. Improvements in colour images and photography means that an anatomy text is no longer an aid to dissection but rather a central material to learn from. Plastic anatomical models are regularly used in anatomy teaching, offering a good substitute to the real thing. Use of living models for anatomy demonstration is once again becoming popular within teaching of anatomy. Surface landmarks that can be palpated on another individual provide practice for future clinical situations. It is possible to do this on oneself; in the Integrated Biology course at the University of Berkeley, students are encouraged to "introspect"[61] on themselves and link what they are being taught to their own body.[59]

In Britain, the Human Tissue Act 2004 has tightened up the availability of resources to anatomy departments.[citation needed] The outbreaks of bovine spongiform encephalitis (BSE) in the late 1980s and early 1990s further restricted the handling of brain tissue.[59][62]

The controversy of Gunther von Hagens and public displays of dissections, preserved by plastination, may divide opinions on what is ethical or legal.[63]

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Bibliography

  • Knoeff, Rina (2012). Dutch Anatomy and Clinical Medicine in 17th-Century Europe. Leibniz Institute of European History.
  • Mazzio, C. (1997). The Body in Parts: Discourses and Anatomies in Early Modern Europe. Routledge. ISBN 978-0-415-91694-3.
  • Porter, R. (1997). The Greatest Benefit to Mankind: A Medical History of Humanity from Antiquity to the Present. Harper Collins. ISBN 978-0-00-215173-3.
  • Sawday, J. (1996). The Body Emblazoned: Dissection and the Human Body in Renaissance Culture. Routledge. ISBN 978-0-415-15719-3.

External links

  • Historical Anatomies on the Web. National Library of Medicine. Selected images from notable anatomical atlases.
  • Anatomia 1522-1867: Anatomical Plates from the Thomas Fisher Rare Book Library
  • Human Anatomy & Physiology Society A society to promote communication among teachers of human anatomy and physiology in colleges, universities, and related institutions.

history, anatomy, history, anatomy, extends, from, earliest, examinations, sacrificial, victims, sophisticated, analyses, body, performed, modern, anatomists, scientists, written, descriptions, human, organs, parts, traced, back, thousands, years, ancient, egy. The history of anatomy extends from the earliest examinations of sacrificial victims to the sophisticated analyses of the body performed by modern anatomists and scientists Written descriptions of human organs and parts can be traced back thousands of years to ancient Egyptian papyri where attention to the body was necessitated by their highly elaborate burial practices Dissection of a cadaver 15th century painting Theoretical considerations of the structure and function of the human body did not develop until far later in Ancient Greece Ancient Greek philosophers like Alcmaeon and Empedocles and ancient Greek doctors like Hippocrates and his school paid attention to the causes of life disease and different functions of the body Aristotle advocated dissection of animals as part of his program for understanding the causes of biological forms During the Hellenistic Age dissection and vivesection of human beings took place for the first time in the work of Herophilos and Erasistratus Anatomical knowledge in antiquity would reach its apex in the person of Galen who made important discoveries through his medical practice and his dissections of monkeys oxen and other animals The development of the study of anatomy gradually built upon concepts that were present in Galen s work which was a part of the traditional medical curriculum in the Middle Ages 1 The Renaissance brought a reconsideration of classical medical texts and anatomical dissections became once again fashionable for the first time since Galen Important anatomical work was carried out by Mondino de Luzzi Berengario da Carpi and Jacques Dubois culminating in Andreas Vesalius s seminal work De Humani Corporis Fabrica 1543 An understanding of the structures and functions of organs in the body has been an integral part of medical practice and a source for scientific investigations ever since Contents 1 Ancient Anatomy 1 1 Egypt 1 2 Ancient Greece 1 3 Galen 2 Medieval to Early Modern Anatomy 2 1 Leonardo da Vinci 2 2 Vesalius 2 3 Anatomical theatres 2 4 17th century 3 Modern Anatomy 3 1 18th century 3 2 19th century anatomy 4 Current Research 5 References 6 Bibliography 7 External linksAncient Anatomy EditEgypt Edit Main article Ancient Egyptian anatomical studies See also Cardiocentric hypothesis Hieroglyph designating the brain or skull in the Edwin Smith papyrus The study of anatomy begins at least as early as 1600 BC the date of the Edwin Smith Surgical Papyrus This treatise shows that the heart its vessels liver spleen kidneys hypothalamus uterus and bladder were recognized and that the blood vessels were known to emanate from the heart Other vessels are described some carrying air some mucus and two to the right ear are said to carry the breath of life clarification needed while two to the left ear the breath of death citation needed The Ebers Papyrus c 1550 BC features a treatise on the heart It notes that the heart is the center of blood supply and attached to it are vessels for every member of the body The Egyptians seem to have known little about the function of the kidneys and the brain and made the heart the meeting point of a number of vessels which carried all the fluids of the body blood tears urine and semen However they did not have a theory as to where saliva and sweat came from 2 Ancient Greece Edit Much of the nomenclature methods and applications for the study of anatomy can be traced back to the works of the ancient Greeks 3 In the fifth century BCE the philosopher Alcmaeon may have been one of the first to have dissected animals for anatomical purposes and possibly identified the optic nerves and Eustachian tubes 4 Ancient physicians such as Acron Pausanias and Philistion of Locri may had also conducted anatomical investigations Another important philosopher at the time was Empedocles who viewed blood as the innate heat and argued that the heart was the chief organ of the body and the source of pneuma this could refer to either breath or soul which was distributed by the blood vessels 5 Many medical texts by various authors are collected in the Hippocratic Corpus none of which can definitely be ascribed to Hippocrates himself The texts show an understanding of musculoskeletal structure and the beginnings of understanding of the function of certain organs such as the kidneys The tricuspid valve of the heart and its function is documented in the treatise On the Heart citation needed The philosopher Aristotle 4th century BCE alongside some of his contemporaries labored to produce a system that made room for empirical research Through his work with animal dissections and biology Aristotle engaged in comparative anatomy Around this time Praxagoras may have been the first to identify the difference between arteries and veins with more accurate descriptions of organs than in previous works citation needed In the Hellenistic period the first recorded school of anatomy was formed in Alexandria from the late fourth century to the second century BCE 6 Beginning with Ptolemy I Soter medical officials were allowed to cut open and examine cadavers for the purposes of learning how human bodies operated The first use of human bodies for anatomical research occurred in the work of Herophilos and Erasistratus who gained permission to perform live dissections or vivisection on condemned criminals in Alexandria under the auspices of the Ptolemaic dynasty Herophilos in particular developed a body of anatomical knowledge much more informed by the actual structure of the human body than previous works had been He also reversed the longstanding notion made by Aristotle that the heart was the seat of intelligence arguing for the brain instead 7 He also wrote on the distinction between veins and arteries and made many other accurate observations about the structure of the human body especially the nervous system 8 Galen Edit Galen examining a human skeleton The final major anatomist of ancient times was Galen active in the second century CE 6 He was born in the ancient Greek city of Pergamon now in Turkey the son of a successful architect who gave him a liberal education Galen was instructed in all major philosophical schools Platonism Aristotelianism Stoicism and Epicureanism until his father moved by a dream of Asclepius decided he should study medicine After his father s death Galen traveled widely searching for the best doctors in Smyrna Corinth and finally Alexandria 9 10 Galen compiled much of the knowledge obtained by his predecessors and furthered the inquiry into the function of organs by performing dissections and vivisections on Barbary apes oxen pigs and other animals Due to a lack of readily available human specimens discoveries through animal dissection were broadly applied to human anatomy as well In 158 CE Galen served as chief physician to the gladiators in his native Pergamon Through his position with the gladiators Galen was able to study all kinds of wounds without performing any actual human dissection Galen was able to view much of the abdominal cavity His study on pigs and apes however gave him more detailed information about the organs and provided the basis for his medical works Around 100 of these works survive the most for any ancient Greek author and fill 22 volumes of modern text Anatomy was a prominent part of Galen s medical education and was a major source of interest throughout his life He wrote two great anatomical works On anatomical procedure and On the uses of the parts of the body of man 11 The information in these tracts became the foundation of authority for all medical writers and physicians for the next 1300 years until they were challenged by Vesalius and Harvey in the 16th century 12 13 It was through his experiments that Galen was able to overturn many long held beliefs such as the theory that the arteries contained air which carried it to all parts of the body from the heart and the lungs This belief was based originally on the arteries of dead animals which appeared to be empty Galen was able to demonstrate that living arteries contain blood but his error which became the established medical orthodoxy for centuries was to assume that the blood goes back and forth from the heart in an ebb and flow motion 14 Galen also made the mistake of assuming that the circulatory system was entirely open ended 15 Galen believed that all blood was absorbed by the body and had to be regenerated via the liver using food and water 16 Galen viewed the cardiovascular system as a machine in which blood acts as fuel rather than a system that constantly recirculates 17 Although Galen correctly identified some of the organs involved in the vascular system many of their functions were not correctly established Galen believed that the liver played a vital role in the circulatory system by creating all nutritious blood in the body The heart according to Galen kept the body warm and mixed the two types of blood via pores in the wall of the heart that separates the left and right ventricles 16 Galen proposed that the heart s warmth allowed the lungs to expand and inhale air 16 In contrast Galen viewed the lungs as a cooling region in the body that also worked to expel sooty waste products from the lungs as they contract In addition Galen believed that the lungs kept the heart functioning properly by reducing the amount of blood in the right atrium for if the right atrium contains too much blood the pores in the heart do not dilate properly 16 Medieval to Early Modern Anatomy EditThroughout the Middle Ages human anatomy was mainly learned through books and animal dissection 18 While it was claimed by 19th century polemicists that dissection became restricted after Boniface VIII passed a papal bull that forbade the dismemberment and boiling of corpses for funerary purposes and this is still repeated in some generalist works this claim has been debunked as a myth by modern historians of science 19 For many decades human dissection was thought unnecessary when all the knowledge about a human body could be read about from early authors such as Galen 20 In the 12th century as universities were being established in Italy Emperor Frederick II made it mandatory for students of medicine to take courses on human anatomy and surgery 21 Students who had the opportunity to watch Vesalius in dissection at times had the opportunity to interact with the animal corpse At the risk of letting their eagerness to participate become a distraction to their professors medical students preferred this interactive teaching style at the time 22 In the universities the lectern would sit elevated before the audience and instruct someone else in the dissection of the body but in his early years Mondino de Luzzi performed the dissection himself making him one of the first and few to use a hands on approach to teaching human anatomy 23 Specifically in 1315 Mondino de Liuzzi is credited with having performed the first human dissection recorded for Western Europe 24 Mondino de Luzzi Mundinus was born around 1276 and died in 1326 from 1314 to 1324 he presented many lectures on human anatomy at Bologna university 25 Mondino de Luzzi put together a book called Anathomia in 1316 that consisted of detailed dissections that he had performed this book was used as a text book in universities for 250 years 26 Mundinus carried out the first systematic human dissections since Herophilus of Chalcedon and Erasistratus of Ceos 1500 years earlier 27 28 The first major development in anatomy in Christian Europe since the fall of Rome occurred at Bologna where anatomists dissected cadavers and contributed to the accurate description of organs and the identification of their functions Following de Liuzzi s early studies 15th century anatomists included Alessandro Achillini and Antonio Benivieni 27 29 Leonardo da Vinci Edit Anatomical study of the arm by Leonardo da Vinci c 1510 Leonardo da Vinci 1452 1519 was trained in anatomy by Andrea del Verrocchio In 1489 Leonardo began a series of anatomical drawings depicting the ideal human form This work was carried out intermittently for over two decades During this time he made use of his anatomical knowledge in his artwork making many sketches of skeletal structures muscles and organs of humans and other vertebrates that he dissected 30 31 Initially adopting an Aristotlean understanding of anatomy he later studied Galen and adopted a more empirical approach eventually abandoning Galen altogether and relying entirely on his own direct observation 32 His surviving 750 drawings represent groundbreaking studies in anatomy Leonardo dissected around thirty human specimens until he was forced to stop under order of Pope Leo X citation needed As an artist anatomist Leonardo made many important discoveries and had intended to publish a comprehensive treatise on human anatomy 32 For instance he produced the first accurate depiction of the human spine while his notes documenting his dissection of the Florentine centenarian contain the earliest known description of cirrhosis of the liver and arteriosclerosis 32 33 He was the first to develop drawing techniques in anatomy to convey information using cross sections and multiple angles although centuries would pass before anatomical drawings became accepted as crucial for learning anatomy 34 None of Leonardo s Notebooks were published during his lifetime many being lost after his death with the result that his anatomical discoveries remained unknown until they were later found and published centuries after his death 35 Vesalius Edit This section needs additional citations for verification Please help improve this article by adding citations to reliable sources Unsourced material may be challenged and removed January 2015 Learn how and when to remove this template message A portrait of Andreas Vesalius from De Humani Corporis Fabrica 1543 The Galenic doctrine in Europe was first seriously challenged in the 16th century Thanks to the printing press all over Europe a collective effort proceeded to circulate the works of Galen and later publish criticisms on their works Andreas Vesalius born and educated in Belgium contributed the most to human anatomy Vesalius s success were due in large part to him exercising the skills of mindful dissections for the sake of understanding anatomy much to the tune of Galen s anatomy project instead of focusing on the work of other scholars of the time in recovering the ancient texts of Hippocrates Galen and others which much of the medical community was focused around at the time 36 Vesalius was the first to publish a treatise De Humani Corporis Fabrica that challenged Galen s anatomical teachings arguing that they are based on observations of other mammals not human bodies 37 The book included a detailed series of explanations and vivid drawings of the anatomical parts of human bodies Vesalius traveled all the way from Leuven to Padua for permission to dissect victims from the gallows without fear of persecution His superbly executed drawings are triumphant descriptions of the differences between dogs and humans but it took a century for Galen s influence to fade Vesalius work marked a new era in the study of anatomy and its relation to medicine Under Vesalius anatomy became an actual discipline His skill in and attention to dissection featured prominently in his publications as well as his demonstrations in his research as well as his teaching 38 In 1540 Vesalius gave a public demonstration of the inaccuracies of Galen s anatomical theories which are still the orthodoxy of the medical profession Vesalius now has on display for comparison purposes the skeletons of a human being alongside that of an ape of which he was able to show that in many cases Galen s observations were indeed correct for the ape but bear little relation to man Clearly what was needed was a new account of human anatomy While the lecturer explained human anatomy as revealed by Galen more than 1000 years earlier an assistant pointed to the equivalent details on a dissected corpse At times the assistant was unable to find the organ as described but invariably the corpse rather than Galen was held to be in error Vesalius then decided that he will dissect corpses himself and trust to the evidence of what he found His approach was highly controversial but his evident skill led to his appointment as professor of surgery and anatomy at the University of Padua A succession of researchers proceeded to refine the body of anatomical knowledge giving their names to a number of anatomical structures along the way The 16th and 17th centuries also witnessed significant advances in the understanding of the circulatory system as the purpose of valves in veins was identified the left to right ventricle flow of blood through the circulatory system was described and the hepatic veins were identified as a separate portion of the circulatory system The lymphatic system was also identified as a separate system at this time Anatomical theatres Edit A woodcut of an anatomical dissection from 1493 An anatomical dissection being carried out by Andreas Vesalius 1543 The Anatomy Lesson of Dr Nicolaes Tulp by Rembrandt 1632 The Anatomy Lesson of Dr Deijman by Rembrandt 1656 Sketch of the Preceding painting The Anatomy Lesson of Dr Deijman An Anatomical Theatre In Leiden 1616 The reward of cruelty Plate IV by William Hogarth 1751In the late 16th century anatomists began exploring and pushing for contention that the study of anatomy could contribute to advancing the boundaries of natural philosophy However the majority of students were more interested in the practicality of anatomy and less so in the advancement of knowledge of the subject Students were interested in the technique of dissection rather than the philosophy of anatomy and this was reflected in their criticism of Professors such as Girolamo Fabrici 22 Anatomical theatres became a popular form for anatomical teaching in the early 16th century The University of Padua was the first and most widely known theatre founded in 1594 As a result Italy became the centre for human dissection People came from all over to watch as professors taught lectures on the human physiology and anatomy as anyone was welcome to witness the spectacle Participants were fascinated by corporeal display by the body undergoing dissection 39 Most professors did not do the dissections themselves Instead they sat in seats above the bodies while hired hands did the cutting Students and observers would be placed around the table in a circular stadium like arena and listen as professors explained the various anatomical parts As anatomy theatres gained popularity throughout the 16th century protocols were adjusted to account for the disruptions of students Students moved beyond simply being eager to participate and began stealing and vandalizing cadavers Students were thus instructed to sit quietly and were to be penalized for disrupting the dissection Moreover preparatory lectures were mandatory in order to introduce the subsequent observation of anatomy The demonstrations were structured into dissections and lectures The dissections focused on the skill of autopsy vivisection while the lectures would center on the philosophical questions of anatomy This is exemplary of how anatomy was viewed not only as the study of structures but also the study of the body as an extension of the soul 40 The 19th century eventually saw a move from anatomical theatres to classrooms reducing the number of people who could benefit from each cadaver 6 17th century Edit Harvey s anatomical researches from De Motu Cordis 1628 At the beginning of the 17th century the use of dissecting human cadavers influenced anatomy leading to a spike in the study of anatomy The advent of the printing press facilitated the exchange of ideas Because the study of anatomy concerned observation and drawings the popularity of the anatomist was equal to the quality of his drawing talents and one need not be an expert in Latin to take part 41 Many famous artists studied anatomy attended dissections and published drawings for money from Michelangelo to Rembrandt For the first time prominent universities could teach something about anatomy through drawings rather than relying on knowledge of Latin Contrary to popular belief the Church neither objected to nor obstructed anatomical research 42 Only certified anatomists were allowed to perform dissections and sometimes then only yearly These dissections were sponsored by the city councilors and often charged an admission fee rather like a circus act for scholars Many European cities such as Amsterdam London Copenhagen Padua and Paris all had Royal anatomists or some such office tied to local government Indeed Nicolaes Tulp was Mayor of Amsterdam for three terms Though it was a risky business to perform dissections and unpredictable depending on the availability of fresh bodies attending dissections was legal citation needed The supply of printed anatomy books from Italy and France led to an increased demand for human cadavers for dissections Since few bodies were voluntarily donated for dissection royal charters were established which allowed prominent universities to use the bodies of hanged criminals for dissections However there was still a shortage of bodies that could not accommodate for the high demand of bodies Modern Anatomy Edit18th century Edit Until the middle of the 18th century there was a quota of ten cadavers for each the Royal College of Physicians and the Company of Barber Surgeons the only two groups permitted to perform dissections During the first half of the 18th century William Cheselden challenged the Company of Barber Surgeon s exclusive rights on dissections He was the first to hold regular anatomy lectures and demonstrations He also wrote The Anatomy of the Humane Body a student handbook of anatomy 43 In 1752 the rapid growth of medical schools in England and the pressing demand for cadavers led to the passage of the Murder Act This allowed medical schools in England to legally dissect bodies of executed murderers for anatomical education and research and also aimed to prevent murder To further increase the supply of cadavers the government increased the number of crimes in which hanging was a punishment Although the number of cadavers increased it was still not enough to meet the demand of anatomical and medical training 44 Since few bodies were voluntarily donated for dissection criminals that were hanged for murder were dissected However there was a shortage of bodies that could not accommodate the high demand of bodies 45 To cope with shortages of cadavers and the rise in medical students during the 17th and 18th centuries body snatching and even anatomy murder were practiced to obtain cadavers 46 Body snatching was the act of sneaking into a graveyard digging up a corpse and using it for study Men known as resurrectionists emerged as outside parties who would steal corpses for a living and sell the bodies to anatomy schools The leading London anatomist John Hunter paid for a regular supply of corpses for his anatomy school 47 During the 17th and 18th centuries the perception of dissections had evolved into a form of capital punishment Dissections were considered a dishonor The corpse was mutilated and not suitable for a funeral By the end of the 18th century many European countries had passed legislation similar to the Murder Act in England to meet the demand of fresh cadavers and to reduce crime Countries allowed institutions to use unclaimed bodies of paupers prison inmates and people in psychiatric and charitable hospitals for dissection 44 Unfortunately the lack of bodies available for dissection and the controversial air that surrounded anatomy in the late 17th century and early 18th century caused a halt in progress that is evident by the lack of updates made to anatomical texts of the time between editions Additionally most of the investigations into anatomy were aimed at developing the knowledge of physiology and surgery Naturally this meant that a close examination of the more detailed aspects of anatomy that could advance anatomical knowledge was not a priority 48 Paris Medicine was notorious for its influence on medical thought and its contributions to medical knowledge The new hospital medicine in France during the late 18th century was brought about in part by the Law of 1794 which made physicians and surgeons equals in the world of medical care The law came as a response to the increase demand for medical professionals capable of caring for the increase in injuries and diseases brought about by French Revolution The law also supplemented schools with bodies for anatomical lessons Ultimately this created the opportunity for the field of medicine to grow in the direction of localism of pathological anatomy the development of appropriate diagnostic techniques and the numerical approach to disease and therapeutics 49 The British Parliament passed the Anatomy Act 1832 which finally provided for an adequate and legitimate supply of corpses by allowing legal dissection of executed murderers The view of anatomist at the time however became similar to that of an executioner Having one s body dissected was seen as a punishment worse than death if you stole a pig you were hung If you killed a man you were hung and then dissected Demand grew so great that some anatomists resorted to dissecting their own family members as well as robbing bodies from their graves 50 Many Europeans interested in the study of anatomy traveled to Italy then the centre of anatomy Only in Italy could certain important research methods be used such as dissections on women Realdo Colombo also known as Realdus Columbus and Gabriele Falloppio were pupils of Vesalius Columbus as Vesalius s immediate successor in Padua and afterwards professor at Rome distinguished himself by describing the shape and cavities of the heart the structure of the pulmonary artery and aorta and their valves and tracing the course of the blood from the right to the left side of the heart 51 The rise in anatomy lead to various discoveries and findings In 1628 English physician William Harvey observed circulating blood through dissections of his father s and sister s bodies He published De moto cordis et sanguinis a treatise in which he explained his theory 44 In Tuscany and Florence Marcello Malpighi founded microscopic anatomy and Nils Steensen studied the anatomy of lymph nodes and salivary glands By the end of the 17th century Gaetano Zumbo developed anatomical wax modeling techniques 52 Antonio Valsalva a student of Malpighi and a professor of anatomy at University of Bologna was one of the greatest anatomists of the time He is known by many as the founder of anatomy and physiology of the ear 53 In the 18th century Giovanni Batista Morgagni related pre mortem symptoms with post mortem pathological findings using pathological anatomy in his book De Sedibus 54 This led to the rise of morbid anatomy in France and Europe The rise of morbid anatomy was one of the contributing factors to the shift in power between doctors and physicians giving power to the physicians over patients 55 With the invention of the Stethoscope in 1816 R T H Laennec was able to help bridge the gap between a symptomatic approach to medicine and disease to one based on anatomy and physiology His disease and treatments were based on pathological anatomy and because this approach to disease was rooted in anatomy instead of symptoms the process of evaluation and treatment were also forced to evolve 56 From the late 18th century to the early 19th century the work of professionals such as Morgagni Scott Matthew Baillie and Xavier Bichat served to demonstrate exactly how the detailed anatomical inspection of organs could lead to a more empirical means of understanding disease and health that would combine medical theory with medical practice This pathological anatomy paved the way for clinical pathology that applied the knowledge of opening up corpses and quantifying illnesses to treatments 57 Along with the popularity of anatomy and dissection came an increasing interest in the preservation of dissected specimens In the 17th century many of the anatomical specimens were dried and stored in cabinets In the Netherlands there were attempts to replicate Egyptian mummies by preserving soft tissue This became known as Balsaming In the 1660s the Dutch were also attempting to preserve organs by injecting wax to keep the organ s shape Dyes and mercury were added to the wax to better differentiate and see various anatomical structures for academic and research anatomy By the late 18th century Thomas Pole published The Anatomic Instructor which detailed how to dry and preserve specimens and soft tissue 58 19th century anatomy Edit Further information History of anatomy in the 19th century During the 19th century anatomical research was extended with histology and developmental biology of both humans and animals Women who were not allowed to attend medical school could attend the anatomy theatres From 1822 the Royal College of Surgeons forced unregulated schools to close 59 Medical museums provided examples in comparative anatomy and were often used in teaching 60 Current Research EditAnatomical research in the past hundred years has taken advantage of technological developments and growing understanding of sciences such as evolutionary and molecular biology to create a thorough understanding of the body s organs and structures Disciplines such as endocrinology have explained the purpose of glands that anatomists previously could not explain medical devices such as MRI machines and CAT scanners have enabled researchers to study organs living or dead in unprecedented detail Progress today in anatomy is centered in the development evolution and function of anatomical features as the macroscopic aspects of human anatomy have largely been catalogued Non human anatomy is particularly active as researchers use techniques ranging from finite element analysis to molecular biology To save time some medical schools such as Birmingham England have adopted prosection where a demonstrator dissects and explains to an audience in place of dissection by students This enables students to observe more than one body Improvements in colour images and photography means that an anatomy text is no longer an aid to dissection but rather a central material to learn from Plastic anatomical models are regularly used in anatomy teaching offering a good substitute to the real thing Use of living models for anatomy demonstration is once again becoming popular within teaching of anatomy Surface landmarks that can be palpated on another individual provide practice for future clinical situations It is possible to do this on oneself in the Integrated Biology course at the University of Berkeley students are encouraged to introspect 61 on themselves and link what they are being taught to their own body 59 In Britain the Human Tissue Act 2004 has tightened up the availability of resources to anatomy departments citation needed The outbreaks of bovine spongiform encephalitis BSE in the late 1980s and early 1990s further restricted the handling of brain tissue 59 62 The controversy of Gunther von Hagens and public displays of dissections preserved by plastination may divide opinions on what is ethical or legal 63 References Edit Lindemann Mary 2010 Medicine and Society in Early Modern Europe 2nd ed Cambridge United Kingdom Cambridge University Press p 91 Porter Roy 1999 10 17 The Greatest Benefit to Mankind A Medical History of Humanity The Norton History of Science W W Norton pp 49 50 ISBN 9780393319804 Retrieved 17 November 2013 Singer Charles 1957 A Short History of Anatomy amp Physiology from Greeks to Harvey NEw York Dover Publications Inc p 5 Singer Charles 1957 A Short History of Anatomy amp Physiology from Greeks to Harvey NEw York Dover Publications Inc p 7 Singer Charles 1957 A Short History of Anatomy amp Physiology from Greeks to Harvey NEw York Dover Publications Inc p 10 a b c Siddiquey Ak Shamsuddin Husain 2009 History of Anatomy Bangladesh Journal of Anatomy 7 1 1 3 doi 10 3329 bja v7i1 3008 Singer Charles 1957 A Short History of Anatomy amp Physiology from Greeks to Harvey NEw York Dover Publications Inc p 29 Bay Noel Si Yang Bay Boon Huat December 2010 Greek anatomist herophilus the father of anatomy Anatomy amp Cell Biology 43 4 280 283 doi 10 5115 acb 2010 43 4 280 ISSN 2093 3665 PMC 3026179 PMID 21267401 Nutton V 2002 Logic Learning and Experimental Medicine Science 295 5556 800 801 doi 10 1126 science 1066244 PMID 11823624 Hankinson R J 2014 Partitioning the Soul Galen on the Anatomy of the Psychic Functions and Mental Illness Partitioning the Soul De Gruyter doi 10 1515 9783110311884 85 ISBN 9783110311884 Singer Charles 1957 A Short History of Anatomy amp Physiology from Greeks to Harvey NEw York Dover Publications Inc p 47 Boas Marie 1970 The Scientific Renaissance 1450 1630 Fontana pp 120 248 Vesalius finding Galen full of errors was quite certain that he had been able to eradicate them Boas Marie 1970 The Scientific Renaissance 1450 1630 Fontana p 262 Like any sixteenth century anatomist too he Harvey began with what Gelen had taught and managed to interpret Galen s words to win support for his new doctrine Pasipoularides Ares March 1 2014 Galen father of systematic medicine An essay on the evolution of modern medicine and cardiology International Journal of Cardiology 172 1 47 58 doi 10 1016 j ijcard 2013 12 166 PMID 24461486 Aird W C 2011 Discovery of the cardiovascular system from Galen to William Harvey Journal of Thrombosis and Haemostasis 9 s1 118 129 doi 10 1111 j 1538 7836 2011 04312 x ISSN 1538 7836 PMID 21781247 S2CID 12092592 a b c d Neder J Alberto 2020 06 01 Cardiovascular and pulmonary interactions why Galen s misconceptions proved clinically useful for 1 300 years Advances in Physiology Education 44 2 225 231 doi 10 1152 advan 00058 2020 ISSN 1043 4046 PMID 32412380 S2CID 218648041 Fleming Donald 1955 Galen on the Motions of the Blood in the Heart and Lungs Isis 46 1 14 21 doi 10 1086 348379 ISSN 0021 1753 JSTOR 226820 PMID 14353581 S2CID 29583656 Siraisi Nancey G 1990 Medieval and Early Renaissance Medicine Chicago and London University of Chicago Press p 84 ISBN 978 0 226 76129 9 Park Katherine November 2010 Myth 5 That the Medieval Church Prohibited Dissection In Numbers Ronald L ed Galileo Goes to Jail and Other Myths about Science and Religion Harvard University Press pp 43 49 ISBN 9780674057418 Nutton Vivian 2004 Ancient Medicine London and New York Routledge Taylor amp Francis Group p 138 ISBN 978 0 415 36848 3 Crombie A C 1967 Medieval and Early Modern Science volume 1 ed Cambridge Massachusetts Harvard University Press p 180 and 181 a b Klestinec Cynthia 2004 A History of Anatomy Theaters in Sixteenth Century Padua Journal of the History of Medicine 59 3 376 379 doi 10 1093 jhmas 59 3 375 PMID 15270335 Persaud T V N Loukas Marios Tubbs Shane R 2014 A History of Human Anatomy Springfield Illinois Charles C Thomas p 55 ISBN 978 0 398 08105 8 Lindemann Mary 2010 Medicine and Society in Early Modern Europe Cambridge university press p 92 ISBN 978 0 521 73256 7 Gordon Benjamin Lee 1959 Medieval and Renaissance Medicine New York Philosophical Library Inc pp 422 426 Persaud T V N Loukas Marios Tubbs Shane R 2014 A History of Human Anatomy Second ed Springfield Illinois U S A Charles C Thomas pp 56 55 59 ISBN 978 0 398 08105 8 Retrieved 2015 11 28 a b Zimmerman Leo M Veith Ilza 1993 08 01 Great Ideas in the History of Surgery Norman Publishing ISBN 9780930405533 Retrieved 7 December 2012 Crombie Alistair Cameron 1959 The History of Science From Augustine to Galileo Courier Dover Publications ISBN 9780486288505 Retrieved 19 December 2012 Benivieni Antonio Polybus Guinterius Joannes 1529 De abditis nonnullis ac mirandis morborum amp sanationum causis apud Andream Cratandrum Retrieved 7 December 2012 Boas Marie 1970 The Scientific Renaissance 1450 1630 Fontana pp 120 143 First published by Collins 1962 Mason Stephen F 1962 A History of the Sciences New York Collier p 550 a b c O Malley Charles D 1983 Leonardo on the Human Body New York Dover Leonardo the Man His machines Lairweb Retrieved 2 November 2014 Leonardo Da Vinci first Anatomist Life in The Fast Lane 2009 04 19 Retrieved 2 November 2014 Leonardo Da Vinci s Notebook Project Irvine Valley College Archived from the original on 12 November 2014 Retrieved 2 November 2014 Klestinec Cynthia 2004 A History of Anatomy Theaters in Sixteenth Century Padua Journal of the History of Medicine 59 3 377 doi 10 1093 jhmas jrh089 PMID 15270335 Andreas Vesalius Anatomy in the Age of Enlightenment www umich edu Retrieved 2017 02 05 Klestinec Cynthia 2004 A History of Anatomy Theaters in Sixteenth Century Padua Journal of the History of Medicine and Allied Sciences 59 3 375 412 doi 10 1093 jhmas 59 3 375 PMID 15270335 Klestinec Cynthia 2004 A History of Anatomy Theaters in Sixteenth Century Padua Journal of the History of Medicine and Allied Sciences 59 3 375 412 doi 10 1093 jhmas 59 3 375 PMID 15270335 Klestinec Cynthia 2004 A History of Anatomy Theaters in Sixteenth Century Padua Journal of the History of Medicine 59 3 391 392 doi 10 1093 jhmas 59 3 375 PMID 15270335 Dream Anatomy Exhibition Information NLM Howse Christopher 10 June 2009 The myth of the anatomy lesson The Daily Telegraph London Retrieved 4 May 2010 Sanders M A 1999 11 01 William Cheselden anatomist surgeon and medical illustrator Spine 24 21 2282 2289 doi 10 1097 00007632 199911010 00019 ISSN 0362 2436 PMID 10562998 a b c Ghosh Sanjib Kumar 2017 03 02 Human cadaveric dissection a historical account from ancient Greece to the modern era Anatomy amp Cell Biology 48 3 153 169 doi 10 5115 acb 2015 48 3 153 PMC 4582158 PMID 26417475 Mitchell Piers D Boston Ceridwen Chamberlain Andrew T Chaplin Simon Chauhan Vin Evans Jonathan Fowler Louise Powers Natasha Walker Don 2017 02 17 The study of anatomy in England from 1700 to the early 20th century Journal of Anatomy 219 2 91 99 doi 10 1111 j 1469 7580 2011 01381 x ISSN 0021 8782 PMC 3162231 PMID 21496014 Rosner Lisa 2010 The Anatomy Murders Being the True and Spectacular History of Edinburgh s Notorious Burke and Hare and of the Man of Science Who Abetted Them in the Commission of Their Most Heinous Crimes University of Pennsylvania Press Moore Wendy 2006 The Knife Man Blood Body Snatching and the Birth of Modern Surgery Bantam pp 87 95 and passim ISBN 978 0 553 81618 1 Bynum W F 1994 Science and the Practice of Medicine in the Nineteenth Century Cambridge University Press p 12 ISBN 978 0 521 27205 6 Bynum W F 1994 Science and the practice of medicine in the nineteenth century Cambridge University Press ISBN 0 521 25109 5 OCLC 422126074 Roach Mary 2003 Stiff The curious Lives of Human Cadavers New York W W Norton pp 37 57 ISBN 9780393050936 Boas Marie 1970 The Scientific Renaissance 1450 1630 Fontana pp 254 256 Orlandini Giovanni E Paternostro Ferdinando 2010 Anatomy and anatomists in Tuscany in the 17th century Italian Journal of Anatomy and Embryology Archivio Italiano di Anatomia ed Embriologia 115 3 167 174 PMID 21287970 Wells Walter A 1948 02 01 Antonio valsalva pioneer in applied anatomy 1666 1723 The Laryngoscope 58 2 105 117 doi 10 1002 lary 5540580202 PMID 18904602 S2CID 70524656 van den Tweel Jan G Taylor Clive R 2017 03 02 A brief history of pathology Virchows Archiv 457 1 3 10 doi 10 1007 s00428 010 0934 4 PMC 2895866 PMID 20499087 Harley David 1994 04 01 Political Post mortems and Morbid Anatomy in Seventeenth century England Social History of Medicine 7 1 1 28 doi 10 1093 shm 7 1 1 PMID 11639292 Bynum W F 1994 Science and the Practice of Medicine in the Nineteenth Century Cambridge University Press p 41 ISBN 978 0 521 27205 6 Lindemann Mary 2010 Medicine and Society in Early Modern Europe Cambridge University Press pp 111 112 ISBN 978 0 521 73256 7 Mitchell Piers D Boston Ceridwen Chamberlain Andrew T Chaplin Simon Chauhan Vin Evans Jonathan Fowler Louise Powers Natasha Walker Don 2017 03 02 The study of anatomy in England from 1700 to the early 20th century Journal of Anatomy 219 2 91 99 doi 10 1111 j 1469 7580 2011 01381 x PMC 3162231 PMID 21496014 a b c McLachlan J Patten D 2006 Anatomy teaching ghosts of the past present and future Medical Education 40 3 243 53 doi 10 1111 j 1365 2929 2006 02401 x PMID 16483327 S2CID 30909540 Reinarz J 2005 The age of museum medicine The rise and fall of the medical museum at Birmingham s School of Medicine Social History of Medicine 18 3 419 37 doi 10 1093 shm hki050 Diamond M 2005 Integrative Biology 131 Lecture 01 Organization of Body Berkeley University of California Demiryurek D Bayramoglu A Ustacelebi S 2002 Infective agents in fixed human cadavers a brief review and suggested guidelines Anatomical Record 269 1 194 7 doi 10 1002 ar 10143 PMID 12209557 S2CID 20948827 British Broadcasting Corporation BBC News 2002 Controversial autopsy goes ahead http news bbc co uk 1 hi health 2493291 stm Accessed 22 April 2008 Bibliography EditSee also Bibliography of anatomy Wikimedia Commons has media related to History of anatomy Knoeff Rina 2012 Dutch Anatomy and Clinical Medicine in 17th Century Europe Leibniz Institute of European History Mazzio C 1997 The Body in Parts Discourses and Anatomies in Early Modern Europe Routledge ISBN 978 0 415 91694 3 Porter R 1997 The Greatest Benefit to Mankind A Medical History of Humanity from Antiquity to the Present Harper Collins ISBN 978 0 00 215173 3 Sawday J 1996 The Body Emblazoned Dissection and the Human Body in Renaissance Culture Routledge ISBN 978 0 415 15719 3 External links EditHistorical Anatomies on the Web National Library of Medicine Selected images from notable anatomical atlases Anatomia 1522 1867 Anatomical Plates from the Thomas Fisher Rare Book Library Human Anatomy amp Physiology Society A society to promote communication among teachers of human anatomy and physiology in colleges universities and related institutions Retrieved from https en wikipedia org w index php title History of anatomy amp oldid 1131550048, wikipedia, wiki, book, books, library,

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