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Rhazes: The Thinking Western Physician
by G. Stolyarov II
The Dark Ages in Europe were a
dismal atmosphere for methodical thought and its technological products. The
barbarian hordes having overrun the Western Roman Empire, they destructed not
merely the governmental and military structure of Classical civilization, but
its cultural achievements as well. Few people in that dreary age would have
exhibited basic literacy, not even to mention knowledge of ingenious Greek
philosophers such as Aristotle or medical pioneers such as Hippocrates.
Few people today would have been exposed to the legacies of Europe’s
glorious antiquity were it not for the translations and scholarly extrapolations
performed by Arabic researchers during the Middle East’s golden age lingering
from about the eighth to the twelfth centuries A.D. One of the most prodigious
figures during this period of mini-Enlightenment was Abu Bakr Muhammad bin
Zakaria al-Razi, better known as Rhazes. The endeavors undertaken by this man
centuries ahead of his time served to popularize and expand the Scientific
Method within the field of medicine as well as devise a system which in many
aspects served as a philosophy of reason.
Rhazes lived circa 854 to 935,
a time period when Persian thinkers had only begun to rediscover and incorporate
into their practices the accomplishments and techniques of Ancient Greek
thinkers. Serving as the head of the hospital in his home city of Rayy and later
in the Abbasid dynasty’s capital at Baghdad, he challenged the prevailing
Dogmatic school of medicine, which professed as its mantra the strict
deductibility of treatment methods. The Dogmatics had been ignorant of the
discoveries of Hippocrates in the field some twelve centuries earlier, which
involved a meticulous observation of the patient and his individual condition
prior to administering treatment. While this may seem common sense in today’s
world, many of Rhazes’ contemporaries had been entrenched in a stale mysticism
which had carried over into early European medieval doctrines, accepting the
ludicrous one-size-fits-all models of Galen who had postulated that the body of
a human being would possess an identical structure to that of a pig (on which he
had performed his only anatomies). Yet Rhazes’ thorough clinical records have
demonstrated, for example, that Galen’s theories on the progression of a fever
within a patient are flawed.
Galen’s core blunder had been the so-called
theory of humors, which suggested that the body was possessed by four separate
liquid substances whose balance was the key to health and normal temperature,
and that the sole means of upsetting such a system was to introduce a liquid of
a varying temperature into the organism, after which the resulting instability
would bring about an increase or decrease in bodily heat identical to the
temperature of the particular fluid. Rhazes, however, had experimentally proved
that, in the words of I. E. Goodman, “a warm drink may heat the body to a degree
much hotter than its own. Thus the drink must trigger a response rather than
simply communicating its warmth and coldness.” This was the first step toward a
comprehensive refutation of the entire theory of humors, which had been founded
on the simplistic four elements scheme upheld by numerous ancients. Here Rhazes’
experiments in the field of alchemy served to furnish observations of such
qualities within objects as “oiliness” and “sulphuriousness”, or inflammability
and salinity, which were “not readily explained by the traditional fire, water,
earth, and air schematism.” Rhazes opened the door to a far more complex and
realistic conception of elemental makeup through a challenge posed to a set of
blundering and empirically unwarranted speculations.
In the manner of
numerous Greek thinkers, including Socrates and Aristotle, Rhazes rejected the
mind-body dichotomy and pioneered the concept of mental health and self-esteem
as essential to a patient’s welfare. This “sound mind, healthy body” connection
prompted him to frequently communicate with his patients on a friendly level,
encouraging them to heed his advice as a path to their recovery and bolstering
their fortitude and determination to resist the illness and swiftly convalesce.
He also advised for them a constant maintenance of their health, a revolutionary
idea at the time, through a balanced diet and exercise, recognizing the impacts
of nutrition and physical fitness on the organism’s durability and resistance to
malfunction and disease. This is why his treatment always included fresh,
quality food of diverse makeup. Simultaneously, his works in alchemy, serving as
a supplement to his medical endeavors, caused him to reject a myriad of potions
and “magical brews” which possessed no scientific merit and had frequently been
employed due to a mere superstition. He was capable of distinguishing genuinely
functional mixtures from pseudo-cures and even poisons, and was one of the first
to write treatises on the harmful effects of the latter.
Rhazes’
hospitals produced remarkable rates of patient recovery particularly because of
a soundly logical division of labor which employed two “circles” of his
disciples. The first, moderately trained, would receive new patients and treat
mild disorders, while the more severe cases would be passed to an inner and more
proficient circle and the most difficult and peculiar problems would be treated
by the master physician himself. This provided a challenging environment for all
levels of doctors on Rhazes’ payroll and tested the limits of even the most
skilled mind which was his. The physician’s training, he emphasized, does not
halt at the time he obtains the license to practice, but must continue
throughout his career to yield the most qualified doctor possible. He sponsored
educational seminars and lectures, as well as the study of treatises and on-site
training for his disciples while himself became immersed in systematizing his
observations into a comprehensive medical encyclopedia, known as the
al-Hawi, or “Comprehensive Work on Medicine”. The Medieval Europeans had
managed to obtain a hold on its text and translate it only in 1279, and
subsequently it served as a standard medical textbook in the Western world until
the 1700s. Rhazes altogether had written over 50 medical works, the most notable
among those being the Great Medical Compendium, Stones in the Kidney
and Bladder, and Smallpox and Measles. Rhazes’ focus in the field was
as expansive as the maladies which he had encountered in his
patients.
One of Rhazes’ most notable approaches places yet another
emphasis upon his rejection of the mind-body dichotomy and its consequence, the
schism of theory and practice. This prodigious healer was also a prodigious
thinker, emphasizing that the competent physician must also be a philosopher
well versed in the fundamental questions concerning existence. He must be aware
not merely of what he is doing, but why, implying an ethical
foundation, as well as the general context of the universe in which he lives,
implying a metaphysical one. His balanced diet theory was a result of his
extrapolations on the doctrines of the Epicurean school, which saw happiness in
measured, moderate quantities of life’s pleasures instead of excesses of such
temptations as food and lust. Happiness, to Rhazes, was not a hedonistic
anything-goes form of revelry, but a byproduct of rational, intellectual
endeavors which yielded a comfortable existence wherein the organism progressed
in its quality of life without being endangered by indulgence in destructive
excesses. He realized that the mind, not unthinking whim, produces
genuine pleasure and health, as only the thinking mind is capable of
comprehending reality and utilize the data acquired for self-amelioration.
Centuries before European Deists like Voltaire and Jefferson, Rhazes enunciated
the belief that God does not intervene in worldly affairs directly or through
other agents, and that He has left a structured universe for man as well as the
ability to grasp it. Reason, not special revelation, he asserted, was the divine
means of cognition, accessible to all men equally and granted solely based on
the amount of one’s personal merit and the thoroughness of the attention one
grants to his field of activity. He used as his example for this proposition the
capacity of all people to specialize in various fields, both humanitarian and
technological, wherein their success is determined not by revelation, but
through study.
A knowable universe for man to utilize to his advantage
lay at the root of his metaphysical and epistemological discoveries, which aimed
ultimately to surpass the condition of one’s predecessors. He proclaimed the
absolutism of Euclidean space and mechanical time as the commonsense basis for
the world in which men lived, but resolved the dilemma of existent infinities by
synthesizing this outlook with the atomic theory of Democritus, which recognized
that matter existed in the form of indivisible and fathomable quanta (i.e.
discrete entities). The continuity of space, however, holds due to a void, or a
region lacking matter, which separates entities. This is remarkably close to the
systems yielded by the discoveries of such later European scientists as John
Dalton and the observational and theoretical works of modern astronomer Halton
Arp and Objectivist philosopher Michael Miller. Progress, in the view of all
these men, is not to be obstructed by a jumble of haphazard and contradictory
relativistic assertions which result in metaphysical hodge-podge instead of a
sturdy intellectual base. Even in regard to the task of the philosopher, Rhazes
considered it to be progressing beyond the level of one’s teachers, expanding
the accuracy and scope of one’s doctrine, and individually elevating oneself
onto a higher intellectual plane.
Rhazes was a staunch foe of
fanaticism and authoritarianism, as manifested by his outright opposition to all
forms of mystical revelation and “insight”. He also recognized the flawed nature
of religious texts, ritual practices, and fables, commenting on the matter, “How
can anyone think philosophically while committed to those old wives’ tales
founded on contradictions, obdurate ignorance, and dogmatism?” Ultimately this
resulted in a judgment that no man was inherently superior to another, that
distinction must be earned, not given via the favor of some cosmic (or earthly)
bureaucrat. Rhazes believed ideological discourse and disagreement to be the
most fruitful for an atmosphere of learning and progress, as they encouraged
critical analysis and a reliance on no authority beyond that of one’s rational
mind. His works, although not mentioning the concept overtly, hint at an early
philosophy of individual rights. Nevertheless, this is one belief which we may
soundly derive from his other doctrines and thereby conclude that on numerous
crucial levels, Rhazes was an Objectivist!
Alas, the world of his time
neglected to realize the marvelous treasure that was his work. Goodman reveals
that “given the general repugnance toward al-Razi’s philosophical ideas among
his contemporaries and Medieval successors, few of those works were copied.” The
bumbling clerics with their flat-earth cosmology, Galenic physiology, and
divine-right politics then possessed a tyrannical monopoly on learning and chose
to disregard the forward-thinking discoveries of al-Razi in exchange for a
mystic muck of censorship, bloodshed, and technological stagnation for some
seven centuries, from 500 to 1200. When al-Hawi was at last translated
into Latin, Thomas Aquinas was already working on introducing the antidote of
Aristotelian reason into the poison of early militant Christianity, and the
foundations of the Renaissance were already emerging. Five centuries were
required to fully appreciate Rhazes’ insightful contributions, but today we may
benefit from the fruits of his labor.
To physicians of modernity, Rhazes’
advice lingers in as potent a manner as ever. You, doctors of America, are
facing an extraordinarily similar form of oppression today as statist Medicare
bureaucrats are barring you from choosing your patients, your tools, and your
methods, while New Left socialists curtail your rightful rewards for rendering
services your patients would otherwise have been more than happy to pay for. You
must become philosophers yourselves and wage a comprehensive ideological war
against irrationalism, mysticism, altruism, and statism by embracing an
objective metaphysics, a rational epistemology, an individualist ethics, and a
laissez-faire politics. Like Rhazes, I urge you to become Objectivists. Your
resources today are far more bountiful than his had been, and you have in your
arsenal the works of another prodigious thinker, Ayn Rand. May it serve as a
beacon of truth for you in your work and in defending the integrity
thereof.
References
Used
Ahmad, Brodsky, et al. World Cultures: A Global Mosaic.
Prentice Hall. Englewood Cliffs, New Jersey, 1996. “Muhammad al-Razi, Islamic
Physician”. p. 574.
Bio-Bibliographies. “Razi, Abu Bakr Muhammad ibn
Zakariya”. Available September 22, 2002: http://www.nlm.nih.gov/hmd/arabic/bioR.html
Goodman, I.E. Islamic Philosophy Online. “Al-Razi (Rhazes)”. Available
September 22, 2002: http://www.muslimphilosophy.com/ei/razi.htm
—(04/22/05)
Mr. Stolyarov is a science fiction novelist, independent philosophical essayist, poet, amateur mathematician, composer, contributor to Enter Stage Right and SoloHQ, writer for Objective Medicine, and Editor-in-Chief of The Rational Argumentator, a magazine championing the Western principles of reason, rights, and progress [http://www.geocities.com/rationalargumentator/masterindex.html].
Mr. Stolyarov is also the recipient of the February 2004 Editor's Choice Award for Outstanding Achievement in Poetry, presented by poetry.com and the International Library of Poets.
He can be contacted at gennadystolyarovii@yahoo.com.
You can learn about Mr. Stolyarov’s newest science fiction novel, Eden against the Colossus, at http://www.geocities.com/rational_argumentator/eac.html."
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