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hsmn
menstruation: "liquid issuing from lips"
also word for "to cleanse" or "to purify"
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Ebers 833
remedies for woman to hasn't had period in many years, inflamed belly, and vomiting (amenorrhea)
Disease is perceived as unnatural, an “evil spell”
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women withdraw for menstruation
- Not well-attested for until Ptolemaic and later times
- - Space under stairs of multi-story houses reversed for women to withdraw to during menstruation
Only reference to from earlier times: 8 women went to a ‘place of women’
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Contraceptives
Ebers 783: various plants and honey placed on vagina
Kahun 21-22: crocodile dung, honey, sour milk
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Pregnancy tests
Pee on emmer and barley every day, if they all grow she is pregnant. If barley grows, it's a male. If the emmer grows its a female. If they don’t grow, she will not bear a child
Berlin 196: anoint her chest, forearms, and upper arms with fat/oil and in the morning look at them. If her vessels are blue-green and not sunken, it means a satisfactory (uncomplicated birth). If her vessels are sunken like the skin (surface) of her body, it means a miscarriage. If her vessels are dark blue-green she will give birth with delay (complications/ lengthy birthing)
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Births
Labor and uncomplicated births are almost absent in medical papyri
Ebers papyrus provide remedies to hasten birth and/or potentially abortions
- Representations of magical births of pharaohs
- - Red-djedet in papyrus westcar
- - New kingdom divine birth scenes
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Ptolemaic representations of birth (305 - 30 BC)
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birthing bricks
used in childbirth to raise women above the ground to make the child more accessible to her helpers
personified bricks as a goddess of brith, Maskhenet
- "The place of Alighting": represented as a brick with a women's head or a women or falcon with a tall split object on her head
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divine birth scenes
new kingdom divine brith scene of king: Amun assumes form of king and makes love to queen
Queen giving birth with protective deities helping (shows birth goddess hippo/lion)
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problems after birth
Kahun 4: birth injury to perineum (area between anus and vagina)
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paternity leave
journal recording of a workman given three days off when his wife gave birth to help take care of his wife or take part in purification cerimonies
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placenta
"mother of humankind"
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Kahun/Lahun
1880 BCE
town built for workers laboring on Pyramid of the middle kingdom pharaoh Sesotris
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Kahun "Gyneological" Papyri
found in kahun in April and november 1889 by Flinders Petrie
currently housed in the University of College London
note on back dated year 29 of Amnenmhat III (1825 BCE)
badly fragmented
* format: instructions for a women suffering from, account of symptoms, diagnosis, prescription for remedy
* unlike Edwin Smith papyrus, lack of examination instructions
* illnesses of women seem to be chiefly associated with problems of the womb (wandering womb)
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"wandering womb"
belief that a displaced uterus was the cause of many medial pathologies in women
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"Hysteria"
ungovernable emotional distress -> Greek word for uterus
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Bes
- god especially associated with protection of women and children
- - one spell calls for a dwarf clay statue of Bes to be placed on the mother to lessen the pain of giving birth

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Kahun veterinary papyrus
2000 BCE
Bulls, cows, horses, donkeys naturally of great practical and religious importance
Format different than for humans: "“If I see [a bull with] airborne disease, its eyes running…”
Same issues as dealing with humans
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Incubation
ritual practice where one goes to a sacred site or shrine, generally deals with priestly or professional intermediaries, sleeps in a specific sacred area, in the hopes of receiving a dream vision which will help solve the individual’s issue
Specific areas in Theban and Memphite temples
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points from Rendberg about dreams
dream procedures just one form of "divination"
one might receive a dream vision from gods unbidden or purposely seek a dream vision (solicited or unsolicited dreams)
Specialists in dream interpretation (priests or professionals, associated with sanctuaries/temples)
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Egyptain dream texts
priests produced scholarly handbooks about dreams which were considered to have oracular value
* basic pattern: "if ... then..."
* sound-play!! puns!
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Wenamun
- Wenamun sent to Lebanon to get good wood to build the sacred bark of Amun of Karnak in Thebes/Luxor, robbed on the way by one of his sailors + foreign prince gives him hard time
- *god puts foreign prince's servant boy in trance ("It is Amun who sent him. It is he who made him come!") -> Wenamun argues with prince and he cries and laments
- tale describes inner psychology: Wenamun cries and prince displays empathy by sending Egyptian songstress to him
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Book of Protection of the Ear (published by O'Rourke)
- collection of spells, mostly concerned with protection of the king by the ear
- - inimical forces that have entered or threaten to enter the ear of the pharaoh
spells meant to not only cure but to protect
inimical forces not seen as disease itself but rather agents that bring or cause the disease
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Apotropaic
the power to avert evil influences
from Greek "to turn aside"
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Ritner, the Mechanics of Ancient Egyptain Magical Practice
spitting is an expression of generative force (Gods, kings, demons, animals, plants, earth, etc. may be viewed as product of spitting)
use of spittle to "activate" clay serpent, spitting to heal wounds (ex. eye was "sick" from weeping, spit on it)
spittle seen as a source and carrier of corruption and fifth (purges and spitting to rid body of waste as medical treatment)
blowing: breath in healing, similar to saliva (used in exorcisms)
licking: curative and cursing meanings
- swallowing: absorption and acquisition of power/characteristics
- - ex. pyramid texts: king consumes the gods and acquires their power 2300 BCE
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Atum creation of gods (Ritner)
Atum (creator god of Heliopolis, the All-God): self created appears on the primeval hill risen from the waters, begins act of creation earth
created first two descendents: Shu (air) and Tefnut (moisture) from his bodily fluids -> create Geb (earth) and Nut (sky) -> create Osiris and Isis, and Seth and Nepththys
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Cannibal Hymn
from pyramid of Unas 2300 BCE
from Pyramid Texts
spell where the king consumes gods and acquires their power
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Akhenaten
- 1372-1355 BCE (Armana Period)
depicted in artwork tall, disproportionate limbs, both male and female features (breasts and feminine hips)
diagnosis: Klinefelter's syndrome (XXY chromosomes) or Marfan's syndrome
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Aten
sun disk that shines for all
- Great Hymn to Aten = written of Akhenaten + his wife Nefertiti
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Joseph story in dreams
Old Testament
- Cupbearer and baker of the king offended him and were placed in prison with another prisoner Joseph
- They both had a dream the same night and told them to Joseph to interpret them
- Cupbearer said that in his dream he saw a vine with three branches that blossomed and ripened into grapes which he squeezed and put into the pharaoh's cup and gave it to the pharaoh
- Joseph said it means that within 3 days (3 branches) the pharoah will restore him to his position. Joseph asks that when he does so, mention him to the Pharaoh and get him out of prison
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Dream Vision of Goddess Hathor (biography of Djehutiemhab)
Hathor = associated with sycamore tree
- suggests that non-royal persons can have dream visions
- - Hathor predicted something ab his tomb previously
"To be upon the waters" = to be loyal/true to
Direct interaction with Hathor in a dream
Marked desire to spread good word about the deity who helped
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Creator god's benefactions for humankind - from a wisdom text
1st century BCE
created sleep for stopped weariness, wakefulness for taking care of food, medicine for stopping sickness, wine for stopping sadness
dream as a guide
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Stela of Taimhotep
43 BCE , now in British Museum
dream vision regarding birth of son Imhotep, the god helps out - relief scene at top shows the lady Taimhotep, worshipping Osiris and five other gods
Taimhotep's husband is the High Priest of the Memphite God Ptah
First part of text: reminiscent of typical funerary stela -> discusses virtues, titles and more elaborate bc addresses everyone who enters tomb
- Second part of text: discusses dream and giving birth after praying to the gods
- - revelation (dream vision) with desire for a male child: god came to high priest in a dream and god said that if he does great work he is will give them a son
precise time/date of son's birth recorded (horoscopes/astrology popular)
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Magical spell selection from the London-Leiden Magical papyrus
3rd century CE
demotic - Greek magical handbook written by magicians/priests
spell to cause nightmares, specific on what to do and say
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Papyrus Vandier (Story of Meire); Golem/man of clay
Ptolemaic Period: 305-30 BC
Meryre is a great lector priest but the pharaoh was not told about him because the other lector priest feared he would outcast them because he was so good
One day the pharaoh got sick and the lector priests to prolong his death. Only Meryre can do it but he will die if he does it. King takes oath not to harm his family, to get revenge on the envious priests, and to let Meryre take a statue of Hathor to the underworld with him.
In the underworld Meryre meets goddess Hathor and “great living god” osiris
Meryre asks to return, he is told he cannot but asks Hathor for information about his family. Hathor informs him that the king broke his oath, took his wife, and killed his son. The magicians egged him on to do these things
Meryre cannot go back but forms a man of clay to return to Earth to avenge him. He has the king kill all the magicians
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Cippus
healing statue - "pointed pole" (Latin)
showing a young Horus immobilizing dangerous animals. back is covered with texts that call on deities for protection - water is poured over the text and drunk as a remedy for illness
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Oracular amuletic decrees
800 BCE
protective texts for child
hollow cylinder with heads of deities
decrees = divine oracles promising specific protections to named individuals -> long life, prosperity, good health and protection
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Letter of Rames II to Hittite king on possibility of conception
1370 BCE
Hittite king requested help from Egypt for his sister to give birth
Ramses explains that the women is too old to give birth but will nonetheless send an expert and materials in hope that divine intervention may bring a miracle
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Brentresh Stela
300 BCE
discusses marriages between Egyptian and near eastern kingdoms - nationalistic
honors god Khonsu (healing deity) - sent to "expel wandering spirits" when younger sister of bride is sick
- *Mitanni = North Syria
- *Baktan = Afghanistan
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Temple of Khonsu in Karnak
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Amasis and the Sailor
550 BCE
Amasis, egyptian king who loves kelby wine, drank a lot and got a hangover
Was told a story of a sailor who is commanded by the king in the story to leave on a dangerous journey. This plunges him into a deep depression; he is unable to eat, drink, or make love to his wife. The rest of the story was lost.
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The Doomed Prince
1200 BCE
King/queen pray for birth of prince -> prince born w/ prophecy (determined by seven Hathors) of dying through crocodile, snake or dog -> vies for princess after leaving kingdom à princess protects him (kills snake) -> prince has interaction w/ dog + crocodile (story ends)
* seven Hathors determine fate a birth
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Nunn "Magic and Religion in Medicine"
placebo!!
- ** Udjat ("whole" "healthy"): eye of Horus damaed by Seth but restored by Thoth
- - protective amulet
- (theme found throughout Egyptian history)

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Excerpt from Plutarch
1st Century CE
Greek account of murder of Osiris and his resurrection by Isis and Thoth
- Osiris's body was cut up into many pieces and spread around Egypt
- Isis on a journey to find all the pieces, fashions likeness of member and resurrects Osiris to impregnate herself
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Metternich Stela
most elaborate cippus in the Metropolitan Museum
- on back, Isis as a widow with little Horus who is not well
- Isis worries about Horus who is injured, sick, fatherless
- - she needs help

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Historiola
short mythic tale embedded into a spell
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Uterine amulet
magical amulets/gems may control the uterus
perhaps meant to stop flow of blood, hemorrhage or menstruation
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Protection of mother and baby
Middle Kingdom 2000 BCE
protective spells
- magical wand
- - with protective demons summoned by spells
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Taweret and Meresger on Dier el-Medina stela
Taweret: "great one" - a protective goddess who helps women in childbirth and the baby
Meresger: "she who loves silence" local goddess of Deir el-Medina
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Nunn, conceptions of anatomy (embalmers and dissections)
no evidence of dissection in Egypt until Herophilus, Greek physician from Chalcedon, worked at Alexndrian medical school in early Ptolemaic period (250 BCE)
rarely interactions between doctors and embalmers (embalmers may be consulted before a death, only demonstrated contact with doctors)
embalmers showed great technical expertise, esp by the removal of the brain through the nose
embalmers regarded as "unclean"
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Canopic jars
soft organs removed before mummification and placed in jars under protection of specific deities ("The Sons of Horus")
- Liver: Immensity (human head under protection of Isis)
- Lungs: Hapy (baboon under protection of Hathor)
- Stomach: Duamutef (jackal under protection of Neith)
- Intestines: Qebehsenuef (hawk under protection of Serqet)
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Herodotus Book II on embalming practice
- 500 BCE
- three classes (diff costs)
- body concealed and embalmed for 70 days before continuing with mummification process
- flint knife drawing of brain through nostrils
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Book of Dead Chapter 30A (heart scarab)
mid 13th dynasty to 3rd century BC
found inscribed on heart scarabs (large scarab-shaped amulets) worn around neck - spell in which deceased asks their heart not to testify against them at the underworld judgement
- heart is center of cognition, in the final judgement heart is thought to be weighed against principle of order and justice
- - afterlife only granted to those who lived a righteous life

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Howard Carter working on body of Tutankhamun (1922)
- cat scan and DNA studies to establish family relationships
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Ritner "Innovations and Adaptations in Ancient Egyptian Medicine"
Doctors who go against the law’s prescriptions are subject to trial with death as penalty
Egyptians quite conservative, few stray from established modes of treatment
- Difficult to explore innovation since few medical papyri survive
- - But evident in Ebers section 339 indicating a new technique or the introduction of foreign language incantations
- Egyptain medicine taking inspiration/developing from Greek practices
- innovations in glosses (feather of vulture as an eyedropper)
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Spell in language of Crete (Ancient Keftiu)
1500 BCE (New Kingdom)
medical text in which a forgein language is utilized for magical purpose - - Hebrew words, Mesopotamian gods
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Medical/Surgical implements from Temple of Kom Ombo
Temple of Kom Ombo - for crocodile god Sobek
not easy to identify use: scissors, balance, scalpel, hooks, forceps, iron blades, tools for dissections ** Roman influence for instruments
knowledge engraved on walls
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Brooklyn Snake Text
300 BC
First section: descriptions of snakes in Egypt, symptoms of bits and treatments (if... then... format)
*Selket: scorpion goddess associated with medicine
prominent role of magical incantations in the cure and preventions of snake bites
snakes associated with various deities
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Ourobouros snake
good snake
snake swallowing its own tail
symbolic cyclic nature of time
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male/female circumcision
- 2300 BCE
- evidence for circumcision found in mummies but unusual scene in tomb
- - combined with pubic hair shaving
- - likely for ritual initiation into manhood rather than for medical reasons
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Victory Stele
700 BCE
Nubian (Sudanese) king describes great victories in Egypt, several minor kinglets come to pay respect but some couldn't enter because they were uncircumcised (unclean?)
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False Door (of Ir-en-akhty)
Old/Middle Kingdom
in tombs, path of communication with dead, offerings presented here to deceased
- door had engravings of various medical specialties that the deceased held (physiotherapy/massage, manicure/pedicure, reflexology = use of pressure points to relieve pain and promote healing)
Irenakhty's false door (from first intermediate period 2000 BC) found in Giza by Junker (1928)
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Westcar Tales of Wonder about magician Djedi
- a royal prince meets the magician Djedi as Djedi is being anointed and massaged
- - Djedi has "his servant at his head to smear him and another to rub his leg"
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Drugs of mineral origin
natron/salt: used in mummification, drawing fluid/ reduce swelling, drawing pus (external application under bandage for sepsis)
many minerals used in medicinal drugs
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Letters to gods and letters to dead
Letters to deceased in forms of prayers written on potter and placed within tombs
- - accused deceased as being source of negative events befalling living
- - written to persuade spirits to rule in favor of writer at tribunal (underworld judgement)
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Story of Thessalos
- young and proud future physician travels to Egypt to study medicine, finds ancient book with stone and herbal remedies, preaches these remedies to other scholars and to family back home (but remedies don't work), now consumed with anguish and suicidal thoughts, gets a priest to help him speak with Asklepois (greek god of medicine)
- - finds out that must pick the plants according to the stars
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Love Poetry/ Love sickness
Ramsside Period 1100 BCE
Egyptian awareness of psychological states
- lamenting (mourning) love
-

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Schistosomiasis/bilharzia
parasitic disease
Infection acquired from immersion in water containing worm released by snails
Haematuria (blood in urine), serious liver and kidney damage, stunt growth, learning disabilities
Archeological evidence in mummified human
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Tuberculosis
spinal tuberculosis in priests
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Poliomyelitis (stela of Roma)
- Roma was doorkeeper of 18th or 19th dynasty
- - portrayed on his funerary stela with a grossly wasted and shortened leg and equinus deformity of the foot
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Dwarfism, Pygmy (Letter of Pharaoh Pepi)
dwarfism as "divine manifestation" -> connection with deity Bes (very popular protector god)
Achondroplasia = slowed growth of bone in cartilage of growth plate
Pygmy perform sacred dances, letter asking to bring the pygmy
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Pheros Story in Tebtynis papyrus
1st century BCE
Pheros = blinded pharaoh
king punished with blindness by gods, dreamed that he could recover if tears of virtuous women placed in his eyes
after trying everyone within royal court, a virtuous woman is found outside the royal palace and king’s sight is restored, all non virtuous women were executed
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J Clayton "Mental Illnesses in Ancient Egyptain Book of the Heart"
"Mind overstepping" - outcome of someone with late dementia and has lost control of their mental faculties
dealing with cognitive issues -> brain-fog
Perishing/forgetting of the mind -> dementia
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Passage describing senile old sun god and the story of Isis and the secret name of the sun-god Re
The sun god has become old and senile. He drools and Isis uses his spittle to make a snake. The snake bites the old sun god and she tricks him into giving her his secret name in order to cure him
sun-god is insulted and falls into a depression
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Dispute of a Man with his Ba
1800 BC
Man suffers from life and longs for death, ba threatens to leave him. Abandonment by his ba would mean total annihilation instead of resurrection and immortal bliss. He pleads that his ba stay with him, saying it is not suicide but natural death with traditional burial. Ba tells him that death is sad and stop complaining and enjoy life. Man is depressed, bleak view of world, so he welcomes death and his ba joins him.
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Ba
human-headed bird that leaves body when a person dies, enjoys mobility after death
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Egyptain wisdom literature on diet: Papyrus Insinger
time of cleopatra 51-30 BC
- vegetables and natron (salt) best food
- sickness happens bc of problems with food
- one who drinks too much wine will be hungover the next day
- moderation
interaction between Egyptian and Greek traditions
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Letter in Greek from women to a young man on Hellene(Greek-speaker) learning “Egyptain letters”
150 BCE
Woman is delighted that he is learning demotic script (greek letters based on Egyptian letters)
He is learning so he could teach the slave boys, who labor the establishment of an enema doctor
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Coptic medical tradition
coptic evolved from ancient Egyptain with Greek words
medicine was predominantly Greek, containing many Egyptian remedies and with Arabic influences
many coptic monasteries
The Aftermath - medical specialists associated with coptic monasteries after about 350 CE
*Coptic medical papyrus (700 CE): Uses of opium
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coptic monasteries
Centers of medical treatment and scholarship (like the House of Life in earlier Egypt)
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