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Ancient Era Hospitals “Asclepions” and their Heritage to the Day

Year 2025, Volume: 15 Issue: 1, 14 - 28, 31.01.2025
https://doi.org/10.31020/mutftd.1483020

Abstract

Asclepios is the god of medicine and health in mythology. In ancient times, healing was sought in the worship of Asclepios. Ancient hospitals built in the name of Asclepios are called “Asclepion”. In ancient times, around three hundred and twenty Asclepions were built within the borders of Greece and Türkiye today. The most important of these ancient hospitals are located in Epidauros, Pergamon, Kos, Athens and Knidos. There was also a health center (an ancient hospital) in Allianoi. In this study, the most significant locations, architectural features, treatment methods, historical and cultural roles of the ancient hospitals among the Asclepions in Western Anatolia and Greece were investigated. When the treatment methods in Asclepions are examined, it is seen that holistic medical practices were applied with a biopsychosocial approach to the patients called guests. Diseases were not seen as one-dimensional but as the result of complex processes and negative environmental, social and psychological interactions. Patients were treated with respect as beings with mental, ethical, emotional, social, moral and natural characteristics. Centuries earlier in Asclepions, the first functional applications of hospital architecture and individual and holistic medical approaches are seen. We think that today's hospital architecture and treatment approaches have many features that can be learned from the heritage of ancient hospitals in history.

References

  • 1. Wiley AT. Asclepios, M.D.? The ancient Greeks and integrative medicine. Honors Bachelor of Arts 2013; 26.
  • 2. Papagiannis D, Rachiotis GL. Thessaly and medicine from ancient Greek mythology to contemporary times: A perpetual relationship. Le Infezioni in Medicina 2019;4:461-7.
  • 3. Panagiotidou O. Asclepios’ myths and healing narratives: Counter-intuitive concepts and cultural expectations. Open Library of Humanities 2016;2(1):e6:1-26.
  • 4. Filippou D, et al. Machaon, son of Asclepios, the Father of Surgery. Cureus 2020;12(2):e7038.
  • 5. Papageorgiou C, et al. Asclepion of Epidaurus: the application of a historical perspective in medical education. Philosophy, Ethics, and Humanities in Medicine 2022;17:7.
  • 6. Turgut M. Ancient medical schools in Knidos and Kos. Childs Nerv Syst 2011;27(2):197-200.
  • 7. Van der Molen JM. Epidaurus' history, material culture, purpose and place in the Greater Mediterranean Area, beyond marble, medicants & myth. Research Seminar Faculty of Arts 2020;1-14.
  • 8. Christopoulou-Aletra H, Togia A, Varlam C. The “smart” Asclepieion: A total healing environment. Archives of Hellenic Medicine 2010;27(2):259-63.
  • 9. Akça T. Evaluation of Pergamon Asclepion from a Medical Perspective. Doctor of Philosophy Thesis, Çukurova University, Adana, Türkiye; 2013.
  • 10. Hamilton M. Incubation the cure of disease in pagan temples and chiristian churces. London W. C. Henderson and son, St. Andrews Simpkih, Maebhal, Hamilton, Kent and Co; 1906.
  • 11. Retief FP, Cilliers L. Medical dreams in Graeco-roman times. SAMJ 2005;95(11):841-44.
  • 12. En.wikipedia.org [Internet]. [cited 2024 Nov 20]. Available from: https://en.wikipedia.org/wiki/Temple_of_Asclepius,_Rome.
  • 13. West JB. Galen and the beginnings of western physiology. Am J Physiol Lung Cell Mol Physiol 2014;307:L121–L128.
  • 14. Atac A, Aray N, Yildirim RV. Asclepions in Türkiye. Balkan Military Medical Review 2006;9(2):82-4.
  • 15. Pasipoularides A. Galen, father of systematic medicine. An essay on the evolution of modern medicine and cardiology. Int J Cardiol 2014;172(1):47-58.
  • 16. Bayat AH. History of Medicine. Sade Matbaa, 1. Baskı, İzmir, 2003;pp:81-98.
  • 17. En.wikipedia.org [Internet]. [cited 2024 Nov 20]. Available from: https://en.wikipedia.org/wiki/File:Asclepion_-_Bergama_%28Pergamon%29_-_Türkiye_-_01_%285747203073%29.jpg.
  • 18. Tuna A, Özer MC. Music as a healing method at the Pergamon Asclepieion. EU State Turkish Music Conservatory Magazine 2015;7:63-73.
  • 19. Kulturportali.gov.tr [Internet]. [updated 2021 Sep 07; cited 2024 Nov 20]. Available from: https://www.kulturportali.gov.tr/turkiye/izmir/gezilecekyer/bergama-Asclepion-orenyeri.
  • 20. Kars N, et al. The first treatment center of the ancient era: Asklepieion. Essays on Disability History, Editors: Aydin AR, Keskin I, Yelce NS. Istanbul University Press; 2020. pp:109-18.
  • 21. Cawadias AP. From Epidauros to Galen: The principal currents of Greek medical thought. Annals of Medical History 1931;3(5):501-14.
  • 22. Romeartlover.it [Internet]. [cited 2024 Nov 20]. Available from: https://www.romeartlover.it/Epidauro.html.
  • 23. Mironidou-Tzouveleki M, Tzitzis PM. Medical practice applied in the ancient Asclepion in Kos island. Hellenic Journal of Nuclear Medicine 2014;17(3):167-70.
  • 24. Commons.wikimedia.org [Internet]. [updated 2003 May; cited 2024 Nov 20]. Available from: https://commons.wikimedia.org/wiki/File:Kos_Asklepeion.jpg .
  • 25. Soyöz U. Healing touch: Kos [island], sacred healing journey to the Roman Temple of Asclepion (in Turkish). METU JFA 2020;37(2):103-26. 26. Sakula A. In search of Hippocrates: A visit to Kos. Journal of the Royal Society of Medicine 1984;77:682-88. 27. Marketos SG. The parallels between Asclepian and Hippocratic medicine on the island of Kos. Am J Nephrol 1997;17(3-4):205-8.
  • 28. Tanrıver DA. Asclepios Cult in Smyrna. Journal of the Fine Arts Institute 2017;38:117-30.
  • 29. Pasipoularides A. Galen, father of systematic medicine. An essay on the evolution of modern medicine and cardiology. International Journal of Cardiology 2014;172: 47-58.
  • 30. Burrell B. Temples of Hadrian, not Zeus. Greek, Roman, and Byzantine Studies 2002/3;43:31-50.
  • 31. En.wikipedia.org [Internet]. [cited 2024 Nov 20]. Available from: https://en.wikipedia.org/wiki/Gortyna,_Arcadia.
  • 32. Maher MP. A New Look at the Fortifications of Arkadian Gortys. (in Meditations on the Diversity of the Built Environment in the Aegean Basin and Beyond). Publications of the Canadian Institute in Greece, No.8; 2014. Pp:265-84.
  • 33. Yaraş A. Die Therme Allianoi. Archeologische Ainzeiger 2005;2004:71-4.
  • 34. Yaraş A. Allianoi: Chronique des Foullies de 2004. Anatolia Antiqua 2005, XIII: 365-70.
  • 35. Ergönül Ö. Knidos medical school and its reflections on modern medicine. Infect Dis Clin Microbiol 2023;5(4):380-82.
  • 36. Georgoulis AD, et al. Herodicus, the father of sports medicine. Knee Surg Sports Traumatol Arthrosc 2007;15(3):315-18.
  • 37. Chatzicocoli-Syrakou S. The Asklipieion's healing environment learning from the past. World Hosp Health Serv 1997;33(2):22-7.
  • 38. Chatzicocoli S, Syrakoy AC. Historical conceptions of a healthy city: The Greek paradigm. ArchNet-IJAR 2009;3(1):14-29.

Antik Çağ Hastaneleri Asclepionlar ve Günümüze Mirası

Year 2025, Volume: 15 Issue: 1, 14 - 28, 31.01.2025
https://doi.org/10.31020/mutftd.1483020

Abstract

Asklepios mitolojide tıp ve sağlık tanrısıdır. Antik çağlarda şifa Asklepios'a tapınmada aranırdı. Asklepios adına inşa edilen antik hastanelere “Asclepion” adı verilmektedir. Antik çağda, günümüzde Yunanistan ve Türkiye sınırları içerisinde üç yüz yirmi civarında Asclepion inşa edilmiştir. Bu antik hastanelerin en önemlileri Epidauros, Bergama, Kos, Atina ve Knidos'ta bulunmaktadır. Ayrıca Alliaoni’de de bir sağlık merkezi (antik hastane) bulunmaktaydı. Bu çalışmada Batı Anadolu (Türkiye) ve Yunanistan'daki Asclepionlar arasında en önemli olan antik hastanelerin konumları, mimari özellikleri, tedavi yöntemleri, tarihi ve kültürel rolleri araştırılmıştır. Asclepion'larda tedavi yöntemleri incelendiğinde misafir olarak adlandırılan hastalara biyopsikososyal yaklaşımla bütünsel tıp uygulamalarının gerçekleştirildiği görülmektedir. Hastalıklar tek boyutlu olarak değil, karmaşık süreçlerin ve olumsuz çevresel, sosyal ve psikolojik etkileşimlerin sonucu olarak görülüyordu. Hastalara zihinsel, etik, duygusal, sosyal, ahlaki ve doğal özelliklere sahip varlıklar olarak saygıyla davranılırdı. Asclepion'larda yüzyıllar önce hastane mimarisinin, bireysel ve bütünsel tıp yaklaşımlarının ilk işlevsel uygulamaları görülmektedir. Günümüz hastane mimarisinin ve tedavi yaklaşımlarının, tarihteki antik hastanelerin mirasından öğreneceği pek çok özellik olduğunu düşünüyoruz.

Ethical Statement

Çalışma Derleme olduğu için ayrıca Etik Beyana gerek duyulmamıştır.

References

  • 1. Wiley AT. Asclepios, M.D.? The ancient Greeks and integrative medicine. Honors Bachelor of Arts 2013; 26.
  • 2. Papagiannis D, Rachiotis GL. Thessaly and medicine from ancient Greek mythology to contemporary times: A perpetual relationship. Le Infezioni in Medicina 2019;4:461-7.
  • 3. Panagiotidou O. Asclepios’ myths and healing narratives: Counter-intuitive concepts and cultural expectations. Open Library of Humanities 2016;2(1):e6:1-26.
  • 4. Filippou D, et al. Machaon, son of Asclepios, the Father of Surgery. Cureus 2020;12(2):e7038.
  • 5. Papageorgiou C, et al. Asclepion of Epidaurus: the application of a historical perspective in medical education. Philosophy, Ethics, and Humanities in Medicine 2022;17:7.
  • 6. Turgut M. Ancient medical schools in Knidos and Kos. Childs Nerv Syst 2011;27(2):197-200.
  • 7. Van der Molen JM. Epidaurus' history, material culture, purpose and place in the Greater Mediterranean Area, beyond marble, medicants & myth. Research Seminar Faculty of Arts 2020;1-14.
  • 8. Christopoulou-Aletra H, Togia A, Varlam C. The “smart” Asclepieion: A total healing environment. Archives of Hellenic Medicine 2010;27(2):259-63.
  • 9. Akça T. Evaluation of Pergamon Asclepion from a Medical Perspective. Doctor of Philosophy Thesis, Çukurova University, Adana, Türkiye; 2013.
  • 10. Hamilton M. Incubation the cure of disease in pagan temples and chiristian churces. London W. C. Henderson and son, St. Andrews Simpkih, Maebhal, Hamilton, Kent and Co; 1906.
  • 11. Retief FP, Cilliers L. Medical dreams in Graeco-roman times. SAMJ 2005;95(11):841-44.
  • 12. En.wikipedia.org [Internet]. [cited 2024 Nov 20]. Available from: https://en.wikipedia.org/wiki/Temple_of_Asclepius,_Rome.
  • 13. West JB. Galen and the beginnings of western physiology. Am J Physiol Lung Cell Mol Physiol 2014;307:L121–L128.
  • 14. Atac A, Aray N, Yildirim RV. Asclepions in Türkiye. Balkan Military Medical Review 2006;9(2):82-4.
  • 15. Pasipoularides A. Galen, father of systematic medicine. An essay on the evolution of modern medicine and cardiology. Int J Cardiol 2014;172(1):47-58.
  • 16. Bayat AH. History of Medicine. Sade Matbaa, 1. Baskı, İzmir, 2003;pp:81-98.
  • 17. En.wikipedia.org [Internet]. [cited 2024 Nov 20]. Available from: https://en.wikipedia.org/wiki/File:Asclepion_-_Bergama_%28Pergamon%29_-_Türkiye_-_01_%285747203073%29.jpg.
  • 18. Tuna A, Özer MC. Music as a healing method at the Pergamon Asclepieion. EU State Turkish Music Conservatory Magazine 2015;7:63-73.
  • 19. Kulturportali.gov.tr [Internet]. [updated 2021 Sep 07; cited 2024 Nov 20]. Available from: https://www.kulturportali.gov.tr/turkiye/izmir/gezilecekyer/bergama-Asclepion-orenyeri.
  • 20. Kars N, et al. The first treatment center of the ancient era: Asklepieion. Essays on Disability History, Editors: Aydin AR, Keskin I, Yelce NS. Istanbul University Press; 2020. pp:109-18.
  • 21. Cawadias AP. From Epidauros to Galen: The principal currents of Greek medical thought. Annals of Medical History 1931;3(5):501-14.
  • 22. Romeartlover.it [Internet]. [cited 2024 Nov 20]. Available from: https://www.romeartlover.it/Epidauro.html.
  • 23. Mironidou-Tzouveleki M, Tzitzis PM. Medical practice applied in the ancient Asclepion in Kos island. Hellenic Journal of Nuclear Medicine 2014;17(3):167-70.
  • 24. Commons.wikimedia.org [Internet]. [updated 2003 May; cited 2024 Nov 20]. Available from: https://commons.wikimedia.org/wiki/File:Kos_Asklepeion.jpg .
  • 25. Soyöz U. Healing touch: Kos [island], sacred healing journey to the Roman Temple of Asclepion (in Turkish). METU JFA 2020;37(2):103-26. 26. Sakula A. In search of Hippocrates: A visit to Kos. Journal of the Royal Society of Medicine 1984;77:682-88. 27. Marketos SG. The parallels between Asclepian and Hippocratic medicine on the island of Kos. Am J Nephrol 1997;17(3-4):205-8.
  • 28. Tanrıver DA. Asclepios Cult in Smyrna. Journal of the Fine Arts Institute 2017;38:117-30.
  • 29. Pasipoularides A. Galen, father of systematic medicine. An essay on the evolution of modern medicine and cardiology. International Journal of Cardiology 2014;172: 47-58.
  • 30. Burrell B. Temples of Hadrian, not Zeus. Greek, Roman, and Byzantine Studies 2002/3;43:31-50.
  • 31. En.wikipedia.org [Internet]. [cited 2024 Nov 20]. Available from: https://en.wikipedia.org/wiki/Gortyna,_Arcadia.
  • 32. Maher MP. A New Look at the Fortifications of Arkadian Gortys. (in Meditations on the Diversity of the Built Environment in the Aegean Basin and Beyond). Publications of the Canadian Institute in Greece, No.8; 2014. Pp:265-84.
  • 33. Yaraş A. Die Therme Allianoi. Archeologische Ainzeiger 2005;2004:71-4.
  • 34. Yaraş A. Allianoi: Chronique des Foullies de 2004. Anatolia Antiqua 2005, XIII: 365-70.
  • 35. Ergönül Ö. Knidos medical school and its reflections on modern medicine. Infect Dis Clin Microbiol 2023;5(4):380-82.
  • 36. Georgoulis AD, et al. Herodicus, the father of sports medicine. Knee Surg Sports Traumatol Arthrosc 2007;15(3):315-18.
  • 37. Chatzicocoli-Syrakou S. The Asklipieion's healing environment learning from the past. World Hosp Health Serv 1997;33(2):22-7.
  • 38. Chatzicocoli S, Syrakoy AC. Historical conceptions of a healthy city: The Greek paradigm. ArchNet-IJAR 2009;3(1):14-29.
There are 36 citations in total.

Details

Primary Language English
Subjects Greek and Roman Period Archeology
Journal Section Review
Authors

Hayriye Dilek Akdogan 0000-0001-6864-4839

Yaşar Barış Turgut 0000-0002-7028-1018

Ali Çağlar Turgut 0000-0003-4159-2201

Ilgaz Akdoğan 0000-0003-3324-4629

Early Pub Date January 30, 2025
Publication Date January 31, 2025
Submission Date May 13, 2024
Acceptance Date November 14, 2024
Published in Issue Year 2025 Volume: 15 Issue: 1

Cite

APA Akdogan, H. D., Turgut, Y. B., Turgut, A. Ç., Akdoğan, I. (2025). Ancient Era Hospitals “Asclepions” and their Heritage to the Day. Mersin Üniversitesi Tıp Fakültesi Lokman Hekim Tıp Tarihi Ve Folklorik Tıp Dergisi, 15(1), 14-28. https://doi.org/10.31020/mutftd.1483020
AMA Akdogan HD, Turgut YB, Turgut AÇ, Akdoğan I. Ancient Era Hospitals “Asclepions” and their Heritage to the Day. Mersin Üniversitesi Tıp Fakültesi Lokman Hekim Tıp Tarihi ve Folklorik Tıp Dergisi. January 2025;15(1):14-28. doi:10.31020/mutftd.1483020
Chicago Akdogan, Hayriye Dilek, Yaşar Barış Turgut, Ali Çağlar Turgut, and Ilgaz Akdoğan. “Ancient Era Hospitals ‘Asclepions’ and Their Heritage to the Day”. Mersin Üniversitesi Tıp Fakültesi Lokman Hekim Tıp Tarihi Ve Folklorik Tıp Dergisi 15, no. 1 (January 2025): 14-28. https://doi.org/10.31020/mutftd.1483020.
EndNote Akdogan HD, Turgut YB, Turgut AÇ, Akdoğan I (January 1, 2025) Ancient Era Hospitals “Asclepions” and their Heritage to the Day. Mersin Üniversitesi Tıp Fakültesi Lokman Hekim Tıp Tarihi ve Folklorik Tıp Dergisi 15 1 14–28.
IEEE H. D. Akdogan, Y. B. Turgut, A. Ç. Turgut, and I. Akdoğan, “Ancient Era Hospitals ‘Asclepions’ and their Heritage to the Day”, Mersin Üniversitesi Tıp Fakültesi Lokman Hekim Tıp Tarihi ve Folklorik Tıp Dergisi, vol. 15, no. 1, pp. 14–28, 2025, doi: 10.31020/mutftd.1483020.
ISNAD Akdogan, Hayriye Dilek et al. “Ancient Era Hospitals ‘Asclepions’ and Their Heritage to the Day”. Mersin Üniversitesi Tıp Fakültesi Lokman Hekim Tıp Tarihi ve Folklorik Tıp Dergisi 15/1 (January 2025), 14-28. https://doi.org/10.31020/mutftd.1483020.
JAMA Akdogan HD, Turgut YB, Turgut AÇ, Akdoğan I. Ancient Era Hospitals “Asclepions” and their Heritage to the Day. Mersin Üniversitesi Tıp Fakültesi Lokman Hekim Tıp Tarihi ve Folklorik Tıp Dergisi. 2025;15:14–28.
MLA Akdogan, Hayriye Dilek et al. “Ancient Era Hospitals ‘Asclepions’ and Their Heritage to the Day”. Mersin Üniversitesi Tıp Fakültesi Lokman Hekim Tıp Tarihi Ve Folklorik Tıp Dergisi, vol. 15, no. 1, 2025, pp. 14-28, doi:10.31020/mutftd.1483020.
Vancouver Akdogan HD, Turgut YB, Turgut AÇ, Akdoğan I. Ancient Era Hospitals “Asclepions” and their Heritage to the Day. Mersin Üniversitesi Tıp Fakültesi Lokman Hekim Tıp Tarihi ve Folklorik Tıp Dergisi. 2025;15(1):14-28.

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