What is the history of medicine in Africa?

Africa didn't just contribute to the history of medicine — it started it, with the world's first named physician, the oldest surgical texts ever found, and a continent-wide tradition of herbal science and surgery that ran for thousands of years before Europe claimed the credit.

This conversation has taken us from the Zulu Kingdom and its warrior queens to the Haitian Revolution and the Door of No Return. Medicine is the thread that runs underneath all of it. Every civilization we've traced, Egypt, Kush, Mali, Great Zimbabwe, had healers, pharmacists and surgeons at work.

I've written before about how Africa gave the world its first miners, mathematicians and steelmakers. Medicine belongs on exactly that same list.

The world's first physician: Imhotep

The first physician anywhere in the world known to us by name was an African man who lived roughly 4,600 years ago: Imhotep, physician, architect, and chief advisor to an Egyptian pharaoh. Most Westerners are taught that Hippocrates is the father of medicine. Imhotep was practicing medicine and writing on the subject more than 2,000 years before Hippocrates was born.

Imhotep's approach was different from the healing of his time: observation, diagnosis, and treatment, grounded in what could be seen and tested rather than only invoked through prayer. He is thought to have diagnosed and treated over 200 diseases in his lifetime, including tuberculosis, appendicitis, gout, gallstones, and arthritis. His status was so extraordinary that he was later worshipped as the god of medicine in Egypt and in Greece, where he was identified with the Greek god of medicine, Asclepius.

The medical papyri: the oldest textbooks on earth

The Edwin Smith Papyrus, dating to around 1600 BCE, is the oldest work on surgical techniques known to humanity. In almost 500 lines of text, including 48 case studies, it presents a logical and highly organized work of a master scientist-physician. The text even distinguishes between treatable conditions and those considered fatal, showing early forms of clinical diagnosis.

The Ebers Papyrus, dating to around 1500 BCE, is among the oldest preserved medical documents and contains some 700 magical formulas and remedies. It has 829 prescriptions of internal medicine, covering the eyes, skin, arms, female reproductive organs, heart and vessels, as well as numerous surgical systems. It lists over 800 plant medicines, including aloe, cannabis, castor bean, garlic, juniper and mandrake.

Egyptian surgeons had a flint and a metal scalpel, dental pliers, a bone saw, probes, a catheter, clamps for stopping blood flow, specula, forceps, lancets for opening veins, sponges, scissors, phials, bandages of linen, and scales for weighing the raw materials to mix for medicines. Several of those instruments are still in use today.

Houses of Life: Africa's first medical schools

Institutions called Houses of Life served as medical schools and hospitals, where early physicians such as Hesy-Ra and Peseshet gained prominence. Both male and female doctors were trained and practiced. The pharmaceuticals of the ancient Egyptian priest-physicians included antacids, copper salts, turpentine, alum, astringents, alkaline laxatives, diuretics, sedatives, antispasmodics, calcium carbonates, and magnesia. Patients with severe wounds were told to eat the mold from bread, which later yielded penicillin. They were doing that empirically, thousands of years before Alexander Fleming named it.

Surgery across the continent

Egypt is the most documented, but surgical knowledge spread far beyond the Nile. Perhaps the most remarkable account is a caesarean section performed in the town of Kahura, in what is today central Uganda, witnessed in 1879 by the British physician R. W. Felkin, who observed it carried out by an African surgeon assisted by a team of attendants. This surgery is considered exceptional not just for its resemblance to modern surgical practices, including procedures akin to surgical asepsis and hand-washing that were only just emerging in Europe at the time, but because the evident expertise of the surgeon and his team implies a long-standing familiarity with the operation, challenging every preconceived notion about scientific medicine in pre-colonial Africa.

The Zulu people, whose kingdom we traced earlier, knew the medicinal uses of some 700 plants. Certain Bantu-speaking peoples used the bark of Salix capensis (willow), the active ingredient of aspirin, to treat rheumatism.

What colonialism did to this record

The history of Western medicine largely excludes the prime contribution of Africa. This is immediately visible in the attribution of the title of the "father of modern medicine" to the Greek physician Hippocrates, instead of the African physician Imhotep. The same erasure we've seen with the pyramids, the gold routes and the stone cities happened here too. The knowledge didn't disappear; the credit was redirected.

From the 8th century onwards, with the spread of Islam, Arab medical knowledge significantly influenced North Carolina and West Africa. Timbuktu, which we covered as Africa's intellectual crown jewel, sat at the center of that network, a city where medical manuscripts circulated alongside texts on law, philosophy and astronomy.

The story of medicine in Africa is the story of the continent itself: ancient, sophisticated, documented, and systematically written out of the version of history most people were handed.

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This follows on from
What did Africa give the world?

Africa gave the world everything that came first: the human species itself, the oldest mathematical artifacts, the 365-day calendar, the foundations of geometry and medicine, the alphabet and writing, iron metallurgy, and the moral framework that later became the ethics of every major civilization.

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