THE TRANSMISSION OF CONTRACEPTIVE KNOWLEDGE FROM GREECE AND ROME TO THE ISLAMIC WORLD AND BACK AGAIN A Thesis Presented to the Faculty of San Diego State University In Partial Fulfillment of the Requirements for the Degree Master of Arts in History By Suzanne Christine Genshock Summer 2016 iii Copyright © 2016 by Suzanne Christine Genshock All Rights Reserved iv ABSTRACT OF THE THESIS The Transmission of Contraceptive Knowledge from Greece and Rome to the Islamic World and Back Again by Suzanne Christine Genshock Masters of Arts in History San Diego State University, 2016 Greek theories and practical knowledge surrounding contraceptives and abortifacients were passed along from the Greeks and Romans to later civilizations. This information was transferred to the Islamic world with the translation movement during the Abbasid Caliphate in the eighth and ninth centuries. The subsequent incorporation of that knowledge within Islamic medicine and culture was then transferred back to Europe in the twelfth and thirteenth centuries. Firstly, this analysis delves into the Greco-Roman, Islamic World’s, and Medieval Europe’s understanding of contraception, and the role of contraception and abortion in these societies. Secondly, it looks at the continuities and discontinuities in the Greco-Roman tradition as the contraceptive knowledge moved between various cultures and over time. The focus will be on key Greco-Roman texts that had a significant influence on Islamic and later European medical knowledge, as well, as the works produced as a result of the transmission of information. v TABLE OF CONTENTS PAGE ABSTRACT ............................................................................................................................. iv LIST OF TABLES ................................................................................................................... vi ACKNOWLEDGEMENTS .................................................................................................... vii CHAPTER 1 INTRODUCTION .........................................................................................................1 2 CONTRACEPTIVE KNOWLEDGE IN THE GRECO-ROMAN WORLD CA. 500 BCE-70 CE………………………………………………………………….7 Socio-Religious Background for Women and Contraceptives…………….….7 Medical Foundations…………………………………………………………10 Contraceptives and Abortifacients…………………………………………...15 3 CONTRACEPTIVE KNOWLEDGE IN THE ISLAMIC WORLD CA. 800-1200 CE…………………………………………………………………....21 The Transmission of Knowledge…………………………………………….21 Socio-Religious Background for Women and Contraceptives………………25 Medical Foundations………………………………………………………..28 Contraceptives and Abortifacients…………………………………………...31 4 CONTRACEPTIVE KNOWLEDGE IN MEDIEVAL EUROPE CA. 1000-1400 CE…………………………………………………………………..37 The Transmission of Knowledge…………………………………………….37 Socio-Religious Background for Women and Contraceptives………………41 Medical Foundations………………………………………………………..44 Contraceptives and Abortifacients…………………………………………...48 5 CONCLUSION………………………………………………………………………53 BIBLIOGRAPHY ..............................................................................................................72 vi LIST OF TABLES PAGE Table 1.Contraceptivs in the Greco-Roman World………………………………….55 Table 2.1. Contraceptives in the Islamic World……………………………………..63 Table 2.2. More Contraceptives in the Islamic World………………………………68 Table 3. Contraceptives in Medieval Europe………………………………………..69 vii ACKNOWLEDGEMENTS Thank you to my family and members of my thesis committee for all your support and patience. This wouldn’t have been possible without you. 1 CHAPTER 1 INTRODUCTION There is hardly a more controversial topic today than contraceptives and abortion. While it has been over 40 years since Roe v Wade legalized abortion in the United States, according to the Guttmacher Institute, “ [t]wenty-two states enacted 70 abortion restrictions during 2013. This makes 2013 second only to 2011 in the number of new abortion restrictions enacted in a single year. To put recent trends in even sharper relief, 205 abortion restrictions were enacted over the past three years (2011–2013), but just 189 were enacted during the entire previous decade (2001–2010)”.1 In 2013 both Arkansas and North Dakota passed measures to ban abortion. North Dakota banned abortion at 6 weeks and Arkansas at 12 weeks. 2014 also saw a fetal personhood law proposed, which afforded full rights to a “human being at any stage of development” in North Dakota. 2 Not only would this measure have outlawed abortion, but several types of birth control and other reproductive services as well. Given America’s current fevered obsession with women’s bodies and reproductive rights, most people tend to think of abortion as solely a contemporary conversation focused on modern forms of birth control and the debate over when a human life begins. However, knowledge of contraceptives and their use goes back thousands of years and encompasses multiple civilizations. Documented evidence, in the form of the Ebers scrolls dating to between 1550 and 1500 BCE, detail medical advice from ancient Egypt on how to stop a pregnancy.3 Not only did this knowledge exist in the ancient world, but it was disseminated between various cultures at different times. This thesis will describe the transmission of the Greco-Roman knowledge of contraceptives and abortifacients into the Islamic world, the 1 Nash, E.“Laws Affecting Reproductive Health and Rights: 2013 State Policy Review.” https://www.guttmacher.org/laws-affecting-reproductive-health-and-rights-2013-state-policy-review (accessed August 4, 2015) 2National Women’s Law Center. “2013 State Level Abortion Restrictions” http://www.nwlc.org/resource/2013-state-level-abortion-restrictions-extreme-overreach-women%E2%80%99s- reproductive-health-care (Accessed August 4, 2015). 3 Riddle, Eve’s Herbs, 35. 2 continuities in this knowledge as it merged into Islamic culture, and then evaluate the final fused Greco-Arabic material after it is transmitted to early medieval Europe. Covering contraceptive knowledge is a vast topic that encompasses several thousands of years, multiple continents, and various cultures; therefore, terms and boundaries need be clarified straightaway. The Greco-Roman world encompassed both the Greek and Roman Empires that dominated the area surrounding the Mediterranean Ocean and Black Sea from roughly 500 BCE to 600 CE. Crucial evidence will be the primary sources from roughly the 5th BCE to the 7th century CE that address contraceptives in some manner, for example, the writings of Hippocrates of Cos II (ca. 460 B.C.E. – ca. 370 B.C.E.), Dioscorides (ca. 40—90 C.E.), and Soranus (1st/2nd century C.E.). This first portion of the study ends with the beginning of the decline of Greco-Roman medical knowledge around the seventh century CE. While the Greeks and Romans were separate political entities, they will be treated as a single connected entity for the purposes of this thesis. After conquering the Greeks, the Romans adopted the foundations of Greek medicine, the Greek corpus of medical literature, and Rome’s most accomplished and famous physicians were ethnic Greeks who came out of the schools established under Greek rule. It was this combined tradition of Greek and Roman medical texts that were later transmitted to the Islamic world. Chapter 1 will focus on this tradition. The next geographic area to be considered coincides with the peak of the Abbasid Caliphate, spanning from the western tip of Spain and North Africa to central Asia and India to the east. Major centers were in Egypt, Syria, Iraq and Persia. The Abbasid Period will be especially important because of their efforts to translate and incorporate Greco-Roman medical knowledge with their own scientific advances. Authors of the Islamic world that will be critical to this analysis include: Hunayn ibn Ishaq (809–873); Al-Razis (865 – 925); and Ibn Sina, (980 –1037). It is important to note that “Islamic world” or “Islamic medicine” are vague and problematic terms generally ascribed by modern western historians.4 Not all of the authors previously mentioned were Muslims or Arabs. However, they resided in lands ruled by Islamic Caliphs and Sultans, and predominantly wrote in Arabic, which was the academic language of the region and are consistently combined into the same knowledge tradition. 4Ebrahimnejad, Hormoz, “What is ‘Islamic’ in Islamic Medicine? An Overview,” 259-260. 3 Lastly we will follow the translation movement of Arabic medical texts into Europe in the Early Middle Ages from roughly 1000-1400CE. Geographically this area encompassed much of the Mediterranean basin and parts of northern Europe. Major authors for this period will include Hildegard von Bingen (1098-1179), Trota (11th or 12th century), and Peter of Spain (13th century). Yet another problematic topic to be addressed is the use of “magical” cures used by all three of these cultures. The problem is in the definition of magic itself, which is in its own right a hotly contested subject. Too specific a definition and one has excluded items commonly accepted as magic, and too broad a definition can become almost meaningless in its vagueness. Taking a very general view of the definition of magic is Derek Collins. In Magic in the Ancient Greek World (2008) he posits that the debate over the modern definition of magic is irrelevant. Instead the focus should be on the “particular historically attested practices [. It] is a more productive way to explore ancient behavior, and doing so often draws into question what to earlier generations of scholars had seemed clearly to be, for instance, either magic or religion.”5 He is a proponent of the use of anthropological methods like sympathy, analogy, agency, causality, and participation, because the written record is insufficient in most cases. One especially frustrating issue over what constitutes magic is the question of where the boundaries of religion and science in ancient cultures are, and from whose perspective are we judging the difference. Sara Iles Johnston posits: Will “magic” one day be relatively easy to define, as, say, “sacrifice” or “divination” are? I doubt it; as I noted earlier, one thing that all scholars of ancient magic agree on is that “magic” and its synonyms were born out of a desire to condemn the practices of other people and have continued to be used that way throughout Western history6 Looking at the role that magic plays in the ancient medical knowledge of contraceptives and the transmission of it, a broad approach to what constitutes magic will be taken here. Magic will be one of several delivery methods discussed. They may not have necessarily been considered magical by the physicians who prescribed them, because in some cases it is unclear how the ancient author would have classified the various methods they describe. Therefore, anything that relies on transferring the properties of an item to a human being without a direct route into the body, including amulets, will be considered a use of 5 Collins, Magic in the Ancient Greek World, xii. 6 Johnston, “Describing the Undefinable: New Books on Magic and Old Problems of Definition,” 54.
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