Hardin Library of Health Sciences
This month's book was one of six John Martin Rare Book Room items selected to be scanned as part of the Iowa Initiative for Scientific Imaging and Conservation of Cultural Artifacts (IISICCA) project. Iatrapologia (Greek: "defense of medicine") by Giovanni Filippo Ingrassia (1510-1580) was selected for two reasons. One, with backlighting through the thin, limp vellum cover, we were able to determine it had small pieces of manuscript waste that included both green and red inks. Different inks show up at different energy levels in Computed Tomography (CT) scanners - or sometimes not at all. Finding a variety of inks helps to calibrate both types of scanners used in the project.
And two, it's just a darn cool book.
Ingrassia was an influential 16th-century Italian physician. He grew up in a well-educated family and received a classical education. He studied at the University of Padua, one of the most important western centers for the study of medicine and anatomy.
There, he learned from renowned intellectuals and physicians, such as Realdo Columbo, Bartolomeo Eustachi, Girolamo Fracastoro, and, of course, the Anatomaster® himself, Andreas Vesalius. Ingrassia would go on to make his own significant impact on not only anatomical medicine but also public health and hygiene, forensic medicine, and teratology (the study of abnormalities of physiological development).
After completing his studies in 1537, he became the personal physician to a minor Italian noble family in Palermo. Soon after, he became the professor of human anatomy at the University of Naples. It was during his time in Naples that he wrote Iatrapologia. Ostensibly a book about how to treat head wounds, it was also a critique of the current state of medicine and surgery - one of the subtitles, liber quo multa adversus barbaros medicos disputantur, translates as "a book in which many things are argued against the barbarian physicians."
In Iatrapologia and elsewhere, Ingrassia argued that medicine should be considered a less subjective discipline. Treatments should be verified, results checked, and useful diagnoses disseminated among physicians. He also thought that physicians and surgeons should be integrated into a single profession to prevent surgeries by "unqualified" people. Indeed, in Iatrapologia, he states rather dramatically,
"Oh, God, so much human suffering has been caused by the vainglory of contemporary doctors. Indeed, surgery has been abandoned to some inexperienced, empiric [i.e., quack] physicians, most of whom are not only lacking in dogma, but also in what relates to the Art." p. 252
Ingrassia was also a strong believer in continuing education, suggesting physicians should refresh their dissection skills every five years so as to avoid becoming "imperfect and ignorant physicians." If nothing else, Ingrassia demonstrated a natural skill with insults!
Ingrassia made significant contributions to the field of anatomy, particularly with bones and the skull. He is most well known for identifying a third small bone in the middle ear, which he called the "stapes." He also described differences between human and animal bones, breaking down parts of each bone to make identification easier.
Ingrassia was not only a physician and anatomist but also a pioneer in public health. He held various political positions, most notably Protomedicus (chief physician) of Sicily, and implemented measures to prevent the spread of diseases such as malaria and the plague. He emphasized the importance of preventive measures, such as isolating infected patients and cleaning objects to reduce the risk of transmission.
Overall, Giovanni Filippo Ingrassia was a remarkable physician and scientist who significantly contributed to our understanding of human anatomy and the practice of medicine.
Our copy of Iatrapologia is a delight to hold and leaf through and, as indicated, holds a few secrets inside. The limp vellum cover is soft but dried out enough that it has a bit of a rattle while opening. The cover image above shows discoloration from use and bits of writing here and there. The textblock is in excellent shape, the paper bright, and almost completely free of damage.
One interesting surprise is a piece of paper that has been pasted over the verso side of leaf A3 in an attempt to cover up a printer's error (a repeated page from elsewhere in the book). At some point, someone made a concerted effort to remove the paper to see what was underneath. Whoever glued it on, though, made sure the vandal couldn't remove much!
Other surprises can be seen in the images above. The images show close-ups of the text visible with backlighting. In one image, green and red inks are still vibrant and really jump out. The IISICCA group estimates the date of the manuscript to be roughly the 10th or 11th century and suspects the complete word is some form of "archiabbas" (chief abbot).
Another image shows a small scrap where the photo is repeated several times. Different photo filters were applied in an attempt to make the text more legible.
