Cardiocentrism in ancient medicines

• Published in: International journal of cardiology. Heart & vasculature 2023-10, Vol.48, p.101261-101261, Article 101261
• Main Authors: Zampieri, Fabio, Thiene, Gaetano, Zanatta, Alberto
• Format: Article
• Language: English
• Subjects: Anatomy of the heart; Ayurveda; Egyptian Medicine; History of cardiology; History of medicine; Mesopotamian medicine; Original Paper; Traditional Chinese medicine
• ISSN: 2352-9067; 2352-9067
• DOI: 10.1016/j.ijcha.2023.101261

History of cardiology starts scientifically in 1628, when William Harvey (1578–1657) published his revolutionary book Extercitatio anatomica de motu cordis et sanguinis in animalibus, where he described “general” circulation, movements and functions of heart, heart valves, veins and arteries [1]. Consequently, all theories and practices of ancient medicines were reduced to superstitions. Historians relegated pre-Harveian cardiology to roughs notes, preventing a proper historical evaluation of many centuries of conceptions and practices. All the ancient civilizations shared the conviction that the heart was the biological and spiritual center of the body, the seat of emotions, mind, will, a vital energy produced by breathing and healing, and the soul. This cardiocentric view maintained a special role both in religion and in medicine across millennia from east to west, passing over cultural and scientific revolutions. Here, we will try to give a schematic account of medical beliefs on the heart from the most important pre-classic medicines. Some of them today show to have a kernel of truth. This demonstrates, at least, that history is a non-linear process and that intuitions or even truths, potentially useful for the present and scientific development, can re-emerge from the past.