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    Medicine

    in Art

    Ram Nambi and Luke Dery

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    M E D I C I N E I N A R T

    Introduction .1

    Ancient Medical Art.2

    Medieval Art.3

    Leonardo da Vinci.4

    Vitruvian Man..5

    Vitruvian Man Proportions.6Bones of the Arm..7

    The Anatomy Lesson of Dr. Tulp.8

    Andreas Vesalius...9

    De Humani corporis fabrica...10

    The Brain..11

    Anatomia..12

    Bernard Albinus...13

    Clara Rhinoceros..14

    Muscle Group.15

    Max Brodel16

    Drawing of the Ear...17

    Frank Netter..18

    Modern Medical Art.19

    Glossary..20

    About the Authors21

    Image Sources.22

    Table of Contents

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    Art is one of the most important ways to studying history be-

    cause, from the Paleolithic era to Renaissance times, it has been the

    only way to record past events. These paintings and artworks help us

    learn about the past because they represent the accomplishments

    and views of the time period from which they came. Similarly, art was

    very essential in documenting the advancement of medical knowl-edge. Medical Illustrations help us learn about a cultures knowledge

    and understanding of the human body through the course of time.

    M E D I C I N E I N A R T

    Renaissance-

    A cultural

    movement

    between the

    14th and

    17th century

    during which

    the interestin classical

    ideas was

    revived.

    Introduction

    1

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    Chinese Medicine

    The Chinese Civilization, one of the oldest in the world, has

    studied medicine since 13th century. The scholars of this time

    thought of disease as an internal imbalance of yin and yang. The art

    work from this time period reveals the treatment procedures that

    were used by the Chinese. Some of these include acupunctureand

    herbal medicine

    Indian Medicine

    Similar to China, ancient India also produced several medical

    artworks. These outlined the procedures for the preparation andimplementation of medicinal techniques such as Ayurveda.

    M E D I C I N E I N A R T

    Acupuncture-

    A process in

    which needles

    are inserted into

    the skin in order

    to influence and

    heal the patient's

    qi (energy) .

    Ayurveda-

    A plant and herb

    based medical

    treatment devel-

    oped in Ancient

    India.

    Ancient Medical Art

    Timeline: 1300 BC

    2

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    The Medieval period was the section of time between 500 and

    1500 C.E. This time period followed the fall of Rome Civilization

    when all pervious medical knowledge was lost. Medieval medicine

    consisted largely of spiritual concepts such as Astrology and religious

    healing. Medicine was not conducted scientifically. Instead, treatment

    was based solely on the believes of the doctor and the patient.

    The main principal of medicine during this time period was the

    theory of humors. This concept claimed that every human had four

    different fluids running through their body. These fluids included black

    bile, Phlegm, blood, and Yellow Bile.

    M E D I C I N E I N A R T

    Medieval Art

    Timeline: 1250 CE

    3

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    Leonardo da Vinci was an Italian painter, inventor, scientist, and

    visionary who was born on April 15, 1452. Although he was a bril-

    liant inventor , most of his ideas did not take shape because they

    were so ahead of his time. He conceptualized flying machines and ar-

    mored tanks that were extremely innovative and revolutionary. In

    addition to inventing, Leonardo was an accomplished painter, and this

    interest lead led him to explore the proportionality of the human

    body. Although his resources were limited, by studying past works

    and by performing autopsies, da Vinci was able to achieve a level of

    medical knowledge that greatly surpassed that of his contemporaries.

    Some of his most famous works include The Vitruvian Man and the

    Bones of the Arm.

    M E D I C I N E I N A R TLeonardo da Vinci

    Timeline: 1475 CE

    4

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    The Vitruvian Man is an extremely well know drawing by Leo-

    nardo da Vinci from 1487. This piece of art shows da Vincis ability to

    draw and understand the human body. This artwork depicts two su-

    perimposedimages of a man in two different positions. This draw-

    ing was the model for medical illustrations for many centuries be-cause it accurately portrayed the proportionality of the human body;

    therefore, this drawing is also known as the Canon of Proportions

    and the Proportions of Man. This work is still significant today and is

    often a symbol used to represent medical organizations and groups.

    M E D I C I N E I N A R T

    Superimposed-

    To place one

    thing on top of

    another

    Vitruvian Man

    Timeline: 1487CE

    5

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    The Vitruvian Man is so well known because it shows that the

    proportions of the human body were understood by early scholars.

    Many of the proportions displayed in the Vitruvian Man have actually

    been proven using science . For examples, the drawing show us that

    our palm is the width of four fingers and that our feet are four palms

    long. The height of the man is equal to 24 palms and also equal to his

    arm span. The width of his shoulder is a quarter of his height, the

    length of his ear is one third the length of his face, and the mans foot

    is one sixth of his height. Not convinced that these are accurate? Try

    it out and see if Leonardo da Vinci was right!

    M E D I C I N E I N A R TVitruvian Man Proportions

    Timeline: 1487 CE

    6

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    Bones of the Arm, like the Vitruvian Man, is another one of

    Leonardo da Vincis medical illustrations. This drawing shows that

    even back then, with limited technology, da Vinci had acquired an in

    depth understanding of the anatomy of the human arm. In this dia-

    gram, the arm is accurately portrayed as being made of smaller bone

    segments. It can also be seen that the bones interconnect in different

    ways and locations. Even the fingers are portrayed accurately as being

    made of small segments connected with hinge joints. Even in todays

    standards, Leonardo da Vincis Bones of the Arm is extremely de-

    tailed and accurate.

    M E D I C I N E I N A R T

    Bones of the ArmTimeline: 1490 CE

    7

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    The Anatomy Lesson of Dr. Tulp was painted by Rembrandt

    van Rijn. This oil painting features many different people observing

    an autopsy. The first and most prominent is Dr. Nicolas Tulp, who is

    giving the lecture about skeletal muscles in the body. The body, is

    thought to be the corpse of Adriaan Adriaanszoon, who was a rob-

    ber who had been hung for his crimes. Autopsies like the one in the

    painting were considered public events, and were held in structures

    called anatomical theaters, which charged admission fees for guild

    colleagues, students, and other notable people. The spectators in the

    painting are dressed in a festive manner, showing that these surgical

    events were serious social occasions. Although this painting has a

    few factual errors, it shows the nature of surgery and medical study

    at the time of its painting.

    M E D I C I N E I N A R

    Rembrandt van

    Rijn-

    He was born on

    July 15, 1606 and

    embarked on an

    iconic life of art

    and sorrow. Af-

    ter making many

    works of art, in-

    cluding the Anat-omy Lesson of

    Dr. Tulp, he died

    on October 4,

    1669.

    Artistic Error! -

    A close analysis

    of the dead body

    in the painting

    shows that the

    raised muscle is

    on the outside of

    the elbow. In re-

    ality, that muscle

    is actually lo-

    cated on the in-

    side of the el-

    bow.

    The Anatomy Lesson of Dr. Tulp

    Timeline: 1632 CE

    8

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    Andreas Vesalius was a major reorganizer of the study of anat-

    omy. He was born in Brussels on the last day of the year 1514. It is

    said that as a boy he was very interested in the dissection of animals.

    He went to the University of Paris in 1533 and later received his de-

    gree as a Doctor of Medicine in Venice and was appointed a professor

    of anatomy and surgery in Padua. In 1538, he published the Tabulaeanatomicae, a book of his medical drawings about his medical investi-

    gations. Towards the end of his life in 1564, he took a pilgrimage to

    the Holy Land and strangely never returned. Overall, Vesalius was a

    talented anatomist who painted many accurate diagrams that im-

    proved the standard of medical illustrations.

    M E D I C I N E I N A R T

    Spooky Work

    Andreas Vesalius

    was involved in

    some unusual

    activities as a

    student. When

    he was studying

    anatomy, Vesal-ius took bones

    from cemeteries

    and execution

    sites to study.

    Childhood Fun?

    As a child, Vesal-

    ius used to look

    for dead animals

    so that he could

    dissect them.

    Later in life, he

    had become so

    knowledgeable

    at dissecting that

    he was asked to

    dissect a human

    corpse in public.

    Andreas VesaliusTimeline: 1550 CE

    9

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    M E D I C I N E I N A R T

    De Humani corporis fabrica, which means On the Structure of

    the Human Body, was a collection of radical medical literature pub-lished by Andreas Vesalius. As an expert on medicine who dissectedmany human bodies, Vesalius found mistakes in the ancient teachings ofAristotle and Galen. Vesalius De Corporis Fabrica pointed out these

    flaws and gained him much fame in the medical world. In its time, it

    was said to be the most complete medical work ever publishedIn the work itself, there are over two-hundred pieces of woodencarvings that detail various workings of the human anatomy. The bookthen shows the human body through anatomical models of the skeletaland muscular systems. These models depict the workings of the humanbody with detail and accuracy.

    Timeline: 1550 CE

    De Humani corporis fabrica

    10

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    M E D I C I N E I N A R T

    Negative?

    Vesalius

    work on the

    brain harshly

    criticizes the

    past work of

    Galen. It is sonegative that

    people often

    refer to it as

    a journal of

    negative

    results.

    In his medical book De Corporis Fabrica, Vesalius also highlightsthe working of the human brain, especially the vascular system. In thesediagrams, Vesalius mainly depicts the structure of the nerves within thebrain. He was deeply interested by how the nerves controlled so muchof the body, and was very impressed by the power the brain has over

    the body as a whole. His diagrams depicted nerves and the dissectedbrains, documenting his fascination with the nervous system.

    The Brain

    Timeline: 1550 CE

    12

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    Anatomia was painted by Bernardino Genga. This man wasborn in Mondolfo in the Duchy of Urbino in 1620. He later died in1690 in Rome. During his life, Genga was a surgeon in the Hospital ofSanto Spirito in Sassia. He was also a scholar who specialized instudying classical medical texts and even edited several works of Hip-pocrates Genga had a major interest in the preparation of anatomical

    specimens, and was amazed by the anatomy of ancient Greek and Ro-man sculpture. He ended up working as a professor of anatomy at the

    Accademia di Francia delle Belle Arti in Rome.

    In 1672, Genga published the Anatomia chirurgica, a textbookfor surgeons, which taught them the workings of the human anatomy.A year after his death, his most famous work of art, Anatomia per usoet intelligenza del disegno, was published. This work was a depictionof the anatomical preparations done by Charles Errard, the director

    of the Accademia di Francia delle Belle Arti.

    M E D I C I N E I N A R T

    Timeline: 1650 CE

    Anatomia

    12

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    Albinus was born on February 24, 1697. He grew up and re-ceived his education in Brandenburg, Germany. He is a famous anato-mist who gained recognition for being the first person display theconnection between the vascular system of the mother and her fetus.Albinus attempted to make a more descriptive depiction of the hu-man anatomy, starting by drawing the skeleton rather than the out-

    side of the body.

    Albinus was the chair of anatomy, surgery and medicine at theUniversity of Leiden, until his death on September 9, 1770. His mostfamous work was Tabulae sceleti et musculorum corporis humani(orTables of the Skeleton and Muscles of the Human Body), which waspainted in 1747. Albinus worked alongside other physicians to make

    sure that his medical illustrations were accurate.

    M E D I C I N E I N A R T

    Art Fact -

    Albinus often

    painted land-

    scape back-

    grounds along

    with his medical

    drawings to dis-

    tract peoplefrom the vivid

    and bloody na-

    ture of the dis-

    mantled bodies

    depicted. In one

    painting, Albinus

    draws a skeleton

    with muscles,

    but counters the

    disgusting realityof the body by

    putting a rhinoc-

    eros in the back-

    ground. (refer to

    Clara Rhinoceros

    page).

    Bernhard Albinus

    Timeline: 1700 CE

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    M E D I C I N E I N A R T

    Mythology

    Back in the

    1700s, the Rhi-

    noceros was

    still seen as a

    mythological

    creature. In

    fact, they hadsuch an aura of

    mystery that

    people in

    Europe ques-

    tioned their ex-

    istence.

    Clara the rhinoceros was adopted by the director of the DutchEast India company in the 1700s. She was one month old at the time.Her mother had been killed by hunters, so Jan Sichterman, her adopter,let her live in his house like an everyday pet. Albinus, when writing hismedical book, decided to feature this animal that just happened to betouring in his country at that time. It is, however, only one of many

    paintings of this animal that caused so much excitement. In addition tothe rhinoceros, this painting shows that although the skeleton is notextremely detailed, the artist had an extraordinary understanding ofthe skeletal system.

    Clara Rhinoceros

    Timeline: 1700 CE

    14

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    M E D I C I N E I N A R T

    This piece of art, drawn by Bernhard Siegfried Albinus, depicts amodel of the human muscles. This works official title is Flayed Body,

    Tables of the Skeleton and Muscles of the Human Body. Like in thisillustration, Albinus often divided the bodys muscles into groups. Thispainting is the final illustration in a series of pictures showing the work-ings and parts of the body. This collection started with drawings of the

    skeletal system and ended with this illustration. The sketch below isone of Albinus most famous and informative paintings. It sheds light on

    how the muscular system was seen back in his time.

    Muscle Group

    Timeline: 1700 CE

    15

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    Max Brodel's art mainly involved illustrations of the chest,womb, and brain of the human body. He was initially trained to be aconcert pianist by his parents, but he disliked his career; therefore, hewent to the Leipzig art school. At school, the director of the Instituteof Physiology took him on as an assistant medical artist. This directortrained him in both art and medicine. During his time as an assistant,

    Brodel did a study of the brain cortex magnified 150 times. He alsodid a study on the human heart. When he was 24 years old, his draw-

    ings were already being acclaimed by doctors in his area.

    Later in his life, when the Johns Hopkins Medical School offeredBrodel a job, he came to the United States, bringing with him a largegroup of young doctors. He stayed in America until his death in 1941.His last known work was a long research project on the anatomy ofthe human ear. Brodel is now seen as the modern Leonardo Da Vinci

    of medical art.

    M E D I C I N E I N A R T

    Pianos -

    Max Brodels fa-

    ther was a piano-

    maker, and he

    wanted Max to

    become a con-

    cert pianist.

    Brodel wentalong with this

    until he found a

    love for medicine

    and art. After

    Max turned 18,

    Maxs father was

    so angry with his

    career choice

    that he decided

    to no longer pro-

    vide financial

    support.

    Max Brodel

    Timeline: 1900 CE

    16

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    M E D I C I N E I N A R T

    Drawing of the EarThe drawing of the Ear is one of Max Brodels unpublished

    works. This drawing shows Brodels attention to detail and hisunique drawing style. Unlike many of those before his time, MaxBrodel drew many cross sectional diagrams such as this one.This cross sectional view allows the observer to see not only theparts of the ear, but also the structures surrounding it. This diagram

    shows the ear canal leading to the drum membrane. On the otherside of the membrane, the middle ear cavity is shown to be con-nected to the Naso-pharynx via the Eustachian tube. The exte-rior portion of the ear is accurately shown to be surrounded bycartilage. the reason why our ears are so flexible.

    Cross Sectional

    Diagram-

    A diagram that is

    drawn as if a plane

    had cut through

    the subject of the

    illustration.

    Naso-pharynx-

    The upper part of

    the pharynx, lo-

    cated behind the

    mouth.

    Timeline: 1900 CE

    17

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    M E D I C I N E I N A R T

    Frank Netter

    Frank Netter was born on April 25, 1906 and lived until1991. As a child, Frank Netter wanted to become an artist and heperused his interest in college. Although he became a successfulillustrator, his family did not approve of his career and so he de-cided to go to medical school. Because of the Great Depression,Netter was not able to make a living as a doctor, so he became a

    medical artists, making illustrations for pharmaceutical compa-nies. His drawings were revolutionary, and strongly resemble theones found in text books today. One of significant characteristicsof his illustrations is that they are in full color. Throughout his ca-reer, he earned 17 awards and recognitions. Some of these awardsinclude the Award of Special Recognition from the Association ofMedical Illustrators and the Honorary Member Award form theAmerican Association of Clinical Anatomists.

    Pharmaceutical-

    Pertaining to the

    production and

    distribution of

    medication.

    Timeline: 1950 CE

    18

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    M E D I C I N E I N A R T

    Modern Medical Art

    Today, medical art has taken on a whole new look. Whatused to be done tediously by hand is now extremely easy to makewith computers and animation technology. There are several ad-vantages of using computers to produce medical illustrations. Firstoff all, technology makes it extremely easy to make detailed colorrenditions of parts of the human body. Another advantage is that

    computer technology makes it extremely easy to duplicate theseillustration. Making a copy of a medical used to require redrawing itfrom scratch; however, the file can now simply be copied. This newadvancement has actually revolutionized the way medicine istaught. Computers not only allow for detailed medical drawingsbut also for animations, providing accurate simulations of bodilyprocesses.

    Timeline: 2000 CE

    19

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    M E D I C I N E I N A R T

    Glossary

    Acupuncture-

    A process in which needles are inserted into the skin in order to

    influence and heal the patient's qi (energy)

    Ayurveda-

    A plant and herb based medical treatment developed in AncientIndia.

    Cross Sectional Diagram-

    A diagram that is drawn as if a plane had cut through the subject

    of the illustration.

    Naso-pharynx-

    The upper part of the pharynx, located behind the mouth.

    Pharmaceutical-

    Pertaining to the production and distribution of medication.

    Renaissance-

    A cultural movement between the 14th and 17th century during

    which the interest in classical ideas was revived.

    Superimposed-

    To place one thing on top of another

    20

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    M E D I C I N E I N A R T

    About the Authors

    21

    Ram Nambi is a stu-

    dent at the Mass Academy of

    Math and Science. Although

    the school focuses mainly on

    engineering, Ram hope to be-come a surgeon in the future.

    Currently, his many interests

    include running, painting and

    biking.

    Luke Dery is a high

    school student at the Mass

    Academy of Math and Sci-

    ence. Luke aspires to work

    in the medical field in thefuture. Some of his interests

    are writing and music.

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    M E D I C I N E I N A R T

    Image Sources