Antonia Francesca Franchini

Alcmaeon of Croton.

IN THE LATTER half of the sixth century BC, Croton was the site of the most famous medical school in Magna Graecia, where diseases of the human body were examined in a scientific and experimental manner instead of by using the contemporary supernatural, nearly magical concepts. Alcmaeon was one of the most active physicians interested in human physiology in the medical tradition of Croton. Although Alcmaeon was devoted to science and was a skillful experimentalist, little is known about his life and his exact birth date. The relative isolation of Alcmaeon from the great philosophical currents of his time probably facilitated his unprejudiced methodology and may have prevented him from disclosing his theories and demonstrating their value. He pioneered the concept of the relationship between the brain and the mind and was the first to identify the brain as the center of understanding and the essential organ for perceptions, sensations, and thoughts. Through systematic observations, Alcmaeon brought many things to light about the characteristics of the eye and the presence of channels connecting head sensory organs to the brain. He stated that the soul was immortal and introduced the tekmairesthai doctrine, through which the ideas of anamnesis and prognosis gave birth. We highlight his contributions to medical thought, and especially to neuroscience, which reveal Alcmaeon to be a thinker of considerable originality and one of the greatest philosophers, naturalists, and neuroscientists of all time.

Water and the city of Milan at the end of the nineteenth century

Abstract Since the Middle Ages Milan obtained its water supply satisfactorily from shallow wells. Significant problems developed during the nineteenth century, however, prompting the Lombard Institute to announce the Cagnola Award for a three-year study project to analyse the water both chemically and physically and to remedy the problem of pollution. The award was made to Angelo Pavesi (1830–96), a chemist, and Ermenegildo Rotondi (1845–1915), a civil engineer. They concluded that cemetery wastewater should be prevented from entering the city and that the number of deep artesian wells should be increased. Some years later, another problem regarding hygiene and water supply arose and it seemed doubtful whether the principal hospital of the city could fulfil the new hygiene requirements. Pietro Canetta (1836–1903) studied the records of the main hospitals water supply and disposal from 1457, demonstrating that it could be regarded as a model for the supply of good-quality water and for wastewater disposal without polluting the city. Since 1906 all of Milans drinking water has been derived from groundwater; untreated wastewater continued to be discharged into rivers until 2004 but since then all water has been treated.

Modernity in medicine and hygiene at the end of the 19th century: the example of cremation

Medicine in the second half of the nineteenth century takes on some characteristics of modernity. These characteristics are worthy of our attention because they help us to understand better some of the current problems of hygiene and public health. One of the topics that was most discussed in the scientific-academic milieu of the second half of the nineteenth century was cremation. There was a poetic precedent: the cremation of Percy Bysse Shelley (1792-1822). The earliest apparatus to completely destroy the corpse was made in Italy and Germany in the 1870s. As far as hygiene was concerned, the reasons for cremation were not to pollute the water-bearing strata and an attempt to streamline the cemetery structure. As in an apparent schizophrenia, scientists of the day worked to both destroy and preserve corpses. There is also the unusual paradox that when the first cremations took place, the corpses were first preserved then to be destroyed later. The catholic world (mainly in Italy) and forensic scientists opposed cremation. It was left to the hygienists to spread the practice of cremation. An analysis of scientific literature shows us that if we leave out the related forensic and ethical problems, recent years have seen attention paid to any harmful emissions from crematoria equipment which have poured into the environment. Another issue is the assessment of inadvertent damage which may be caused by the condition of the corpse. Some topics, however, such as the need for preventive autopsies (first proposed in 1884 in Milan) are still a subject of debate, and seem to pass virtually unchanged from one generation to the next.

Between Bouillaud and Broca: An unknown Italian debate on cerebral localization of language.

From 1825 onward, Bouillaud began gathering clinical evidence to support the hypothesis that speech is located in the cerebral frontal lobes. His aim was to provide empirical proof to Galls theory of a specific substratum of speech in the anterior region of the brain. A well-known discussion ensued inside the French school among supporters and detractors that went far beyond Brocas first report in 1861. Unknown is that Bouillauds investigations on localization of articulated language also gave rise to a discussion in Italy in the same period. In particular, speech localization formed a central topic in the mid-19th century in Northern Italy mainly thanks to four physicians, Michelangelo Asson, Mosè Rizzi, Gaetano Strambio and Filippo Lussana, who reported on language-impaired patients and approached these cases in the light of Bouillauds claims. Similarly to the French debate, the Italian medical community also included attacks and advocacies of the hypothesis of a precise localization of articulated language in the frontal lobes. However, they were mainly interested in investigating the anatomo-clinical relationships rather than in supporting Galls organology. This Italian debate appears to be the first to have developed in the mid-19th century outside that of the French community.

Vomiting Stones: Mental Illness and Forensic Medicine in 18th Century Italy

Abstract In 1746 the case of a young woman vomiting stones, nails, glasses and other foreign bodies came to the notice of the general scientific and religious communities. The Bishop of Cremona, Alessandro Maria Litta (1671–1754), deemed that a scientific–medical approach was necessary. Paolo Valcarenghi (d. 1780), one of the most famous of Cremona’s physicians, was charged with this task. Many physicians, both local and from the wider area of Northern Italy, became actively involved in the discussion: Martino Ghisi (1715–1794), who was the first to describe diphtheria on a scientific basis; Carlo Francesco Cogrossi (1682–1769, Professor of Practical Medicine at Padua University), who is noted for his parasitic theory of contagion; Carlo Gandini (1705–1788), who introduced some typical traditional Chinese Medicine practices into Italian medicine; and Francesco Roncalli Parolino (1692–1769), who recorded the case in his work entitled Europae medicina a sapientibus illustrata et a comite Francisco Roncalli Parolino observationibus adaucta (1747), a foundational work in the reconstruction of medical praxis in Europe. Their work is amongst the earliest texts from the Italian Peninsula to deny the natural formation of stones in the stomach, with the debate between the religious and scientific communities resulting in the acceptance of the medical explanation.