Jewish Medicine

Jews comprise less than 0.02% of the world population, and yet 28% of Nobel prize winners in medicine have been Jewish. This expertise has a long history.

The Sefer Refuot or "Book of Remedies" is the earliest known Hebrew text on medicine. It contains information on illnesses and treatments, but also talks about how to maintain health through exercise, eating properly, and observing proper hygiene. It also suggests that astrology is connected to health, and there are different treatments depending on the month. It includes a code of conduct for doctors.

Although the only manuscripts we have are later medieval ones, they are considered to be faithful copies of a very early work for a particular reason: the book does not have any of the Arabian medical knowledge that was so prevalent in the Middle Ages. The assumption is that this book recorded Jewish knowledge, including a theory of blood vessels and circulation, that pre-dates the cross-cultural sharing that happened with the spread of Muslims after the 7th century.

There was some controversy about medicine in Jewish culture. In II Chronicles 16:12, King Asa of Judah is criticized because “in his illness he sought not God but rather physicians.” In the same book, King Hezekiah is praised for hiding a medical book in order to get his people to turn to God for aid. The 13th-century Nachmanides argued that Jews have a special relationship with God and should thrive or suffer according to His will; they should not try to subvert his will through practices like medicine. Because of this turning to natural cures, he says, their relationship with God in this area has been annulled, and now they have no choice but to turn to doctors. The practice of medicine is now considered a mitzvah, a fundamental religious obligation.

Jewish physicians often learned Latin, Greek, and Arabic; along with Hebrew, they had access to many medical texts inaccessible to their Christian counterparts. This made them exceptionally knowledgeable and effective—and sought after. I've already mentioned Jacob Mantino ben Samuel, who was so important to many high-ranking figures in Venice that they asked the Council of Ten to exempt him from wearing the degrading yellow cap that was mandated to denote Jews in public.

Jewish physicians also included women among their number, not just as midwives, which we will talk about next time.

Nachmanides

First, let's talk about the name. He was born Moses ben Nachman. He sometimes called himself Ramban, an acronym for Rabbi Moses ben Nachman. Nachmanides is the Greek form of his name, and how he is recognized in western literature. He lived from 1194 - 1270, and lived most of his life  in Catalonia.

He was a scholar, a physician, a philosopher and poet. He began writing commentary on Jewish law at the age of 16. He believed that the rabbis of the Talmud and Mishnah were not to be criticized. He criticized his scholarly predecessor, Maimonides, however. Where Maimonides described any story in the Old Testament where angels appear as a prophetic vision rather than a true angelic visitation on Earth, and tried to explain some of the events in the Bible as naturally occurring, Nachmanides asserted that

no man can share in the Torah of our teacher Moses unless he believes that all our affairs, whether they concern masses or individuals, are miraculously controlled, and that nothing can be attributed to nature or the order of the world.

Previous posts discuss his participation in the Disputation of Barcelona and its outcome. He wrote an account of the debate afterward. Pablo Christiani, his chief opponent in the debate, seized on this account as further proof of blasphemy: he found objectionable passages and went to the head of the Dominicans, Raymond de Penyafort. A charge was brought against Nachmanides, and the complaint was brought before King James. Nachmanides pointed out that his account contained nothing that he had not already said in the presence of the king during the disputation, where the king himself had allowed him to speak freely. His innocence was clear, but the Dominicans wanted results, so Nachmanides was exiled for two years.

An appeal to Pope Clement IV made the exile permanent. Nachmanides, at the age of 70, had to leave his lifelong home. He eventually made his way to Jerusalem, where he reestablished the Jewish community that had been disrupted by the efforts of the First Crusade. He also established a synagogue that is to this day known as the Ramban Synagogue. He died at the age of 76; his burial place is unknown.

This blog has previously discussed Popes Clement I, II, III, V, VI, but never IV, the man who made Ramban's exile permanent. I think I have my topic for tomorrow.

James I of Aragon

James I of Aragon (2 February 1208 - 27 July 1276) reigned longer than any Iberian monarch. The Iberian Peninsula contained several different political entities; besides being King of Aragon, Count of Barcelona, and Lord of Montpellier, James was eventually also King of Majorca, and even later King of Valencia.

He agreed with Louis of France to not try to reclaim the Cataln lands to the north that France had taken from James' father, Peter II of Aragon; in return, he prevented France from trying to push south into the County of Barcelona.

A great patron of the arts and learning, he wrote (actually, dictated) the first autobiography of a Christian king, Llibre dels fets (Catalan: "Book of Deeds").

In 1263, he presided over the Disputation of Barcelona, a debate on the identity of the Christian Messiah between a converted Jew, Pablo Christiani, and a Jewish rabbi, Nachmanides. On the question "Is the Messiah a divine or human being?" Nachmanides said:

"[... it seems most strange that... ] the Creator of Heaven and Earth resorted to the womb of a certain Jewish lady, grew there for nine months and was born as an infant, and afterwards grew up and was betrayed into the hands of his enemies who sentenced him to death and executed him, and that afterwards... he came to life and returned to his original place. The mind of a Jew, or any other person, simply cannot tolerate these assertions. If you have listened all your life to the priests who have filled your brain and the marrow of your bones with this doctrine, and it has settled into you because of that accustomed habit. [I would argue that if you were hearing these ideas for the first time, now, as a grown adult], you would never have accepted them." [The Disputation at Barcelona. p. 19. ISBN 0-88328-025-6]

Even though Christiani and the Dominicans claimed the victory, James was so impressed with Nachmanides' answers that he gave him 300 gold coins, telling him he had never heard "an unjust cause so nobly defended." James even attended the synagogue in Barcelona on the Sabbath after the Disputation, addressing the congregants, an event likely unique in Medieval Europe.

Rather than have the Talmud destroyed, James ordered the removal of passages that seemed offensive to Christians, creating a commission of the bishop of Barcelona and some Dominicans to oversee the censorship. One of the Dominicans, Ramón Martí (Raymond Martini), did not want the Talmud destroyed, because he claimed many passages in it confirmed the truth of Christianity. But don't think Martini was sympathetic to Judaism: he wrote two anti-Jewish books.

After the Disputation, Nachmanides wrote an account (see the passage above), but this account got him in further trouble. I'll finish talk of disputes and the Talmud with a brief bio of Nachmanides tomorrow.

Book Burning

The rounding up and burning of the Talmud and other important Jewish works, and the Disputation of Paris, in France in the early 1240s were not the only events of their kind. Western civilization had a tradition of harassing Jews by denying them their sacred and important texts.

Emperor Justinian in 553 forbade Jews to use the Secunda Editio (Latin: "Second Edition"), apparently referring to the Midrashic commentaries on Scripture. Centuries later, Crusaders marching through Germany decided to defend Christianity long before reaching the Holy Land by confiscating Jewish works as they passed through cities, leaving behind them piles of ash.

A decade before the Disputation of Paris, a public burning of Maimonidean writings took place in Montpellier France. Like the Disputation, this was started by an "internal" dispute. Solomon ben Abraham of Montpellier was extremely orthodox and was opposed to Moses ben Maimon's philosophy, so he invited Dominican and Franciscan inquisitors to look at the writings of one whom Solomon considered a heretic. The burning took place in December 1233. The inquisitors did not stop there. About a month after the Montpellier event, the Talmud became a target; copies of it and others—an estimated 12,000 volumes—were burning publicly in Paris.

The burning of the Talmud became a common event. Louis IX ordered more confiscations in 1247 and 1248; he produced an ordinance about this in 1254, which was upheld by Philip III in 1284 and Philip IV in 1290 and 1299.

In July 1263, the Disputation of Barcelona took place at the court of King James I of Aragon between another convert from Judaism to Christianity, the Dominican Friar Pablo Christiani, and the leading Jewish scholar Moshe ben Nachman, called Nachmanides. The debate was chiefly on the question "Was Jesus the Messiah?" The Disputation is a play by Hyam Maccoby, based on the Disputation; it was made into a film in 1986 starring Christopher Lee. You can watch it on YouTube.

The Christians claimed victory, but King James gave Nachmanides 300 gold coins, and to explain that, I should next tell you about James of Aragon.