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Wellsprings
Death, the Netherworld & the Unseen

Medicine & Diagnosis (the Asû and the Sa-gig)

asûtuAkkadian

Herbs and the knife for the body, but first the diagnosis: which god, demon, or ghost had struck the patient?

Also: medicine · physician · asu · asû · Sa-gig · Sakikku · diagnosis · Esagil-kin-apli · healing · pharmacopoeia

Mesopotamia had a developed medical tradition. The physician (asu) prescribed drugs from a large herbal and mineral pharmacopoeia, dressed wounds, and performed minor surgery, while the exorcist (ashipu) addressed the supernatural side of illness. Their knowledge was organized in great reference works — above all the diagnostic and prognostic series Sa-gig ('symptoms'), traditionally arranged by the scholar Esagil-kin-apli, which listed symptoms a healer might observe and the divine, demonic, or ghostly cause and likely outcome of each. Medicine and the reading of signs were intertwined: to heal the body, one had also to identify which unseen power had struck it.

In short

The Mesopotamian healing arts — the physician (asû) with his herbal and surgical materia medica, and the diagnostic-prognostic series Sa-gig that correlated symptoms with the gods, demons, or ghosts thought to cause them.

Where it’s found

The diagnostic-prognostic series Sa-gig/Sakikkû (Esagil-kīn-apli) and the therapeutic corpus (akkadian-pending; Scurlock, Sourcebook of Ancient Mesopotamian Medicine)

How the idea developed across Sumer, Babylon & Assyria

The diagnostic series Sa-gig (Sakikkû) is traditionally ascribed to the scholar Esagil-kīn-apli (a redactional ascription, like Sîn-lēqi-unninni for Gilgameš). The asû (physician) and āšipu (exorcist) are complementary practitioners. Therapeutic and diagnostic texts are mainly first-millennium Akkadian.

A note on the history

Esagil-kīn-apli is the traditional redactor-ascription of the diagnostic series, not a modern 'author' in our sense.