Friends of the John Martin Rare Book Room

Under the Covers: Ingrassia

Damien Ihrig, MA, MLIS
Curator, John Martin Rare Book Room

Black and white illustration of an elderly white man, Philadelphia physician and first AMA president, Nathanial Chapman, wearing a high-collared white shirt with a dark suit jacket. Illustration is in the public domain, from WikimediaHappy August, everyone. This newsletter issue is the first of a series looking more closely at some of our items with binder's waste.

As mentioned in the last newsletter, I was part of a small team who presented at the 2023 Rare Books and Manuscripts Section (RBMS) conference in June. Our presentation focused on the Iowa Initiative for Scientific Imaging and Conservation of Cultural Artifacts (IISICCA) and the involvement of the JMRBR. For more on the project and its scanning techniques, see the IISICCA group's article in Heritage Science.

This month's book was one of six JMRBR items selected to be scanned as part of the IISICCA project. Iatrapologia (Greek: "medicine") by Giovanni Filippo Ingrassia (1510-1580) was selected for two reasons. One, with backlighting through the thin, limp vellum cover, we were able to determine it had small pieces of manuscript waste that included both green and red inks. Different inks show up at different energy levels in Computed Tomography (CT) scanners - or sometimes not at all. Finding a variety of inks helps to calibrate both types of scanners used in the project.

And two, it's just a darn cool book.

Ingrassia was an influential 16th-century Italian physician. He grew up in a well-educated family and received a classical education. He studied at the University of Padua, one of the most important western centers for the study of medicine and anatomy.

There, he learned from renowned intellectuals and physicians, such as Realdo Columbo, Bartolomeo Eustachi, Girolamo Fracastoro, and, of course, the Anatomaster® himself, Andreas Vesalius. Ingrassia would go on to make his own significant impact on not only anatomical medicine but also public health and hygiene, forensic medicine, and teratology (the study of abnormalities of physiological development).

After completing his studies in 1537, he became the personal physician to a minor Italian noble family in Palermo. Soon after, he became the professor of human anatomy at the University of Naples. It was during his time in Naples that he wrote Iatrapologia. Ostensibly a book about how to treat head wounds, it was also a critique of the current state of medicine and surgery - one of the subtitles, liber quo multa adversus barbaros medicos disputantur, translates as "a book in which many things are argued against the barbarian physicians."

In Iatrapologia and elsewhere, Ingrassia argued that medicine should be considered a less subjective discipline. Treatments should be verified, results checked, and useful diagnoses disseminated among physicians. He also thought that physicians and surgeons should be integrated into a single profession to prevent surgeries by "unqualified" people. Indeed, in Iatrapologia, he states rather dramatically,

"Oh, God, so much human suffering has been caused by the vainglory of contemporary doctors. Indeed, surgery has been abandoned to some inexperienced, empiric [i.e., quack] physicians, most of whom are not only lacking in dogma, but also in what relates to the Art." p. 252

Ingrassia was also a strong believer in continuing education, suggesting physicians should refresh their dissection skills every five years so as to avoid becoming "imperfect and ignorant physicians." If nothing else, Ingrassia demonstrated a natural skill with insults!

Read below to find out more about Ingrassia and to see under the covers of this interesting little book.

Stay well and happy reading!


Hours

The Room is currently under renovation. Requests for materials will be considered on a case-by-case basis. For more information, please contact me at damien-ihrig@uiowa.edu or 319-335-9154.


 

  Events

All times are Central

ICYMI: 2023 Annual John Martin Rare Book Room Open House
With featured speaker Greta Nettleton

Recording now available on the Iowa Digital Library of Ms. Nettleton's presentation, The Great Forgetting: The Prominent Role of Women in 19th-century Midwestern Medicine.

 

 


Book of the Month

Color photo of the off white limp vellum cover from Ingrassia's Iatrapologia, 1547.

INGRASSIA, GIOVANNI FILIPPO (1510-1580). Iatrapologia: Quaestio, quae capitis vulneribus ac phrenitidi medicamenta conveniant [Medicine: Question regarding the medicinals convenient for head injuries and meningitis]. Printed in Venice by Giovanni Griffio, 1547. 16 cm tall.

Like many of the well-known physicians of the time, Ingrassia had no shortage of skill, curiosity, and energy. Just reading a short list of his accomplishments wore me out.

Ingrassia made significant contributions to the field of anatomy, particularly with bones and the skull. He is most well known for identifying a third small bone in the middle ear, which he called the "stapes." He also described differences between human and animal bones, breaking down parts of each bone to make identification easier.

He elaborated on the structure of the penis and the mechanisms of erection and studied cranial nerves, nails, teeth, and tumors. He wrote treatises on infectious diseases and their treatment and is credited with the first descriptions of scarlet fever and chicken pox, distinguishing them from measles.

Ingrassia was not only a physician and anatomist but also a pioneer in public health. He held various political positions, most notably Protomedicus (chief physician) of Sicily, and implemented measures to prevent the spread of diseases such as malaria and the plague. He emphasized the importance of preventive measures, such as isolating infected patients and cleaning objects to reduce the risk of transmission.

Color photo of backlit manuscript waste using three different photo filters, one color, one black and white, and one with inverted black and white, from Ingrassia's Iatrapologia, 1547.

Overall, Giovanni Filippo Ingrassia was a remarkable physician and scientist who significantly contributed to our understanding of human anatomy and the practice of medicine.

Our copy of Iatrapologia is a delight to hold and leaf through and, as indicated, holds a few secrets inside. The limp vellum cover is soft but dried out enough that it has a bit of a rattle while opening. The cover image above shows discoloration from use and bits of writing here and there. The textblock is in excellent shape, the paper bright, and almost completely free of damage.

One interesting surprise is a piece of paper that has been pasted over the verso side of leaf A3 in an attempt to cover up a printer's error (a repeated page from elsewhere in the book). At some point, someone made a concerted effort to remove the paper to see what was underneath. Whoever glued it on, though, made sure the vandal couldn't remove much!

Other surprises can be seen in the banner image and just above. The banner image shows a close-up of the text visible with backlighting. The green and red inks are still vibrant and really jump out. The IISICCA group estimates the date of the manuscript to be roughly the 10th or 11th century and suspects the complete word is some form of "archiabbas" (chief abbot).

The image directly above is from another small scrap. The image is repeated several times through different photo filters in an attempt to make the text more legible.

Contact me to take a look at this book or any others from this or past newsletters: damien-ihrig@uiowa.edu or 319-335-9154.

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