Friday, June 17, 2005

The Staff of Asclepius, through the years

Filed under: the good old days...

AMA-logo-old.bmp
With the new stylized AMA logo debuting this week, we got a little nostalgic, and curious about the familiar old serpent-and-staff. Indeed, we've discovered there's apparently some controversy and misinformation out there regarding the issue: one snake or two?

The issue is well summarized at Dr. Blayley's website (including a nice collection of medical logos from around the world):

Professional and patient centred organisations ... use the "correct" and traditional symbol of medicine, the staff of Asclepius with a single serpent encircling a staff, classically a rough-hewn knotty tree limb. Asclepius (an ancient Greek physician deified as the god of medicine) is traditionally depicted as a bearded man wearing a robe that leaves his chest uncovered and holding a staff with his sacred single serpent coiled around it, symbolizing renewal of youth as the serpent casts off its skin. The single serpent staff also appears on a Sumerian vase of c. 2000 B.C. representing the healing god Ningishita, the prototype of the Greek Asklepios.
AMA-logo-old.bmp So what about the two serpents, and the winged staff (also called a caduceus)? This apparently arises from Hermes, the messenger of the gods:
The link between Hermes and his caduceus and medicine seems to have arisen by Hermes links with alchemy. Alchemists were referred to as the sons of Hermes, as Hermetists or Hermeticists and as "practitioners of the hermetic arts". By the end of the sixteenth century, the study of alchemy included not only medicine and pharmaceuticals but chemistry, mining and metallurgy. Despite learned opinion that it is the single snake staff of Asclepius that is the proper symbol of medicine, many medical groups have adopted the twin serpent caduceus of Hermes or Mercury as a medical symbol during the nineteenth and twentieth centuries.

Like the staff of Asclepius, the caduceus became associated with medicine through its use as a printer's mark, as printers saw themselves as messengers of the printed word and diffusers of knowledge (hence the choice of the symbol of the messenger of the ancient gods). A major reason for the current popularity of the caduceus as a medical symbol was its official adoption as the insignia for the Medical Department of the United States Army in 1902.


The caduceus retains significance in the occult and mysticism, and we suspect medical historians scoff at those who use it to incorrectly represent medicine.
AMA
So what does the staff of Asclepius symbolize? Dr. Blayley speculates the image's origin might arise from the practice of removing subcutaneous parasites. The worms would be pulled from an incision and wound around a stick -- the practice was so common that doctors may have come to advertise their services by depicting this procedure.

Other interpretations of the serpert's significance are listed in today's Chicago Sun-Times:

-- A snake could inoculate patients with nonlethal doses of venom.

-- The serpent represents the forces of life and death, just as a physician stands between healing and destruction.

-- The snake's ability to shed its skin represents a triumph over aging.


Future historians will no doubt speculate that the stick represents upright physicians, and the coiled snake symbolizes managed care, or maybe malpractice premiums.

And on that note, we're signing off for the week. Enjoy your weekend, and try not to contract any parasites!

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replies: 9 comments
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Great Job on the Grand Rounds!


Posted by: Gene
on June 7, 2005 06:49 AM GMT

Great rounds guys. Thanks


Posted by: Mad House Madman
on June 7, 2005 07:42 AM GMT

a new standard in grand rounds! wow!


Posted by: marina
on June 7, 2005 08:53 AM GMT

Great rounds! Very interesting links :-) Thanks.


Posted by: geena
on June 7, 2005 02:10 PM GMT

Nice collection, clearly shared. I'm going to learn a lot today! These Grand Rounds may be great for medical types, but you have no idea the service it does us liberal arts folks and medical consumers.


Posted by: Ahistoricality
on June 7, 2005 02:19 PM GMT

.
Great job, folks! A very timely metaphor, well executed.

I, too, am enjoying GR. Although (maybe BECAUSE) I'm not in the medical field myself, I've found the posts quite interesting and informing.

And Thank You! for the link!


Posted by: hgstern
on June 11, 2005 08:38 AM GMT

Does the staff of Asclepius predate the bronze snake narrative in Numbers 21 of the Bible?


Posted by: Michael Vickers
on June 19, 2005 05:43 AM GMT

The Exodus is generally dated between 1500 and 1300 BC. It is curious that the blog made no reference to the cure of the seraph serpent bitten Israelites obtained by the obedient action of Moses to God's command to hoist the bronze serpent. But then, Jesus prophesied a connection between the bronze serpent and His own upcoming crucifixion - and that's a hot potato for some people.


Posted by: paul
on June 19, 2005 11:10 AM GMT

The story I heard -- could well be apocraphal, mind you, was that the winged mercury staff was the symbol of one of the biggest (first) medical publishing houses in England. Because it was on all of the early printed texts it became confused with the staff of Asclepius. Frankly, it's a cooler symbol too.


Posted by: BladeDoc
on June 21, 2005 06:37 AM GMT