The Fascinating Chronicle of Uroscopy: From the Era of Qarurah and Matula to the Microscope

Document Type : Original Article

Authors

1 P.G. Scholar, Department of Mahiyatul Amraz (Pathology), National Institute of Unani Medicine, Bengaluru, India

2 M.D., Assistant Professor, Department of Mahiyatul Amraz (Pathology), Al-Ameen Unani Medical College, Malegaon, Maharashtra, India

3 M.D., Associate Professor, Department of Mahiyatul Amraz (Pathology), National Institute of Unani Medicine, Bengaluru, India

4 M.D., HoD & Professor, Department of Mahiyatul Amraz (Pathology), National Institute of Unani Medicine, Bengaluru, India

5 P.G. Scholar, Department of Amraze Jild wa Tazeeniyat (Skin & Cosmetology), National Institute of Unani Medicine, Bengaluru, India

Abstract

The objective of the present study is to elucidate the evolution of thoughts on urine inspection from antiquity to the present day. The classical Unani literature like Liber Regius, Canon of Medicine, Liber continens, Treasure of Khwarazamshah, etc. and the ancient literature of other traditional medicines like Ayurveda were prime sources of data. Additional sources were translations and summaries of the said classical books and scholarly articles written on the topic of urine. For recent advancements in uroscopy, browsing PubMed, Google Scholar, data science, and other trusted websites was carried out. Plentiful resources were frequently looked up and aided in the selection of topics for discussion in this review. With this intent, bibliographic research on the various classical literature was thoroughly sought out. In this regard, the classical literature of various traditional medicines was of immense help. Moreover, browsing trusted websites was carried out by searching for complementary and alternative medicine for uroscopy and urinalysis. Uroscopy has a long, colourful, and interesting history. The earliest evidence of urine inspection can be found in Babylonian, Sumerian, and Ayurvedic writings. Correspondingly, uroscopy has been practised for over 6,000 years. However, with the invention of the microscope, urinalysis became a valuable diagnostic tool in clinical practices. So essentially, urine represents a mirror image of the body’s states, such as health and disease. Besides, Urinalysis has been evolving from antiquity to the present day, from time to time.

Keywords

References

  1. Anatomical furnace. [Online]. Available at https://www.researchgate.net/figure/Figure-No-4-Anatomical-furnace-human-body-shaped_fig2_350286689 [Accessed 23 Feb 2022]
  2. Antic, T., and DeMay, R.M., 2014. The fascinating history of urine examination. Journal of the American Society of Cytopathology, 3(2), pp. 103–107. doi: 10.1016/j.jasc.2013.12.005.
  3. Armstrong, J.A., 2007. Urinalysis in western culture: A brief history. Kidney International, 71(5), pp. 384–387. doi: 10.1038/sj.ki.5002057.
  4. Ashtiyani, S.C., et al. 2011. A critical review of the works of pioneer physicians on Kidney Diseases in Ancient Iran: Avicenna, Rhazes, Al-Akhawayni, and Jorjani. Iranian Journal of Kidney Diseases, 5(5), pp. 300–308.
  5. Avicenna, H.I., 1993. Canon of Medicine. English Translation. General Principles of Medicine’, Book 1, pp. 42–45. Available at: http://naimh.com/canon/CANON-Book-I-Hamdard.pdf%0APaul [Accessed 5 September 2022]
  6. [Online]. Available at https://www.global-ehsan-relief.org/news/lifestyle/the-islamic-golden-age-the-prolific-ibn-sina/ [Accessed 23 Feb 2022]
  7. Brennan, D. 2021. What Is a Nephrologist?. A to Z menu, Web MD Editorial Contributors. Available at: https://www.webmd.com/a-to-z-guides/what-isnephrologist [Accessed 6 September 2022]
  8. Blagg, C.R., and Harrington, J.T., 2007. Looking at the Urine: The Renaissance of an Unbroken. American Journal of Kidney Diseases, 49(6), pp. 865–872. doi: 10.1053/j.ajkd.2007.04.003.
  9. Bolodeoku, J., and Donaldson, D., 1996. Urinalysis in clinical diagnosis. Journal of Clinical Pathology, 49(8), pp. 623–626. doi: 10.1136/jcp.49.8.623.
  10. Broumand, B., 2011. History of urinalysis by Razi and Avicenna in Iran and their clinical judgment from urinalysis. CIN 2011: 6th Congress of Nephrology in Internet, pp. 15–30.
  11. Bynum, B., and Bynum, H., 2016. The matula. The Lancet, 387(10019), p. 638. doi: 10.1016/S0140-6736(16)00289-0.
  12. Cameron, J.S., 2015. A history of urine microscopy. Clinical Chemistry and Laboratory Medicine, 53, pp. S1453–S1464. doi: 10.1515/cclm-2015-0479.
  13. [Online]. Available at https://slideplayer.com/slide/10116489/ [Accessed 23 Feb 2022]
  14. [Online]. Available at https://microbiologyinfo.com/types-of-crystals-in-urine/ [Accessed 23 Feb 2022]
  15. Diamandopoulos, A.A., 1997. Uroscopy in Byzantium. American Journal of Nephrology, 17(3–4), pp. 222–227. doi: 10.1159/000169105.
  16. Dincer, M., 2001. International society for the history of Islamic medicine. Lancet Oncology, 2(11), p. 707. doi: 10.1016/S1470-2045(01)00563-0.
  17. De Katham colour chart. [Online]. Available at https://www.sciencephoto.com/media/300104/view/medieval-urine-wheel [Accessed 23 Feb 2022]
  18. Ducksters, 2022. History: Ancient Greece Timeline for Kids. Ducksters. Available at:https://www.ducksters.com/history/ancient_greek_timeline.php [Accessed 8 September 2022]
  19. Falagas, M.E., Zarkadoulia, E.A., and Samonis, G., 2006. Arab science in the golden age (750–1258 C.E.) and today. The FASEB Journal, 20(10), pp. 1581–1586. doi: 10.1096/fj.06-0803ufm.
  20. Hippocrates, A.,F., 1886. The genuine works of Hippocrates. Translated from the Greek with a preliminary discourse and annotations. [e-book]. New York: W. Wood Collection. Available at: https://archive.org/details/genuineworkship02hippgoog/page/n14/mode/2up [Accessed 02 September 2022]
  21. History of Biomedical Science, 2005. In: ‘From Matula to Mass Spectrometry’ A history of urine tests in the investigation of human disease, A booklet to accompany an exhibition presented by the IBMS Historical Section Committee at the IBMS Biomedical Science Congress 26th – 28th September. London: U.K. Available at: https://www.ibms.org/resources/documents/history-of-urine-testing/ [Accessed 02 September 2022]
  22. [Online]. Available at https://www.sciencephoto.com/media/707365/view/galen-greek-physician-and-philosopher [Accessed 23 Feb 2022].
  23. Jurjani, I., 2010. Zakhira khwarizam Shahi. New Delhi: Idara Kitabus Shifa.
  24. [Online]. Available at https://biografi.kamikamu.co.id/al-jurjani-dokter-penyusun-ensiklopedia/ [Accessed 23 Feb 2022]
  25. Kabiruddin, H., 1954. Kulliyat-e-Nafeesi. New Delhi: Idara Kitabul Shifa.
  26. Kabiruddin, M., 2009. Kitabul Akhlat. New Delhi: CCRUM.
  27. Koss, L.G., Hoda, R.S., 2012. Introduction. In: Koss’s Cytology of the Urinary Tract with Histopathologic Correlations. Springer, Boston, MA. Available at: https://doi.org/10.1007/978-1-4614-2056-9_1 [Accessed 20 June 2022]
  28. Leonard, J.T., and Murphy, E.D., 1972. The history of urology Part-1. Springfield: Thomas books.
  29. Leopold, G.K., and Rana, S.H., 2012. Koss’s Cytology of the Urinary Tract with Histopathologic Correlations. USA: Springer.
  30. Liang, S., and Clarke, W., 2010. The Urinary Proteome, in: A.J. Rai, (eds), Methods in Molecular Biology, 641(4). n.p.: Humana Press. doi: 10.1007/978-1-60761-711-2.
  31. Magiorkinis, E., and Diamantis, A., 2015. The fascinating story of urine examination: From uroscopy to the era of microscopy and beyond. Diagnostic Cytopathology, 43(12), p.1020-1036.
  32. Majoosi, A., 2010. Kamilus Sana. New Delhi: Idara Kitabus Shifa.
  33. Masihi A.S., 2008. Kitab-ul-Mia. Urdu Translation. Vol. 1. New Delhi: CCRUM, Department of AYUSH, Ministry of H & FW.
  34. Mattelaer, J.J., 1999. Some historical aspects of urinals and urine receptacles. World Journal of Urology, 17(3), pp. 145–150. doi: 10.1007/s003450050122.
  35. [Online]. Available at https://wellcomecollection.org/works/egjhpyfe [Accessed 23 Feb 2022]
  36. Namiranian, P., 2020. Book Review: Conventional Medicine and Rhazi’s Viewpoints on Urology. Asian Journal of Traditional, Complementary and Alternative Medicines, 3(1-2), pp. 55–56. doi: 10.22040/ATCAM.2019.108143.
  37. Physical examniation. [Online]. Available at https://labpedia.net/urine-history-urine-composition-normal-findings-advantages-of-urine-analysis/ [Accessed 23 Feb 2022]
  38. Piss Prophets. [Online]. Available at http://www.forbiddenhistories.com/2019/04/uromancy-lindsey-fitzharris/ [Accessed 23 Feb 2022]
  39. Qarurah, n.d. [Online]. Available at https://www.thelancet.com/pdfs/journals/lancet/PIIS0140-6736%2816%2900289-0.pdf [Accessed 23 Feb 2022]
  40. Razi, A.B.M.I.Z., 2007. Kitab al Hawi. Urdu Translation by CCRUM. Vol. 19. New Delhi: CCRUM Ministry of H&FW.
  41. [Online]. Available at https://en.wikipedia.org/wiki/File:Rhazes_(al-Razi)_(AD_865_-_925)_Wellcome_S0001954.jpg [Accessed 23 Feb 2022]
  42. Rushd, A.W.I., 2017. Kitab-ul-Kulliyat. Lahore: Maktab AL Daniyal.
  43. Shamsi, M., Haghverdi, F., and Ashtiyani, S.C., 2014. A brief review of Rhazes, Avicenna, and Jorjani’s views on diagnosis of diseases through urine examination. Iranian Journal of Kidney Diseases, 8(4), pp. 278–285.
  44. Simerville, J.A., Maxted, W.C., and Pahira, J.J., 2005. Urinalysis: A comprehensive review. American Family Physician, 71(6), pp. 1153–1162.
  45. Sugiyama, M., Woodman, A., Sugino, T., Crowley, S., Ho, K., Smith, J., et al. 1995. Non-invasive detection of bladder cancer by identification of abnormal CD44 proteins in exfoliated cancer cells in urine. Clinical molecular pathology, 48(3), pp. 142–147. doi: 10.1136/mp.48.3.m142
  46. Technical advancement. [Online]. Available at https://www.stuff.co.nz/life-style/well-good/teach-me/91970353/what-can-your-doctor-tell-from-your-urine [Accessed 23 Feb 2022]
  47. Timeline of Ancient Egypt. The University of Memphis, Tennessee (USA). Available at: https://www.memphis.edu/egypt/resources/timeline.php [Accessed 2 September 2022]
  48. Timothy, J.L., 2018. Faces of Healthcare: What Is a Urologist?. Healthline. Available at: https://www.healthline.com/health/what-is-aurologist# urologist [Accessed 6 September 2022]
  49. [Online]. Available at https://www.ancient-origins.net/history-ancient-traditions/urine-wheel-and-uroscopy-your-wee-could-tell-medieval-doctor-009744 [Accessed 23 Feb 2022]
  50. Wellcome, H.S.W.B., 1911. Uroscopy in antiquity, in: The evolution of urine analysis: An historical sketch of the clinical examination of urine. London: Burroughs Wellcome.
  51. White, W.I., 1991. A new look at the role of urinalysis in the history of diagnostic medicine. Clinical Chemistry, 37(1), pp. 119–125. doi: 10.1093/clinchem/37.1.119.
  52. Wittern-Sterzel, R., 1999. Diagnosis: The doctor and the urine glass. Lancet, 354(9196 SUPPL.), p. 2000. doi: 10.1016/S0140-6736(99)90356-2.
  53. Wright, C.A., et al., 2008. Diagnosing Mycobacterial Lymphadenitis in Children Using Fine Needle Aspiration Biopsy: Cytomorphology, ZN Staining and Autofluorescence — Making More of Less. Diagnostic Cytopathology, 36(4), pp. 245–251. doi: 10.1002/dc.
Journal of Research on History of Medicine
Volume 12, Issue 1
February 2023
Pages 51-62

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