The Content and Significance of the Mesopotamian Cuneform Source Sakikkû in the Development of Medicine

Document Type : Conference Paper

Authors

1 Medical Doctor; PhD Candidate, Department of History, Graduate School of Social Sciences, Ondokuz Mayıs University, Türkiye

2 Department of History of Medicine, School of Pesian Medicine, Tehran University of Medical Sciences, Tehran, Iran

Abstract

The Sakikkû (SA.GIG) series, a 40-tablet diagnostic handbook from ancient Mesopotamia (11th century BCE), represents a pivotal advancement in medical history. Compiled by scholar Esagil-kin-apli, it systematized symptom observation and prognosis. Organized into six groups, the text documented ~3,000 entries covering: environmental omens (Tablets 1–2); head-to-toe symptomatology (Tablets 3–14); and disease progression patterns (Tablets 15–25), including early contagion recognition. Later tablets detailed neurology (epilepsy), divine causation theories, and obstetrics (fetal development). While maintaining spiritual elements, Sakikkû prioritized empirical methods, anatomical precision, temporal tracking, and prognostic correlations, thereby establishing foundational diagnostic principles that influenced later medical traditions. This study was conducted to highlight the importance of sakikkû in Mesopotamian medicine.

Keywords


  1. Diri, B., 2022. Eski Mezopotamya’daki Hastalıkların Modern Tıpla İlişkisi (Gastoenteroloji, Nöroloji, Psikiyatri, Enfeksiyon Hastalıkları). Ondokuz Mayıs Üniversitesi Sosyal Bilimler Enstitüsü Tarih Anabilim Dalı. Samsun: Unpublished master’s thesis. [in Turkish]
  2. Erdem, F., 2020. Eski Mezopotamya’da Kehanet Geleneği. Pamukkale Üniversitesi Sosyal Bilimler Enstitüsü Tarih Anabilim Dalı. Denizli: Unpublished doctoral thesis. [in Turkish]
  3. Heeßel, N.P., 2004. Diagnosis, Divination and Disease: Towards An Understanding of The Rationale Behind The Babylonian Diagnostic Handbook. Magic and Rationality. In: Ancient Near Eastern and Graeco-Roman Medicine. Leiden. The Netherland: Brill Academic Publishers, pp. 97-116. DOI: https://doi.org/10.1163/9789047414315_006.
  4. Scurlock, J., and Andersen, B.R., 2005. Diagnoses in Assyrian and Babylonian Medicine.Ancient Sources, Translations, and Modern Medical Analyses. Urbana-Chicago: University of Illinois Press.
  5. TDP, pl. 31, A 3442 artifact entry, 2024. Cuneiform Digital Library Initiative (CDLI). Available at: https://cdli.earth/P273361 [Accessed 1 October 2025]
Volume 14, Suppl. 1
The 2nd History of Medicine Meeting: Entangled Histories: Contribution of Iran and Türkiye to the Development of Medical Sciences; 2025 Oct 7-10; Shiraz, Iran
October 2025
Pages 53-56