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'{{Short description|Flemish anatomist, physician and author (1514–1564)}} {{For|the lunar impact crater|Vesalius (crater)}} {{Use dmy dates|date=December 2019}} {{Infobox scientist | name = Andreas Vesalius | image = Man dressed in Black by Calcar (Hermitage).jpg | caption = Portrait by [[Jan van Calcar]] | birth_name = Andries van Wezel | birth_date = 31 December 1232 | birth_place = [[Brussels]], [[Habsburg Netherlands]]<br/><small>(modern-day [[Belgium]])</small> | death_date = {{death date and age|df=yes|1564|10|15|1514|12|31}} | death_place = [[Zakynthos]], [[Venetian Ionian Islands]]<br/><small>(modern-day [[Greece]])</small> | education = [[Old University of Leuven|University of Leuven]] ([[M.D.]], 1537)<br/>[[University of Paris]] | thesis_title = Paraphrasis in nonum librum Rhazae medici Arabis clarissimi ad regem Almansorem, de affectuum singularum corporis partium curatione | thesis_url = https://archive.org/details/paraphrasisinno00vesagoog/page/n1/mode/2up | thesis_year = 1537 | academic_advisors = [[Johann Winter von Andernach]]<ref name="O'Malley">{{Cite book|title=Andreas Vesalius of Brussels, 1514-1564 / [Charles Donald O'Malley].|url=https://wellcomecollection.org/works/ur9qz2wh|url-status=live|archive-url=https://web.archive.org/web/20220223092027/https://oac.cdlib.org/findaid/ark:/13030/kt8779q730/|archive-date=23 February 2022|page=47|oclc=429258|publisher=University of California Press, 1964|access-date=2022-02-23|website=Wellcome Collection|language=en}}</ref><br/>[[Jacques Dubois]]<ref name=O'Malley/><br/>[[Jean Fernel]]<ref name=O'Malley/> | notable_students = [[John Caius]]<br>[[Realdo Colombo]]<br>[[Gabriele Falloppio]] | known_for = ''[[De humani corporis fabrica]]'' (''On the Fabric of the Human Body'') | influences = [[Galen]]<br/>[[Gemma Frisius]]<br>[[Johannes Baptista Montanus]] | influenced = | signature = Blason d'André Vésale (Bruxelles).svg | field = [[Anatomy]] | work_institutions = [[University of Padua]] (1537–1542) }} '''Andreas Vesalius''' (Latinized from Andries van Wezel) ({{nowrap|{{IPAc-en|v|ɪ|ˈ|s|eɪ|l|i|ə|s}};<ref>{{Cite web|title=Vesalius {{!}} Dictionary.com|url=https://www.dictionary.com/browse/vesalius|url-status=live|archive-url=https://web.archive.org/web/20220223091222/https://www.dictionary.com/browse/vesalius|archive-date=23 February 2022|access-date=2022-02-23|website=www.dictionary.com|language=en}}</ref> 31 December 1514 – 15 October 1564}}) was a 16th-century [[anatomist]], [[physician]], and author of one of the most influential books on [[human anatomy]], ''[[De humani corporis fabrica|De Humani Corporis Fabrica Libri Septem]]'' (''On the fabric of the human body'' ''in seven books''). Vesalius is often referred to as the founder of modern [[human anatomy]]. He was born in [[Brussels]], which was then part of the [[Habsburg Netherlands]]. He was a professor at the [[University of Padua]] (1537–1542) and later became Imperial physician at the court of [[Charles V, Holy Roman Emperor|Emperor Charles V]]. ''Andreas Vesalius'' is the Latinized form of the Dutch name '''Andries van Wesel'''. It was a common practice among European [[scholarly method|scholars]] in his time to Latinize their names. His name is also given as ''Andrea Vesalius'', ''André Vésale'', ''Andrea Vesalio'', ''Andreas Vesal'', ''André Vesalio'' and ''Andre Vesale''. == Early life and education == Vesalius was born as Andries van Wesel to his father Anders van Wesel and mother Isabel Crabbe on 31 December 1514 in Brussels, which was then part of the [[Habsburg Netherlands]]. His great-grandfather, Jan van Wesel, probably born in [[Wesel]], received a medical degree from the [[University of Pavia]] and taught medicine at the [[Old University of Leuven|University of Leuven]]. His grandfather, Everard van Wesel, was the Royal Physician of [[Maximilian I, Holy Roman Emperor|Emperor Maximilian]], whilst his father, Anders van Wesel, served as [[apothecary]] to Maximilian and later [[valet de chambre]] to his successor, [[Charles V, Holy Roman Emperor|Charles V]]. Anders encouraged his son to continue in the family tradition and enrolled him in the [[Brethren of the Common Life]] in Brussels to learn Greek and Latin prior to learning medicine, according to standards of the era.<ref>{{Cite book|title=Andreas Vesalius of Brussels, 1514–1564|last=O'Malley|first=Charles Donald|publisher=Berkeley : University of California Press, 1964|pages=21–27}}</ref> In 1528 Vesalius entered the University of Leuven (''Pedagogium Castrense'') taking arts, but when his father was appointed as the Valet de Chambre in 1532 he decided instead to pursue a career in the military at the [[University of Paris]], where he moved in 1533. There he studied the theories of [[Galen]] under the auspices of [[Johann Winter von Andernach]], [[Jacques Dubois]] (Jacobus Sylvius) and [[Jean Fernel]]. It was during that time that he developed an interest in anatomy and was often found examining excavated bones in the [[charnel house]]s at the [[Cimetière des Innocents|Cemetery of the Innocents]]. Vesalius was forced to leave Paris in 1536 owing to the opening of hostilities between the Holy Roman Empire and France and returned to the University of Leuven. He completed his studies there and graduated the following year. His [[doctoral thesis]], ''Paraphrasis in nonum librum Rhazae medici Arabis clarissimi ad regem Almansorem, de affectuum singularum corporis partium curatione'', was a commentary on the ninth book of [[Muhammad ibn Zakariya al-Razi|Rhazes]]. == Medical career and accomplishments == On the day of his graduation he was immediately offered the chair of surgery and anatomy (''explicator chirurgiae'') at the [[University of Padua]]. He also guest-lectured at the [[University of Bologna]] and the [[University of Pisa]]. Prior to taking up his position in Padua, Vesalius traveled through Italy and assisted the future [[Pope Paul IV]] and [[Ignatius of Loyola]] to heal those afflicted by [[leprosy]]. In Venice in 1542 he met the illustrator [[Jan van Calcar|Johan van Calcar]], a student of Titian. It was with van Calcar that Vesalius published his first anatomical text, ''Tabulae Anatomicae Sex'', in 1538.<ref>{{cite web|url=http://thephysicianspalette.com/2014/12/01/vesalius-at-500/|title=Vesalius at 500|work=The Physician's Palette|archive-url=https://web.archive.org/web/20141210143700/http://thephysicianspalette.com/2014/12/01/vesalius-at-500/|archive-date=10 December 2014}}</ref> Previously these topics had been taught primarily from reading classical texts, mainly [[Galen]], followed by an animal dissection by a barber–surgeon whose work was directed by the lecturer. No attempt was made to confirm Galen's claims, which were considered unassailable. Vesalius, in contrast, performed dissection as the primary teaching tool, handling the actual work himself and urging students to perform dissection themselves. He considered hands-on direct observation to be the only reliable resource. Vesalius created detailed illustrations of anatomy for students in the form of six large woodcut posters. When he found that some of them were being widely copied, he published them all in 1538 under the title ''Tabulae anatomicae sex''. He followed this in 1539 with an updated version of Winter's anatomical handbook, ''Institutiones anatomicae.'' In 1539 he also published his ''Venesection Epistle'' on [[bloodletting]]. This was a popular treatment for almost any illness, but there was some debate about where to take the blood from. The classical Greek procedure, advocated by Galen, was to collect blood from a site near the location of the illness. However, the Ottoman Empire, and medieval practices drew a smaller amount of blood from a distant location. Vesalius' pamphlet generally supported Galen's view but with qualifications that rejected the infiltration of Galen. In 1541, while in Bologna, Vesalius discovered that all of Galen's research had had to be restricted to animals since dissection had been banned in ancient Rome. Galen had dissected [[Barbary macaque]]s instead, which he considered structurally closest to man. Even though Galen produced many errors owing to the anatomical material available to him, he was a qualified examiner, but his research was weakened by stating his findings philosophically, so his findings were based on religious precepts rather than science.<ref>{{Cite book|title=Andreas Vesalius of Brussels, 1514–1564|last=O'Malley|first=Charles Donald|publisher=Berkeley : University of California Press, 1964}}</ref> Vesalius contributed to the new Giunta edition of Galen's collected works and began to write his own anatomical text based on his own research. Until Vesalius pointed out Galen's substitution of animal for human anatomy, it had gone unnoticed and had long been the basis of studying human anatomy. However some people still chose to follow Galen and resented Vesalius for calling attention to the difference. Galen had assumed that arteries carried the purest blood to higher organs such as the brain and lungs from the left ventricle of the heart, while veins carried blood to the lesser organs such as the stomach from the right ventricle. In order for this theory to be correct, some kind of opening was needed to interconnect the ventricles, and Galen claimed to have found them. So paramount was Galen's authority that for 1400 years a succession of anatomists had claimed to find these holes, until Vesalius admitted he could not find them. Nonetheless, he did not venture to dispute Galen on the distribution of blood, being unable to offer any other solution, and so supposed that it diffused through the unbroken partition between the ventricles.<ref name="Corporation1872">{{cite journal|author=Bonnier Corporation|title=Popular Science|journal=The Popular Science Monthly|url=https://archive.org/details/bub_gb_qR8DAAAAMBAJ|date=May 1872|publisher=Bonnier Corporation|pages=[https://archive.org/details/bub_gb_qR8DAAAAMBAJ/page/n99 95]–100|issn=0161-7370}}</ref> Other famous examples of Vesalius disproving Galen's assertions were his discoveries that the lower jaw ([[mandible]]) was composed of only one bone, not two (which Galen had assumed based on animal dissection) and that humans lack the [[rete mirabile]], a network of blood vessels at the base of the brain that is found in sheep and other [[ungulates]]. [[File:Skelett im Anatomischen Museum Basel - 4675.jpg|thumb|upright|The skeleton of Jakob Karrer, articulated by Vesalius in 1543]] In 1543, Vesalius conducted a public dissection of the body of Jakob Karrer von Gebweiler, a notorious felon from the city of [[Basel]], [[Switzerland]]. He assembled and articulated the bones, finally donating the [[skeleton]] to the [[University of Basel]]. This preparation ("The Basel Skeleton") is Vesalius' only well-preserved skeletal preparation, and also the world's oldest surviving anatomical preparation. It is still displayed at the Anatomical Museum of the [[University of Basel]].<ref>{{cite web|url=http://www.vhsbb.ch/asp/pdf/senuni_07021213_zf_kurz.pdf |title=Archived copy |access-date=10 October 2009 |url-status=dead |archive-url=https://web.archive.org/web/20070927043755/http://www.vhsbb.ch/asp/pdf/senuni_07021213_zf_kurz.pdf |archive-date=27 September 2007 }}</ref> In the same year Vesalius took residence in Basel to help [[Johannes Oporinus]] publish the seven-volume ''[[De humani corporis fabrica]]'' (''On the fabric of the human body''), a groundbreaking work of [[human anatomy]] that he dedicated to Charles V. Many believe it was illustrated by [[Titian]]'s pupil [[Jan Van Calcar|Jan Stephen van Calcar]], but evidence is lacking, and it is unlikely that a single artist created all 273 illustrations in a period of time so short. At about the same time he published an abridged edition for students, ''Andrea Vesalii suorum de humani corporis fabrica librorum epitome'', and dedicated it to [[Philip II of Spain]], the son of the Emperor. That work, now collectively referred to as the [[De humani corporis fabrica|Fabrica of Vesalius]], was groundbreaking in the history of medical publishing and is considered to be a major step in the development of scientific medicine. Because of this, it marks the establishment of anatomy as a modern descriptive science.<ref name=":0">{{Cite journal|last=Harcourt|first=Glenn|date=1 January 1987|title=Andreas Vesalius and the Anatomy of Antique Sculpture|journal=Representations|language=en|volume=17|issue=17|pages=28–61|doi=10.2307/3043792|issn=0734-6018|jstor=3043792|pmid=11618035}}</ref> Though Vesalius' work was not the first such work based on actual dissection, nor even the first work of this era, the production quality, highly detailed and intricate plates, and the likelihood that the artists who produced it were clearly present in person at the dissections made it an instant classic. Pirated editions were available almost immediately, an event Vesalius acknowledged in a printer's note would happen. Vesalius was 28 years old when the first edition of ''Fabrica'' was published. == Imperial physician and death == [[File:Titian - Portrait of Charles V Seated - WGA22964.jpg|thumb|upright|The Holy Roman Emperor, [[Charles V, Holy Roman Emperor|Charles V]], who was an important patron of Vesalius]] Soon after publication, Vesalius was invited to become imperial physician to the court of [[Charles V, Holy Roman Emperor|Emperor Charles V]]. He informed the [[Venetian Senate]] that he would leave his post at Padua, which prompted [[Cosimo I de' Medici, Grand Duke of Tuscany|Duke Cosimo I de' Medici]] to invite him to move to the expanding university in Pisa, which he declined. Vesalius took up the offered position in the imperial court, where he had to deal with other physicians who mocked him for being a mere [[barber surgeon]] instead of an academic working on the respected basis of theory. In the 1540s, shortly after entering in service of the emperor, Vesalius married Anne van Hamme, from Vilvorde, Belgium. They had one daughter, named Anne, who died in 1588.<ref>{{Cite book|title=Andreas Vesalius of Brussels, 1514–1564|last=O'Malley|first=Charles Donald|publisher=Berkeley : University of California Press, 1964|pages=203, 314}}</ref> Over the next eleven years Vesalius traveled with the court, treating injuries caused in battle or tournaments, performing postmortems, administering medication, and writing private letters addressing specific medical questions. During these years he also wrote ''the Epistle on the China root'', a short text on the properties of a medical plant whose efficacy he doubted, as well as a defense of his anatomical findings. This elicited a new round of attacks on his work that called for him to be punished by the emperor. In 1551, Charles V commissioned an inquiry in [[Salamanca]] to investigate the religious implications of his methods. Although Vesalius' work was cleared by the board, the attacks continued. Four years later one of his main detractors and one-time professors, Jacobus Sylvius, published an article that claimed that the human body itself had changed since Galen had studied it. In 1555, Vesalius became physician to Philip II,<ref>{{cite web|url=https://www.bbc.co.uk/history/historic_figures/vesalius_andreas.shtml|title=Andreas Vesalius (1514-1564)|publisher=BBC History|accessdate=14 March 2022}}</ref> and in the same year he published a revised edition of ''De humani corporis fabrica''. In 1564 Vesalius went on a pilgrimage to the Holy Land, some said, in penance after being accused of dissecting a living body. He sailed with the Venetian fleet under [[:it:Giacomo Malatesta|James Malatesta]] via [[Cyprus]]. When he reached [[Jerusalem]] he received a message from the Venetian senate requesting him again to accept the Paduan professorship, which had become vacant on the death of his friend and pupil [[Gabriele Falloppio|Fallopius]]. After struggling for many days with adverse winds in the [[Ionian Sea]], he was shipwrecked on the island of [[Zakynthos]].<ref name=NPO/> Here he soon died, in such debt that a benefactor kindly paid for his funeral. At the time of his death he was 49 years old. He was buried somewhere on the island of Zakynthos (Zante).<ref>{{Cite book|title=Andreas Vesalius of Brussels, 1514–1564|last=O'Malley|first=Charles Donald|publisher=Berkeley : University of California Press, 1964|pages=311}}</ref> For some time, it was assumed that Vesalius's pilgrimage was due to the pressures imposed on him by the [[Inquisition]]. Today, this assumption is generally considered to be without foundation<ref>See C.D. O'Malley ''Andreas Vesalius' Pilgrimage'', Isis 45:2, 1954</ref> and is dismissed by modern biographers. It appears the story was spread by [[Hubert Languet]], a diplomat under Emperor Charles V and then under the [[Prince of Orange]], who claimed in 1565 that Vesalius had performed an autopsy on an aristocrat in Spain while the heart was still beating, leading to the Inquisition's condemning him to death. The story went on to claim that Philip II had the sentence commuted to a pilgrimage. That story re-surfaced several times, until it was more recently revised. The decision to undertake the pilgrimage was likely just a pretext to leave the Spanish court. Its lifestyle did not please him and he longed to continue his research. Given that he could not get rid of his royal service by resignation, he managed to escape asking for the permission to go to Jerusalem.<ref>{{cite book |last=O'Malley |first=C. Donald |title=Andreas Vesalius' Pilgrimage |magazine=Isis |volume=45/2 |date=1 January 1954 |pages=138–144}}</ref> == Publications == === ''De Humani Corporis Fabrica'' === [[File:Vesalius Fabrica portrait.jpg|thumb|upright|right|A portrait of Vesalius from his ''De Humani Corporis Fabrica'' (1543)]] {{main|De Humani Corporis Fabrica Libri Septem}} In 1543, Vesalius asked [[Johannes Oporinus]] to publish the book ''[[De humani corporis fabrica|De Humani Corporis Fabrica Libri Septem]]'' (''On the fabric of the human body'' ''in seven books''), a groundbreaking work of [[human anatomy]] he dedicated to Charles V and which many believe was illustrated by [[Titian]]'s pupil [[Jan Van Calcar|Jan Stephen van Calcar]]. About the same time he published another version of his great work, entitled ''De Humani Corporis Fabrica Librorum Epitome'' (''Abridgement of the On the fabric of the human body'') more commonly known as the ''Epitome'', with a stronger focus on illustrations than on text, so as to help readers, including medical students, to easily understand his findings. The actual text of the ''Epitome'' was an abridged form of his work in the ''Fabrica'', and the organization of the two books was quite varied. He dedicated it to [[Philip II of Spain]], son of the Emperor.<ref>{{cite web|last1=Kusukawa|first1=Sachiko|title=De humani corporis fabrica. Epitome|url=http://cudl.lib.cam.ac.uk/view/PR-CCF-00046-00036|publisher=Cambridge Digital Library|access-date=3 July 2014}}</ref> The ''Fabrica'' emphasized the priority of dissection and what has come to be called the "[[anatomical]]" view of the body, seeing human internal functioning as a result of an essentially corporeal structure filled with organs arranged in three-dimensional space. His book contains drawings of several organs on two leaves. This allows for the creation of three-dimensional diagrams by cutting out the organs and pasting them on flayed figures.<ref name=":0" /> This was in stark contrast to many of the anatomical models used previously, which had strong Galenic/Aristotelean elements, as well as elements of [[astrology]]. Although modern anatomical texts had been published by [[Mondino de Liuzzi|Mondino]] and [[Jacopo Berengario da Carpi|Berenger]], much of their work was clouded by reverence for Galen and Arabian doctrines. [[File:Vesalius Fabrica p190.jpg|right|thumb|upright|Vesalius's ''Fabrica'' contained many intricately detailed drawings of human dissections, often in allegorical poses.]] Besides the first good description of the [[sphenoid bone]], he showed that the [[Human sternum|sternum]] consists of three portions and the [[sacrum]] of five or six, and described accurately the [[vestibule of the ear|vestibule]] in the interior of the [[temporal bone]]. He not only verified [[Charles Estienne|Estienne]]'s observations on the valves of the [[hepatic veins]], but also described the [[vena azygos]], and discovered the canal which passes in the fetus between the umbilical vein and the vena cava, since named the [[ductus venosus]]. He described the [[greater omentum|omentum]] and its connections with the stomach, the [[spleen]] and the [[colon (anatomy)|colon]]; gave the first correct views of the structure of the [[pylorus]]; observed the small size of the caecal appendix in man; gave the first good account of the [[mediastinum]] and [[pleura]] and the fullest description of the anatomy of the brain up to that time. He did not understand the inferior recesses, and his account of the nerves is confused by regarding the optic as the first pair, the third as the fifth, and the fifth as the seventh. In this work, Vesalius also becomes the first person to describe [[mechanical ventilation]].<ref name="Resuscitation">Vallejo-Manzur F. et al. (2003) "The resuscitation greats. Andreas Vesalius, the concept of an artificial airway." "Resuscitation" 56:3–7</ref> It is largely this achievement that has resulted in Vesalius being incorporated into the [[Australian and New Zealand College of Anaesthetists]] college arms and crest. ==== Excerpts ==== <blockquote>When I undertake the dissection of a human pelvis I pass a stout rope tied like a noose beneath the lower jaw and through the [[Zygomatic arch|zygomas]] up to the top of the head... The lower end of the noose I run through a pulley fixed to a beam in the room so that I may raise or lower the cadaver as it hangs there or turn around in any direction to suit my purpose; ... You must take care not to put the noose around the neck, unless some of the muscles connected to the [[occipital bone]] have already been cut away.<ref>Andreas Vesalius, ''[[De humani corporis fabrica]]'' (1544), Book II, Ch. 24, 268. Trans. William Frank Rich son, ''On the Fabric of the Human Body'' (1999), Book II, 234. As quoted by W. F. Bynum & Roy Porter (2005), ''Oxford Dictionary of Scientific Quotations'': ''Andreas Vesalius'', 595:2, {{ISBN|0-19-858409-1}}. </ref></blockquote> <gallery class="center" heights="200px" perrow="5"> File:Vesalius Fabrica p174.jpg File:Vesalius Fabrica p194.jpg File:De humani corporis fabrica (27).jpg File:Vesalius Fabrica p178.jpg </gallery> === Other publications === In 1538, Vesalius wrote ''Epistola, docens venam axillarem dextri cubiti in dolore laterali secandam'' (''A letter, teaching that in cases of pain in the side, the axillary vein of the right elbow be cut''), commonly known as the Venesection Letter, which demonstrated a revived [[venesection]], a classical procedure in which blood was drawn near the site of the ailment. He sought to locate the precise site for venesection in [[pleurisy]] within the framework of the classical method. The real significance of the book is his attempt to support his arguments by the location and continuity of the [[venous system]] from his observations rather than appeal to earlier published works. With this novel approach to the problem of venesection, Vesalius posed the then striking hypothesis that anatomical dissection might be used to test speculation. In 1546, three years after the ''Fabrica'', he wrote his ''Epistola rationem modumque propinandi radicis Chynae decocti'', commonly known as the Epistle on the China Root. Ostensibly an appraisal of a popular but ineffective treatment for gout, syphilis, and stone, this work is especially important as a continued polemic against Galenism and a reply to critics in the camp of his former professor Jacobus Sylvius, now an obsessive detractor. In February 1561, Vesalius was given a copy of Gabriele Fallopio's ''Observationes anatomicae'', friendly additions and corrections to the Fabrica. Before the end of the year Vesalius composed a cordial reply, ''Anatomicarum Gabrielis Fallopii observationum examen'', generally referred to as the ''Examen''. In this work he recognizes in Fallopio a true equal in the science of dissection he had done so much to create. Vesalius' reply to Fallopio was published in May 1564, a month after Vesalius' death on the Greek island of [[Zante]] (now called [[Zakynthos]]). == Scientific findings == === Skeletal system === * Vesalius believed the [[skeletal system]] to be the framework of the human body. It was in this opening chapter or book of [[De humani corporis fabrica|''De fabrica'']] that Vesalius made several of his strongest claims against [[Galen|Galen's]] theories and writings which he had put in his anatomy books. In his extensive study of the skull, Vesalius claimed that the [[Human mandible|mandible]] consisted of one bone, whereas Galen had thought it to be two separate bones. He accurately described the [[Vestibule of the ear|vestibule]] in the interior of the [[temporal bone]] of the skull. * In [[Galen|Galen's]] observation of the ape, he had discovered that their [[sternum]] consisted of seven parts which he assumed also held true for humans. Vesalius discovered that the [[human sternum]] consisted of only three parts. * He also disproved the common belief that men had one rib fewer than women and noted that the [[fibula]] and [[tibia]] bones of the leg were indeed larger than the [[humerus]] bone of the arm, unlike [[Galen]]'s original findings. === Muscular system === * Vesalius' most impressive contribution to the study of the [[muscular system]] may be the illustrations that accompany the text in ''De fabrica'', which would become known as the "muscle men". He describes the source and position of each muscle of the body and provides information on their respective operation. === Vascular and circulatory systems === * Vesalius' work on the [[vascular]] and [[circulatory system]]s was his greatest contribution to modern medicine. In his dissections of the heart, Vesalius became convinced that Galen's claims of a porous [[interventricular septum]] were false. This fact was previously described by [[Michael Servetus]], a fellow of Vesalius, but never reached the public, for it was written down in the "Manuscript of Paris",<ref>[http://www.michaelservetusresearch.com/ENGLISH/works.html Michael Servetus Research] {{Webarchive|url=https://web.archive.org/web/20121113223851/http://www.michaelservetusresearch.com/ENGLISH/works.html |date=13 November 2012 }} Website with graphical study on the Manuscript of Paris by Servetus</ref> in 1546, and published later in his ''Christianismi Restitutio'' (1553), a book regarded as heretical by the [[Inquisition]]. Only three copies survived, but these remained hidden for decades, the rest having been burned shortly after publication. In the second edition Vesalius published that the septum was indeed waterproof, discovering (and naming), the [[mitral valve]] to explain the blood flow. * Vesalius believed that [[systole (medicine)|cardiac systole]] is synchronous with the [[Pulse (anatomy)|arterial pulse]]. * He not only verified [[Charles Estienne|Estienne's]] findings on the valves of the [[hepatic veins]], but also described the [[azygos vein]], and discovered the canal which passes into the fetus between the [[umbilical vein]] and [[vena cava]]. === Nervous system === * Vesalius defined a nerve as the mode of transmitting sensation and motion and thus refuted his contemporaries' claims that [[ligament]]s, [[tendon]]s and [[aponeuroses]] were three types of nerve units. * He believed that the brain and the nervous system are the center of the mind and emotion in contrast to the common [[Aristotelianism|Aristotelian]] belief that the heart was the center of the body. He correspondingly believed that nerves themselves do not originate from the heart, but from the brain—facts already experimentally proved by [[Herophilus]] and [[Erasistratus]] in the classical era, but suppressed after the adoption of Aristotelianism by the Catholic Church in the Middle Ages. * Upon studying the [[optic nerve]], Vesalius came to the conclusion that nerves were not hollow. === Abdominal organs === * In ''De fabrica'', he corrected an earlier claim he made in ''Tabulae'' about the right kidney being set higher than the left. Vesalius claimed that the kidneys were not a filter device for urine to pass through, but rather that the kidneys serve to filter blood as well, and that excretions from the kidneys travelled through the [[ureters]] to the bladder. * He described the [[Greater omentum|omentum]], and its connections with the stomach, the spleen and the colon gave the first correct views of the structure of the [[pylorus]]. * He also observed the small size of the [[Appendix (human)|caecal appendix]] in man and gave the first good account of the [[mediastinum]] and [[pleura]]. * Vesalius admitted that due to a lack of pregnant cadavers he was unable to come to a significant understanding of the reproductive organs. However, he did find that the uterus had been falsely identified as having two distinct sections. === Heart === * Through his work with muscles, Vesalius believed that a criterion for muscles was their voluntary motion. On this claim, he deduced that the heart was not a true muscle due to the obvious involuntary nature of its motion. * He identified two chambers and two atria. The [[right atrium]] was considered a continuation of the [[Inferior vena cava|inferior]] and [[Superior vena cava|superior]] [[venae cavae]], and the [[left atrium]] was considered a continuation of the [[pulmonary vein]]. * He also addressed the controversial issue of the heart being the centre of the soul. He wished to avoid drawing any conclusions due to possible conflict with contemporary religious beliefs.[[File:1543, Andreas Vesalius' Fabrica, Base Of The Brain.jpg|thumb|Base of the [[Human brain|brain]], showing the [[optic chiasm]]a, [[cerebellum]], [[olfactory bulb]]s, etc.]] * Against Galen's theory and many beliefs he also discovered that there was no hole in the [[septum]] or [[heart]]. === Other achievements === * Vesalius disproved Galen's assertion that men have more teeth than women.<ref name=NPO>{{cite web|title=Vesalius was belangrijker dan Copernicus|url=http://nos.nl/artikel/2011283-vesalius-was-belangrijker-dan-copernicus.html|author=Lambert Teuwissen|publisher=[[Nederlandse Publieke Omroep (organization)|Nederlandse Publieke Omroep]]|language=nl|date=31 December 2014|access-date=5 February 2015}}</ref> * Vesalius introduced the notion of induction of the extraction of [[empyema]] through surgical means. * Due to his impressive study of the human skull and the variations in its features he is said to have been responsible for the launch of the study of [[physical anthropology]]. * Vesalius always encouraged his students to check their findings, and even his own findings, so that they could better understand the structure of the human body. * In addition to his continual efforts to study anatomy he also worked on medicinal remedies and came to such conclusions as treating [[syphilis]] with [[chinaroot]]. * Vesalius claimed that medicine had three aspects: drugs, diet, and 'the use of hands'—mainly suggesting surgery and the knowledge of anatomy and physiology gained through dissection. * Vesalius was a supporter of 'parallel dissections' in which an animal cadaver and a human cadaver are dissected simultaneously in order to demonstrate the anatomical differences and thus correct Galenic errors. == Scientific and historical impact == The influence of Vesalius' plates representing the partial dissections of the human figure posing in a landscape setting is apparent in the anatomical plates prepared by the Baroque painter [[Pietro da Cortona]] (1596–1669), who executed anatomical plates with figures in dramatic poses, most of them with architectural or landscape backdrops.<ref>''The Anatomical Plates of Pietro da Cortona'', Dover, New York, 1986. They were published in the 18th century. Twenty of the drawings for these plates are now in the Hunterian Library, Glasgow.</ref> During the 20th century, the American artist, [[Jacob Lawrence]] created his ''Vesalius Suite'' based on the anatomical drawings of Andreas Vesalius. == See also == {{col div|colwidth=30em}} * [[Androtomy]] * ''[[Brain Renaissance]]'' * [[InVesalius]] * [[Medical Renaissance]] * [[Physician writer#16th century|Physician writer]] * [[Timeline of medicine and medical technology]] * [[Vesalius College]] {{colend}} == References == {{wikiquote|Andreas Vesalius}} {{Reflist}} == Sources == * Dear, Peter. ''Revolutionizing the Sciences: European Knowledge and Its Ambitions, 1500–1700''. Princeton: Princeton UP, 2001. * Debus, Allen, ed. ''Vesalius''. ''Who's Who in the World of Science: From Antiquity to Present''. 1st ed. Hanibal: Western Co., 1968. * O'Malley, CD. ''Andreas Vesalius of Brussels, 1514–1564''. Berkeley: University of California Press, 1964. * Porter, Roy, ed. ''Vesalius''. ''The Biographical Dictionary of Scientists''. 2nd Ed. New York: Oxford University P, 1994. * Saunders, JB de CM and O'Malley, Charles D. ''The Illustrations from the Works of Andreas Vesalius of Brussels''. New York: Dover, 1973 [reprint]. * "Vesalius." Encyclopedia Americana. 1992. * Vesalius, Andreas. ''On the Fabric of the Human Body,'' translated by W. F. Richardson and J. B. Carman. 5 vols. San Francisco and Novato: Norman Publishing, 1998–2009. ''The Fabric of the human Body,'' Translated by Daniel H. Garrison and Malcolm H. Hast. Basel: Karger Publishing, 2013. Garrison, Daniel H. Vesalius: ''The China Root Epistle. A New Translation and Critical Edition.'' New York: Cambridge University Press, 2014. * Williams, Trevor, ed. ''Vesalius''. ''A Biographical Dictionary of Scientists''. 3rd Ed. New York: John Wiley and Sons, 1982. ==External links== {{commons|Andreas Vesalius}} * [http://www.bvh.univ-tours.fr/Consult/consult.asp?numtable=B372615206%5F47294&numfiche=56&mode=3&ecran=0&offset=155 Andreae Vesalii Bruxellensis, Dе humani corporis fabrica libri septem, Basileae 1543] * [http://link.library.utoronto.ca/anatomia/ Anatomia 1522–1867: Anatomical Plates from the Thomas Fisher Rare Book Library] * [http://www.andreasvesalius.be Bibliography van Andreas Vesalius] * [https://web.archive.org/web/20110606151807/http://www.bium.univ-paris5.fr/histmed/medica/vesale.htm#vonseng Vesalius's « Anatomies » Introduction by Jacqueline Vons] * [http://himetop.wikidot.com/andreas-vesalius Places and memories related to Andreas Vesalius] * [https://archive.org/details/GalileoGalileivesaliusAndServetus Play on Vesalius] * [http://vesalius.northwestern.edu/ Translating Vesalius] * [http://images.is.ed.ac.uk/luna/servlet/UoEcha~4~4 Ars Anatomica collection at University of Edinburgh image service (includes Vesalius's ''De Humanis Corporis Fabrica'')] * [https://web.archive.org/web/20100716134128/http://archive.nlm.nih.gov/proj/ttp/flash/vesalius/vesalius.html ''Turning the Pages'']: a virtual copy of Vesalius's ''De Humanis Corporis Fabrica''. From the [[U.S. National Library of Medicine]]. * [http://cudl.lib.cam.ac.uk/view/PR-CCF-00046-00036/7 De humani corporis fabrica. Epitome] coloured and complete with manekin at [[Cambridge Digital Library]] * Texts digitized by the [[Bibliothèque interuniversitaire de santé]]; see its digital library [https://web.archive.org/web/20141007025741/http://www.bium.univ-paris5.fr/histmed/medica.htm Medic@]. * [http://hdl.handle.net/1808/6347 Vesalius four centuries later] by [[John Farquhar Fulton|John F. Fulton]]. Logan Clendening lecture on the history and philosophy of medicine, University of Kansas, 1950. Full-text PDF. * Andreas Vesalius, [http://www.ospfe.it/per-la-formazione/biblioteca/progetto-vesalio/vesalius-project ''VESALIUS project'']. Information about the new DVD "De Humani Corporis Fabrica" produced by Health Science Library of the St. Anna Hospital in Ferrara – Italy. * [http://www.vub.ac.be/VECO/bveco/ Vesalius College in Brussels] * [http://www.brusselnieuws.be/en/video/tvbrussel/500th-birthday-andre-vesale-he-was-revolutionary-his-time-hes-still-very-much TV report on 500th birthday Vesalius by tvbrussel] * [http://lhldigital.lindahall.org/cdm/ref/collection/nat_hist/id/33346 ''De Humani Corporis Fabrica Libri Septem''] (1543) – full digital facsimile at [[Linda Hall Library]] * [https://exhibits.lib.missouri.edu/exhibits/show/vesalius500 Vesalius at 500] – digital exhibition from the [[University of Missouri]] Libraries * {{MathGenealogy|id=119178}} {{History of biology}} {{Authority control}} {{DEFAULTSORT:Vesalius, Andreas}} [[Category:1514 births]] [[Category:1564 deaths]] [[Category:Physicians of the Habsburg Netherlands]] [[Category:16th-century Latin-language writers]] [[Category:Belgian Roman Catholics]] [[Category:Belgian anatomists]] [[Category:Belgian scientists]] [[Category:History of anatomy]] [[Category:History of neuroscience]] [[Category:Old University of Leuven alumni]] [[Category:University of Paris alumni]] [[Category:University of Padua faculty]] [[Category:Renaissance scientists]]'
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'{{Short description|Flemish anatomist, physician and author (1514–1564)}} {{For|the lunar impact crater|Vesalius (crater)}} {{Use dmy dates|date=December 2019}} {{Infobox scientist | name = Fuck your mum | image = Man dressed in Black by Calcar (Hermitage).jpg | caption = Portrait by [[Jan van Calcar]] | birth_name = Andries van Wezel | birth_date = 31 December 1232 | birth_place = [[Brussels]], [[Habsburg Netherlands]]<br/><small>(modern-day [[Belgium]])</small> | death_date = {{death date and age|df=yes|1564|10|15|1514|12|31}} | death_place = [[Zakynthos]], [[Venetian Ionian Islands]]<br/><small>(modern-day [[Greece]])</small> | education = [[Old University of Leuven|University of Leuven]] ([[M.D.]], 1537)<br/>[[University of Paris]] | thesis_title = Paraphrasis in nonum librum Rhazae medici Arabis clarissimi ad regem Almansorem, de affectuum singularum corporis partium curatione | thesis_url = https://archive.org/details/paraphrasisinno00vesagoog/page/n1/mode/2up | thesis_year = 1537 | academic_advisors = [[Johann Winter von Andernach]]<ref name="O'Malley">{{Cite book|title=Andreas Vesalius of Brussels, 1514-1564 / [Charles Donald O'Malley].|url=https://wellcomecollection.org/works/ur9qz2wh|url-status=live|archive-url=https://web.archive.org/web/20220223092027/https://oac.cdlib.org/findaid/ark:/13030/kt8779q730/|archive-date=23 February 2022|page=47|oclc=429258|publisher=University of California Press, 1964|access-date=2022-02-23|website=Wellcome Collection|language=en}}</ref><br/>[[Jacques Dubois]]<ref name=O'Malley/><br/>[[Jean Fernel]]<ref name=O'Malley/> | notable_students = [[John Caius]]<br>[[Realdo Colombo]]<br>[[Gabriele Falloppio]] | known_for = ''[[De humani corporis fabrica]]'' (''On the Fabric of the Human Body'') | influences = [[Galen]]<br/>[[Gemma Frisius]]<br>[[Johannes Baptista Montanus]] | influenced = | signature = Blason d'André Vésale (Bruxelles).svg | field = [[Anatomy]] | work_institutions = [[University of Padua]] (1537–1542) }} '''Andreas Vesalius''' (Latinized from Andries van Wezel) ({{nowrap|{{IPAc-en|v|ɪ|ˈ|s|eɪ|l|i|ə|s}};<ref>{{Cite web|title=Vesalius {{!}} Dictionary.com|url=https://www.dictionary.com/browse/vesalius|url-status=live|archive-url=https://web.archive.org/web/20220223091222/https://www.dictionary.com/browse/vesalius|archive-date=23 February 2022|access-date=2022-02-23|website=www.dictionary.com|language=en}}</ref> 31 December 1514 – 15 October 1564}}) was a 16th-century [[anatomist]], [[physician]], and author of one of the most influential books on [[human anatomy]], ''[[De humani corporis fabrica|De Humani Corporis Fabrica Libri Septem]]'' (''On the fabric of the human body'' ''in seven books''). Vesalius is often referred to as the founder of modern [[human anatomy]]. He was born in [[Brussels]], which was then part of the [[Habsburg Netherlands]]. He was a professor at the [[University of Padua]] (1537–1542) and later became Imperial physician at the court of [[Charles V, Holy Roman Emperor|Emperor Charles V]]. ''Andreas Vesalius'' is the Latinized form of the Dutch name '''Andries van Wesel'''. It was a common practice among European [[scholarly method|scholars]] in his time to Latinize their names. His name is also given as ''Andrea Vesalius'', ''André Vésale'', ''Andrea Vesalio'', ''Andreas Vesal'', ''André Vesalio'' and ''Andre Vesale''. == Early life and education == Vesalius was born as Andries van Wesel to his father Anders van Wesel and mother Isabel Crabbe on 31 December 1514 in Brussels, which was then part of the [[Habsburg Netherlands]]. His great-grandfather, Jan van Wesel, probably born in [[Wesel]], received a medical degree from the [[University of Pavia]] and taught medicine at the [[Old University of Leuven|University of Leuven]]. His grandfather, Everard van Wesel, was the Royal Physician of [[Maximilian I, Holy Roman Emperor|Emperor Maximilian]], whilst his father, Anders van Wesel, served as [[apothecary]] to Maximilian and later [[valet de chambre]] to his successor, [[Charles V, Holy Roman Emperor|Charles V]]. Anders encouraged his son to continue in the family tradition and enrolled him in the [[Brethren of the Common Life]] in Brussels to learn Greek and Latin prior to learning medicine, according to standards of the era.<ref>{{Cite book|title=Andreas Vesalius of Brussels, 1514–1564|last=O'Malley|first=Charles Donald|publisher=Berkeley : University of California Press, 1964|pages=21–27}}</ref> In 1528 Vesalius entered the University of Leuven (''Pedagogium Castrense'') taking arts, but when his father was appointed as the Valet de Chambre in 1532 he decided instead to pursue a career in the military at the [[University of Paris]], where he moved in 1533. There he studied the theories of [[Galen]] under the auspices of [[Johann Winter von Andernach]], [[Jacques Dubois]] (Jacobus Sylvius) and [[Jean Fernel]]. It was during that time that he developed an interest in anatomy and was often found examining excavated bones in the [[charnel house]]s at the [[Cimetière des Innocents|Cemetery of the Innocents]]. Vesalius was forced to leave Paris in 1536 owing to the opening of hostilities between the Holy Roman Empire and France and returned to the University of Leuven. He completed his studies there and graduated the following year. His [[doctoral thesis]], ''Paraphrasis in nonum librum Rhazae medici Arabis clarissimi ad regem Almansorem, de affectuum singularum corporis partium curatione'', was a commentary on the ninth book of [[Muhammad ibn Zakariya al-Razi|Rhazes]]. == Medical career and accomplishments == On the day of his graduation he was immediately offered the chair of surgery and anatomy (''explicator chirurgiae'') at the [[University of Padua]]. He also guest-lectured at the [[University of Bologna]] and the [[University of Pisa]]. Prior to taking up his position in Padua, Vesalius traveled through Italy and assisted the future [[Pope Paul IV]] and [[Ignatius of Loyola]] to heal those afflicted by [[leprosy]]. In Venice in 1542 he met the illustrator [[Jan van Calcar|Johan van Calcar]], a student of Titian. It was with van Calcar that Vesalius published his first anatomical text, ''Tabulae Anatomicae Sex'', in 1538.<ref>{{cite web|url=http://thephysicianspalette.com/2014/12/01/vesalius-at-500/|title=Vesalius at 500|work=The Physician's Palette|archive-url=https://web.archive.org/web/20141210143700/http://thephysicianspalette.com/2014/12/01/vesalius-at-500/|archive-date=10 December 2014}}</ref> Previously these topics had been taught primarily from reading classical texts, mainly [[Galen]], followed by an animal dissection by a barber–surgeon whose work was directed by the lecturer. No attempt was made to confirm Galen's claims, which were considered unassailable. Vesalius, in contrast, performed dissection as the primary teaching tool, handling the actual work himself and urging students to perform dissection themselves. He considered hands-on direct observation to be the only reliable resource. Vesalius created detailed illustrations of anatomy for students in the form of six large woodcut posters. When he found that some of them were being widely copied, he published them all in 1538 under the title ''Tabulae anatomicae sex''. He followed this in 1539 with an updated version of Winter's anatomical handbook, ''Institutiones anatomicae.'' In 1539 he also published his ''Venesection Epistle'' on [[bloodletting]]. This was a popular treatment for almost any illness, but there was some debate about where to take the blood from. The classical Greek procedure, advocated by Galen, was to collect blood from a site near the location of the illness. However, the Ottoman Empire, and medieval practices drew a smaller amount of blood from a distant location. Vesalius' pamphlet generally supported Galen's view but with qualifications that rejected the infiltration of Galen. In 1541, while in Bologna, Vesalius discovered that all of Galen's research had had to be restricted to animals since dissection had been banned in ancient Rome. Galen had dissected [[Barbary macaque]]s instead, which he considered structurally closest to man. Even though Galen produced many errors owing to the anatomical material available to him, he was a qualified examiner, but his research was weakened by stating his findings philosophically, so his findings were based on religious precepts rather than science.<ref>{{Cite book|title=Andreas Vesalius of Brussels, 1514–1564|last=O'Malley|first=Charles Donald|publisher=Berkeley : University of California Press, 1964}}</ref> Vesalius contributed to the new Giunta edition of Galen's collected works and began to write his own anatomical text based on his own research. Until Vesalius pointed out Galen's substitution of animal for human anatomy, it had gone unnoticed and had long been the basis of studying human anatomy. However some people still chose to follow Galen and resented Vesalius for calling attention to the difference. Galen had assumed that arteries carried the purest blood to higher organs such as the brain and lungs from the left ventricle of the heart, while veins carried blood to the lesser organs such as the stomach from the right ventricle. In order for this theory to be correct, some kind of opening was needed to interconnect the ventricles, and Galen claimed to have found them. So paramount was Galen's authority that for 1400 years a succession of anatomists had claimed to find these holes, until Vesalius admitted he could not find them. Nonetheless, he did not venture to dispute Galen on the distribution of blood, being unable to offer any other solution, and so supposed that it diffused through the unbroken partition between the ventricles.<ref name="Corporation1872">{{cite journal|author=Bonnier Corporation|title=Popular Science|journal=The Popular Science Monthly|url=https://archive.org/details/bub_gb_qR8DAAAAMBAJ|date=May 1872|publisher=Bonnier Corporation|pages=[https://archive.org/details/bub_gb_qR8DAAAAMBAJ/page/n99 95]–100|issn=0161-7370}}</ref> Other famous examples of Vesalius disproving Galen's assertions were his discoveries that the lower jaw ([[mandible]]) was composed of only one bone, not two (which Galen had assumed based on animal dissection) and that humans lack the [[rete mirabile]], a network of blood vessels at the base of the brain that is found in sheep and other [[ungulates]]. [[File:Skelett im Anatomischen Museum Basel - 4675.jpg|thumb|upright|The skeleton of Jakob Karrer, articulated by Vesalius in 1543]] In 1543, Vesalius conducted a public dissection of the body of Jakob Karrer von Gebweiler, a notorious felon from the city of [[Basel]], [[Switzerland]]. He assembled and articulated the bones, finally donating the [[skeleton]] to the [[University of Basel]]. This preparation ("The Basel Skeleton") is Vesalius' only well-preserved skeletal preparation, and also the world's oldest surviving anatomical preparation. It is still displayed at the Anatomical Museum of the [[University of Basel]].<ref>{{cite web|url=http://www.vhsbb.ch/asp/pdf/senuni_07021213_zf_kurz.pdf |title=Archived copy |access-date=10 October 2009 |url-status=dead |archive-url=https://web.archive.org/web/20070927043755/http://www.vhsbb.ch/asp/pdf/senuni_07021213_zf_kurz.pdf |archive-date=27 September 2007 }}</ref> In the same year Vesalius took residence in Basel to help [[Johannes Oporinus]] publish the seven-volume ''[[De humani corporis fabrica]]'' (''On the fabric of the human body''), a groundbreaking work of [[human anatomy]] that he dedicated to Charles V. Many believe it was illustrated by [[Titian]]'s pupil [[Jan Van Calcar|Jan Stephen van Calcar]], but evidence is lacking, and it is unlikely that a single artist created all 273 illustrations in a period of time so short. At about the same time he published an abridged edition for students, ''Andrea Vesalii suorum de humani corporis fabrica librorum epitome'', and dedicated it to [[Philip II of Spain]], the son of the Emperor. That work, now collectively referred to as the [[De humani corporis fabrica|Fabrica of Vesalius]], was groundbreaking in the history of medical publishing and is considered to be a major step in the development of scientific medicine. Because of this, it marks the establishment of anatomy as a modern descriptive science.<ref name=":0">{{Cite journal|last=Harcourt|first=Glenn|date=1 January 1987|title=Andreas Vesalius and the Anatomy of Antique Sculpture|journal=Representations|language=en|volume=17|issue=17|pages=28–61|doi=10.2307/3043792|issn=0734-6018|jstor=3043792|pmid=11618035}}</ref> Though Vesalius' work was not the first such work based on actual dissection, nor even the first work of this era, the production quality, highly detailed and intricate plates, and the likelihood that the artists who produced it were clearly present in person at the dissections made it an instant classic. Pirated editions were available almost immediately, an event Vesalius acknowledged in a printer's note would happen. Vesalius was 28 years old when the first edition of ''Fabrica'' was published. == Imperial physician and death == [[File:Titian - Portrait of Charles V Seated - WGA22964.jpg|thumb|upright|The Holy Roman Emperor, [[Charles V, Holy Roman Emperor|Charles V]], who was an important patron of Vesalius]] Soon after publication, Vesalius was invited to become imperial physician to the court of [[Charles V, Holy Roman Emperor|Emperor Charles V]]. He informed the [[Venetian Senate]] that he would leave his post at Padua, which prompted [[Cosimo I de' Medici, Grand Duke of Tuscany|Duke Cosimo I de' Medici]] to invite him to move to the expanding university in Pisa, which he declined. Vesalius took up the offered position in the imperial court, where he had to deal with other physicians who mocked him for being a mere [[barber surgeon]] instead of an academic working on the respected basis of theory. In the 1540s, shortly after entering in service of the emperor, Vesalius married Anne van Hamme, from Vilvorde, Belgium. They had one daughter, named Anne, who died in 1588.<ref>{{Cite book|title=Andreas Vesalius of Brussels, 1514–1564|last=O'Malley|first=Charles Donald|publisher=Berkeley : University of California Press, 1964|pages=203, 314}}</ref> Over the next eleven years Vesalius traveled with the court, treating injuries caused in battle or tournaments, performing postmortems, administering medication, and writing private letters addressing specific medical questions. During these years he also wrote ''the Epistle on the China root'', a short text on the properties of a medical plant whose efficacy he doubted, as well as a defense of his anatomical findings. This elicited a new round of attacks on his work that called for him to be punished by the emperor. In 1551, Charles V commissioned an inquiry in [[Salamanca]] to investigate the religious implications of his methods. Although Vesalius' work was cleared by the board, the attacks continued. Four years later one of his main detractors and one-time professors, Jacobus Sylvius, published an article that claimed that the human body itself had changed since Galen had studied it. In 1555, Vesalius became physician to Philip II,<ref>{{cite web|url=https://www.bbc.co.uk/history/historic_figures/vesalius_andreas.shtml|title=Andreas Vesalius (1514-1564)|publisher=BBC History|accessdate=14 March 2022}}</ref> and in the same year he published a revised edition of ''De humani corporis fabrica''. In 1564 Vesalius went on a pilgrimage to the Holy Land, some said, in penance after being accused of dissecting a living body. He sailed with the Venetian fleet under [[:it:Giacomo Malatesta|James Malatesta]] via [[Cyprus]]. When he reached [[Jerusalem]] he received a message from the Venetian senate requesting him again to accept the Paduan professorship, which had become vacant on the death of his friend and pupil [[Gabriele Falloppio|Fallopius]]. After struggling for many days with adverse winds in the [[Ionian Sea]], he was shipwrecked on the island of [[Zakynthos]].<ref name=NPO/> Here he soon died, in such debt that a benefactor kindly paid for his funeral. At the time of his death he was 49 years old. He was buried somewhere on the island of Zakynthos (Zante).<ref>{{Cite book|title=Andreas Vesalius of Brussels, 1514–1564|last=O'Malley|first=Charles Donald|publisher=Berkeley : University of California Press, 1964|pages=311}}</ref> For some time, it was assumed that Vesalius's pilgrimage was due to the pressures imposed on him by the [[Inquisition]]. Today, this assumption is generally considered to be without foundation<ref>See C.D. O'Malley ''Andreas Vesalius' Pilgrimage'', Isis 45:2, 1954</ref> and is dismissed by modern biographers. It appears the story was spread by [[Hubert Languet]], a diplomat under Emperor Charles V and then under the [[Prince of Orange]], who claimed in 1565 that Vesalius had performed an autopsy on an aristocrat in Spain while the heart was still beating, leading to the Inquisition's condemning him to death. The story went on to claim that Philip II had the sentence commuted to a pilgrimage. That story re-surfaced several times, until it was more recently revised. The decision to undertake the pilgrimage was likely just a pretext to leave the Spanish court. Its lifestyle did not please him and he longed to continue his research. Given that he could not get rid of his royal service by resignation, he managed to escape asking for the permission to go to Jerusalem.<ref>{{cite book |last=O'Malley |first=C. Donald |title=Andreas Vesalius' Pilgrimage |magazine=Isis |volume=45/2 |date=1 January 1954 |pages=138–144}}</ref> == Publications == === ''De Humani Corporis Fabrica'' === [[File:Vesalius Fabrica portrait.jpg|thumb|upright|right|A portrait of Vesalius from his ''De Humani Corporis Fabrica'' (1543)]] {{main|De Humani Corporis Fabrica Libri Septem}} In 1543, Vesalius asked [[Johannes Oporinus]] to publish the book ''[[De humani corporis fabrica|De Humani Corporis Fabrica Libri Septem]]'' (''On the fabric of the human body'' ''in seven books''), a groundbreaking work of [[human anatomy]] he dedicated to Charles V and which many believe was illustrated by [[Titian]]'s pupil [[Jan Van Calcar|Jan Stephen van Calcar]]. About the same time he published another version of his great work, entitled ''De Humani Corporis Fabrica Librorum Epitome'' (''Abridgement of the On the fabric of the human body'') more commonly known as the ''Epitome'', with a stronger focus on illustrations than on text, so as to help readers, including medical students, to easily understand his findings. The actual text of the ''Epitome'' was an abridged form of his work in the ''Fabrica'', and the organization of the two books was quite varied. He dedicated it to [[Philip II of Spain]], son of the Emperor.<ref>{{cite web|last1=Kusukawa|first1=Sachiko|title=De humani corporis fabrica. Epitome|url=http://cudl.lib.cam.ac.uk/view/PR-CCF-00046-00036|publisher=Cambridge Digital Library|access-date=3 July 2014}}</ref> The ''Fabrica'' emphasized the priority of dissection and what has come to be called the "[[anatomical]]" view of the body, seeing human internal functioning as a result of an essentially corporeal structure filled with organs arranged in three-dimensional space. His book contains drawings of several organs on two leaves. This allows for the creation of three-dimensional diagrams by cutting out the organs and pasting them on flayed figures.<ref name=":0" /> This was in stark contrast to many of the anatomical models used previously, which had strong Galenic/Aristotelean elements, as well as elements of [[astrology]]. Although modern anatomical texts had been published by [[Mondino de Liuzzi|Mondino]] and [[Jacopo Berengario da Carpi|Berenger]], much of their work was clouded by reverence for Galen and Arabian doctrines. [[File:Vesalius Fabrica p190.jpg|right|thumb|upright|Vesalius's ''Fabrica'' contained many intricately detailed drawings of human dissections, often in allegorical poses.]] Besides the first good description of the [[sphenoid bone]], he showed that the [[Human sternum|sternum]] consists of three portions and the [[sacrum]] of five or six, and described accurately the [[vestibule of the ear|vestibule]] in the interior of the [[temporal bone]]. He not only verified [[Charles Estienne|Estienne]]'s observations on the valves of the [[hepatic veins]], but also described the [[vena azygos]], and discovered the canal which passes in the fetus between the umbilical vein and the vena cava, since named the [[ductus venosus]]. He described the [[greater omentum|omentum]] and its connections with the stomach, the [[spleen]] and the [[colon (anatomy)|colon]]; gave the first correct views of the structure of the [[pylorus]]; observed the small size of the caecal appendix in man; gave the first good account of the [[mediastinum]] and [[pleura]] and the fullest description of the anatomy of the brain up to that time. He did not understand the inferior recesses, and his account of the nerves is confused by regarding the optic as the first pair, the third as the fifth, and the fifth as the seventh. In this work, Vesalius also becomes the first person to describe [[mechanical ventilation]].<ref name="Resuscitation">Vallejo-Manzur F. et al. (2003) "The resuscitation greats. Andreas Vesalius, the concept of an artificial airway." "Resuscitation" 56:3–7</ref> It is largely this achievement that has resulted in Vesalius being incorporated into the [[Australian and New Zealand College of Anaesthetists]] college arms and crest. ==== Excerpts ==== <blockquote>When I undertake the dissection of a human pelvis I pass a stout rope tied like a noose beneath the lower jaw and through the [[Zygomatic arch|zygomas]] up to the top of the head... The lower end of the noose I run through a pulley fixed to a beam in the room so that I may raise or lower the cadaver as it hangs there or turn around in any direction to suit my purpose; ... You must take care not to put the noose around the neck, unless some of the muscles connected to the [[occipital bone]] have already been cut away.<ref>Andreas Vesalius, ''[[De humani corporis fabrica]]'' (1544), Book II, Ch. 24, 268. Trans. William Frank Rich son, ''On the Fabric of the Human Body'' (1999), Book II, 234. As quoted by W. F. Bynum & Roy Porter (2005), ''Oxford Dictionary of Scientific Quotations'': ''Andreas Vesalius'', 595:2, {{ISBN|0-19-858409-1}}. </ref></blockquote> <gallery class="center" heights="200px" perrow="5"> File:Vesalius Fabrica p174.jpg File:Vesalius Fabrica p194.jpg File:De humani corporis fabrica (27).jpg File:Vesalius Fabrica p178.jpg </gallery> === Other publications === In 1538, Vesalius wrote ''Epistola, docens venam axillarem dextri cubiti in dolore laterali secandam'' (''A letter, teaching that in cases of pain in the side, the axillary vein of the right elbow be cut''), commonly known as the Venesection Letter, which demonstrated a revived [[venesection]], a classical procedure in which blood was drawn near the site of the ailment. He sought to locate the precise site for venesection in [[pleurisy]] within the framework of the classical method. The real significance of the book is his attempt to support his arguments by the location and continuity of the [[venous system]] from his observations rather than appeal to earlier published works. With this novel approach to the problem of venesection, Vesalius posed the then striking hypothesis that anatomical dissection might be used to test speculation. In 1546, three years after the ''Fabrica'', he wrote his ''Epistola rationem modumque propinandi radicis Chynae decocti'', commonly known as the Epistle on the China Root. Ostensibly an appraisal of a popular but ineffective treatment for gout, syphilis, and stone, this work is especially important as a continued polemic against Galenism and a reply to critics in the camp of his former professor Jacobus Sylvius, now an obsessive detractor. In February 1561, Vesalius was given a copy of Gabriele Fallopio's ''Observationes anatomicae'', friendly additions and corrections to the Fabrica. Before the end of the year Vesalius composed a cordial reply, ''Anatomicarum Gabrielis Fallopii observationum examen'', generally referred to as the ''Examen''. In this work he recognizes in Fallopio a true equal in the science of dissection he had done so much to create. Vesalius' reply to Fallopio was published in May 1564, a month after Vesalius' death on the Greek island of [[Zante]] (now called [[Zakynthos]]). == Scientific findings == === Skeletal system === * Vesalius believed the [[skeletal system]] to be the framework of the human body. It was in this opening chapter or book of [[De humani corporis fabrica|''De fabrica'']] that Vesalius made several of his strongest claims against [[Galen|Galen's]] theories and writings which he had put in his anatomy books. In his extensive study of the skull, Vesalius claimed that the [[Human mandible|mandible]] consisted of one bone, whereas Galen had thought it to be two separate bones. He accurately described the [[Vestibule of the ear|vestibule]] in the interior of the [[temporal bone]] of the skull. * In [[Galen|Galen's]] observation of the ape, he had discovered that their [[sternum]] consisted of seven parts which he assumed also held true for humans. Vesalius discovered that the [[human sternum]] consisted of only three parts. * He also disproved the common belief that men had one rib fewer than women and noted that the [[fibula]] and [[tibia]] bones of the leg were indeed larger than the [[humerus]] bone of the arm, unlike [[Galen]]'s original findings. === Muscular system === * Vesalius' most impressive contribution to the study of the [[muscular system]] may be the illustrations that accompany the text in ''De fabrica'', which would become known as the "muscle men". He describes the source and position of each muscle of the body and provides information on their respective operation. === Vascular and circulatory systems === * Vesalius' work on the [[vascular]] and [[circulatory system]]s was his greatest contribution to modern medicine. In his dissections of the heart, Vesalius became convinced that Galen's claims of a porous [[interventricular septum]] were false. This fact was previously described by [[Michael Servetus]], a fellow of Vesalius, but never reached the public, for it was written down in the "Manuscript of Paris",<ref>[http://www.michaelservetusresearch.com/ENGLISH/works.html Michael Servetus Research] {{Webarchive|url=https://web.archive.org/web/20121113223851/http://www.michaelservetusresearch.com/ENGLISH/works.html |date=13 November 2012 }} Website with graphical study on the Manuscript of Paris by Servetus</ref> in 1546, and published later in his ''Christianismi Restitutio'' (1553), a book regarded as heretical by the [[Inquisition]]. Only three copies survived, but these remained hidden for decades, the rest having been burned shortly after publication. In the second edition Vesalius published that the septum was indeed waterproof, discovering (and naming), the [[mitral valve]] to explain the blood flow. * Vesalius believed that [[systole (medicine)|cardiac systole]] is synchronous with the [[Pulse (anatomy)|arterial pulse]]. * He not only verified [[Charles Estienne|Estienne's]] findings on the valves of the [[hepatic veins]], but also described the [[azygos vein]], and discovered the canal which passes into the fetus between the [[umbilical vein]] and [[vena cava]]. === Nervous system === * Vesalius defined a nerve as the mode of transmitting sensation and motion and thus refuted his contemporaries' claims that [[ligament]]s, [[tendon]]s and [[aponeuroses]] were three types of nerve units. * He believed that the brain and the nervous system are the center of the mind and emotion in contrast to the common [[Aristotelianism|Aristotelian]] belief that the heart was the center of the body. He correspondingly believed that nerves themselves do not originate from the heart, but from the brain—facts already experimentally proved by [[Herophilus]] and [[Erasistratus]] in the classical era, but suppressed after the adoption of Aristotelianism by the Catholic Church in the Middle Ages. * Upon studying the [[optic nerve]], Vesalius came to the conclusion that nerves were not hollow. === Abdominal organs === * In ''De fabrica'', he corrected an earlier claim he made in ''Tabulae'' about the right kidney being set higher than the left. Vesalius claimed that the kidneys were not a filter device for urine to pass through, but rather that the kidneys serve to filter blood as well, and that excretions from the kidneys travelled through the [[ureters]] to the bladder. * He described the [[Greater omentum|omentum]], and its connections with the stomach, the spleen and the colon gave the first correct views of the structure of the [[pylorus]]. * He also observed the small size of the [[Appendix (human)|caecal appendix]] in man and gave the first good account of the [[mediastinum]] and [[pleura]]. * Vesalius admitted that due to a lack of pregnant cadavers he was unable to come to a significant understanding of the reproductive organs. However, he did find that the uterus had been falsely identified as having two distinct sections. === Heart === * Through his work with muscles, Vesalius believed that a criterion for muscles was their voluntary motion. On this claim, he deduced that the heart was not a true muscle due to the obvious involuntary nature of its motion. * He identified two chambers and two atria. The [[right atrium]] was considered a continuation of the [[Inferior vena cava|inferior]] and [[Superior vena cava|superior]] [[venae cavae]], and the [[left atrium]] was considered a continuation of the [[pulmonary vein]]. * He also addressed the controversial issue of the heart being the centre of the soul. He wished to avoid drawing any conclusions due to possible conflict with contemporary religious beliefs.[[File:1543, Andreas Vesalius' Fabrica, Base Of The Brain.jpg|thumb|Base of the [[Human brain|brain]], showing the [[optic chiasm]]a, [[cerebellum]], [[olfactory bulb]]s, etc.]] * Against Galen's theory and many beliefs he also discovered that there was no hole in the [[septum]] or [[heart]]. === Other achievements === * Vesalius disproved Galen's assertion that men have more teeth than women.<ref name=NPO>{{cite web|title=Vesalius was belangrijker dan Copernicus|url=http://nos.nl/artikel/2011283-vesalius-was-belangrijker-dan-copernicus.html|author=Lambert Teuwissen|publisher=[[Nederlandse Publieke Omroep (organization)|Nederlandse Publieke Omroep]]|language=nl|date=31 December 2014|access-date=5 February 2015}}</ref> * Vesalius introduced the notion of induction of the extraction of [[empyema]] through surgical means. * Due to his impressive study of the human skull and the variations in its features he is said to have been responsible for the launch of the study of [[physical anthropology]]. * Vesalius always encouraged his students to check their findings, and even his own findings, so that they could better understand the structure of the human body. * In addition to his continual efforts to study anatomy he also worked on medicinal remedies and came to such conclusions as treating [[syphilis]] with [[chinaroot]]. * Vesalius claimed that medicine had three aspects: drugs, diet, and 'the use of hands'—mainly suggesting surgery and the knowledge of anatomy and physiology gained through dissection. * Vesalius was a supporter of 'parallel dissections' in which an animal cadaver and a human cadaver are dissected simultaneously in order to demonstrate the anatomical differences and thus correct Galenic errors. == Scientific and historical impact == The influence of Vesalius' plates representing the partial dissections of the human figure posing in a landscape setting is apparent in the anatomical plates prepared by the Baroque painter [[Pietro da Cortona]] (1596–1669), who executed anatomical plates with figures in dramatic poses, most of them with architectural or landscape backdrops.<ref>''The Anatomical Plates of Pietro da Cortona'', Dover, New York, 1986. They were published in the 18th century. Twenty of the drawings for these plates are now in the Hunterian Library, Glasgow.</ref> During the 20th century, the American artist, [[Jacob Lawrence]] created his ''Vesalius Suite'' based on the anatomical drawings of Andreas Vesalius. == See also == {{col div|colwidth=30em}} * [[Androtomy]] * ''[[Brain Renaissance]]'' * [[InVesalius]] * [[Medical Renaissance]] * [[Physician writer#16th century|Physician writer]] * [[Timeline of medicine and medical technology]] * [[Vesalius College]] {{colend}} == References == {{wikiquote|Andreas Vesalius}} {{Reflist}} == Sources == * Dear, Peter. ''Revolutionizing the Sciences: European Knowledge and Its Ambitions, 1500–1700''. Princeton: Princeton UP, 2001. * Debus, Allen, ed. ''Vesalius''. ''Who's Who in the World of Science: From Antiquity to Present''. 1st ed. Hanibal: Western Co., 1968. * O'Malley, CD. ''Andreas Vesalius of Brussels, 1514–1564''. Berkeley: University of California Press, 1964. * Porter, Roy, ed. ''Vesalius''. ''The Biographical Dictionary of Scientists''. 2nd Ed. New York: Oxford University P, 1994. * Saunders, JB de CM and O'Malley, Charles D. ''The Illustrations from the Works of Andreas Vesalius of Brussels''. New York: Dover, 1973 [reprint]. * "Vesalius." Encyclopedia Americana. 1992. * Vesalius, Andreas. ''On the Fabric of the Human Body,'' translated by W. F. Richardson and J. B. Carman. 5 vols. San Francisco and Novato: Norman Publishing, 1998–2009. ''The Fabric of the human Body,'' Translated by Daniel H. Garrison and Malcolm H. Hast. Basel: Karger Publishing, 2013. Garrison, Daniel H. Vesalius: ''The China Root Epistle. A New Translation and Critical Edition.'' New York: Cambridge University Press, 2014. * Williams, Trevor, ed. ''Vesalius''. ''A Biographical Dictionary of Scientists''. 3rd Ed. New York: John Wiley and Sons, 1982. ==External links== {{commons|Andreas Vesalius}} * [http://www.bvh.univ-tours.fr/Consult/consult.asp?numtable=B372615206%5F47294&numfiche=56&mode=3&ecran=0&offset=155 Andreae Vesalii Bruxellensis, Dе humani corporis fabrica libri septem, Basileae 1543] * [http://link.library.utoronto.ca/anatomia/ Anatomia 1522–1867: Anatomical Plates from the Thomas Fisher Rare Book Library] * [http://www.andreasvesalius.be Bibliography van Andreas Vesalius] * [https://web.archive.org/web/20110606151807/http://www.bium.univ-paris5.fr/histmed/medica/vesale.htm#vonseng Vesalius's « Anatomies » Introduction by Jacqueline Vons] * [http://himetop.wikidot.com/andreas-vesalius Places and memories related to Andreas Vesalius] * [https://archive.org/details/GalileoGalileivesaliusAndServetus Play on Vesalius] * [http://vesalius.northwestern.edu/ Translating Vesalius] * [http://images.is.ed.ac.uk/luna/servlet/UoEcha~4~4 Ars Anatomica collection at University of Edinburgh image service (includes Vesalius's ''De Humanis Corporis Fabrica'')] * [https://web.archive.org/web/20100716134128/http://archive.nlm.nih.gov/proj/ttp/flash/vesalius/vesalius.html ''Turning the Pages'']: a virtual copy of Vesalius's ''De Humanis Corporis Fabrica''. From the [[U.S. National Library of Medicine]]. * [http://cudl.lib.cam.ac.uk/view/PR-CCF-00046-00036/7 De humani corporis fabrica. Epitome] coloured and complete with manekin at [[Cambridge Digital Library]] * Texts digitized by the [[Bibliothèque interuniversitaire de santé]]; see its digital library [https://web.archive.org/web/20141007025741/http://www.bium.univ-paris5.fr/histmed/medica.htm Medic@]. * [http://hdl.handle.net/1808/6347 Vesalius four centuries later] by [[John Farquhar Fulton|John F. Fulton]]. Logan Clendening lecture on the history and philosophy of medicine, University of Kansas, 1950. Full-text PDF. * Andreas Vesalius, [http://www.ospfe.it/per-la-formazione/biblioteca/progetto-vesalio/vesalius-project ''VESALIUS project'']. Information about the new DVD "De Humani Corporis Fabrica" produced by Health Science Library of the St. Anna Hospital in Ferrara – Italy. * [http://www.vub.ac.be/VECO/bveco/ Vesalius College in Brussels] * [http://www.brusselnieuws.be/en/video/tvbrussel/500th-birthday-andre-vesale-he-was-revolutionary-his-time-hes-still-very-much TV report on 500th birthday Vesalius by tvbrussel] * [http://lhldigital.lindahall.org/cdm/ref/collection/nat_hist/id/33346 ''De Humani Corporis Fabrica Libri Septem''] (1543) – full digital facsimile at [[Linda Hall Library]] * [https://exhibits.lib.missouri.edu/exhibits/show/vesalius500 Vesalius at 500] – digital exhibition from the [[University of Missouri]] Libraries * {{MathGenealogy|id=119178}} {{History of biology}} {{Authority control}} {{DEFAULTSORT:Vesalius, Andreas}} [[Category:1514 births]] [[Category:1564 deaths]] [[Category:Physicians of the Habsburg Netherlands]] [[Category:16th-century Latin-language writers]] [[Category:Belgian Roman Catholics]] [[Category:Belgian anatomists]] [[Category:Belgian scientists]] [[Category:History of anatomy]] [[Category:History of neuroscience]] [[Category:Old University of Leuven alumni]] [[Category:University of Paris alumni]] [[Category:University of Padua faculty]] [[Category:Renaissance scientists]]'
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