Egyptian medicine was among the most sophisticated of the ancient world, and it operated on two parallel tracks that modern readers often find surprising in combination: rational empirical observation on one side, magical-religious practice on the other. The two were not contradictory to ancient Egyptians — they were complementary tools in a healer's kit, applied in sequence or together depending on the problem.
The empirical side is documented most impressively in the Edwin Smith Papyrus, a surgical text copied around 1600 BCE from what appears to be an original of the Old Kingdom (c. 2500 BCE), making its underlying content potentially 4,000 years old. The papyrus describes 48 cases of traumatic injury — head injuries, spinal injuries, fractures, dislocations, wounds — presented in a consistent clinical format: examination findings, diagnosis, verdict ("an ailment I will treat" / "an ailment with which I will contend" / "an ailment not to be treated"), and treatment instructions. The distinction between treatable and untreatable cases is itself a mark of rational medicine — rather than claiming to cure everything through magic, the Edwin Smith physician admits when surgery cannot help. Treatments include suturing wounds with linen, setting broken bones with splints of wood and linen bandages, reducing dislocated joints by manipulation, and packing open wounds with raw meat (which provided a protein environment now known to promote healing).
The Ebers Papyrus (c. 1550 BCE, 110 columns, the longest surviving Egyptian medical text) covers internal medicine, dermatology, ophthalmology, gynaecology and dentistry, listing over 700 remedies using plant extracts, mineral compounds and animal products. Some ingredients have been confirmed by modern pharmacology: castor oil as a laxative, honey as an antimicrobial wound dressing, willow bark (containing salicylic acid, the active ingredient of aspirin) for pain and fever. Many others are inert or mildly toxic. The prescription of specific quantities — "one measure of this, two of that" — reflects a numerical approach to dosing unusual in pre-modern medicine.
The parallel magical track involved wearing amulets, reciting protective spells and consulting a sau (a priest-magician who specialised in apotropaic ritual). Spells for childbirth complications, snake bites, eye infections and crocodile attack are among the most common. Both approaches were employed by the same practitioners in many cases, and the most complete Egyptian healers combined scribal training in medical texts with knowledge of the appropriate religious formulae. For the social structure that produced both scribes and physicians, see the section above on scribal education. For the role of gods and religion in healing, see the gods and myth page.