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MEDICAL RECORD. Chapter 14

 

Book manuscript: Arkhipov S.V. Medical Record: The Contribution of a Middle Bronze Age Egyptian Physician to the Book of Genesis. Kyrö: Author’s Edition, 2026. – 312 pp. – 2 tables. – Bibliographical references: 856 entries. play.google.com , books.google.com

History of Present Illness


Chapter 14

Date and site of Injury



[i] Jabbok River

The most crucial stage of Jacob's journey from Haran to Canaan was the crossing of the Jabbok River (Gen. 32:23–24). In the original source, the sequence of actions before and after the crossing is described in considerable detail. Having met the messengers, Jacob sends a "present" to his brother and spends "that night in the camp" (Gen. 32:22). Then "he arose that night … and crossed the ford of the Jabbok" (Gen. 32:23). After that, "a man wrestled with him until the breaking of day" (Gen. 32:25). During the struggle, "day broke" (Gen. 32:27). In the conclusion of the events at the Jabbok River, it is stated that as Jacob passed "Penuel", the "sun rose upon him" (Gen. 32:32).

The exact location where the river was crossed is not specified in the text. This question has long intrigued Bible scholars, and no definitive answer has been reached to this day. Opinions also vary regarding which body of water the caravan traversed. In particular, on a mid-18th-century map, it is noted that "Mahanaim" and "Penuel" are drawn near the Yarmouk River…

The Book of Genesis states that Jacob's family crossed the stream of "Jabbok" (Gen. 32:23). We use this name as the widely known form linking our narrative to the Hebrew translation of the tradition. Synonyms for the river's name include: "Nahr ez-Zarqa" (meaning "Blue River"), "Abu ez-Zighan", "Seil ez-Zarqa", "Zarqa", "ez-Zarqa", "Zerqa", "Yabok", "Yabbok", "Iavok", "Iabok", "Iabbok", and "Jabbok". It is the third most significant watercourse in Jordan. It is described as having two main branches: "Amman-Zarqa" and "Wadi Dhuleil". The former originates northeast of Amman on the Balqa highlands, while the latter begins in the eastern areas of the Jordanian Highlands and the Arabian Plateau. Numerous ephemeral streams and creeks that dry up during arid periods and originate on the slopes of nearby mountains flow into the Jabbok (1954,1989Атлас_мира; 1998ОрленокВВ).

The general direction of the Jabbok River flow is from east to west. In the last century, the middle stretch of the riverbed was dammed. From the dam, the stream flows between the Jebel Ajloun and Balqa highlands, emerging into the Jordan Valley, specifically onto the Ghor El-Arba'in plain. The river mouth is located closer to the Dead Sea, approximately one-third of the distance between it and the Sea of Galilee. The Jabbok flows predominantly through mountainous and hilly terrain. In its middle course, the river follows a deep canyon, whereas on flat stretches, the stream flows across the Ghor El-Arba'in plain and near the river mouth across the Ghor Damiah-wa-Shiqa plain.

The Jabbok has a relatively constant discharge volume: 2–3 million cubic meters during the summer and 5–8 million cubic meters in winter. According to the Multilateral Working Group on Water Resources, the maximum recorded flood on the Jabbok River occurred on November 29, 1979. On that day, approximately 2.5 million cubic meters of water passed through the canyon. The width of the river is variable, depending on the season and precipitation, ranging from a few meters in the upper reaches to up to 20 m near its confluence with the Jordan (1956АрмандДЛ_СпрыгинаЛИ). Apart from the Book of Genesis, the Jabbok River is mentioned in the books of Bamidbar (Numbers), Devarim (Deuteronomy), and in the books of Joshua and Judges (Num. 21:24; Deut. 2:37, 3:16; Josh. 12:2; Judg. 11:13, 22). This evidence demonstrates the preservation of the river's name for at least two millennia.

The Jabbok River is not wide, and for most of the year, the water flow is minimal. However, a study of Jordan's geography indicates that crossing the river is not feasible at every section. In 2008, we expressed the view that the prototype of Jacob crossed the stream near the settlement of Khirbat es-Suweirat. Our colleague, the monastic priest Father Simeon, personally visited this location in 2012. A direct examination of the landscape demonstrated that negotiating the river canyon at this point with a large caravan would be difficult. Furthermore, to reach the crossing, Jacob would have needed to drive the herds across the Jebel Ajloun highlands for a distance of 50–60 km and cross a pass at an altitude of about 1000 m above sea level. The caravan would then have had to descend to the water level at an elevation of approximately 240 m above sea level, before continuing across the rugged terrain of the Balqa highlands, gradually ascending to the plateau near Amman, which thrives at elevations of approximately 800–900 m above sea level. Such a route would be exceptionally difficult for driving livestock.

Based on these considerations, Father Simeon suggested that Jacob crossed the Jabbok further west, in the Jordan Valley, near the settlement of Es-Sawalha. This hypothesis was investigated during a joint expedition in November 2014. Having visited the location, we concluded that the crossing most likely took place near the coordinates 32°10'19.9" N, 35°37'09.7" E. The ford is located at a straight-line distance of approximately 9.7 km from the river mouth and 5.6 km from the Jordan River. The surrounding topography is flat, with isolated hills.

It appears that one of the authors of the Book of Genesis traversed these places and set the events within a familiar environment. According to our original source, the caravan prepared for the crossing west of modern Highway 65. The preferred location is on an elevated plot. Nearby, there is a relatively convenient descent to the water for watering animals, as well as extensive areas for grazing livestock.

Upon emerging from the Jordanian Highlands, the Jabbok flows across a plain sloping toward the Jordan River and the Dead Sea. Since the time of Jacob's legendary crossing or the author's visit to the site, geographical features have shifted by approximately 20 m. Undeniably, the configuration of the lower Jabbok riverbed after exiting the canyon has also changed. A southward shift of the river mouth location is a natural occurrence. It has been noted that the terminal sections of all major eastern tributaries of the Jordan are oriented from northeast to southwest. As the Dead Sea rift system expanded and the Jordan Valley deepened, its tributaries inevitably altered their course over 3,600 years.

At present, water from the Jabbok River is heavily extracted for agricultural needs. Consequently, even in November, when rainfall is relatively frequent, we observed a meager flow filling only the line of maximum depth (thalweg). During our visit, the riverbed at the site of the hypothetical crossing was shallow, estimated at 1/3 m. The immediate width of the stream beneath the bridge was about 5 m, and downstream, opposite the gentle banks, approximately 3 m. According to the Book of Genesis, Jacob crossed a "stream" (Gen. 32:24). In the area of the preferred crossing, over a stretch of approximately 9 km, the river level drops from 227 to 314 m below sea level. Thus, the slope gradient of the riverbed is about one degree. During the rainy season of 2014, the Jabbok was a small, shallow river with a relatively swift current – indeed, a stream of water. Downstream and upstream of the crossing, there were dense thickets of bushes and trees (poplar, tamarisk, acacia) in places. This indicated that for a long period, the width of the riverbed remained small. The water in the river was turbid, brown in color, containing suspended clay, sand, and organic matter. Based on indirect evidence, we determined that the riverbed in this section is stony, with occasional large boulders. If similar conditions existed in Old Testament times, Jacob could well have waded across the river with small livestock.

According to our calculations, 3/4 of the original caravan livestock remained in Jacob's "two camps": no fewer than 600 female goats and as many female sheep, 60 rams and male goats, 90 female camels and an equal number of camel calves, 120 cows, 30 oxen (bulls), 60 female donkeys, and 30 donkey foals. Forcing the river took place in two stages: first, Jacob's "camp" crossed the stream with a quarter of the total livestock, numbering 560 head. The head of the family was assisted by approximately five people. The second, reserve "camp" crossed later, managed by no more than ten workers. During the river crossing, Jacob directed the process and, apparently together with his wives, led and carried small children across the river (Gen. 32:23, 34:3). Accordingly, he had to force the stream repeatedly. Shuttle-crossing from bank to bank, the patriarch ascended and descended the stony-sandy ground, in the water and on the shore, stepping over wet boulders, and overcoming the current.

The forcing of the watercourse took place at night (Gen. 32:23). The ford was apparently illuminated by the moon, which alternated between appearing and hiding behind the clouds. The weather in Jordan in November is rainy, and the sky is frequently covered with low cloud cover. It could have "draped" the moonlight, making it difficult to detect obstacles. According to our hypothesis, while crossing from bank to bank in the dark, an accident occurred with the prototype of Jacob. The patriarch misstepped or stumbled either in the water or on the bank, or perhaps slipped on the wet ground. Examining the northern bank, we discovered an unusual boulder with a defect resembling part of a human left foot. This artifact was tentatively named the "stumbling stone". Such a block could have caused the hip joint injury to the unwary traveler.

According to the authors, having completed the crossing, Jacob rests alone (Gen. 32:25). For the remainder of the night, the injured man remains on the southern bank near the ford. Today, several trees grow here, and farm buildings are located. Downstream, along the river, there is a sparse growth of shrubs. The bank is relatively steep, and the soil along the water is clay-sandy, sticky, with occasional large stones. Upstream, active economic activity is conducted, which complicates the reconstruction of the original landscape.

It is assumed that the forcing of the water barrier occurred during the rainy season. In this regard, Jacob rested under a tree or bush 10–20 m from the water's edge. The authors do not report that the character pitched a tent. The halt after the crossing was brief. By the time the sun rose, the caravan was already moving (Gen. 32:32). From Jacob's account, one can imagine that the injury was sustained under the described conditions in the "open air", rather than in a temporary dwelling. He calls the place of injury "Peniel" (Gen. 32:31). This toponym is mentioned for the first time, from which we conclude that the authors attributed to Jacob priority in naming the location under discussion. Nearby, there existed a settlement named "Penuel" (Gen. 32:32). It was later mentioned in biblical books as "Penuel" and "Peniel". The exact location of the settlement has not been established, but it appears in a number of Old Testament texts as being near "Succoth" and the Jordan River (Judg. 8:4, 8–9, 17; 1 Kings 12:25).

An ancient Egyptian physician undoubtedly clarified the location of the injury and specified it in medical documentation. The entry might have read as follows: "according to the patient, the injury was sustained on the southern bank of the Jabbok River near Peniel". In our opinion, the accident actually occurred somewhat before the rest – namely during the crossing, on one of the banks or in the water. We have determined the location of the injury in the area of the bridge on the section of modern Highway 65 connecting the towns of Deir Alla and Muaddi. The approximate coordinates of the caravan's location after the crossing are 32°10'18.1" N, 35°37'09.4" E. This location is designated as the endpoint of the fifth, shortest leg of Jacob's journey up to the moment of the hip joint injury. Currently, the nearest settlement is Es-Sawalha, 200 m to the north, and 400 m to the south lies the small town of Muaddi. We assert that it was precisely here that the authors of the Book of Genesis implied the injuring of Jacob's prototype. Notably, all Hittite open-air sanctuaries were located near water sources, and springs and rivers were believed to provide natural purification (2002BryceT). A subtext of the events at the Jabbok River may lie here: the caravan of migrants from Asia performs a peculiar "purification" ritual as they approach Egypt.

 

[ii] Site of Injury

We believe that the prototype of Jacob undertook the crossing of the Jabbok River near the coordinates 32°10'19.9" N, 35°37'09.7" E, with a potential margin of error of approximately 20 m. The only main north-south highway, Highway 65, passes through this area. Running parallel to the west is the Jordan River. To the east of the highway lies the difficult-to-traverse Jordanian Highlands, comprising the Jebel Ajloun and Balqa sections.

We believe that Jacob traversed this path and crossed the Jabbok stream twice: first en route to Haran, and second when returning home with his family from Northern Mesopotamia (Gen. 28:10, 31:18). Biblical narratives indicate that King Abner, David, Gideon, and the fleeing Midianite kings also traveled north toward "Mahanaim" along this same route (Judg. 8:4, 8; 2 Sam. 2:29, 17:22, 24; 1 Kings 2:8). It is possible that the New Testament Jesus followed this same route into "the coasts of Judaea by the farther side of Jordan", departing from Capernaum on the shores of the Sea of Galilee and reaching Jericho (Matt. 19:1; Mark 9:33, 10:1, 46).

Above the site of the assumed ford used by Jacob's prototype, a road bridge now stands. It forms part of Highway 65, bypassing the Jordanian towns of Deir Alla and Muaddi (Wadi Shaban, Mu'addi, Ma'addi). Inspection of the probable crossing area revealed that the most favorable section of the riverbed lies beneath the bridge. At this point, the northern bank is marked by a small incline 1–2 m high, with sparse trees and shrubs growing at its edge. West of the overpass, a gentle slope leads down to the water's edge today. Beneath the bridge, the riverbed and banks are strewn with cobbles of various sizes over a width of approximately 8–10 m. The opposite southern bank is smooth, gradually rising at an angle of 15–20°.

The soil on both banks consists of relatively firm ground: sand, gravel, and large stones. Downstream, the shoreline is wet, muddy, clay-sandy, and difficult for animals and people to navigate. Upstream to the east of the bridge, as far as the eye can see, both the southern and northern banks are steep. It appears to us that prior to the construction of the bridge crossing, the road on the banks had a slight slope and was covered with gravel, allowing for a safe descent to the water without sinking into the clay soil.

 

[iii] Date of Injury

A key stage of Jacob's journey was the crossing of the Jabbok River (Gen. 32:23). The sequence of actions before and after the crossing is described in considerable detail in the Book of Genesis. Here, as in no other place in the narrative, there are numerous time-of-day reference points. After the messengers return, Jacob sends a "present" to his brother and goes to sleep "that night in the camp" (Gen. 32:22). It then states: "he arose that night … and crossed the ford of the Jabbok", as well as "…he took them over the stream" (Gen. 32:23–24). Then it says: "a man wrestled with him until the breaking of day" (Gen. 32:25). During the struggle, "day broke" (Gen. 32:27). When Jacob passed "Penuel", the "sun rose upon him" (Gen. 32:32). Upon completing the meeting with his brother, "Esau returned that day on his way unto Seir" (Gen. 33:16).

It has been noted that "it is better to send a caravan on its way before dawn at 3 a.m.", move until 9 a.m., then rest, and continue movement after 4 p.m. (1964ЛакозаИИ_ЩегинВА). The prototype of Jacob apparently acted similarly. During his lifetime, portable timepieces did not exist. Ancient humans used the movements of the stars, moon, and sun as time indicators. Jacob was a descendant of representatives of the Sumerian civilization. The Sumerians divided the year into two seasons – summer and winter, the latter beginning in September–October, while the months (strictly lunar) lasted 29–30 days. The day was counted from sunset and lasted 12 double hours, while the night was divided into three watches of four hours each (2002КрамерС).

In biblical texts, which in our opinion were composed in the Iron Age, night periods were called "watches", which had a "beginning" (Lam. 2:19; Judg. 7:19). It is logical to assume that they also had an "end". The first watch began at sunset and lasted until approximately 10 p.m.; the second watch ended at 2 a.m.; and the third continued until sunrise (1908–1913КацельсонъЛ_ГинцбургъДГ). According to the Book of Judges, Gideon attacks the "camp of Midian" "at the beginning of the middle watch" (Judg. 7:19). During the Israelites' crossing of the sea "in the morning watch", the Egyptian army is thrown into confusion (Exod. 14:24). Saul's warriors smite the Ammonites "in the morning watch" (1 Sam. 11:11).

According to the established tradition of Jewish communities, as was once the case with the Sumerians, a new day begins at sunset. Before the crossing, Jacob lay down to rest (Gen. 32:22). According to our reconstruction, this took place tentatively on Sunday, November 19, 1640 BCE. Apparently, he dines late in the evening, gives instructions, and goes to sleep immediately after evening twilight. The sun disappears from the firmament, and the count of the next day begins. As noted above, the city closest to the crossing point of the Jabbok River today is Deir Alla. According to the sunrise and sunset calendar, on November 19, 2021, the sun dipped below the horizon at this location at 4:35 p.m., and evening twilight faded at 5:01 p.m. It is reasonable to assume that at this time the caravan "falls asleep" before the upcoming crossing.

Jacob's prototype rests after a grueling day during the "first watch" of the night until 10 p.m. Then the leader awakens his companions, who begin to break camp. Tents are folded and loaded with belongings onto pack animals, while herds are concentrated in parallel. This activity could have been illuminated by the moon. According to our observations during the expedition to Jordan, during a full moon with light cloudiness, moonlight is sufficiently bright and even casts a clearly visible shadow behind objects. Preparations, aligning the caravan formations, and instructing workers took place "at the beginning of the middle watch" – that is, at the same time Gideon acted when attacking the "camp of Midian" (Judg. 7:19). In modern timekeeping, this corresponds to the interval from 10 p.m. to midnight. After this, Jacob, along with his family and livestock, wades across the river (Gen. 32:23–24). We believe the crossing took place during the "middle watch", specifically before 2 a.m.

The exact date and time of crossing the Jabbok stream are not specified in our primary source. According to the Book of Jubilees, crossing this water barrier occurs "in the ninth month, on the eleventh day" in the seventh year of the fourth week of the forty-fourth jubilee, which corresponds to the year 2135 from the creation of the world (1913CharlesRH). Converting this to the Gregorian calendar yields Monday, November 20, 1626 BCE. According to the Hebrew calendar, this date belongs to the ninth month of the year, called Kislev. According to our calculations and collation of facts, forcing the Jabbok River took place on the same day, but 14 years earlier, in 1640 BCE.

 

[iv] Time of Injury According to the Book of Genesis

In our opinion, the crossing of the stream took place from midnight to two o'clock. Forcing the river could have taken a couple of hours, and during the remaining final third of the night, in the "morning watch", the caravan was already standing on the southern bank of the Jabbok River. At this time, Jacob rests alone (Gen. 32:25). According to the Book of Genesis, during this period his hip joint is injured (Gen. 32:26). More precisely, it is apparent from the text that the joint is damaged at the very end of the night. This moment is described by the words "until the breaking of day" (Gen. 32:25). By the time "day broke", the hip joint injury had already occurred (Gen. 32:26).

Having completed the crossing, Jacob was in the immediate vicinity of the Jabbok River, on the southern bank. Using the method of analogy, one can approximately understand at what time the night ended and the sun rose on the presumed day of the injury. In Deir Alla, the largest city nearest to the ford across the Jabbok, the night of November 20, 2021, ended with morning twilight at 5:44 a.m., after which dawn began. The sun rose on that day 27 minutes later – at 6:11 a.m. This means that morning twilight began approximately a quarter of an hour (16 minutes) before 6:00 a.m. o'clock in the morning. If one follows the text of the primary source literally, Jacob sustains the injury immediately before morning twilight, approximately at 5:43 a.m. Thomas Mann in his work Joseph and His Brothers refers to this time as "the hour of the Jabbok" (2004МаннТ).

According to the Book of Jubilees, Jacob departed for Haran in the first year of the second week of the forty-fourth jubilee, and returned to "Gilead" in the seventh year of the fourth week, crossing the Jabbok in the ninth month on the eleventh day of that same year (1913CharlesRH). Based on the foregoing, an ancient Egyptian physician compiling Jacob's "medical history" could have written: according to the patient, he was injured by an angel at the end of the morning watch of the night, before the breaking of day, in the ninth month, on the eleventh day of the seventh year of the fourth week of the forty-fourth jubilee. In accordance with the Hebrew calendar, everything occurred in the year 2,135 from the creation of the world (1913CharlesRH).

The year the injury was sustained could also have been determined according to Egyptian chronology, based on the accession date of one of the pharaohs. It seems that Jacob's medical chart was filled out by a doctor serving at the court of the rulers of the 15th Dynasty (the Great Hyksos), or less likely, the 16th Dynasty (the Lesser Hyksos). The "shepherd kings" ruled in northern Egypt between 1640 and 1532 BCE. At approximately the same time, the 17th Dynasty reigned from 1640 to 1550 BCE, following the earlier 13th and 14th Dynasties (2002BunsonMR).

Unfortunately, the regnal periods of many pharaohs of these dynasties are not known with certainty. From our perspective, it is unlikely that the "medical history" contained a reference to rival rulers of the Upper Nile from the 13th, 14th, or 17th Dynasties. Among the Hyksos rulers, the most acceptable candidate is Pharaoh Salitis of the 15th Dynasty, who occupied the throne for 19 years (1992RedfordDB). In our opinion, an ancient Egyptian doctor could have dated Jacob's injury to the first year of Salitis's reign. This would also have been preferable if the authors of the Book of Genesis invented the plot of the struggle at the Jabbok stream solely for readers among the Hyksos. The date proved to be clearly verifiable and coincided with the beginning of a "new era" in Egypt. It was then that Jacob received the blessing that would later be passed to the Pharaoh, Joseph, Ephraim, and Manasseh (Gen. 32:30, 47:7, 10, 48:15–20). Near 1640 BCE, Pharaoh Sekhemre-Wadjkhaw Rahotep of the Theban 17th Dynasty ascended the throne, coexisting peacefully with the Hyksos, though the exact dates of his reign are not established (2002BunsonMR).


[v] Presumed Moment of Injury

Analyzing the narrative, we come to the realization that in the final minutes of the night, "at the end of the morning watch" before dawn, Jacob merely realized the injury he had sustained earlier. The direct trauma to the hip joint occurs during the second part of the night, at the conclusion of the "middle watch". In modern timekeeping, this corresponds to the first two hours after midnight. It is more likely that Jacob suffered the injury closer to two o'clock in the morning. We think so because by that time he had already completed all the work of transporting his family and property "across the stream". At the end of his labors, attention dulled, fatigue took its toll, compounded by lack of sleep the night before, anxiety before meeting his brother, expectation of a potential attack, the dark time of day, concern for the safety of belongings and livestock, and naturally, anxiety for the health of his children and wives while wading across the Jabbok (Gen. 32:23–24). At least, this is how it might appear to a critically minded reader of our primary source.

The crossing takes place in November during the "winter" period, which in Jordan lasts through April with an average daily temperature of around 13 °C (2011Oxford_Business_Group). The rainy season begins in October and continues through May, with 80% of precipitation falling from December to March (2011BlackE_MithenS). During the 2016–2017 rainy season, 281 mm of precipitation fell in the area of Deir Alla (2017Dep._of_Meteorol). Undertaking an expedition to the Jabbok River in November 2014, we noted cool weather with periodic downpours.

As an example, one can cite the warning map text from the Jordan Meteorological Department for November 20, 2021: risk of torrential rain in valleys and lowlands in the north and center of the Kingdom, risk of slipping on roads during rain, danger of poor horizontal visibility due to low clouds touching the Earth's surface and fog formation over mountain heights. Regarding the weather, it stated: in a day a drop in temperature is observed, relatively cold, partly cloudy to cloudy weather prevails, with occasional downpours in the north and center of the Kingdom and parts of the southern and eastern regions; rainfall is expected to be heavy at times for limited durations in the north of the Kingdom and parts of the central-western regions, occasionally accompanied by thunder and hail, with moderate southwesterly winds that will be active at times. Night: cold and partly cloudy weather, with possible downpours in the north and center of the Kingdom, while moderate rainfall may occur in southern regions and parts of eastern regions, possibly accompanied by thunderstorms and moderate northwesterly winds, active at times (from jometeo.gov.jo).

An illustrative example is the actual weather in Deir Alla: on November 19, 2021, during the day it was sunny; in the evening, around 6 p.m., rain fell and resumed after midnight. The moon rose at 4:41 p.m. in a waning phase. Sunset occurred at 4:35 p.m., and illumination was 90%. On November 20, 2021, rain fell almost continuously with precipitation of 0.1–2.8 mm per hour, accompanied by thunderstorms. Nighttime temperatures between midnight and 6 a.m. fluctuated between 19 and 20 °C, and daytime temperatures between 7 a.m. and 4 p.m. ranged from 19 to 25 °C. The sun rose at 6:11 a.m., and moonset was recorded at 6:58 a.m. Nighttime winds were 6 to 15 km/h, daytime up to 20 km/h with gusts up to 30 km/h, and humidity ranged from 57 to 71%. Cloud cover was variable, predominantly rain clouds, reaching up to 100% at times with rare clearings. Atmospheric pressure at the beginning of the day was 1013 mbar (approx. 760 mmHg), dropping to 1010 mbar during the day and rising to 1011 mbar by evening. Visibility was described as good to excellent, with illumination at 83% (from worldweatheronline.com ; arabiaweather.com).

Inclement weather was caused by a cyclone moving in from the Mediterranean Sea. In the middle of the day on November 20, 2021, from 12 p.m. to 3 p.m., a cold front passed over the site of the Jacob caravan's presumed crossing. We drew this conclusion based on a decrease in air temperature, a shift in wind direction with gusts up to 39 km/h, and a drop in atmospheric pressure combined with increasing cloud cover.

Such climatic conditions – and therefore wet soil, slippery grass, and damp boulders – could have complicated the river crossing. Precipitation inevitably raised the water level and increased current velocity, making wading across more difficult. The danger of being swept away and injured by falling onto stones increased. General apprehension, inclement weather, nighttime conditions, and a swift stream undoubtedly lengthened the duration of the crossing. Therefore, the injury is dated to approximately two o'clock in the morning on Monday, November 20, 1640 BCE (Gen. 32:23–24). From our point of view, on that specific date and time, the prototype of the literary Jacob indeed experienced a "dislocation of the hip joint" (Gen. 32:26). At least, that is what the authors of the Book of Genesis wished us to believe.

The circumstances of the injury and the time it occurred were elicited by the ancient Egyptian physician directly from the patient himself. According to his account, the injury was inflicted during a mystical struggle at approximately 5:43 a.m. This time appears to have been indicated in the "medical records", in the "injury history" (anamnesis) section recorded while questioning the victim. At the same time, the medical practitioner could have added a note to the chart reflecting his expert opinion: it cannot be ruled out that earlier, at the end of the middle watch of the night, an accident resulting in an injury to the hip joint had taken place.

A preliminary analysis of the facts indicates that Jacob sustained the injury while wading across the Jabbok stream, rather than in a night struggle with an angel (Gen. 32:23–26). The crossing took place "during the middle watch of the night", tentatively between 10:00 p.m. and 2:00 a.m., corresponding by modern convention to the night of November 19–20. It is more likely that the traumatic event occurred after midnight, at approximately two o'clock in the morning on November 20, 1640 BCE. According to our hypothesis, closer to two o'clock in the morning, during the darkest hour of the night, a sudden, unintended, brief traumatic incident resulted in damage to the hip joint of Jacob's prototype.

The accident occurred while crossing the water barrier on foot. The primary source draws attention to this circumstance. In it, we read that Jacob personally "took" his wives, children, and female servants "and crossed the ford of the Jabbok", and that he himself "took them over the stream" along with all that he had (Gen. 32:24–25). As becomes clear to us, Jacob does not cross the river riding an animal (a camel or a donkey) or in a wagon. With these modes of transportation under nighttime conditions with limited visibility, the probability of injury is significantly lower. The patriarch traverses the Jabbok on foot, explicitly caring for the safety of his property and livestock, but above all for his "four wives and twelve children" (Gen. 32:23). The text specifies the number of sons (the twelfth is born later) and omits mention of his daughter Dinah (Gen. 34:1, 35:16–18, 23). All this implies multiple crossings through the water carrying luggage or a child in his arms in the dark and in haste – which, from our point of view, served as the most critical prerequisites for the accident.

We date the completion of the crossing in the middle of the night – specifically after two o'clock in the morning on November 20, 1640 BCE – as the end of the fifth stage of Jacob's journey from Haran to Canaan. Geographically, its terminus lies on the southern bank of the Jabbok (Zarqa) River beyond the bridge on present-day Highway 65. The approximate coordinates of the caravan's location after the crossing are 32°10'18.1" N, 35°37'09.4" E, situated between the modern settlements of Es-Sawalha and Muaddi in the Kingdom of Jordan.



[vii] APPLICATION

Author of the publication

Arkhipov S.V. – Independent Researcher, MD, PhD, Orthopedic Surgeon, Medical Writer, Finland.

Correspondence: Sergey Arkhipov, e-mail: archipovsv @ gmail.com


Publication history

October 23, 2026 - online version of the book is published. 

The PDF version was published on 23 October, 2026.


Suggested citation

Arkhipov S.V. Medical Record: The Contribution of a Middle Bronze Age Egyptian Physician to the Book of Genesis. Chapter 14. About the round ligament of the femur. October 23, 2026. https://roundligament.blogspot.com/2026/10/medical-record-chapter-14.html


Note

For more details, see the article: 

 

Keywords

hip joint, hip dislocation, osteoarthritis, ligament of the head of femur, ligamentum teres, ligamentum capitis femoris, Minoan Eruption, Bronze Age, Ancient Medicine, Ancient Egypt, Edwin Smith Papyrus, Biblical Chronology, Genesis, Genesis Protograph, Bereshit



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  Book manuscript: Arkhipov S.V.  A Bronze Age Medical Case History: Interpreting the Book of Genesis in the Light of Modern Medicine. Kyrö : Author’s Edition, 2026. – 808 pp. – 52 tables. – Bibliographical references: 959 entries.   ISBN 978-952-19-7020-7    play.google.com  ,   books.google.com   Title, Abstract and Contents  CONTENT [i] Abstract [ii] Dedication [iii] Book Covers and Title [iv] Table of Contents [v] Application [i] ABSTRACT This special "case history" book is the culmination of the author's long-standing career as an orthopaedic surgeon with a passion for the history of medicine. At the heart of this popular science study lies a Middle Bronze Age patient who sustained an injury to the ligament of the head of femur (ligamentum teres). The narrative, drawn from the Book of Genesis, is cross-checked against data from archaeology, history, natural science, linguistics, and modern medicine. The processed and structur...

YOUR PUBLICATION IN THE BLOG

  The blog's publications are dedicated to the ligament of the head of femur, called ligamentum capitis femoris (LCF) in Latin. Articles and illustrative material, updated and publicly discussed. On our platform, you can post your text about LCF for free in any language and further edit it. It is permissible to publish of significant quotes, annotation, or the entire work of another author, provided that his legal rights are respected. Participation in the project is a promising type of scientific cooperation, a way to increase efficiency in clinical practice and the effectiveness of research activities. Here, everyone's contribution is multiplied by the knowledge and experience of colleagues, as well as previous generations of doctors and scientists who have studied LCF. All writers gain a convenient opportunity: to participate in discussions on the topics raised in their article, to receive comments from experts, valuable advice in practical work and scientific research. ...

A BRONZE AGE MEDICAL CASE HISTORY. Prologue

  Book manuscript: Arkhipov S.V. A Bronze Age Medical Case History: Interpreting the Book of Genesis in the Light of Modern Medicine. Kyrö : Author’s Edition, 2026. – 808 pp. – 52 tables. – Bibliographical references: 959 entries. ISBN 978-952-19-7020-7    play.google.com ,   books.google.com Prologue ProLOGUE CONTENT [i] Text [ii] Navigation [iii] Application [i] Text The present work is based on a medical hypothesis formulated by the author. According to this assumption, the protograph of the Book of Genesis was written in Egypt in the late 17th century BCE following the Minoan eruption, with the participation of an encyclopaedic physician. The formulated hypothesis undoubtedly requires comprehensive discussion by the interdisciplinary research community. The theoretical possibility of such a work appearing in the Nile Valley finds support in the history of writing. The earliest texts were compiled in the Tigris – Euphrates basin and Ancient Egypt. In th...

Eryops megacephalus

ERYOPS MEGACEPHALUS Eryops megacephalus Cope 1877 is an early tetrapod from the Permian (298 .9-251.9  Ma ), apparently showing strong similarities to salamanders (2022HerbstEC_HutchinsonJR; 2023CohenKM_C arN). Adults reached an advanced degree of terrestrial habitation and a size of about three meters from head to tail (2002SchochRR). Eryops megacephalus (Lower Permian); top – reconstruction of the skeleton; bottom – appearance of the animal, sculptor Ya.M. Eglon; exposition of the Orlov Paleontological Museum (Moscow); photo by the author. Anatomical evidences of the ligamentum capitis femoris (LCF) in Eryops megacephalus is suggested by certain features in fossilized pelvic and femoral bones. Notable LCF indicators on the femur include the fovea capitis, the groove on the femoral head, and the femoral head’s tuberosity. In the pelvic bone, signs of LCF presence include acetabular notches, an acetabular fossa, perforations, and irregularities on the acetabular surface. We used th...

1879BischoffTLW

  A fragment from the work by Bischoff TLW. Beiträge zur Anatomie des Gorilla (1879). The paper discusses the size of the ligamentum capitis femoris (LCF) of gorilla.   Quote p. 1 8. [Deu] 5. Muskeln der unteren Extremität. Ich erwähne zunächst, dass mein Gorilla an dem mehr als eine Halbkugel bildenden Schenkelkopf ein ansehnlich langes Ligam. teres besitzt. Translation [Eng] 5. Muscles of the lower limbs. First of all, I would like to point out that my gorilla has a rather long round ligament on the head of the femur, which forms more than one hemisphere. External links Bischoff TLW. Beiträge zur Anatomie des Gorilla. Abh. d. II. Cl. d. k. Ak. d. Wiss. XIII. Bd. III. Abth. Munchen: Verlag der Akademie, in Commission bei G. Franz. 1879. zobodat.at Authors & Affiliations Theodor Ludwig Wilhelm von Bischoff (1807-1882) was a German physician and biologist. wikipedia.org Theodor Ludwig Wilhelm von Bischoff  (circa  870).  Unknown author;  original in the...

Homo antecessor. Hip disarticulation

  HOMO ANTECESSOR. Hip disarticulation Postmortem separation of the leg from the pelvis in individuals of own species was performed by our evolutionary predecessors. In particular, this was done in the Homo antecessor community, which practiced cannibalism (2003TuttC). Ferna Y. et al. (1999) described evidence of intentional crushing of the femur diaphysis in a young individual (ATD6-76), presumably to extract bone marrow. The bone retained traces of not only several impacts by a striker, but also of an anvil on which the bone lay. The age of the said find in the Gran Dolina cave (Spain) is estimated at about 780 thousand years (1999FernaY_RosellJ). The above features indicate that the femur was initially separated from the soft tissues. In the second stage, the butcher had to use a stone tool to cut the muscles and strong external ligaments of the hip joint. In the next stage, he tore, or perhaps cut off, the ligamentum capitis femoris (LCF) to mobilize the hip and further manipul...

The First Publication on Prevention

  In our opinion, the first publication on the topic of preventing of ligamentum capitis femoris (LCF) injury is the abstract of the report: “Arkhipov-Baltiysky SV. On increasing the safety of jumping from heights. Abstracts of reports of the All-Russian Conference ... “Trauma in peacetime and war” (Anapa, 2005).” This text not only holds historical significance but remains relevant for sports, armed forces, circus performers, and other extreme activities. The online version of « О безопасности прыжков с высоты » (On the Safety of High-Altitude Jumps) was published in 2005 on the website « Морфомеханика » www.enet.ru/~archipov/ (no longer supported, archived copy ), specifically in the section « Архив публикация автора » (Archive publications of the author). Translation of the original text from Russian : On Increasing the Safety of Jumping from Heights S . V . Arkhipov-Baltiysky In modern military operations and counter-terrorism activities, personnel of the armed force...

MEDICAL RECORD. Title and contents

  Book manuscript: Arkhipov S.V. Medical Record: The Contribution of a Middle Bronze Age Egyptian Physician to the Book of Genesis. Kyrö : Author’s Edition, 2026. – 312 pp. – 2 tables. – Bibliographical references: 856 entries.  Google Books ID: GGKEY:5GXG1LS275N ,  play.google.com , books.google.com Title,  Abstract and  Contents  CONTENT [i] Abstract [ii] Dedication [iii] Book Covers and Title [iv] Table of Contents [v] Application [i] ABSTRACT Before you is the final medical record compiled by the author over a professional career as an orthopaedic surgeon. This work outlines information regarding a patient who sustained a hip joint injury in the Middle Bronze Age. The source material is extracted from the Book of Genesis and cross-referenced with facts from history, archaeology, natural science, and medicine past and present.  Along the way, it is demonstrated that the protograph was composed in Ancient Egypt during the Second Intermediate P...

MEDICAL RECORD. Notes

  Book manuscript: Arkhipov S.V. Medical Record: The Contribution of a Middle Bronze Age Egyptian Physician to the Book of Genesis. Kyrö: Author’s Edition, 2026. – 312 pp. – 2 tables. – Bibliographical references: 856 entries.  play.google.com , books.google.com NB! Notes CONTENT [i] Notes [ii] About the Book and Author [iii] Navigation [ iv] Application [i] Notes · Kyrö is an idyllic settlement situated in the upper reaches of the Finnish Aurochs River (the Tarvasjoki). · The bibliographic referencing system has been adapted by the author. In-text citations emphasize the publication date and the senior author, who typically acts as the principal investigator of the research team. The end-of-text references are based on the international APA (American Psychological Association) citation style and are tailored to reduce character count. This approach curtails typesetting costs, limits publication space requirements, and decreases paper and toner consumption during pri...

LCF in 2026 (October)

    LCF in 2026 ( October )  (Quotes from articles and books published in October   2026 mentioning the ligamentum capitis femoris)   Sha, M. S., Liu, M. Y., Li, M. H., Shen, M. L., Li, M. W., Liu, M. W., ... & Yin, M. Q. (2026). Hip arthroscopy with comprehensive capsular closure following longitudinal outside-in capsulotomy showed improved clinical outcomes in symptomatic borderline hip dysplasia: A retrospective study with minimum 2-year follow-up. Journal of ISAKOS , 21 , 101226.   [i]     jisakos.com   Hou, D., Ndjonko, L., Johnson, S. R., England, P., Sheth, U., & Tjong, V. K. (2026). Both Knotless and Traditional Knot‐Tying Suture Anchors Result in Favorable Clinical Outcomes in the Treatment of Acetabular Labral Tears: A Systematic Review. Arthroscopy, Sports Medicine, and Rehabilitation , e70092.   [ii]   pmc.ncbi.nlm.nih.gov   Garcia, L. C., Rosário, D. A. V., Garcia Filho, F. C., Cantao, M., Sena, T. F. L....