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MEDICAL RECORD. Chapter 2

 

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

Introduction


Chapter 2

Chronology of the Medical Record



[i] Text

When reading the Book of Genesis, we learn that the first recorded patient with an injury to the ligament of the head of femur was a man named Ya'akov (Gen. 32:25, 33). In adapted usage, the name is rendered as Jacob. According to the narrative, he was born near the well of Beer-Lahai-Roi, between Kadesh and Bered in the Negev Desert, which is in the south of the "Canaanite" land (Gen. 16:14, 23:19, 24:62). As is clear from the text, the "Canaanite land" is the western part of the current State of Israel, excluding the vicinity of the Jordan River (Gen. 13:11–12).

Jacob's father was Yitzchak (Isaac), son of Abraham and grandson of Terach, while his mother was Rebekah (Rivkah), daughter of Bethuel, son of Nachor, Abraham's full brother (Gen. 11:26, 21:3, 22:20–23). Jacob was born from a multiple pregnancy and had a twin brother with a genetic anomaly known as hypertrichosis (Gen. 25:24–25). At birth, his arm appeared to have been injured, as the delivery was complicated by premature limb presentation (Gen. 25:26). Our "patient" grew and developed in prosperity, within a tribe engaged in hunting, agriculture, and nomadic livestock breeding (Gen. 25:27, 26:12–14, 46:34, 47:3). The boy undoubtedly acquired animal handling skills under the guidance of his father, an experienced shepherd (Gen. 26:14). Education was presumably facilitated by his mother, whose childhood was spent in enlightened Mesopotamia (Gen. 25:20). At the very least, the son could easily count up to one thousand (Gen. 32:15–16). Literacy may be evidenced by the transaction to acquire a plot of land (Gen. 33:19). Similar operations in the Bronze Age Levant and Mesopotamia were recorded on cuneiform tablets.

Until the age of forty, Jacob lived with his parents (Gen. 26:34). Following a conflict with his twin, he departed for Haran to his mother's brother (Gen. 27:43, 28:2). There, the migrant acquired a large family and successfully engaged in livestock breeding (Gen. 29:22–35, 30:43). After twenty years of work in Haran, with his acquired possessions and household members, Jacob set off for his homeland (Gen. 31:18, 38, 41). Consequently, at the time of the journey, he was about sixty years old. During a mysterious episode of the journey, an injury to the hip joint occurred, resulting in the character developing a limp "in his thigh" (Gen. 32:26, 32).

After the injury, Jacob continued farming in the land of Canaan (Gen. 33:18, 36:6–7, 37:1). During a period of widespread famine at the age of 130, the patriarch relocated with his family to Egypt (Gen. 41:54, 43:1, 46:6, 47:9). Seventeen years later, Jacob died, having lived 147 years (Gen. 47:27–28, 49:33). The body of the deceased was embalmed in Egypt and buried in the Judean Mountains, in the cave of the field of Machpelah near the oak grove of Mamre at Hebron (Gen. 13:18, 23:19, 50:2, 13). Thus, the co-authors of the epic laid out the life path of Jacob – the most influential character in the Old Testament saga.

The oldest written source clarifying the chronology of the patriarchs' lives is the Book of Jubilees, composed in 153–105 BCE (1913CharlesRH). It is expected to contain the most accurate dates pertaining to the 18th–16th centuries BCE. However, the Book of Jubilees was compiled centuries after the death of the literary Jacob. This significant time gap naturally raises doubts regarding the reliability of the dates in the work and requires verification. Verification of the lifespan of Jacob's prototype is also necessary to clarify the chronology of events in the Book of Genesis. By analyzing the internal evidence of the primary source, we concluded that it is possible to date them.

The starting point is taken to be the period of Jacob's family migrating to Egypt. In the book, this time interval is designated as a "famine" that, once begun, later intensified (Gen. 41:54, 43:1, 46:6). Apparently, the disaster was caused by sharp cooling and agricultural depression following a two-phase eruption of the Santorini volcano on the island of Thera in the Mediterranean Sea, which was distinguished by extreme destructiveness (2014JohnsonEN_CareyS). Based on preserved insect remains on the island from that era, it was determined that Santorini "awoke" in the summer after the harvest in June or early July (2013PanagiotakopuluE_DoumasC). Thus, humanitarian consequences would have been observed in distant territories in the year following the Minoan catastrophe, with their escalation occurring approximately another year later.

The main eruption of Santorini was preceded by a series of explosions releasing and displacing over 1 million cubic metres of ash southward several days or weeks before the main events began. This was followed by an energy-rich expulsion of volcanic ash and gases swept eastward by stratospheric winds. During this eruption – the largest in the last 10,000 years – between 48 and 86 cubic kilometres of magma and rock fragments were ejected (2019DruittTH_VougioukalakisGE). Accordingly, the first portion of gases and ash moved toward North Africa, and the second in the direction of the Levant. This may explain why the "famine" featured in the Book of Genesis was observed "in all lands" (Gen. 41:54). Indeed, the text states: "all the land of Egypt began to suffer famine" (Gen. 41:55). The following verse tells of crop failures in both southern Egypt and the Nile Delta (Gen. 41:56). These territories were officially designated by Egyptians as the "Two Lands," and they also distinguished the "Black Land" – fertile – and the "Red Land" – desert (2004РакИВ).

Further in our primary source, evidence appears of agricultural decline in adjacent regions: "And all countries came into Egypt to buy [grain]" (Gen. 41:57). One toponym is named explicitly: "the famine was in the land of Canaan" (Gen. 42:5). What has been said implies that long-term climate change occurred in the southern Levant as well. From the subsequent narrative, it is appropriate to assume that during the humanitarian cataclysm, Canaan was within Egypt's sphere of influence. Grain was sold to "all the people of the land," including those living "in the land of Canaan" (Gen. 42:5–6). Such close interaction first emerges under the rule of foreign kings (Hyksos) in northern Egypt, who had extensive commercial and cultural ties with the Levant and Middle Eastern states (2012BietakM; 2021BietakM_RensburgA). Later, in the early 16th century, Levantine imports to the Hyksos capital of Avaris became limited to Canaanite jars – more precisely, their contents (2021VilainS). In addition to reduced agricultural productivity, an adverse effect was also noted on livestock breeding. The text makes clear: "the famine is severe in the land of Canaan," "there is no pasture for the flocks" (Gen. 47:4). Consequently, pastures in the southern Levant lost forage grasses. Such a complex impact on both components of agriculture can be caused by cooling, reduced solar irradiance, excessive moisture, and soil acidification resulting from a powerful volcanic process.

Following the eruption of Krakatoa in 1883, anomalous cooling was recorded almost worldwide for two years (2009SchallerN_BrönnimannS). In 1884 and 1885, the duration of daily sunshine decreased even on the Iberian Peninsula (2020ObregónMA_VaqueroJM). In June 1991, the largest recent eruption occurred at Mount Pinatubo (2004GuoS_WatsonIM). Volcanic aerosol particles persisted in the atmosphere for a long time, causing a maximum continent-averaged cooling in 1992 and 1993 of approximately 0.5 °C in September–November (2002YangF_SchlesingerME).

There is an opinion that the activation of the Santorini volcano is reflected on the Tempest Stela, carved at the beginning of the 18th Dynasty. On this calcite block, an unprecedented cataclysm with consequences for all of Egypt is described on behalf of Pharaoh Ahmose. The text mentions human casualties (poisoning, disease?) and the destruction of structures (earthquake?). Signs of climate change are indicated: a "tempest" with heavy rain, loud noise (eruption?), darkness (dense cloud cover?), and thunderstorms (volcanic lightning?). At the same time, storms and abnormal precipitation likely did not cease for several years (2014RitnerRK_MoellerN). The deposition of ash from the Minoan eruption in the eastern Nile Delta, presumably during the reign of the pharaohs of the 18th Dynasty, has been proven by field studies (1986StanleyDJ_ShengH). Based on the dating of museum artifacts belonging to the Second Intermediate Period, it was concluded that the powerful Minoan eruption dates to the end of the 17th Dynasty and preceded the 18th Dynasty, specifically the reign of King Ahmose (2025BruinsHJ_VanDerPlichtJ).

Ahmose's opponents, the Hyksos, also noted extraordinary phenomena in northern Egypt. These were reflected in the Rhind Mathematical Papyrus, dated to the 33rd year of the reign of Apophis I, who flourished approximately in 1585–1553 BCE. The document contains an addendum: during an unusual period, in early September of the 11th year of the reign of an unidentified king, thunder pealed during the celebration of the birthday of the god Seth, and the next day an uncharacteristic seasonal rain fell (1923PeetTE). Archaeological studies conducted in Anatolia, the Levant, and on the island of Thera provide strong reasons to believe that Minoan volcanic aerosols caused torrential rains (2017TheodorakopoulouK_AlçiçekCM). Increased precipitation in the Eastern Mediterranean led to overflowing watercourses and floods, which could be regarded as a "deluge" (2018AthanassasCD_TheodorakopoulouK). Tree-ring anomalies in Anatolia demonstrate that this hydrological episode lasted, according to rough estimates, about 3.5 years (2009PearsonCL_ManningSW). This is indirectly supported by the Hittite legend of Telepinu, which mentions changes in riverbeds and the flooding of rivers in Asia Minor (1958GoetzeA).

The Anatolian myth of the god Telepinu describes events reminiscent of those experienced by Ahmose's contemporaries. The legend states that the enraged god Telepinu leaves the world, taking with him all the fruits and powers of the earth. Wheat and emmer did not ripen; cattle, sheep, and humans ceased to reproduce. The grass withered, and trees dried up and produced no new shoots. Pastures dried up, and water sources dried up. Famine broke out in the land, from which humans and gods perished. After Telepinu was stung by a bee, he flew into an even greater rage. Thunder pealed and lightning flashed. He stopped the murmuring of springs, diverted flowing rivers and forced them to overflow their banks, filled up quarries, shattered windows, destroyed houses, and brought about the destruction of people, sheep, and cattle (1958GoetzeA). Telepinu, a Hittite and Hurrian god of fertility and vegetation, was revered between 1800–1100 BCE (2004JordanM). The myth itself is attributed to the Old Hittite period, that is, to the 17th–16th centuries BCE (2002BryceT; 2022BecharS).

There are strong reasons to believe that the ancient Egyptian work The Admonitions of Ipuwer describes a disaster during the Hyksos period, more precisely the first half to middle of the 17th century BCE, although paleographically the papyrus dates to the reign of the 19th Dynasty (2010Ильин-ТомичАА_СафроновАВ). An analysis of M.A. Korostovtsev's translation reveals a description of the climate cataclysm of the Second Intermediate Period caused by the Minoan eruption (1978КоростовцевМА). The mention in The Admonitions of Ipuwer of native inhabitants of the Delta with shields, and the exclamations "foreigners everywhere have become Egyptians and do not give Egypt over to the dwellers of the sand!" suggest that the narrative is told from the perspective of a subject of the 17th Dynasty, which existed concurrently with the hostile Hyksos. In the text we read: the Nile overflows, yet no one plows for it, women are now barren, they no longer become pregnant, disaster has spread throughout the land ... death, a multitude of dead, people have become few and do not bury the deceased, everything falls into decay, they say: we do not know what has happened in the land, and the land is in desolation, nobles perish from hunger, people eat grass and wash it down with water. They snatch food from the mouths of swine out of hunger, grain perishes everywhere, the many kill the few, turmoil reigns in the land for years (1978КоростовцевМА). Among other things, it is clear from the text that the influx of valuable goods from outside the state ceased, and a shortage of raw materials began to be felt. Such a situation is possible during territorial isolation, the disorganisation of producing countries, the severance of overland trade routes, and the destruction of maritime infrastructure and ships. Similar processes were observed toward the end of the Hyksos reign, which is explained by a combination of internal and external factors that triggered the crisis: social stress, profound social changes, threats to the state, and the depletion of resources (2021VilainS).

The Hearst Medical Papyrus (early 16th century BCE) contains a mention of a flood in northern Egypt in the phrase Seth summoned the sea, which was likely caused by a tsunami following the eruption of the Santorini volcano (1992GoedickeH). The text shares a logical connection with the aforementioned Rhind Mathematical Papyrus through the same deity's name and a similar anomalous phenomenon. The Apophis featured in it appears to have practiced monotheism, worshipping the same Seth. According to the tale The Hyksos King Apopi and Pharaoh Seqenenre, this ruler "chose the god Seth" as his patron (1958КацнельсонИС_МендельсонФЛ). King Apophis (c. 1565–1540 BCE), for political or religious reasons, made Seth-Baal the sole god in the capital Avaris (2006GoldwasserO). Notably, Jacob also instituted the worship of a single unnamed deity within his family (Gen. 35:2–3). The single God instructed Noah and made a covenant with him (Gen. 6:13–22, 7:1–9, 9:1–17). A single God speaks to and forms an alliance with Abraham (Gen. 15:13–21). These circumstances testify in favor of the Book of Genesis being written during the Hyksos reign, when a mixing of emigrants' religious practices occurred in the Nile Delta and Egyptian beliefs were not dominant. Biblical monotheism anticipated Apophis's theological doctrine, rather than being an imitation of it.

In the Book of Genesis, Jacob mentions the "God of Abraham" alongside another epithet, "Fear of Isaac" (Gen. 31:42). Abraham was born in Ur of the Chaldees in Mesopotamia (Gen. 11:27–28, 31). At that time, the patriarch worshiped the supreme deity of that city named Nanna (Nannar), which in Old Akkadian means "lord of knowledge" (1961ВуллиЛ; 1990АфанасьеваВК). Jacob's wives and father-in-law Laban inherited the patron deity of their grandfather – the "God of Nachor" (Gen. 31:42). Those residing in Haran predominantly prayed to Sin, the Akkadian moon god (2002PingreeD). It seems that Jacob demands his relatives renounce this god and the Mesopotamian pantheon: "So they gave to Ya'akov all the foreign gods" (Gen. 35:2, 4). Thus, through monotheism, a step was taken toward a theocratic monarchy and presidential authority within a confessional state.

According to a Bayesian model, the eruption of the Santorini volcano took place in the late 17th century BCE, when Northern Egypt was controlled by the Canaanite Dynasty (2006ManningSW_WildEM). Based on radiocarbon analysis of organic material, it was established that volcanic activity was observed between 1663 and 1599 BCE, and when using samples from reliable contexts, the range narrows to 1662–1608 BCE (2004RamseyCB_GalimbertiM).

The aforementioned period is corroborated by dating an olive branch buried during the Minoan eruption. Examination of the said fossil sample showed that the volcanic explosion on the island of Thera occurred in 1627–1600 BCE with 95% confidence, and with a 68% probability – in 1621–1605 BCE (2006FriedrichWL_TalamoS). A recent re-evaluation of refined Mediterranean plant material showed that the Santorini volcano was active with a 65.8–74.5% confidence in 1619–1596 BCE (2020ManningSW_TegelW). An analysis of new radiocarbon dating evidence points to the highest probability of an eruption around 1600 BCE (2026ErdilP_DeeMW). The minimum ring-width of pine samples grown in the 16th century BCE in the subarctic belt of the Northern Hemisphere is dated to 1597 BCE, which may indicate the Minoan catastrophe (2007SalzerMW_HughesMK). Individual research teams find an eruption on the island of Thera acceptable in the range of 1580–1520 BCE (2018PearsonCL_SalzerMW). There is an opinion that Santorini exploded 1560±50 BCE (2024FantuzziT). For completeness, one cannot fail to note the position of several researchers according to whom the Minoan eruption in 1525 BCE better matches the historical and archaeological dating range in the Nile Delta (2015WienerMH_EarleJW; 2021BietakM).

According to the results of the GISP2 project, which studies the composition of Greenland fossil ice, the largest Bronze Age sulfate signal implying volcanic ash dates to 1695 BCE (1997ClausenHB_LegrandM). Meanwhile, dating chemical compounds in Greenland ice requires a correction of approximately 80 years for dates around 3,600 years ago counted from 1950, and for ages older than 3,400 years – about 60 years (1998StuiverM_SpurkM; 2004SouthonJ). Consequently, for 1695 BCE, a correction of approximately 85 years (specifically, 84.5 years) is necessary. Relying on this, we conclude that the anomalous amount of sulphate with precipitation in Greenland fell in 1610 BCE, more precisely, between 1610 and 1611 BCE (1695 – 85/84.5 = 1610/1610.5). These dates fall within the interval of the consensus estimate by the Smithsonian Institution's Global Volcanism Program, which indicates the onset of the Minoan catastrophe in 1610±14 BCE (volcano.si.edu). In our view, this relatively wide period is due to the activation of Santorini's fumaroles long before the explosion, as well as gas production for some time after the eruption. This is supported by the plateau between 1620 and 1540 BCE discovered on traditional calibration curves for wood material dating (2018PearsonCL_SalzerMW; 2020PearsonC_HodginsG; 2021BietakM).

A. Dickin (2024), having critically evaluated the material accumulated by science, believes that the aggregate of available data confirms the explosion on the island of Thera in 1611 BCE. S.W. Manning (2024) suggests that it is appropriate to date the Minoan catastrophe to the end of the 17th or the beginning of the 16th century BCE, "for example, 1611 BCE." These views are consistent with archaeological findings proving a significant influx of settlers into Avaris in 1610–1590 BCE (2005BoothC). Mass migration could have been caused by the consequences of the Minoan cataclysm in the form of acid rain, cooling, and the contamination of drinking sources with volcanic ash and dust in the lands of the Levant. According to our hypothesis, such circumstances forced Jacob's prototype and his relatives to migrate to Egypt (Gen. 46:6, 27–28). Moreover, it was assumed that the family would dwell there for a limited time, since the nomads came only "to sojourn," rather than to settle permanently, but they did become settled (Gen. 47:4, 27). This can be explained by the multi-year consequences of Minoan volcanism.

We believe that Santorini became active in late 1611 BCE. The main eruption occurred in 1610 BCE. Between these dates, there was a brief bright interval during which the inhabitants of Akrotiri returned before finally abandoning the island of Thera prior to the explosion (2020EvansKJ_McCoyFW). Then, according to our version, the biblical "famine in all lands" began (Gen. 41:54). It was caused by crop failures and livestock mortality due to the loss of pastures around 1609 BCE. At this point, Jacob's son Joseph (Yossef) was 37 years old (Gen. 41:46–48, 53). Consequently, having reached seventeen years of age, he arrived in Egypt in 1629 BCE (Gen. 37:2, 28, 36). In 1640 BCE, at the age of six, Joseph left Haran with his parents (Gen. 31:17–18, 41). Calculations show that Jacob's penultimate son was born approximately in 1646 BCE (Gen. 30:22–23). By this time, the father had worked in Mesopotamia for fourteen years (Gen. 31:41). Therefore, Jacob arrived there in 1660 BCE (Gen. 27:43, 28:10, 29:1–4). It is thought that on the date of his departure from his parental home, he was 17 years old, not 40 (Gen. 26:34). The aging of the character is a common artistic device allowing wisdom and experience to be imparted. If our reasoning is correct, Jacob was born roughly in 1677 BCE (Gen. 25:26). He brings his family to Egypt in the second year of the "famine" (Gen. 45:6, 10–11, 46:6, 28). That is, the migration of Jacob's clan to the banks of the Nile, according to the preferred scenario, took place in 1607 BCE.

Aside from refining the chronology of Jacob's life, our primary source provides clues for dating Abraham's wanderings. It is narrated that he departs with his father and wife from the city of "Ur of the Chaldees" to "Haran" (Gen. 11:31). In Egypt, girls were given in marriage upon reaching maturity, between 12 and 14 years of age, though instances of earlier marriage are known (2016ДжарманОА_МикиртичанГЛ). Since Egyptians were involved in the composition of our primary source, the literary Sarah acquired her family within the specified interval. Following her mention, it is stated: "Sarai was barren; she had no child" (Gen. 11:30). This is noted no less than 1–2 years after entering into marriage. It seems plausible that upon the exodus from Ur, Abraham was 25 years old, and Sarah was ten years younger (Gen. 17:17).

From our perspective, Terach, Abraham, Sarah, and Lot flee their native places, escaping an invasion by foreign tribes (Gen. 11:31). It is assumed that Ur was burned and pillaged in 1737 BCE by the Babylonian king Samsu-iluna, who ruled in 1749–1712 BCE (1961ВуллиЛ; 2000GraysonAK). A document compiled in the eleventh year of Samsu-iluna's reign has been found, which recounts the destruction of the walls of Ur and Uruk (2013SeriA). Examination of this record and context showed that the fortifications, public buildings, and private homes in Ur were destroyed in 1739 BCE, but more likely in 1740 BCE (1969BrinkmanJA). Based on the foregoing, we conclude that the formerly sedentary farmers Abraham and Sarah left Ur between 1740 and 1737 BCE, most likely in 1740 BCE. After some time, the wanderers reached Egypt (Gen. 12:10, 14).

Migrants from the eastern part of the Fertile Crescent, including Mesopotamia, appeared in the Nile Valley no later than 2855–2570 BCE, as evidenced by the genome of an Egyptian potter (2025MorezJacobsA_Girdland-FlinkL). Inhabitants of Western Asia settled along the banks of the Nile during the Middle Kingdom and lived there for centuries (2020StantisC_SchutkowskiH). In the work of this period, The Admonitions of Ipuwer, we find: "Foreigners have flooded Egypt. Indeed, there are no longer Egyptians anywhere," and further down we read: "Foreigners have become skilled in the crafts of the Delta" (1978КоростовцевМА). A procession of Asiatics in Egypt is depicted on the wall painting of the tomb of the official Khnumhotep II, built in 1897–1878 BCE (2009KamrinJ).

Following the "appointment" of Sarah as the pharaoh's wife, an epidemic breaks out in the palace (Gen. 12:15, 17). This is followed by a description of extreme anxiety on the part of the ruler, who expels Abraham's family from the country (Gen. 12:18, 20). Behind the scenes, highly alarming events can be discerned. The disease that struck the king and courtiers apparently turned out to be an especially dangerous infection. At the end of the rule of the 13th Dynasty, the northeastern Nile Delta in the area of the archaeological site of Tell el-Dab'a (Avaris) experienced a crisis and was partially abandoned. Emergency burials from the period of 1740–1710 BCE have been excavated on its territory, indicating that an epidemic swept through the city caused by an unidentified pathogen (1996, 2012BietakM). Abraham's caravan entered Egypt from the direction of Canaan (Gen. 12:10, 14). The family, which necessarily crossed the Nile Delta from northeast to southwest, undoubtedly bypassed Avaris.

The chronicle of Egyptian dynasties relates that King Sekhemre Khutawy Sobekhotep (or rather, Sahathor) died in 1733 BCE, and Neferhotep I in 1731 BCE. Earlier, in 1732 BCE, his brother Sobekhotep IV succeeded to the throne. Sahathor was listed as a dependent pharaoh for several months and apparently died during the reign of Neferhotep I (1997RyholtKS_Bülow-JacobsenA). It should be noted that the given dates are approximate and sometimes shift significantly in both directions in various sources. There is an opinion that Sahathor passed away in 1730 BCE, becoming the successor of his brother Neferhotep I, with whom he may have had a brief coregency (2002BunsonMR). Other researchers also believe that Sahathor was a coregent and passed away due to an untimely death in less than a year, but the possibility cannot be excluded that the three brothers simply reigned consecutively (2016NealeH).

Guided by the opinions of Egyptologists, it appears that the authors place Abraham's visit to the Nile Valley between 1733–1732 BCE. According to such a scenario, we tentatively date the expulsion of the patriarch's family from Egypt to 1732–1731 BCE. Based on the foregoing, we have compiled Table 1, which dates key events in Abraham's clan up to the death of Jacob's son Joseph.


Table 1. Approximate Dating of Major Events in Abraham's Clan

Dating (BCE)

Event

Primary Source References

1536

Hypothetical death of Joseph at 110 y.o.

Gen. 50:22, 26

1590

Documented passing of Jacob after 17 years

Gen. 47:28, 49:33

1606–1605

Estimated death of Jacob at age 71–72

Explanation in text

1607

Jacob migrates to Egypt

Gen. 45:6, 46:6

1609

Onset of the famine in the Eastern Mediterranean; Joseph turns 37

Gen. 41:53–54

1610

Minoan eruption (hypothesis)

Explanation in text

1616

Joseph appointed vizier at age 30

Gen. 41:44, 46

1629

Joseph reaches Egypt at age 17

Gen. 37:2, 28, 36

1639

Jacob settles in Shechem

Gen. 33:18–19

1640

Family leaves Haran; Jacob's hip injury at the Jabbok River; Joseph turns 6

Gen. 31:17–18, 41, 32:26, 33

1646

Birth of Joseph; Jacob makes his final contract with Laban

Gen. 30:22–23, 25–34

1653

Jacob's wedding

Gen. 29:20, 22

1660

Jacob (17? y.o.) leaves for Haran

Gen. 27:43, 28:10, 29:1–4

1677

Birth of Esau and Jacob; Jacob's birth injury (Isaac is 28–29 y.o)

Gen. 25:25–26

1707–1706

Birth of Isaac

Gen. 21:2

1708–1707

Circumcision performed on Abraham and Ishmael at 13 y.o.

Gen. 17:24–25

1721–1720

Birth of Ishmael

Gen. 16:15

1722–1721

Conception of Ishmael

Gen. 16:2–4

1732–1731

Departure of Abraham's family from Egypt

Gen. 13:1

1733–1732

Anthrax epidemic in Egypt?

Gen. 12:17

1733

Abraham and Sarah arrive in Egypt

Gen. 12:14

1740

Abraham (25? y.o. and Sarah (15? y.o.) leave Ur

Gen. 11:31, 17:17

1755

Presumed birth of Sarah

Explanation in text

1765

Birth of Abraham

Gen. 11:26

 

The adverse impact of the Minoan catastrophe on flora and fauna was clearly reflected in human health as well. The consequences of the eruption were capable of worsening the elderly Jacob's condition and causing premature death. According to the text, it seems to have overtaken the patriarch a short time after his arrival in the Nile Valley, 1–2 years later, although the Book of Genesis asserts that Israel lived "in the land of Egypt seventeen years" (Gen. 47:28).

The chronology of the biblical famine under Joseph, superimposed upon the annals of Egypt, corresponds to the Second Intermediate Period, which lasted from roughly 1720 to 1540 BCE (2009StiebingWH). In this time interval, no more massive cataclysm capable of affecting humans, plants, and animals than the eruption on the island of Thera is known. The activity of the Minoan volcano with a VEI of 7 is recognized as one of the greatest in human memory (volcano.si.edu). Following such a catastrophe, one must expect phenomena comparable to the consequences of the Tambora volcanic eruption in 1815: abnormal cooling with a year without a summer, crop failure, malnutrition and human disease, livestock mortality, and mass migration of the population (2003OppenheimerC). Following the volcanic eruption in southern Patagonia in 1991, the impact of volcanic dust lasted for several months, leading to the death of many animals (up to 1/3 of the sheep population), as well as birds, some of which went blind (1995InbarM_SalaniFM).

We believe that the narrative of the final third of the Book of Genesis is closely linked to the activation of the Santorini volcano in the late 17th to early 16th century BCE. Both questions are important for a wide range of sciences, but have not yet found a definitive answer. The medical evidence contained in the Book of Genesis can shed light on the period of its composition and the dating of the episodes from Jacob's life. It is not excluded that this work will help in determining the specific date of the Minoan catastrophe and in refining the history of the Bronze Age in the Eastern Mediterranean.

At present, it appears to us that our primary source was written in the Nile Delta in the ancient Egyptian language after 1610 BCE, likely within the following 10 years. During this same period, either speculatively or in writing, an unknown physician compiled the first medical record of a patient who had sustained an injury to the ligament of the head of femur. Specialists of such education were reliably present in Egypt. Proof of this is the composition of the oldest surgical treatise, the Edwin Smith Papyrus, around 1600 BCE (2005AllenJP).

The manuscript reflects exceptionally deep knowledge not only of the primary author, who was a doctor, but also of the scribe-commentator, who was well-versed in the pathological anatomy of injuries, their diagnostics, and a materialistic understanding of the symptoms of injuries to the musculoskeletal system (1930BreastedJH). What we have indicated points to a level of knowledge relative to a fairly wide circle of individuals of that era, rather than an isolated phenomenon.

 


[iii] 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 2. About the round ligament of the femur. October 23, 2026. https://roundligament.blogspot.com/2026/10/medical-record-chapter-2.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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  Joubert J, painting – Jacob's struggle with God in the form of an angel (17-18th cent.).  Depicting the circumstances and mechanism of the ligamentum capitis femoris (LCF) injury based on the description in the Book of Genesis: 25 And Ja cob was left alone; and there wrestled a man with him until the breaking of the day.  26 And when he saw that he could not pre vail against him, he struck against the hollow of his thigh ; and the hollow of Jacob's thigh was put out of joint, as he was wrestling with him. … 33 Therefore do the children of Israel not eat the sinew which shrank, which is upon the hollow of the thigh, unto this day; because he struck against the hollow of Jacob's thigh on the sinew that shrank.  ( 1922LeeserI , Genesis (Bereshit) 32:25-26,33) More about the plot in our work:  Ninth month, eleventh day  ( 2024АрхиповСВ. Девятый месяц, одиннадцатый день ). Jean Joubert –  Jacob's struggle with God in the form of an angel  (17-18th ce...

Dating and authorship of the Book of Genesis

  An original perspective on the dating and authorship of the Book of Genesis. This approach can reconcile all faiths, including atheists and scientists. English version of the article: https://roundligament.blogspot.com/2026/02/great-compilation-introduction.html   Abstract The Book of Genesis (Bereshith) was composed in Egypt during the 17th century BCE and reached its definitive protographic form following the Minoan eruption of Thera. This study argues that the work was the result of a collaboration between an Egyptian polymath and a distinguished scribe of Asiatic descent. By analyzing ancient texts, anatomical descriptions, archaeological data, Bronze Age cultural history, and climatic markers, this article demonstrates that the book emerged from the work of a high-ranking socio-political committee within the Egyptian House of Life. We argue that the inclusion of precise anatomical data, such as the ligamentum capitis femoris, serves as a diagnostic marker of this Egypti...

LCF in 2026 (September)

  LCF in 2026 (September )  (Quotes from articles and books published in September   2026 mentioning the ligamentum capitis femoris)   Goetz, J. E., Hockman, J., & Willey, M. C. (2026). Rabbit models of hip dysplasia: a narrative review. Laboratory animal research , 42 (1), 32.   [i]   link.springer.com   Kahana-Rojkind, A. H., Strok, M. J., Walsh, E. G., Quesada-Jimenez, R., Kuhns, B. D., & Domb, B. G. (2026). Factors Associated With Return to Sport at Minimum 10-Year Follow-up in Athletes With Borderline Hip Dysplasia Undergoing Hip Arthroscopy With Capsular Plication. Orthopaedic Journal of Sports Medicine , 14 (9), 23259671261451218.   [ii]   journals.sagepub.com   Stanard, I., Almhanna, H., Al-Mahmodi, A. M. M., Kilroy, D., & Kumar, A. H. (2026). Comparative Analysis of Vascular Density in the Femoral Head Ligament of the Dog, Sheep, and Goat.  [iii]   oajr.org , researchgate.net   Hirt, J., Roshardt, ...

Morphology and Histology of LCF

  Version : 20240418 MORPHOLOGY OF LCF 1. Individual fibers of stroma 2. Portions of stroma 3. Bundles of stroma portions 4. Entire stroma 5. Leg (attaching part of the ligament) 6. Synovial membrane 7. Synovial fold 8. Arterial vessels 9. Venous vessels 10. Capillary bed 11. Lymphatic vessels 12. Nerves 13. Receptors 14. Adipose tissue 15. Loose connective tissue 16. Bone tissue (in the area of attachment) 17. Fibrous tissue (in the area of attachment) 18. Cartilage tissue (in the area of attachment)   HISTOLOGICAL CHARACTERISTICS OF LCF ATTACHMENT SITES Bone tissue 1. Femur 2. Pelvic bone   Cartilage tissue 1. Femoral head (children, edges of the fovea capitis femoris in adults) 2. Acetabular cavity (children)   Fibrous tissue 1. Transverse acetabular ligament 2. Obturator membrane 3. Periosteum of the pelvic bones 4. Joint capsule   Keywords: ligamentum capitis femoris, ligament of head o...

MYTHS AND MISCONCEPTIONS

  MYTHS AND MISCONCEPTIONS ( Erroneous and folkloric beliefs, folk and traditional stories...)  LCF in English Bibles   The first written mention of the LCF in humans is found in the  ancient Hebrew book – Bereshit (Genesis). In English translations of the Bible, LCF is denoted by various terms, often not explicitly referring to the «ligament».  The Shortest Comments on Genesis, Chap. XXXII-XXXIII  In the selected excerpt, the symptoms, mechanism, and differential diagnostic test for the injury to LCF are provided, along with details about the circumstances, time, and place of the biblical trauma.  1609-1583bcProtoBereshit  Hypothesis: in the work of fiction, an unknown physician-encyclopedist for the first time pointed out damage to the LCF as a cause of gait disturbance.  922-722bcElohist  A variant of the oldest description of damage to the LCF and the cause of lameness in Hebrew, dating from 922-722 BC.  8cent.bcHomer   The...

Human Children. Retelling of Chapter 5

  Short retelling of chapter 5 of the essay: Arkhipov S.V. Human Children: The Origins of Biblical Legends from a Physician's Perspective. Joensuu: Author's Edition, 2025. [In Russian]  Chapter 5.  ADAM AND EVE The Book of Genesis narrates the story of a tribe founded by Adam and Eve, described as the "mother of all living." From a genetic perspective, they are depicted as siblings, with an age difference of 18–25 years. According to the biblical epic, they formed humanity’s first family, sustaining themselves on pre-existing fruits and seeds. Their initial home was the "garden in Eden," located "in the east" relative to the narrator. The text identifies geographic markers for Eden’s location: lands like "Asshur," "Cush," and "Havilah," and rivers named "Pishon," "Gihon," "Hiddekel," and "Phrath." The narrator also notes the region’s economic value, mentioning "gold," ...

1856HenleJ

  The author examines in detail the structure, shape and blood supply of the ligamentum capitis femoris (LCF). Jakob Henle notes that the LCF serves as a conduit for vessels and participates in the synthesis of synovial fluid. Its strength varies, but usually it is robust. However, according to the author, the mechanical role of the LCF lies in tensioning the capsule of the hip joint. The translation was done in collaboration with ChatGPT 3.5.   Henle J. Handbuch der systematischen Anatomie des Menschen: in drei Bänden. Erster band, zweite abthelung. Handbuch der Bänderlehre des Menschen. Braunschweig: F. Vieweg und sohn, 1856. [fragments] Quote p. 1 22   Fig. 105. Frontalschnitt des Hüftgelenks, parallel den Fasern des Lig. teres (tf). o Lig. obturatorium. Rf laterale Ursprungssehne des M. rectus femoris. zo Zona orbicularis der Kapsel (s unten). 3 Fettpolster der Fossa acetabuli. Fig. 105. Frontal se...

The First Conservative Treatment

  Conservative treatment of ligamentum capitis femoris (LCF) pathology is, without exaggeration, a highly complex subject. We understand how to repair LCF surgically, although we have not yet achieved significant success in this (2024). Methods of drug therapy for changes in LCF are not even discussed today. The first attempt at treating post-traumatic changes in LCF with recurrent hip dislocations was made by Galen of Pergamon (129-210/217 AD) over 19 centuries ago. In Hippocratis de articulis liber et Galeni in eum commentarius quatus (IV, 40) , he wrote: « And when mucus builds up in the joint, then the ligament [LCF] softens and weakens as a result. And it does not matter whether you call it a ligament ( σύνδεσμον ) or a connecting sinew ( νεῦρον συνδετικόν ). For those ligaments that have a rounded shape like tendons are usually called connecting sinews by anatomists. And we have already cured this kind of hip dislocation twice, and it did not dislocate again. Drying medica...

LCF in 2025 (July)

    LCF in 2025 ( July )   (Quotes from articles and books published in July 2025 mentioning the ligamentum capitis femoris.) Tekcan, D., Bilgin, G., & Güven, Ş. Evaluation of Risk Factors for Developmental Dysplasia of the Hip. HAYDARPAŞA NUMUNE MEDICAL JOURNAL , 65 (2), 99-103.   [i]   jag.journalagent.com   Domb, B. G., & Sabetian, P. W. (2025). Greater Trochanteric Pain Syndrome: Gluteal Tendinopathy, Partial Tear, Complete Tear, Iliotibial Band Syndrome, and Bursitis. In Orthopaedic Sports Medicine (pp. 1-17). Springer, Cham.   [ii]   link.springer.com   Kuhns, B. D., Becker, N., Patel, D., Shah, P. P., & Domb, B. G. (2025). Significant Heterogeneity in Existing Literature Limits Both Indication and Outcome Comparability Between Studies Involving Periacetabular Osteotomy For Acetabular Dysplasia With or Without Arthroscopy Despite Improvement for Both: A Systematic Review. Arthroscopy .   [iii]   ...

Tiktaalik roseae

  TIKTAALIK ROSEAE The first truly tetrapod animal (Limbed tetrapods) is recognized as the lobe-finned fish Tiktaalik roseae (clade Elpistostegalia), discovered in rocks aged about 375 Ma (2006DaeschlerEB_JenkinsJrFA; 2008ShubinN; 2017ShubinN). Discoveries in recent years have allowed us to place the taxa of early tetrapodomorphs in the following order: Tinirau, Eusthenopteron, Megalichthys, Panderichthys, Qikiqtania, Tiktaalik, Elpistostege, Parmastega, Ventastega, Acanthostega, Elginerpeton, Ymeria, Ichthyostega (2022StewartTA_ShubinNH). The closest ancestor of Tiktaalik roseae, the fragments of the skeleton of which are relatively well preserved, is Panderichthys. Reconstruction of the prehistoric fish Pandericthys Author Tyler Rhodes; original in the  wikipedia.org   collection (license CC BY-SA 3.0, no changes). The shape of the skeleton of the pectoral fin and shoulder girdle suggests that Panderichthys rhombolepis "walked" (2006AhlbergPE_ClackJA). At the very least...