Basileias | |
Location | Caeserea, Byzantine Empire (mod. Kayseri, Turkey) |
---|---|
Region | Cappadocia |
Type | Hospital |
History | |
Builder | Basil of Caesarea |
Founded | ca. 372 AD |
Abandoned | after the middle of the 5th century |
Cultures | Byzantine Empire |
The Basileias was an ancient multi-functional philanthropic institution in Caesarea Mazaka in Cappadocia founded in the late fourth century by Basil of Caesarea, after whom it was named. While the exact nature of the Basileias has been debated, it may have been the first hospital or at least the first that provided comprehensive services in one place, marking a major advance in medical care.
After the legalisation of Christianity, a number of discrete institutions arose in the 320s that were dedicated to either provide shelter for travellers, care for foundlings, homes for elderly, and almshouses for the poor. [1]
While the construction has been sometimes portrayed as responses to a severe famine that might have struck Asia minor between 368-370 [2] or a sudden outbreak of leprosy, these reasons do not hold up and are not connected with the construction of the Basileias by ancient writers. [3]
The exact date when the construction of the Basileias begun or was finished is not known, though it is typically set in the 370s. Theodoret writes in his Church History that emperor Valens gifted Basil land for the poor during his visit to Cappadocia in January 372. This could likely indicate that the Basileias did not exist by that time and that it was constructed on the land given by Valens in 372. [4] This sets the Basileias, whose precise location is unknown, in contrast to the other ecclesiastic guest houses and soup kitchens of the fourth century which were typically situated within the towns and cities. [5]
The exact nature of the Basileias has been debated. [6] Apart from the eponymous appellation, contemporary writers referred to the hospital in a number of terms; Basil himself called it a ptochotropheion (poorhouse), a xenodocheion (hostel) and a katagogion (rest house). The complex must have been extensive, including housing for various types of residents, a hostel for visitor, at least one church, an adjacent monastery and likely a full range of supporting facilities such as storehouses, kitchens, baths, workshops and stables. [5]
The Basileias continued to operate at least into the middle of the fifth century, if not longer. [7]
The Basileias is the most mentioned philanthropic institution of its time, making it the best documented and, seemingly, the best-known Christian foundation of antiquity. [8] Among the sources are the funeral oration for Basil by Gregory of Nazianzus, descriptions by a number of ecclesiastic writers and Basil's own remarks in his correspondence and ascetic writing. [9]
The novel aspect of Basil's foundation was not it charitable aspect, or the care for the sick, lepers, poor, travellers, orphans or elderly, as other Christian institutions were already in place to take care of them. Rather the non-professional staff of doctors and medical attendance, the offering of inpatient care and the comprehensive nature of the institution mark a major advance in medical care. [10] Regardless of the question of the innovation, the Basileias is of central importance because it is the first hospital for which any significance exists. [9]
Basil's philanthropic spirituality and hospital concept spread in the fifth century. Theodosius the Cenobiarch established three hospices specialising in healthcare that upheld the Basileian tradition and it is also probable that the monastery of Martyrius housed a Basileian hospital. The theology of compassion, that spiritual diseases can be healed by compassion for the sick, is also reflected in the letters of Barsanuphius and John the Prophet and the Life of Dositheus which describe the workings of the hospital at the Monastery of Seridus. [6]
Nevertheless, while the Basileias served as model for later hospitals, it did not change the nature of the many already existing specialised institutions for the poor or sick, which continued to be more widespread. [11]
Gregory the Illuminator was the founder and first official head of the Armenian Apostolic Church. He converted Armenia from Zoroastrianism to Christianity in the early fourth century, making Armenia the first state to adopt Christianity as its official religion. He is venerated as a saint in the Armenian Apostolic Church and in some other churches.
Gregory of Nazianzus, also known as Gregory the Theologian or Gregory Nazianzen, was an early Roman Christian theologian and prelate who served as Archbishop of Constantinople from 380 to 381. He is widely considered the most accomplished rhetorical stylist of the patristic age. As a classically trained orator and philosopher, he infused Hellenism into the early Church, establishing the paradigm of Byzantine theologians and church officials.
The 370s decade ran from January 1, 370, to December 31, 379.
Gregory of Nyssa, also known as Gregory Nyssen, was an early Roman Christian prelate who served as Bishop of Nyssa from 372 to 376 and from 378 until his death in 394. He is venerated as a saint in Eastern Orthodoxy, Catholicism, Oriental Orthodoxy, Anglicanism, and Lutheranism. Gregory, his elder brother Basil of Caesarea, and their friend Gregory of Nazianzus are collectively known as the Cappadocian Fathers.
Year 372 (CCCLXXII) was a leap year starting on Sunday of the Julian calendar. At the time, it was known as the Year of the Consulship of Modestus and Arintheus. The denomination 372 for this year has been used since the early medieval period, when the Anno Domini calendar era became the prevalent method in Europe for naming years.
Cappadocia is a historical region in Central Anatolia, Turkey. It is largely in the provinces of Nevşehir, Kayseri, Aksaray, Kırşehir, Sivas and Niğde.
Basil of Caesarea, also called Saint Basil the Great, was an early Roman Christian prelate who served as Bishop of Caesarea in Cappadocia from 370 until his death in 378. He was an influential theologian who supported the Nicene Creed and opposed the heresies of the early Christian church, fighting against both Arianism and the followers of Apollinaris of Laodicea.
The Cappadocian Fathers, also traditionally known as the Three Cappadocians, were a trio of Byzantine Christian prelates, theologians and monks who helped shape both early Christianity and the monastic tradition. Basil the Great (330–379) was Bishop of Caesarea; Basil's younger brother Gregory of Nyssa was Bishop of Nyssa; and a close friend, Gregory of Nazianzus (329–389), became Patriarch of Constantinople. The Cappadocia region, in modern-day Turkey, was an early site of Christian activity.
The Armenian Rite is a liturgical rite used by both the Armenian Apostolic and the Armenian Catholic churches. Isaac of Armenia, the Catholicos of All Armenians, initiated a series of reforms with help from Mesrop Mashtots in the 5th century that distinguished Armenia from its Greek and Syriac counterparts. These reforms included a retranslation of the Bible and a revised liturgy. During the Crusades and afterwards, missionary activity by the Latin Church influenced liturgical norms and induced some Armenians to join the Catholic Church. The modern Armenian Rite features elements and interpolations from the Byzantine Rite and Latin liturgical rites, with the celebration of the Eucharist emulating the Liturgy of Saint Basil.
Saint Pamphilus, was a presbyter of Caesarea and chief among the biblical scholars of his generation. He was the friend and teacher of Eusebius of Caesarea, who recorded details of his career in a three-book Vita that has been lost.
The Forty Martyrs of Sebaste or the Holy Forty were a group of Roman soldiers in the Legio XII Fulminata whose martyrdom in the year 320 AD for the Christian faith is recounted in traditional martyrologies.
Byzantine medicine encompasses the common medical practices of the Byzantine Empire from c. 400 AD to 1453 AD. Byzantine medicine was notable for building upon the knowledge base developed by its Greco-Roman predecessors. In preserving medical practices from antiquity, Byzantine medicine influenced Islamic medicine and fostered the Western rebirth of medicine during the Renaissance. The concept of the hospital appeared in Byzantine Empire as an institution to offer medical care and possibility of a cure for the patients because of the ideals of Christian charity.
Sabbas the Goth was a Christian martyr venerated as a saint.
Göreme is a district of the Nevşehir Province in Turkey. After the eruption of Mount Erciyes about 2.6 million years ago, ash and lava formed soft rocks in the Cappadocia region, covering a region of about 20,000 square kilometres (7,700 sq mi). The softer rock was eroded by wind and water, leaving the hard cap rock on top of pillars, forming the present-day fairy chimneys. People of Göreme, at the heart of the Cappadocia region, realized that these soft rocks could be easily carved out to form houses, churches, and monasteries. These Christian sanctuaries contain many examples of Byzantine art from the post-iconoclastic period. These frescos are a unique artistic achievement from this period.
Anthimus of Tyana was a Christian bishop of the Cappadocian city of Tyana. Tyana increased in prominence when Roman Emperor Valens divided Cappadocia into two provinces and Tyana became the capital of Cappadocian Secundus in 371. This led to the conflict with Basil of Caesarea, who had only become bishop there in 370, for which Anthimus of Tyana is best known.
A hospital is a healthcare institution providing patient treatment with specialized health science and auxiliary healthcare staff and medical equipment. The best-known type of hospital is the general hospital, which typically has an emergency department to treat urgent health problems ranging from fire and accident victims to a sudden illness. A district hospital typically is the major health care facility in its region, with many beds for intensive care and additional beds for patients who need long-term care.
Valentinianus Galates was the only son of the Roman emperor Valens, who ruled the Roman Empire from 364 to 378. Born into the ruling Valentinianic dynasty, Galates became Roman consul in 369, but he died in early childhood, and the empire passed to the descendants of Valentinian I, Galates's uncle, whom he was named after.
The history of hospitals began in antiquity with hospitals in Greece, the Roman Empire and on the Indian subcontinent as well, starting with precursors in the Asclepian temples in ancient Greece and then the military hospitals in ancient Rome. The Greek temples were dedicated to the sick and infirm but did not look anything like modern hospitals. The Romans did not have dedicated, public hospitals. Public hospitals, per se, did not exist until the Christian period. Towards the end of the 4th century, the "second medical revolution" took place with the founding of the first Christian hospital in the eastern Byzantine Empire by Basil of Caesarea, and within a few decades, such hospitals had become ubiquitous in Byzantine society. The hospital would undergo development and progress throughout Byzantine, medieval European and Islamic societies from the 5th to the 15th century. European exploration brought hospitals to colonies in North America, Africa, and Asia. St Bartholomew's hospital in West Smithfield in London, founded in 1123, is widely considered the oldest functioning hospital today. Originally a charitable institution, currently an NHS hospital it continues to provide free care to Londoners, as it has for 900 years. In contrast, the Mihintale Hospital in Sri Lanka, established in the 9th century is probably the site with the oldest archaeological evidence available for a hospital in the world. Serving monks and the local community, it represents early advancements in healthcare practices.
The Catholic Church is the largest non-government provider of health care services in the world. It has around 18,000 clinics, 16,000 homes for the elderly and those with special needs, and 5,500 hospitals, with 65 percent of them located in developing countries. In 2010, the Church's Pontifical Council for the Pastoral Care of Health Care Workers said that the Church manages 26% of the world's health care facilities. The Church's involvement in health care has ancient origins.
Caesarea, also known historically as Mazaca, was an ancient city in what is now Kayseri, Turkey. In Hellenistic and Roman times, the city was an important stop for merchants headed to Europe on the ancient Silk Road. The city was the capital of Cappadocia, and Armenian and Cappadocian kings regularly fought over control of the strategic city. The city was renowned for its bishops of both the Greek Orthodox and Armenian Apostolic churches.