Islamic Medicine: 1000 years ahead of its times

Riwayat-Attubani-Within a century after the death of Prophet Muhammad (peace be upon him) the Muslims not only conquered new lands, but also became scientific innovators with originality and productivity. They hit the source ball of knowledge over the fence to Europe. By the ninth century, Islamic medical practice had advanced from talisman and theology to hospitals with wards, doctors who had to pass tests, and the use of technical terminology. The then Baghdad General Hospital incorporated innovations which sound amazingly modern. The fountains cooled the air near the wards of those afflicted with fever; the insane were treated with gentleness; and at night the pain of the restless was soothed by soft music and storytelling. The prince and pauper received identical attention; the destitute upon discharge received five gold pieces to sustain them during convalescence. While Paris and London were places of mud streets and hovels, Baghdad, Cairo and Cardboard had hospitals open to both male and female patients; staffed by attendants of both sexes. These medical centers contained libraries pharmacies, the system of interns, externs, and nurses. There were mobile clinics to reach the totally disabled, the disadvantaged and those in remote areas. There were regulations to maintain quality control on drugs. Pharmacists became licensed professionals and were pledged to follow the physician's prescriptions. Legal measures were taken to prevent doctors from owning or holding stock. in a pharmacy. The extent to which Islamic medicine advanced in the fields of medical education, hospitals, bacteriology, medicine, anesthesia, surgery, pharmacy, ophthalmology, psychotherapy and psychosomatic diseases are presented briefly.

INTRODUCTION
Prophet Muhammad (peace be upon him) who is ranked number one by Michael Hart, a Jewish scholar, in his book The 100: The Most Influential Persons in History, was able to unite the Arab tribes who had been tom by revenge, rivalry, and internal fights, and produced a strong nation acquired and ruled simultaneously, the two known empires at that time, namely the Persian and Byzantine Empires. The Islamic Empire extended from the Atlantic Ocean on the West to the borders of China on the East. Only 80 years after the death of their Prophet, the Muslims crossed to Europe to rule Spain for more than 700 years. The Muslims preserved the cultures of the conquered lands. However when the Islamic Empire became weak, most of the Islamic contributions in an and science were destroyed. The Mongols bunt Baghdad (1258 A.D.) out of barbarism, and the Spaniards demolished most of the Islamic heritage in Spain out of hatred.

The Islamic Empire for more than 1000 years remained the most advanced and civilized nation in the world. This is because Islam stressed the importance and respect of learning, forbade destruction, developed in Muslims the respect for authority and discipline, and tolerance for other religions. The Muslims recognized excellence and hungering intellectually, were avid for the wisdom of the world of Galen, Hippocrates, Rufus of Ephesus, Oribasius, Discorides and Paul of Aegina. By the tenth century their zeal and enthusiasm for learning resulted in all essential Greek medical writings being translated into Arabic in Damascus, Cairo, and Baghdad. Arabic became the International Language of learning and diplomacy. The center of scientific knowledge and activity shifted eastward, and Baghdad emerged as the capital of the scientific world. The Muslims became scientific innovators with originality and productivity. Islamic medicine is one of the most famous and best known facets of Islamic civilization, and in which the Muslims most excelled. The Muslims were the great torchbearers of international scientific research. They hit the source ball of knowledge over the fence to Europe. In the words of Campbell' "The European medical system is Arabian not only in origin but also in its structure. The Arabs are the intellectual forebears of the Europeans."

The aim of this paper is to prove that the Islamic Medicine was 1000 years ahead of its times. The paper covers areas such as medical education, hospitals, bacteriology, medicine, anesthesia, surgery, ophthalmology, pharmacy, and psychotherapy.

MEDICAL EDUCATION
In 636 A.D., the Persian City of Jundi-Shapur, which originally meant beautiful garden, was conquered by the Muslims with its great university and hospital intact. Later the Islamic medical schools developed on the Jundi-Shapur pattern. Medical education was serious and systematic. Lectures and clinical sessions included in teaching were based on the apprentice system. The advice given by Ali ibnul-Abbas (Haly Abbas: -994 -A.D.) to medical students is as timely today as it was then'. "And of those things which were incumbent on the student of this art (medicine) are that he should constantly attend the hospitals and sick houses; pay unremitting attention to the conditions and circumstances of their intimates, in company with the most astute professors of medicine, and inquire frequently as to the state of the patients and symptoms apparent in them, bearing in mind what he has read about these variations, and what they indicate of good or evil."

Razi (Rhazes: 841-926 A.D.) advised the medical students while they were seeing a patient to bear in mind the classic symptoms of a disease as given in text books and compare them with what they found (6).

The ablest physicians such as Razi (Al-Rhazes), Ibn-Sina (Avicenna: 980-1037 A.D.) and Ibn Zuhr (Avenzoar: 116 A.D.) performed the duties of both hospital directors and deans of medical schools at the same time. They studied patients and prepared them for student presentation. Clinical reports of cases were written and preserved for teaching'. Registers were maintained.

Training in Basic Sciences
Only Jundi-Shapur or Baghdad had separate schools for studying basic sciences. Candidates for medical study received basic preparation from private tutors through private lectures and self study. In Baghdad anatomy was taught by dissecting the apes, skeletal studies, and didactics. Other medical schools taught anatomy through lectures and illustrations. Alchemy was once of the prerequisites for admission to medical school. The study of medicinal herbs and pharmacognosy rounded out the basic training. A number of hospitals maintained barbel gardens as a source of drugs for the patients and a means of instruction for the students.

Once the basic training was completed the candidate was admitted as an apprentice to a hospital where, at the beginning, he was assigned in a large group to a young physician for indoctrination, preliminary lectures, and familiarization with library procedures and uses. During this pre-clinical period, most of the lectures were on pharmacology and toxicology and the use of antidotes.

Clinical training: The next step was to give the student full clinical training. During this period students were assigned in small groups to famous physicians and experienced instructors, for ward rounds, discussions, lectures, and reviews. Early in this period therapeutics and pathology were taught. There was a strong emphasis on clinical instruction and some Muslim physicians contributed brilliant observations that have stood the test of time. As the students progressed in their studies they were exposed more and more to the subjects of diagnosis and judgment. Clinical observation and physical examination were stressed. Students (clinical clerks) were asked to examine a patient and make a diagnosis of the ailment. Only after an had failed would the professor make the diagnosis himself. While performing physical examination, the students were asked to examine and report six major factors: the patients' actions, excreta, the nature and location of pain, and swelling and effuvia of the body. Also noted was color and feel of the skin- whether hot, cool, moist, dry, flabby. Yellowness in the whites of the eye (jaundice) and whether or not the patient could bend his back (lung disease) was also considered important (8).

After a period of ward instructions, students, were assigned to outpatient areas. After examining the patients they reported their findings to the instructors. After discussion, treatment was decided on and prescribed. Patients who were too ill were admitted as inpatients. The keeping of records for every patient was the responsibility of the students.

Curriculum: There was a difference in the clinical curriculum of different medical schools in their courses; however the mainstay was usually internal medicine. Emphasis was placed on clarity and brevity in describing a disease and the separation of each entity. Until the time of Ibn Sina the description of meningitis was confused with acute infection accompanied by delirium. Ibn Sina described the symptoms of meningitis with such clarity and brevity that there is very little that can be added after I 000 yearS6. Surgery was also included in the curriculum. After completing courses, some students specialized under famous specialists. Some others specialized while in clinical training. According to Elgood9 many surgical procedures such as amputation, excision of varicose veins and hemorrhoids were required knowledge. Orthopedics was widely taught, and the use of plaster of Paris for casts after reduction of fractures was routinely shown to students. This method of treating fractures was rediscovered in the West in 1852. Although ophthalmology was practiced widely, it was not taught regularly in medical schools. Apprenticeship to an eye doctor was the preferred way of specializing in ophthalmology. Surgical treatment of cataract was very common. Obstetrics was left to midwives. Medical practitioners consulted among themselves and with specialists. Ibn Sina and Hazi both widely practiced and taught psychotherapy. After completing the training, the medical graduate was not ready to enter practice, until he passed the licensure examination. It is important to note that there existed a Scientific Association which had been formed in the hospital of Mayyafariqin to discuss the conditions and diseases of the patients.

Licensing of Physicians: In Baghdad in 931 A.D. Caliph Al-Muqtadir learned that a patient had died as the result of a physician's error. There upon he ordered his chief physician, Sinan-ibn Thabit bin Qurrah to examine all those who practiced the art of healing. In the first year of the decree more than 860 were examined in Baghdad alone. From that time on, licensing examinations were required and administered in various places. Licensing Boards were set up under a government official called Muhtasib or inspector general . The Muhtasib also inspected weights and measures of traders and pharmacists. Pharmacists were employed as inspectors to inspect drugs and maintain quality control of drugs sold in a pharmacy or apothecary. What the present Food and Drug Administration (FDA) is doing in America today was done in Islamic medicine I 000 years ago. The chief physician gave oral and practical examinations, and if the young physician was successful, the Muhtasib administered the Hippocratic oath and issued a license. After 1000 years licensing of physicians has been implemented in the West, particularly in America by the State Licensing Board in Medicine. For specialists we have American Board of Medical Specialties such as in Medicine, Surgery, Radiology, etc. European medical schools followed the pattern set by the Islamic medical schools and even in the early nineteenth century, students at the Sorbonne could not graduate without reading Ibn Sina's Qanun (Cannon). According to Razi a physician had to satisfy two condition for selection: firs0y, he was to be fully conversant with the new and the old medical literature and secondly, he must have worked in a hospital as house physician.

HOSPITALS
The development of efficient hospitals was an outstanding contribution of Islamic medicine (7). Hospitals served all citizens free without any regard to their color, religion, sex, age or social status. The hospitals were run by government and the directors of hospitals were physicians.

Hospitals had separate wards for male patients and female patients. Each ward was furnished with a nursing staff and porters of the sex of the patients to be treated therein. Different diseases such as fever, wounds, infections, mania, eye conditions, cold diseases, diarrhea, and female disorders were allocated different wards. Convalescents had separate sections within them. Hospitals provided patients with unlimited water supply and with bathing facilities. Only qualified and licensed physicians were allowed by law to practice medicine. The hospitals were teaching hospitals educating medical students. They had housing for students and house-staff. They contained pharmacies dispensing free drugs to patients. Hospitals had their own conference room and expensive libraries containing the most up-to-date books. According to Haddad, the library of the Tulum Hospital which was founded in Cairo in 872 A.D. (I 100 years ago) had 100,000 books. Universities, cities and hospitals acquired large libraries (Mustansiriyya University in Baghdad contained 80,000 volumes; the library of Cordova 600,000 volumes; that of Cairo 2,000,000 and that of Tripoli 3,000,000 books), physicians had their own extensive personal book collections, at a time when printing was unknown and book editing was done by skilled and specialized scribes putting in long hours of manual labour.

For the first time in history, these hospitals kept records of patients and their medical care.

From the point of view of treatment the hospital was divided into an out- patient department and an inpatient department. The system of the in-patient department differed only slightly from that of today. At Tulun hospital, on admission the patients were given special apparel while their clothes, money, and valuables were stored until the time of their discharge. On discharge, each patient - received five gold pieces to support himself until he could return to work.

The hospital and medical school at Damascus had elegant rooms and an extensive library. Healthy people are said to have feigned illness in order to enjoy its cuisine. There was a separate hospital in Damascus for lepers, while, in Europe, even six centuries later, condemned lepers were burned to death by royal decree.

The Qayrawan Hospital (built in 830 A.D. in Tunisia) was characterized by spacious separate wards, waiting rooms for visitors and patients, and female nurses from Sudan, an event representing the first use of nursing in Arabic history. The hospital also provided facilities for performing prayers.

The Al-Adudi hospital (built in 981 A.D. in Baghdad) was furnished with die best equipment and supplies known at the time. It had interns, residents, and 24 consultants attending its professional activities, An Abbasid minister, Ali ibn Isa, requested the court physician, Sinan ibn Thabit, to organize regular visiting of prisons by medical officers (14). At a time when paris and London were places of mud streets and hovels, Baghdad, Cairo, and Cordova had hospitals which incorporated innovations which sound amazingly modern. It was chiefly in the humaneness of patient care, however, that the hospitals of Islam excelled. Near the wards of those afflicted with fever, fountains cooled the air; the insane were treated with gentleness; and at night music and storytelling soothed the patients.

The Bimaristans (hospitals) were of two types - the fixed and the mobile. The mobile hospitals were transported upon beasts of burden and were erected from time to time as required. The physicians in the mobile clinics were of the same standing as those who served the fixed hospitals. Similar moving hospitals accompanied the armies in the field. The field hospitals were well equipped with medicaments, instruments, tents and a staff of doctors, nurses, and orderlies. The traveling clinics served the totally disabled, the disadvantaged and those in remote areas. These hospitals were also used by prisoners, and by the general public, particularly in times of epidemics.

BACTERIOLOGY
Al-Razi was asked to choose a site for a new hospital when he came to Baghdad. First he deduced which was the most hygienic area by observing where the fresh pieces of meat he had hung in various parts of the city decomposed least quickly.

Ibn Sina stated explicitly that the bodily secretion is contaminated by foul foreign earthly body before getting the infection. Ibn Khatima stated that man is surrounded by minute bodies which enter the human system and cause disease.

In the middle of the fourteenth century "black death" was ravaging Europe and before which Christians stood helpless, considering it an act of God.

At that time Ibn al Khatib of Granada composed a treatise in the defense of the theory of infection in the following way: To those who say, "How can we admit the possibility of infection while the religious law denies it?" We reply that the existence of contagion is established by experience, investigation, the evidence of the senses and trustworthy reports. These facts constitute a sound argument. The fact of infection becomes clear to the investigator who notices how he who establishes contact with the afflicted gets the disease, whereas he who is not in contact remains safe, and how transmission is effected through garments, vessels and earrings.

Al-Razi wrote the first medical description of smallpox and measles - two important infectious diseases. He described the clinical difference between the two diseases so vividly that nothing since has been added. Ibn Sina suggested the communicable nature of tuberculosis. He is said to have been the first to describe the preparation and properties of sulphuric acid and alcohol. His recommendation of wine as the best dressing for wounds was very popular in medieval practice. However Razi was the first to use silk sutures and alcohol for hemostatis. He was the first to use alcohol as an antiseptic.

ANESTHESIA
Ibn Sina originated the idea of the use of oral anesthetics. He recognized opium as the most powerful mukhadir (an intoxicant or drug). Less powerful anesthetics known were mandragora, poppy, hemlock, hyoscyamus, deadly nightshade (belladonna), lettuce seed, and snow or ice cold water. The Arabs invented the soporific sponge which was the precursor of modem anesthesia. It was a sponge soaked with aromatics and narcotics and held to the patient's nostrils.

The use of anesthesia was one of the reasons for the rise of surgery in the Islamic world to the level of an honourable speciality, while in Europe, surgery was belittled and practiced by barbers and quacks. The Council of Tours in 1163 A.D. declared Surgery is to be abandoned by the schools of medicine and by all decent physicians." Burton stated that "anesthetics have been used in surgery throughout the East for centuries before ether and chloroform became the fashion in civilized West."

SURGERY
Al-Razi is attributed to be the first to use the seton in surgery and animal gut for sutures.

Abu al-Qasim Khalaf Ibn Abbas Al-Zahrawi (930-1013 A.D.) known to the West as Abulcasis, Bucasis or Alzahravius is considered to be the most famous surgeon in Islamic medicine. In his book Al-Tasrif, he described hemophilia for the first time in medical history. The book contains the description and illustration of about 200 surgical instruments many of which were devised by Zahrawi himself. In it Zahrawi stresses the importance of the study of Anatomy as a fundamental prerequisite to surgery. He advocates the re implantation of a fallen tooth and the use of dental prosthesis carved from cow's bone, an improvement over the wooden dentures worn by the first President of America George Washington seven centuries later. Zahrawi appears to be the first surgeon in history to use cotton (Arabic word) in surgical dressings in the control of hemorrhage, as padding in the splinting of fractures, as a vaginal padding in fractures of the pubis and in dentistry. He introduced the method for the removal of kidney stones by cutting into the urinary bladder. He was the first to teach the lithotomy position for vaginal operations. He described tracheotomy, distinguished between goiter and cancer of the thyroid, and explained his invention of a cauterizing iron which he also used to control bleeding. His description of varicose veins stripping, even after ten centuries, is almost like modern surgery. In orthopedic surgery he introduced what is called today Kocher's method of reduction of shoulder dislocation and patelectomy, 1,000 years before Brooke reintroduced it in 1937.

Ibn Sina's description of the surgical treatment of cancer holds true even today after 1,000 years. He says the excision must be wide and bold; all veins running to the tumor must be included in the amputation. Even if this is not sufficient, then the area affected should be cauterized.

The surgeons of Islam practiced three types of surgery: vascular, general, and orthopedic, Ophthalmic surgery was a speciality which was quite distinct both from medicine and surgery. They freely opened the abdomen and drained the peritoneal cavity in the approved modern style. To an unnamed surgeon of Shiraz is attributed the first colostomy operation. Liver abscesses were treated by puncture and exploration.

Surgeons all over the world practice today unknowingly several surgical procedures that Zahrawi introduced 1,000 years ago .

MEDICINE
The most brilliant contribution was made by Al-Razi who differentiated between smallpox and measles, two diseases that were hitherto thought to be one single disease. He is credited with many contributions, which include being the first to describe true distillation, glass retorts and luting, corrosive sublimate, arsenic, copper sulfate, iron sulphate, saltpeter, and borax in the treatment of disease . He introduced mercury compounds as purgatives (after testing them on monkeys); mercurial ointments and lead ointment." His interest in urology focused on problems involving urination, venereal disease, renal abscess, and renal and vesical calculi. He described hay-fever or allergic rhinitis.

Some of the Arab contributions include the discovery of itch mite of scabies (Ibn Zuhr), anthrax, ankylostoma and the guinea worm by Ibn Sina and sleeping sickness by Qalqashandy. They described abscess of the mediastinum. They understood tuberculosis and pericarditis.

Al Ash'ath demonstrated gastric physiology by pouring water into the mouth of an anesthetized lion and showed the distensibility and movements of the stomach, preceding Beaumont by about 1,000 years" Abu Shal al- Masihi explained that the absorption of food takes place more through the intestines than the stomach. Ibn Zuhr introduced artificial feeding either by gastric tube or by nutrient enema. Using the stomach tube the Arab physicians performed gastric lavage in case of poisoning. Ibn Al-Nafis was the first to discover pulmonary circulation.

Ibn Sina in his masterpiece Al-Quanun (Canon), containing over a million words, described complete studies of physiology, patlhology and hygiene. He specifically discoursed upon breast cancer, poisons, diseases of the skin, rabies, insomnia, childbirth and the use of obstetrical forceps, meningitis, amnesia, stomach ulcers, tuberculosis as a contagious disease, facial tics, phlebotomy, tumors, kidney diseases and geriatric care. He defined love as a mental disease.

OPHTHALMOLOGY
The doctors of Islam exhibited a high degree of proficiency and certainly were foremost in the treatment of eye diseases. Words such as retina and cataract are of Arabic origin. In ophthalmology and optics lbn al Haytham (965-1039 A.D.) known to the West as Alhazen wrote the Optical Thesaurus from which such worthies as Roger Bacon, Leonardo da Vinci and Johannes Kepler drew theories for their own writings. In his Thesaurus he showed that light falls on the retina in the same manner as it falls on a surface in a darkened room through a small aperture, thus conclusively proving that vision happens when light rays pass from objects towards the eye and not from the eye towards the objects as thought by the Greeks. He presents experiments for testing the angles of incidence and reflection, and a theoretical proposal for magnifying lens (made in Italy three centuries later). He also taught that the image made on the retina is conveyed along the optic nerve to the brain. Razi was the first to recognize the reaction of the pupil to light and Ibn Sina was the first to describe the exact number of extrinsic muscles of the eyeball, namely six. The greatest contribution of Islamic medicine in practical ophthalmology was in the matter of cataract. The most significant development in the extraction of cataract was developed by Ammar bin Ali of Mosul, who introduced a hollow metallic needle through the sclerotic and extracted the lens by suction. Europe rediscovered this in the nineteenth century.

PHARMACOLOGY
Pharmacology took roots in Islam during the 9th century. Yuhanna bin Masawayh (777-857 A.D.) started scientific and systematic applications of therapeutics at the Abbasids capital. His students Hunayn bin Ishaq al-lbadi (809-874 A.D.) and his associates established solid foundations of Arabic medicine and therapeutics in the ninth century. In his book al-Masail Hunayn outlined methods for confirming the pharmacological effectiveness of drugs by experimenting with them on humans. He also explained the importance of prognosis and diagnosis of diseases for better and more effective treatment.

Pharmacy became an independent and separate profession from medicine and alchemy. With the wild sprouting of apothecary shops, regulations became necessary and imposed to maintain quality control." The Arabian apothecary shops were regularly inspected by a syndic (Muhtasib) who threatened the merchants with humiliating corporal punishments if they adulterated drugs." As early as the days of al-Mamun and al-Mutasim pharmacists had to pass examinations to become licensed professionals and were pledged to follow the physician's prescriptions. Also by this decree, restrictive measures were legally placed upon doctors, preventing them from owning or holding stock in a pharmacy.

Methods of extracting and preparing medicines were brought to a high art, and their techniques of distillation, crystallization, solution, sublimation, reduction and calcination became the essential processes of pharmacy and chemistry. With the help of these techniques, the Saydalanis (pharmacists) introduced new drugs such as camphor, senna, sandalwood, rhubarb, musk, myrrh, cassia, tamarind, nutmeg, alum, aloes, cloves, coconut, nuxvomica, cubebs, aconite, ambergris and mercury. The important role of the Muslims in developing modern pharmacy and chemistry is memorialized in the significant number of current pharmaceutical and chemical terms derived from Arabic: drug, alkali, alcohol, aldehydes, alembic, and elixir among others, not to mention syrups and juleps. They invented flavorings extracts made of rose water, orange blossom water, orange and lemon peel, tragacanth and other attractive ingredients. Space does not permit me to list the contributions to pharmacology and therapeutics, made by Razi, Zahrawi, Biruni, Ibn Butlan, and Tamimi.

PSYCHOTHERAPY
From freckle lotion to psychotherapy- such was the range of treatment practiced by the physicians of Islam. Though freckles continue to sprinkle the skin of 20th century man, in the realm of psychosomatic disorders both al-Razi and Ibn Sina achieved dramatic results, antedating Freud and Jung by a thousand years. When Razi was appointed physician-in-chief to the Baghdad Hospital, he made it the, first hospital to have a ward exclusively devoted to the mentally ill."

Razi combined psychological methods and physiological explanations, and he used psychotherapy in a dynamic fashion, Razi was once called in to treat a famous caliph who had severe arthritis. He advised a hot bath, and while the caliph was bathing, Razi threatened him with a knife, proclaiming he was going to kill him. This deliberate provocation increased the natural caloric which thus gained sufficient strength to dissolve the already softened humours, as a result the caliph got up from is knees in the bath and ran after Razi. One woman who suffered from such severe cramps in her joints that she was unable to rise was cured by a physician who lifted her skirt, thus putting her to shame. "A flush of heat was produced within her which dissolved the rheumatic humour."

The Arabs brought a refreshing spirit of dispassionate clarity into psychiatry. They were free from the demonological theories which swept over the Christian world and were therefore able to make clear cut clinical observations on the mentally ill.

Najab ud din Muhammad'", a contemporary of Razi, left many excellent descriptions of various mental diseases. His carefully compiled observation on actual patients made up the most complete classification of mental diseases theretofore known." Najab described agitated depression, obsessional types of neurosis, Nafkhae Malikholia (combined priapism and sexual impotence). Kutrib (a form of persecutory psychosis), Dual-Kulb (a form of mania) .

Ibn Sina recognized 'physiological psychology' in treating illnesses involving emotions. From the clinical perspective Ibn Sina developed a system for associating changes in the pulse rate with inner feelings which has been viewed as anticipating the word association test of Jung. He is said to have treated a terribly ill patient by feeling the patient's pulse and reciting aloud to him the names of provinces, districts, towns, streets, and people. By noticing how the patient's pulse quickened when names were mentioned Ibn Sina deduced that the patient was in love with a girl whose home Ibn Sina was able to locate by the digital examination. The man took Ibn Sina's advice , married the girl , and recovered from his illness.

It is not surprising to know that at Fez, Morocco, an asylum for the mentally ill had been built early in the 8th century, and insane, asylums were built by the Arabs also in Baghdad in 705 A.D., in Cairo in 800 A.D., and in Damascus and Aleppo in 1270 A.D. In addition to baths, drugs, kind and benevolent treatment given to the mentally ill, musico-therapy and occupational therapy were also employed. These therapies were highly developed. Special choirs and live music bands were brought daily to entertain the patients by providing singing and musical performances and comic performers as well.

CONCLUSION
1,000 years ago Islamic medicine was the most advanced in the world at that time. Even after ten centuries, the achievements of Islamic medicine look amazingly modern. 1,000 years ago the Muslims were the great torchbearers of international scientific research. Every student and professional from each country outside the Islamic Empire, aspired, yearned, a dreamed to go to the Islamic universities to learn, to work, to live and to lead a comfortable life in an affluent and most advanced and civilized society. Today, in this twentieth century, the United States of America has achieved such a position. The pendulum can swing back. Fortunately Allah has given a bounty to many Islamic countries - an income over 100 billion dollars per year. Hence Islamic countries have the opportunity and resources to make Islamic science and medicine number one in the world, once again.

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Dr. Ibrahim B. Syed, Ph.D is Clinical Professor of Medicine, University of Louisville School of Medicine, Louisville, KY 40292 and President, Islamic Research Foundation International, Inc, 7102 W. Shefford Lane, Louisville, KY 40242-6462

Read other articles by Dr. Ibrahim B. Syed, Ph.D here.

Shahid Athar M.D. is Clinical Associate Professor of Internal Medicine and Endocrinology, Indiana University School of Medicine Indianapolis, Indiana, and a writer on Islam.

In praise of Islamic civilization

Riwayat Attubani-There was once a civilization that was the greatest in the world.

It was able to create a continental super-state that stretched from ocean to ocean, and from northern climes to tropics and deserts. Within its dominion lived hundreds of millions of people, of different creeds and ethnic origins.

One of its languages became the universal language of much of the world, the bridge between the peoples of a hundred lands. Its armies were made up of people of many nationalities, and its military protection allowed a degree of peace and prosperity that had never been known. The reach of this civilization’s commerce extended from Latin America to China, and everywhere in between.

And this civilization was driven more than anything, by invention. Its architects designed buildings that defied gravity. Its mathematicians created the algebra and algorithms that would enable the building of computers, and the creation of encryption. Its doctors examined the human body, and found new cures for disease. Its astronomers looked into the heavens, named the stars, and paved the way for space travel and exploration.

Its writers created thousands of stories. Stories of courage, romance and magic. Its poets wrote of love, when others before them were too steeped in fear to think of such things.

When other nations were afraid of ideas, this civilization thrived on them, and kept them alive. When censors threatened to wipe out knowledge from past civilizations, this civilization kept the knowledge alive, and passed it on to others.

While modern Western civilization shares many of these traits, the civilization I’m talking about was the Islamic world from the year 800 to 1600, which included the Ottoman Empire and the courts of Baghdad, Damascus and Cairo, and enlightened rulers like Suleiman the Magnificent.

Although we are often unaware of our indebtedness to this other civilization, its gifts are very much a part of our heritage. The technology industry would not exist without the contributions of Arab mathematicians. Sufi poet-philosophers like Rumi challenged our notions of self and truth. Leaders like Suleiman contributed to our notions of tolerance and civic leadership.

And perhaps we can learn a lesson from his example: It was leadership based on meritocracy, not inheritance. It was leadership that harnessed the full capabilities of a very diverse population–that included Christianity, Islamic, and Jewish traditions.

This kind of enlightened leadership — leadership that nurtured culture, sustainability, diversity and courage — led to 800 years of invention and prosperity.

In dark and serious times like this, we must affirm our commitment to building societies and institutions that aspire to this kind of greatness. More than ever, we must focus on the importance of leadership– bold acts of leadership and decidedly personal acts of leadership.

Let's set the record straight

Riwayat Attubani-Imam Tammam Adi Ph.D of the Islamic Cultural Center, Eugene, Oregon, tackles widespread misconceptions and stereotypes about Muslims and Islam and the sets out the reality.

Allah: Just means God in Arabic, the same God we all worship.

jihad: Often mistranslated "holy war," especially against the West, the more accurate Arabic meaning is "struggle." Jihad is the struggle to control one's lower instincts. Jihad also means to use a fair war to give a nation freedom of religion if all other means fail. Islam's main proclamation is "No compulsion in religion" Koran 2:255. The Afghani Mujahideen (those who do jihad) fought against the atheist Russians to keep their freedom of religion. Unfortunately, chaos ensued.

extremism: "We made you a nation that should take the middle way in all its affairs before all humanity . . ." (2:143) "God does not love the excessive ones." (6:141)

suicide "martyrdom": "Do not kill yourselves." (4:29). Self-killers are condemned to hell. Even killing oneself to end extreme pain is unacceptable. Some radical sects, considered non-Muslim by most, view suicide-killing as legitimate.

martyrdom: A martyr (Arabic shaheed=witness) is somebody who dies as a witness for goodness or a witness against evil. A martyr testifies before God about the evil-doers that killed him/her and about the goodness his/her death creates in society.

terrorism: The punishment for those who wreak havoc is extremely harsh (5:33-34). Terrorism has as little to do with Islam as burning a cross to terrorize a black family has to do with Christianity. Terrorism is often done by haters of Islam, peace and justice to sabotage good Muslims causes such as peace settlements, democracy movements and modernization. No Islamic teaching supports terrorism.

on killing innocent people: "And do not kill the soul that God gave sanctity to except by law." (17:33) The Koran tells us that killing one person is like killing all humanity.

family values: Husbands and wives serve each other. Muslim families cherish traditional family values and close relations with the extended family. Women may work and own businesses, but the husband alone has the duty to provide for the family. Children are expected to take care of their parents when they get old.

treatment of women: Misinformation about this subject has fanned much of the hatred about Muslims. Here is what we are really taught: (1) Paradise is under the "feet" of the mother; (2) a good wife is half a man's religion, (3) men are ordered to "treat them in good ways," (Koran 4:19) and that, in the words of the Prophet Mohammed in his last sermon, (4) "the best of you is the one that is best to his wife."

four wives: Islam was the first religion to limit the number of wives. But the taking of more than one wife was meant to happen only when there was social necessity, such a during war times when there were a large number of widows and orphans. A husband is required to treat each wife with absolute fairness and equality and to have only one wife if he doubts he can be fair. Polygamy is illegal in America and, according to Islam, Muslims are bound by American law.

scarves for women: This is based on a verse in the Koran. "And let them spread their scarves over their shirt openings and not show their natural adornment . . ." (24:31) If Muslim women choose not to cover their head, there is no Islamic law punishing them or coercing them. Styles of dress are cultural and vary according to culture throughout the Islamic world.

female genital mutilation: This is found in some African countries and is a very painful tribal practice passed down to the present day. It is not based on Islamic teaching. Many Muslim women, such as the wife of the late Anwar Sadat, are working hard to eliminate the practice.

Deviations from the Islamic norm are cultural or political biases not based on Islam.

The World's Second Biggest Religion Also Is a Way of Life

By Carolyn Ruff
Special to The Washington Post
Wednesday, May 13, 1998; Page H01

Riwayat Attubani-In a narrow, unadorned room, about 70 women, heads covered by scarves, feet bare against carpeted floor, face a television set showing a man speaking in Arabic. The women stand, bow deeply, then get down on hands and knees and touch their foreheads to the floor.

This is not a scene in Tehran or Cairo or Istanbul but in a mosque in Northwest. Some women are in traditional loose-fitting tunics, others in smart business suits. Around the room, small children play, oblivious to their surroundings. The man on TV is actually in another part of the mosque where only males are permitted to gather for prayer.

Because the number of Muslims in the Washington area is growing faster than the space in mosques, Islam's traditional separation of men and women in different parts of a room for worship has forced the crowded mosque to use separate rooms.

In the main room, the men perform the same rites. Like the women, their motions are fluid, their prayers memorized, reenacting a 1,400-year-old ritual repeated daily by hundreds of millions of people throughout the world.

To observant Muslims, ritual prayer is as natural as sleeping or eating. Islam is not just one component of its believers' lives, a set of beliefs remembered on special occasions. Rather, for the devout, it is a way of life. Its tenets and rules permeate almost everything, often including politics and government.

In a world swayed by misunderstanding of cultural differences, Islam and its adherents often are stereotyped and caricatured, branded with the violent or sexist image of a small minority of zealots. In reality, Islam is no better characterized by acts of Middle Eastern terrorists, for example, than is Christianity by acts of Northern Ireland's terrorists.

Islam is an ancient religion with profound historical and theological ties to Judaism and Christianity. All three religions worship the same God, acknowledge large parts of the same Bible and revere Adam, Noah, Abraham and Moses. And, as do Christians, Muslims regard Jesus as the messiah.

In fact, Islam teaches that it represents the modern mainstream of a primordial, monotheistic religion that began with the earliest humans. Over millennia, the religion took form with the early Jewish prophets, was modified significantly by Jesus and finally shaped by Muhammad, the final prophet, who died in 632.

Among Muhammad's most important acts was rejection of the old Jewish concept of a "chosen people." Instead, he taught that all people are born Muslim and that anyone -- regardless of color, nationality or social standing -- can join the Muslim community simply by submitting to God and reciting the words known as the shahadah: "There is no deity but Allah (God), and Muhammad is his messenger."

Because of its powerful, cross-cultural appeal, Islam has won the hearts and minds of an estimated 1.2 billion people around the world, making it the second largest religion. Christianity has about 2 billion adherents, and Hinduism is third largest with about 800 million.

Despite its association in the Western mind with things Arabic, about 85 percent of Islam's faithful are not Arabs. South Asia has the largest Muslim population, with 275 million believers. Africa is second largest, with 200 million. And, according to the American Muslim Council, China has about as many Muslims as better-known Islamic strongholds such as Iran, Egypt or Turkey. According to The Muslim Almanac, an estimated 2 percent of Americans, or about 5 million people, are Muslims.

It is difficult to determine the exact number of Muslims anywhere because they do not belong to congregations and because mosques are open to all and do not maintain membership rolls.

Quite apart from its importance to believers, Islam has performed services for which all of humanity is in its debt. When Christian Europe sank into the so-called Dark Ages for about 600 years starting in the late 5th century, Islamic scholars elsewhere maintained high standards of academic study, mathematics and scientific research.

Islamic libraries in Baghdad, Cairo and Damascus preserved the writings of ancient Greek, Roman and Indian scholars even as Europe's leaders rejected them.

While Europe languished, Islamic mariners, mathematicians, scientists, physicians and engineers made major advances in many fields. Our words algebra and algorithm, for example, were derived from Arabic. When the best European libraries consisted of a few dozen books, Islamic collections held tens of thousands.

When the Renaissance blossomed in Western Europe in the 14th, 15th and 16th centuries, it found a trove of ancient knowledge and new discoveries in translations from the Arabic.

PEACE AND SUBMISSION
Islam is an Arabic word derived from the same Semitic three-letter root -- s-l-m -- as the Hebrew word for peace, shalom, often used as a greeting. The meaning of "Islam" encompasses the concepts of peace, greeting and submission. Thus, a Muslim -- the word is derived from the same root -- is one who submits to God, a stance enunciated in the traditional profession of faith: "There is no deity but Allah, and Muhammad is his messenger."

"Allah" is simply Arabic for "God," the same supreme, supernatural figure worshipped by Christians and Jews. Unlike most other religions, however, Islam has no baptism or other initiation ceremony.

"Membership in the community of Muslims is not conferred by man," Thomas W. Lippman writes in Understanding Islam. "It is acquired by a conscious act of will, the act of submission, summarized in the profession of faith."

Lippman, a Washington Post reporter who served as the paper's bureau chief in Cairo for three years, writes that "to become a Muslim, it is sufficient to make that profession sincerely in the presence of other believers, who will witness it. But to become a Muslim is also to accept a complex interlocking body of beliefs, practices and other ethical standards."

Like Judaism and Christianity, Islam has undergone splits into separate denominations. The biggest occurred shortly after Muhammad died when his followers disagreed about who should take his role as leader. One branch, called Sunni, today comprises about 83 percent of Muslims, according to the Encyclopedia Britannica. The other, called Shi'ah, accounts for about 16 percent, and a few tiny groups make up the remaining 1 percent.

Although Islam has taken root in cultures as diverse as those of Egypt, China and the United States, in each region acquiring local customs not mandated by the religion -- such as women wearing veils -- Islamic scholars say Muslims everywhere share a core of basic principles, the so-called "five pillars" of the faith.

The first pillar is the profession of faith or, in Arabic, the shahadah. The Council on Islamic Education, an American organization comprising historians and academicians, calls this the central theme of Islam because many Muslims repeat it, in Arabic, several times a day to remind themselves of God's central position in their lives.

The second pillar is ritual worship, or salah. Muslims are required to pray formally five times a day -- at dawn, midday, afternoon, evening and night. At each time, a man summons believers to prayer by calling from atop the mosque's tower, or minaret, or by using loudspeakers. Those out of earshot simply rely on a watch.

Muslims may pray alone or in a group as long as they face the Saudi Arabian city of Mecca, Muhammad's birthplace and the holiest city of Islam. It is common in many predominantly Islamic countries to see Muslims performing the salah wherever they happen to be at the appropriate time. After repeating the prescribed prayer, Muslims may add a personal prayer.

Unlike most Christian or Jewish prayers, the salah requires more than words. The whole body performs the ritual. It begins as worshipers raise their hands and say "Allahu Akbar," which translates as "God is the greatest." Worshippers then bend with hands on knees, kneel with hands on thighs and finally bow their heads to touch the floor. Each motion is accompanied by verses from the Koran. A person, sometimes called an imam, may lead the service.

The third pillar is fasting, or sawm, during the month of Ramadan. Because Islam uses a lunar calendar, its year is 11 days shorter than that of the solar calendar governing most worldly affairs. As a result, Ramadan comes 11 days earlier each year. The month is sacred because, as Muslims believe, God first revealed verses of the Koran to Muhammad during Ramadan.

During Ramadan, Muslims are to refrain from eating, drinking, smoking and sex from dawn to sunset. Typically during Ramadan, Muslims have breakfast before dawn and do not eat again until after sunset.

The fourth pillar is almsgiving, called zakah in Arabic. Muslims pay a specified amount of money, typically 2.5 percent of one's accumulated wealth each year, to assist the poor and sick. The money is not to support the mosque or Islamic leaders. The Koran does not say how much should be given. In some Muslim countries, according to Lippman, it is voluntary, while in others, the government enforces it.

The fifth pillar is the hajj, or pilgrimage to Mecca, the most recent of which occurred last month. Islam requires that every believer make at least one visit to Mecca in a lifetime if physically and financially able to do so.

The spectacular hajj now brings together more than two million Muslims in a religious gathering that has continued without interruption for about 1,400 years. Where once pilgrims came on foot or camel, sometimes after more than a year of travel, most now arrive by air.

The hajj commemorates the sacrifices, faith and obedience of Abraham; his second wife, Hagar; and their son, Ishmael, at Mecca. According to the Council on Islamic Education, it is the largest, regularly scheduled international gathering on Earth.

When the pilgrims arrive, they don special clothing. Men wear two seamless white sheets, and women usually wear a modest white dress and are prohibited from wearing veils or gloves. In this uniform attire, the pilgrims feel that they are equal before the eyes of God and that only virtue and devotion will set one apart from others.

The demanding rites and prayers last for days. At various points, worshipers must make a ritual trek, pray from noon through the following morning and stand in prayer for hours at a time. According to Islamic scholars, the pilgrims hope that God will accept their effort, after which they can commence life afresh with a slate wiped clean of sins.

This year's pilgrimage was marred by sweltering temperatures and a stampede in which more than 150 people were killed when they rushed to perform one of the last rituals known as "stoning the devil." In this, the pilgrims throw pebbles at three pillars symbolizing the temptations of Satan.

The focus of worship in Mecca is the Ka'aba, an empty, cubical stone structure covered by an embroidered black cloth in the courtyard of the Great Mosque.

Ka'aba is the source of the word "cube." The Ka'aba is believed to have been built on the site of an original made by Abraham more than 4,000 years ago, and Muslims consider it the original house of God on Earth.

NO DEITY BUT ALLAH
Perhaps Islam's most distinctive attribute is a belief descended from that of the ancient Jews and akin to that of early Unitarians in a single deity, whether the name be Jehovah, Allah or God. At many times throughout history, this has been a radical claim because most other religions believe in many Gods, a position called polytheism. Islamic monotheism goes even further than its Christian counterpart by rejecting the doctrine of the Trinity, which holds that Jesus also is a deity, along with a third entity called the Holy Ghost or Holy Spirit.

The Koran, which is pronounced cur-AHN and which some Islamic groups say is better rendered from Arabic as Qur'an, is the religion's dominant scripture. It is considered the literal word of God, dictated by the angel Gabriel in some miraculous way to Muhammad over 23 years, according to the Council on Islamic Education's handbook, Teaching About Islam and Muslims in the Public School Classroom. Muhammad was illiterate, but his followers memorized the revelations and scribes set them down in writing.

The Koran is viewed as the authoritative guide to proper living, along with tradition, called the hadith, based on sayings and practices of Muhammad.

Muslims view life as a test, says Sulayman S. Nyang, an expert on Islam at Howard University. It is a person's responsibility to live as closely as possible by the words of Allah in preparation for a "Day of Judgment" much like the one in which Christians believe. Muslims say the world someday will be destroyed and the dead resurrected, judged and sent to heaven or to hell.

However, sinners may take heart because, according to the Islamic council's handbook, "the infinite mercy of God is demonstrated in the Qur'anic statement that those who have even a mustard seed's weight of belief in God will eventually be admitted into Heaven."

Islam also teaches that each person has a direct relationship with God and that no intermediary is needed. As a result, Islam has no priests or other clergy. Some people, however, are considered experts on the Koran and serve as leaders of the community. Some, for example, are trained to judge how the Koran applies to social and personal issues. Another leader, called an imam in the Sunni branch of Islam, leads daily prayer, gives sermons, officiates at marriages and performs other clerical duties.

Muslims believe that God revealed scriptures to certain prophets who relayed them to the general public. Among these many messengers were Abraham, Noah, Moses and Jesus, with the final prophet being Muhammad.

Like some Christians, many Muslims believe that human history began with Adam and Eve, but they do not believe in "original sin," the Christian doctrine that all human beings inherit a state of sin from that first couple's disobedience of the command not to eat the forbidden fruit.

Because Islam does not accept the concept of original sin, humanity did not need a savior whose death wiped away this sin. Jesus was not crucified, the religion teaches. Being sinless, he did not need to die and was taken bodily to heaven, as Catholics believe his mother Mary was.

Incidentally, the Koran teaches that God made Adam and Eve simultaneously by splitting one human soul, not by making the woman from a part of the man, as the Jewish and Christian traditions hold. The Koran also teaches that the serpent in the Garden of Eden seduced both Adam and Eve and that both were equally guilty. Muslims often cite this teaching in defense against assertions that Islam is inherently sexist.

LIFE OF MUHAMMAD
No understanding of Islam is complete without knowledge of Muhammad, who was not, as Muslims reckon it, the founder of Islam. Rather, they hold, he was guided by God to help humanity return to the original, true religion.

Muhammad was born about 570 in Mecca in what now is Saudi Arabia. Europe was entering the Dark Ages. Throughout the world, empires were collapsing, new societies emerging and religions spreading. The region's dominant religions were polytheistic, worshipping many deities.

Orphaned by age 6, Muhammad was raised by his grandfather and by his uncle after his grandfather died. Muhammad grew up to be a thoughtful, honest businessman who eschewed worship of tribal gods. He married and became the father of six children, two of whom died young.

At 40, he retreated to a cave outside Mecca to meditate. It was there, Islam teaches, that the angel Gabriel visited him and communicated the first of God's words to him. Muhammad continued to receive these revelations from God for the remaining 23 years of his life.

God instructed Muhammad to convey the message of Islam to the people of his region. This was not easily done. Muhammad asked the people to abandon their many idols and recognize Allah as the one God. He was met with reactions ranging from amusement to anger.

Muhammad also taught two revolutionary principles -- that Islam was the source not just of spiritual authority but also political authority and that the bond uniting people should not be tribe but shared religion.

Lippman writes that dissenters taunted Muhammad with demands that he work miracles to demonstrate authenticity. Muhammad claimed that only Allah could perform miracles. Muhammad insisted that every aspect of nature was an example of God's power. This did little to win converts.

After 11 years of mounting hostility, Muhammad and his small band of followers emigrated to the city of Yathrib, about 200 miles away. There he had better luck, and people embraced his teachings.

Muhammad established himself as the city's political leader and promulgated Islamic teachings. The city was renamed Medina, meaning "city of the prophet." After several years, Muhammad and his followers returned to Mecca, conquered it and established Muhammad as both religious and political leader of his people. By the time he died at age 63, Islam was established throughout the Arabian peninsula.

Within a century of Muhammad's death, Islam had spread, as much by military conquest as voluntary conversion, west to Spain and Portugal and northeast to Central Asia, establishing Islam as a formidable world empire. Islamic rule also pushed into northern Africa and other parts of the Mediterranean basin within the first 20 years of its establishment.

With every advance, Islam adopted and adapted features of many other cultures. By the Middle Ages, Islam was established in parts of Europe, for example, Spain in the west and the former Yugoslavia in the east.

In the 1500s, Hispano-Arab Muslim explorers arrived in America from Spain. In the early 1700s, the slave trade brought the first Muslims -- captured African slaves -- to this part of the world. By the end of the 19th century, free Muslim immigrants were reaching North America from the Middle East and other Muslim lands.

Today, more than 1,300 years after Muhammad, Islam continues to thrive, a growing, global religion with a powerful ideology that now binds one-fifth of the human race in a common system of beliefs.

Women's Rights and Islam
Traveling through the Islamic world, visitors notice that the status of women changes drastically from country to country. Westerners question why women in many Middle Eastern countries cover their heads and most of their bodies. They question the nature of freedom where women have very little political power or social clout.

In many cases, the differences are based on local custom only. Wearing veils, for example, is not required by the Koran but in some places is local custom. Other than Islam's requirement that women dress modestly, most Muslim women are free to dress and to behave like women of any other religion.

Historians note that, before the rise of Islamic culture in the 7th century, women in much of the world had few rights and were considered little more than chattel. Against that background, the Koran and Islamic tradition were positively revolutionary in teaching that men and women are spiritually equal and that women have the right to own and inherit property, seek divorce, gain an education, retain one's family name after marriage and the right to vote.

Muslims such as Rkia Cornell, who teaches Asian and African languages and literature at Duke University, argue that "every culture is inherently sexist to some degree." Cornell insists that, as a Muslim woman, she still has the freedom to control her own life. "Muslim women historically have had a strong role in Islamic society."

What some see as oppressive, Muslims view as protective. While Americans may regard a Muslim woman's attire as stifling, Muslims may view the way American women generally dress as sexist and compromising.

Nation of Islam
The Nation of Islam is a controversial organization in the United States. Formed by Elijah Poole (who later took the name Elijah Muhammad) in the 1930s, the group gained momentum during the civil rights movement in the 1950s. Formed in response to white racism, the Nation advocates separation from white society.

Despite its name, the movement is not accepted by mainstream Muslims as truly Islamic.

"Because the Nation holds that Elijah Muhammad was a prophet of God and that his mentor, W.D. Fard, was God incarnate, the Nation cannot be considered a branch or subset of Islam by mainstream Muslims," writes Susan Douglass of the Council on Islamic Education.

"Such beliefs are contrary to basic doctrines and tenets of Islam as defined by the Koran and Sunnah [Islamic tradition].

Furthermore, the race-based orientation of the Nation contradicts the universalist outlook advocated by worldwide Islam."

The Nation of Islam underwent drastic changes after the death of Elijah Muhammad in 1975, with most members following his son, Wallace, now named Warith Deen Muhammad, toward an orthodox branch of Islam called "American Muslim Mission." This group does not advocate racial separation.

Another faction, led by Louis Farrakhan, kept the name Nation of Islam and many of the separatist ideas.

Mother of the Renaissance
Muslims were the inheritors and guardians of the body of knowledge that created modern society and are credited with having kept scholarship alive through the Dark Ages.

After the decline of Roman government and civic order in the 5th century, Europe turned from the wisdom of the ancient Greeks, Romans and Indians. Elsewhere, however, Islam's large universities continued to advance these intellectual interests.

Although the Renaissance, which occurred between the 14th and 16th centuries, is considered the period of revival of art, science and literature, historians say its roots can be found in the 12th and 13th centuries.

Then, medieval scholars began to question traditional ways of viewing knowledge and regained access to important classical and Islamic texts.

European scholars came to Muslim cities to use the vast libraries. They translated Arabic works into Latin and, often inadvertently, soaked up Muslim culture. This was a pivotal time as the legacies of several cultures began to mingle -- most notably, Greek, Persian, Indian, European and Islamic.

During this epoch when intellectual curiosity was at a peak, education was introduced to those outside the Catholic Church hierarchy, creating a professional class of intellectuals.

Visiting European scholars returned home and helped to establish universities based on what they had translated from Islamic texts and what they had experienced from their immersion in Muslim culture. As a result, large bodies of Islamic knowledge subsequently were transferred to the rest of the European world.

The Beliefs and Laws of Islam

Stephen Bates explains the basics to non-Muslims with little previous knowledge.

Riwayat Attubani-Origins Islam is the religion of allegiance to God and his prophet Mohammed, who lived around 570-632 and came from a family of traders at Mecca. The religion's book of revelation, mediated by the prophet, is the Koran. The word Islam derives from the same semitic root as the Hebrew word Shalom, which means peace. Islam means "entering into a condition of peace and security with God, through allegiance or surrender to him".

Mohammed is said to have received his revelations over a period of 23 years from the Angel Jibreel, or Gabriel, who was relaying the word of God.

It was not a completely new faith but is the third great monotheistic religion. In Muslim eyes, Mohammed completes a succession of prophets, including Abraham, Moses and Jesus, each of whom refined and restated the message of God.

The Koran therefore corroborates, updates and expands the Old and New Testaments.

It contains 114 chapters, written in vivid, rhyming prose, and was settled in its current form within 30 years of Mohammed's death.

Main tenets Central to Islam is the absolute sense that there can only be one God - Allah - and that he is the source of all creation and disposer of all lives and events. Hence, there is no God but God and Mohammed is his messenger.

All people should become a single Umma - community - witnessing to that fact. On the day of judgment, all will rise from the dead and be sent to heaven or hell.

The Koran contains many moral exhortations, forming the basis of Islamic (sharia) law. It lays down generosity and fairness and the requirements for daily prayer, alms giving, abstinence during daylight hours in the month of Ramadan and pilgrimage to Mecca.

The five pillars of the Islamic faith - the fundamental constituents of Muslim life - are: · Shahada, the profession of faith in the uniqueness of Allah and the centrality of Mohammed as his prophet · Salat, formal worship or prayer · Zakat, the giving of alms for the poor, assessed on all adult Muslims as 2.5% of capital assets once a year · Hajj, pilgrimage to Mecca, which every Muslim should undertake at least once in their lifetime; the annual hajj takes place during the last 10 days of the 12th lunar month every year · Sawm, fasting during Ramadan, the holy ninth month of the lunar year.

Early history In 622, Mohammed travelled from Mecca to Medina in the hijrah (emigration) - this forms the starting point in the Muslim dating system.

After the prophet's death his community split into followers of the caliph Abu Bakr and those who supported Mohammed's closest relative, his son-in-law, Ali ibn Abi Talib.

This division between Shia (followers of Ali) and Sunni (followers of the custom of the caliphate) persists to this day. Although both share most of the customs of the religion, Shiites place more emphasis on the guiding role of the imam.

About 90% of the world's Muslims are Sunni and about 10% Shia.

Sharia The divine law of Islam by which Muslims should live their lives.

It embraces every aspect of life, including family relations, inheritance, taxation, purification and prayer and observes no distinction between secular and religious law.

How far modern Islamic states follow this principle depends on the degree of secularisation they permit. It is essentially laid down by the Koran but has been updated and extended by fatwa (legal opinion), consensus and custom.

Pressures on intellectual freedom come from many sources.

Throughout much of the Muslim world, university students are among the most ardent fundamentalists, fueled by the literal interpretation of Islam taught at madrassahs (Muslim religious schools). The network of madrassahs in turn links up with religious political parties across national boundaries. In Muslim countries, madrassahs are seen as a legitimate Islamic alternative to unaffordable private schools patronized by the westernized elite.

Professors, particularly in the liberal arts, are often cowed by their own students into silence, both in their teaching and in their writing. Like some postmodernist gone mad, the student of literature may see fiction as nothing but the expression of the writer's politics, while the science student is not concerned with questioning fundamentals, but with applying technologies to religious and political ends.

The results for intellectuals range from a denial of the finest traditions of open debate to working in an environment of omnipresent threat. (In Islamabad, a professor at a medical college this year was found guilty of blasphemy and sentenced to death, after students complained about him to the local religious leader.) It is impossible to ignore the discrepancy between the Islamic emphasis on knowledge and the questionable climate for scholars and intellectuals in Muslim countries. Great scholars of the past, men like Ibn Khaldun, a 14th-century Arab historian; the 14th- century writer Ibn Battutah; and the 11th-century writer Abu Raihan Muhammad Al-Beruni may have made the rulers of their day uncomfortable, but they continued the Islamic tradition of the pursuit of knowledge for the benefit of all. That such renowned Muslim thinkers might today be placed in a cage or threatened with physical harm undermines the Islamic belief that any person may develop his or her intellect to the fullest, yielding a diminished and alienated sense of Islam itself.

Islam, Culture and Women

Riwayat Attubani-How can anyone justify Islam's treatment of women, when it imprisons Afghans under blue shuttlecock burqas and makes Pakistani girls marry strangers against their will?

How can you respect a religion that forces women into polygamous marriages, mutilates their genitals, forbids them to drive cars and subjects them to the humiliation of "instant" divorce? In fact, none of these practices are Islamic at all.

Anyone wishing to understand Islam must first separate the religion from the cultural norms and style of a society. Female genital mutilation is still practised in certain pockets of Africa and Egypt, but viewed as an inconceivable horror by the vast majority of Muslims. Forced marriages may still take place in certain Indian, Pakistani and Bangladeshi communities, but would be anathema to Muslim women from other backgrounds.

Indeed, Islam insists on the free consent of both bride and groom, so such marriages could even be deemed illegal under religious law.

A woman forbidden from driving a car in Riyadh will cheerfully take the wheel when abroad, confident that her country's bizarre law has nothing to do with Islam. Afghan women educated before the Taliban rule know that banning girls from school is forbidden in Islam, which encourages all Muslims to seek knowledge from cradle to grave, from every source possible.

The Koran is addressed to all Muslims, and for the most part it does not differentiate between male and female. Man and woman, it says, "were created of a single soul," and are moral equals in the sight of God. Women have the right to divorce, to inherit property, to conduct business and to have access to knowledge.

Since women are under all the same obligations and rules of conduct as the men, differences emerge most strongly when it comes to pregnancy, child-bearing and rearing, menstruation and, to a certain extent, clothing.

Some of the commands are alien to Western tradition. Requirements of ritual purity may seem to restrict a woman's access to religious life, but are viewed as concessions. During menstruation or postpartum bleeding, she may not pray the ritual salah or touch the Koran and she does not have to fast; nor does she need to fast while pregnant or nursing.

The veiling of Muslim women is a more complex issue. Certainly, the Koran requires them to behave and dress modestly - but these strictures apply equally to men. Only one verse refers to the veiling of women, stating that the Prophet's wives should be behind a hijab when his male guests converse with them.

Some modernists, however, claim that this does not apply to women in general, and that the language used does not carry the textual stipulation that makes a verse obligatory. In practice, most modern Muslim women appreciate attractive and graceful clothes, but avoid dressing provocatively.

What about polygamy, which the Koran endorses up to the limit of four wives per man? The Prophet, of course, lived at a time when continual warfare produced large numbers of widows, who were left with little or no provision for themselves and their children.

In these circumstances, polygamy was encouraged as an act of charity. Needless to say, the widows were not necessarily sexy young women, but usually mothers of up to six children, who came as part of the deal.

Polygamy is no longer common, for various good reasons. The Koran states that wives need to be treated fairly and equally - a difficult requirement even for a rich man. Moreover, if a husband wishes to take a second wife, he should not do so if the marriage will be to the detriment of the first.

Sexual intimacy outside marriage is forbidden in Islam, including sex before marriage, adultery or homosexual relationships. However, within marriage, sexual intimacy should be raised from the animal level to sadaqah (a form of worship) so that each considers the happiness and satisfaction of the other, rather than mere self-gratification.

Contrary to Christianity, Islam does not regard marriages as "made in heaven" or "till death do us part". They are contracts, with conditions. If either side breaks the conditions, divorce is not only allowed, but usually expected. Nevertheless, a hadith makes it clear that: "Of all the things God has allowed, divorce is the most disliked."

A Muslim has a genuine reason for divorce only if a spouse's behaviour goes against the sunnah of Islam - in other words, if he or she has become cruel, vindictive, abusive, unfaithful, neglectful, selfish, sexually abusive, tyrannical, perverted - and so on.

In good Islamic practice, before divorce can be contemplated, all possible efforts should be made to solve a couple's problems. After an intention to divorce is announced, there is a three-month period during which more attempts are made at reconciliation.

If, by the end of each month, the couple have resumed sexual intimacy, the divorce should not proceed. The three-month rule ensures that a woman cannot remarry until three menstrual cycles have passed - so, if she happens to be pregnant, the child will be supported and paternity will not be in dispute.

When Muslims die, strict laws govern the shares of property and money they may leave to others; daughters usually inherit less than sons, but this is because the men in a family are supposed to provide for the entire household.

Any money or property owned by women is theirs to keep, and they are not obliged to share it. Similarly, in marriage, a woman's salary is hers and cannot be appropriated by her husband unless she consents.

A good Muslim woman, for her part, should always be trustworthy and kind. She should strive to be cheerful and encouraging towards her husband and family, and keep their home free from anything harmful (haram covers all aspects of harm, including bad behaviour, abuse and forbidden foods).

Regardless of her skills or intelligence, she is expected to accept her man as the head of her household - she must, therefore, take care to marry a man she can respect, and whose wishes she can carry out with a clear conscience. However, when a man expects his wife to do anything contrary to the will of God - in other words, any nasty, selfish, dishonest or cruel action - she has the right to refuse him.

Her husband is not her master; a Muslim woman has only one Master, and that is God. If her husband does not represent God's will in the home, the marriage contract is broken.

What should one make of the verse in the Koran that allows a man to punish his wife physically? There are important provisos: he may do so only if her ill-will is wrecking the marriage - but then only after he has exhausted all attempts at verbal communication and tried sleeping in a separate bed.

However, the Prophet never hit a woman, child or old person, and was emphatic that those who did could hardly regard themselves as the best of Muslims. Moreover, he also stated that a man should never hit "one of God's handmaidens". Nor, it must be said, should wives beat their husbands or become inveterate nags.

Finally, there is the issue of giving witness. Although the Koran says nothing explicit, other Islamic sources suggest that a woman's testimony in court is worth only half of that of a man. This ruling, however, should be applied only in circumstances where a woman is uneducated and has led a very restricted life: a woman equally qualified to a man will carry the same weight as a witness.

So, does Islam oppress women?

While the spirit of Islam is clearly patriarchal, it regards men and women as moral equals. Moreover, although a man is technically the head of the household, Islam encourages matriarchy in the home.

Women may not be equal in the manner defined by Western feminists, but their core differences from men are acknowledged, and they have rights of their own that do not apply to men

Islam and Freedom of Thought

Riwayat Attubani-"What was once an occasional event -- silencing scholars -- increasingly has become a way of life in most Muslim countries. From South Asia to North Africa, an entire generation of Muslim intellectuals is at this moment under threat: Many have already been killed, silenced, or forced into exile."
By Akbar Ahmed and Lawrence Rosen

As America and its allies have set about building coalitions that include many of the Islamic nations, it is easy to lose sight of the issue of intellectual freedom within the Muslim world. While the safety of Western countries may depend on alliances with other regimes, those alliances should not come at the price of abandoning scholars and intellectuals in the Middle East, whose ability to speak out is no less under attack, often by these same governments. Our concern is that scholars in Muslim countries will be overlooked in the rush to forge expedient alliances.

The image shown to the world on the cover of the June 17, 2001, New York Times Magazine, of Saad Eddin Ibrahim, a respected Egyptian sociologist, caged and on trial for the exercise of his intellectual freedom, ought to send a chill through both the Muslim world and the West. Before his arrest for alleged homosexuality, embezzlement, and spying for the United States and Israel, he was conducting research on Cairo voters' sentiments about why Muslims join militant groups. From South Asia to North Africa, an entire generation of Muslim intellectuals is at this moment under threat: Many have already been killed, silenced, or forced into exile.

Consider Pakistan. The late nuclear physicist Abdus Salam, Pakistan's only Nobel laureate, was pressured to leave early in his career, in the late 1950s, because he belonged to a sect not recognized by most Pakistani Muslims. Fazlur Rahman, instrumental in starting Islamic studies at the University of Chicago in the late '60s, was chased out earlier in that decade by Islamic religious parties.

There is considerable irony in the fact that Pakistan's record in relation to freedom of thought is not good, given the nature of its founder, Mohammed Ali Jinnah. Jinnah believed in human rights, women's rights, minority rights, and the rule of law. Along with his followers, he hoped to create a modern Muslim nation, one that would respect Islamic tradition but at the same time be part of a modern community of nations.

Jinnah so respected women's rights that he insisted that his sister, Fatima Jinnah, be with him publicly in his struggle for the creation of Pakistan in 1947. Fatima Jinnah herself became a role model for women. And Jinnah deeply loved his wife, Ruttie, who was a non-Muslim (and half his age), and his only child, Dina, who, as a young woman, refused to marry a Muslim. The women in Jinnah's family thus created problems for those who wished to portray Jinnah as a straightforward religious extremist.

That view of Jinnah was pushed most strongly after General Zia-ul-Haq took power in 1977 through a military coup and launched a campaign to "Islamize" Pakistan. But how do you explain a wife who is not a Muslim, and a daughter who refused to marry a Muslim? The historian Sharif al-Mujahid -- whose 1981 biography of Jinnah, Quaid-i-Azam Jinnah, is perhaps the best known in Pakistan -- did not mention either woman in his 806-page volume. Nor do Pakistan's official archives, pictorial exhibitions, or official publications contain more than a picture or two of them.

To portray the real Jinnah, Akbar Ahmed, one of the authors of this essay, along with several friends and colleagues, spent the 1990s on several related projects, which came to be called the Jinnah Quartet. They included the feature film Jinnah (released in English and Urdu in 2000); a television documentary, Mr. Jinnah -- The Making of Pakistan (released in 1997); an academic book called Jinnah, Pakistan and Islamic Identity: The Search for Saladin (published by Routledge in 1997); and a graphic novel (published by Oxford University Press in 1997).

The Jinnah Quartet attempted to answer a crucial question about Muslim society that many scholars and intellectuals -- Muslims and non-Muslims alike -- are asking in their respective countries: Can Muslim countries produce moderate leaders? Do Muslims have leaders who care for human rights, women's rights, minority rights, and the sanctity of law, and who can lead their nations to the international community with honor? The authors of the quartet believe that Jinnah was one such leader who provides a relevant, contemporary model. The Jinnah Quartet attempted not only to challenge images and ideas of the last days of the British Raj, but also communicate ideas about leadership, the nature of the Islamic state, and the compassionate and tolerant nature of Islam.

The Jinnah Quartet project was controversial. Once the filming started in 1997 -- in England, where the author was living, and on location in Pakistan -- the Pakistani press and various political parties launched a disinformation campaign, claiming that Salman Rushdie had written the script for the film, or that it was part of a Hindu or a Zionist conspiracy.

While filming in Pakistan, the author and others involved in the project were verbally attacked and threatened by journalists and "concerned citizens," and important officials repeatedly warned them not to portray a tolerant Jinnah and the tolerant Islam he represented. Journalists demanded money to publish positive articles about the project or threatened to write slander; bureaucrats tried to stop the project through delays and denials of permissions necessary for filming. (Eventually, the government of Pakistan reneged on a written agreement and pulled out almost one-third of the budget it had committed during the shooting of the film.) The project was completed, and the film won several awards at international film festivals. But despite gratifying responses in the West, Africa, and even Pakistan, the Jinnah model appears to have failed in the Muslim world. Even those political leaders who believe in democracy, once in power, fall back on tyranny and corruption to stay in office.

Ordinary citizens have little idea that an indigenous democratic model is available to Muslim society, because the scholars and intellectuals who can articulate that vision are being silenced.

When Muslim scholars and intellectuals -- those who seek and foster knowledge -- are silenced, Muslim citizens are cut off from part of who they are. Islam places enormous emphasis on knowledge. It charges humans to use their God-given reason to better themselves and their dependents, and throughout history ordinary Muslims have cherished that expectation and the benefits such knowledge has produced. They appreciate the control that knowledge gives them over their destiny, the connections it allows them to form with people different from themselves, the insight it gives them into their faith, and the limits it may place on those who exercise power. For that multifarious search for knowledge to be jeopardized is to risk not only the loss of information but a crucial element of who Muslims know themselves to be.

We think of knowledge in this information age as readily accessible to all. When we see an Internet cafe in a dusty town of South Asia or a satellite dish hooked up to a car battery in the countryside of North Africa, we assume that authoritarian regimes can no longer control the flow of communication. But being hooked up and online may make it easier to know what is happening across the world than to know of events in the next town or district.

In many Muslim regimes, intelligence agencies with their own agendas and presidents who exercise their powers capriciously create a constant state of uncertainty that spreads well beyond the challenge of any one thinker's ideas or proposed reforms. When the scholar is silenced it is not useless knowledge that is lost: It is the sense that pursuing knowledge, wherever it may be found, is no longer part of the expression of God's will.

Pressures on intellectual freedom come from many sources.

Throughout much of the Muslim world, university students are among the most ardent fundamentalists, fueled by the literal interpretation of Islam taught at madrassahs (Muslim religious schools). The network of madrassahs in turn links up with religious political parties across national boundaries. In Muslim countries, madrassahs are seen as a legitimate Islamic alternative to unaffordable private schools patronized by the westernized elite.

Professors, particularly in the liberal arts, are often cowed by their own students into silence, both in their teaching and in their writing. Like some postmodernist gone mad, the student of literature may see fiction as nothing but the expression of the writer's politics, while the science student is not concerned with questioning fundamentals, but with applying technologies to religious and political ends.

The results for intellectuals range from a denial of the finest traditions of open debate to working in an environment of omnipresent threat. (In Islamabad, a professor at a medical college this year was found guilty of blasphemy and sentenced to death, after students complained about him to the local religious leader.) It is impossible to ignore the discrepancy between the Islamic emphasis on knowledge and the questionable climate for scholars and intellectuals in Muslim countries. Great scholars of the past, men like Ibn Khaldun, a 14th-century Arab historian; the 14th- century writer Ibn Battutah; and the 11th-century writer Abu Raihan Muhammad Al-Beruni may have made the rulers of their day uncomfortable, but they continued the Islamic tradition of the pursuit of knowledge for the benefit of all. That such renowned Muslim thinkers might today be placed in a cage or threatened with physical harm undermines the Islamic belief that any person may develop his or her intellect to the fullest, yielding a diminished and alienated sense of Islam itself.

Indeed, knowledge, for Muslims, is integral to justice, for how, from the Muslim perspective, is one to determine what balance is to be struck among alternatives if one lacks the knowledge to assess choices in the first place? How is one to attach oneself to reliable others if there is no way to tell how they comported themselves in other contexts or made use of the other connections they have forged? How, indeed, is one to achieve the Islamic ideal of knowledge if one is not free to inquire, probe, and appraise the world, for which Allah has told the believer he bears responsibility? When Abdus Salam needed to be protected by riot police on his first visit home after winning the Nobel Prize in 1979, when the co-author of this essay, on returning home after a year at the Institute for Advanced Study in Princeton, was asked by a Pakistani general, "Why have you returned home? We don't need scholars and intellectuals in Pakistan," when researchers like Professor Ibrahim must risk their freedom to publish a survey of voter sentiment, the loss to ordinary Muslims is far greater than each individual case may appear to suggest.

What was once an occasional event -- silencing scholars -- increasingly has become a way of life in most Muslim countries. Along with the appearance of open information -- access to e-mail and the Internet, for example -- in Muslim countries like Egypt and Indonesia has come a more intense denial of intellectual freedom than at any time in recent history. Large numbers of the educated middle class are trying to leave, or have already left, their home countries.

Their exit further weakens the equation of knowledge and Islamic virtue, leaving the field to those, like the followers of Osama bin Laden, who see injustice, but have stilled or lost the voices that could assess it in terms both objective and Islamic. The prophet Muhammad said, "The death of a scholar is the death of the universe." And the president of the American University of Beirut, Malcolm Kerr, gunned down in his office in 1984, once wrote: "If ideas are not available to shape events, then by default events will shape ideas, in keeping with their own unplanned and, perhaps, grotesque course." At a time when it is easy to ignore intellectual freedom while concentrating on combating terrorism, we must remember that only when Muslims have a full range of options freely and openly available to them can creative alternatives to extremism be entertained; only when we in the West support the same openness of thought in the Muslim world that we expect in our own societies can the hopes of ordinary people for improvement in their lives become the basis for a common bond. Saad Ibrahim remains behind bars in Egypt, the quiet American pressures to gain his release obscured by the needs of momentary alliance with that country's government.

If Ibrahim and others like him are, like truth itself, further casualties of a war on terrorism, the victory that will be gained will only fertilize the seeds of perpetual disaffection in Muslim countries and reinforce the image that Westerners are not concerned with freedom except for their own citizens. Meanwhile the lack of clarity and stability in Muslim society will further encourage those who interpret Islam to mean violence and anarchy.