Honey enemas and healing snakes: what we know about the world of ancient medical tourism

Honey enemas and healing snakes: what we know about the world of ancient medical tourism

June 18, 2025

Before modern hospitals and clinics appeared, the ancient Greeks and Romans created an elaborate system of medical tourism that attracted sufferers from all over the Mediterranean. The center of this system was the asclepios - sanctuaries dedicated to Asklepios, the god of medicine, where religious practices were combined with surprisingly advanced healing methods. Patients traveled hundreds of miles to undergo therapies including ritual baths, honey enemas, prophetic dreams and contact with healing snakes. These ancient wellness centers offered comprehensive care: from diagnosis to treatment to recovery, often in spectacular locations overlooking the sea or mountains. Today, the ruins of these sanctuaries allow us to understand how the first ever organized medical tourism system functioned.

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Asclepios - ancient healing centers

Asclepios were at the heart of ancient medical tourism, and their remains continue to delight archaeologists and tourists. The most famous of these, the Asclepiejon on the island of Kos, was built in the 4th century BC and functioned for over 800 years as a healing and educational center. It was here that Hippocrates, the father of medicine whose teachings revolutionized the approach to treating disease, practiced. The complex consisted of three terraces connected by a monumental staircase, which not only provided an impressive view, but also created a hierarchy of healing spaces - from the most public to those reserved for advanced therapies and rituals.

The Asclepiejon on Kos stood out among other healing sanctuaries for its size and complexity. The lowest terrace housed the baths and fountains used for ritual ablutions, the first step in the healing process. The middle terrace housed the temple of Asklepios and the rooms where patients underwent incubation - a ritual sleep during which the god would haunt the sick and indicate methods of treatment. The upper terrace, the most impressive, contained a monumental Doric temple where the most important ceremonies were held. The Hellenistic Stoa of Asklepios, a long column portico located within the complex, served as a resting place for patients and a space where they could protect themselves from the sun or rain.

The treatment methods used at the Asklepiejon on Kos combined religious elements with practical therapies. Patients began their stay with ritual ablutions and purification, then made offerings to Asklepios. A key element of the therapy was incubation - sleep in a special room of the temple, during which the god would haunt the patients in their sleep and give instructions for treatment. Priest-doctors interpreted these dreams and recommended specific therapies based on them. Among the methods used were herbal medicine, hydrotherapy, massages, healing diets and - perhaps surprisingly to contemporaries - contact with snakes, which were the symbol of Asklepios and considered carriers of his healing power.

Another impressive example of an ancient healing center is the Asclepieion of Pergamon in present-day Turkey. Founded in the 4th century BC, it reached its peak of development in the 2nd century AD under the Romans. The Pergamon asclepiejon was notable for its architecture - it was built around a sacred spring, and its spatial layout was meant to reflect the soul's journey from illness to health. Patients entered through a monumental gate and moved along a sacred path that led to the next stages of treatment.

The Pergamonian center was famous for its advanced therapeutic methods, which included music therapy, psychotherapy and treatment through sleep. Of particular interest is the tunnel connecting the library to the main therapy building - patients passed through it in the dark, which was meant to symbolize the passage between worlds and prepare them psychologically for healing. The famous physician Galen, whose works on anatomy and physiology formed the basis of medicine for the next 1,500 years, practiced in Pergamon.

Both the Asclepiejon on Kos and in Pergamon offered comprehensive medical care that included not only treating physical ailments, but also caring for the mental state of patients. These sanctuaries were designed to create a harmonious environment conducive to healing - they were located in picturesque locations, away from the hustle and bustle of cities, often overlooking the sea or mountains. The architecture of these complexes had not only practical functions, but also therapeutic ones - spacious colonnades, gardens and fountains created an atmosphere of tranquility and contemplation.

Epidauros - the most famous healing sanctuary of the of the ancient world

If Asklepiejon on Kos was one of the most important ancient medical centers, the sanctuary at Epidauros can be considered the absolute pinnacle of ancient medical tourism. The Archaeological Site of the Sanctuary of Asclepius at Epidaurus, a UNESCO World Heritage Site, is the best preserved medicinal complex of ancient Greece. Founded in the 6th century BC, it reached the height of its development in the 4th and 3rd centuries BC, when most of the impressive structures we can still admire today were built.

Epidauros was the birthplace of the cult of Asclepius - according to mythology, the god of medicine was born in this very area. The sanctuary developed around a sacred grove where Apollon, Asklepios' father, was originally worshipped. Over time, the cult of the son surpassed the popularity of the father, and Epidauros became the main center of worship of Asclepios throughout the Greek world. Patients came here from the farthest corners of the Mediterranean, often undertaking grueling journeys in hopes of healing.

The centerpiece of the complex was the Temple of Asclepius at Epidaurus, a Doric-style temple housing a statue of the god made of gold and ivory. The temple was the site of the most important rituals, and patients offered votive offerings of thanksgiving for the healings they received. Archaeological excavations have uncovered thousands of such votive offerings - from simple plaques of thanks to complex models of healed body parts. These artifacts are an invaluable source of knowledge about the types of conditions treated at the shrine and the effectiveness of the therapies used.

One of the most distinctive elements of the complex at Epidauros is the tholos, a circular structure of extraordinary precision workmanship, the exact function of which remains the subject of scholarly debate. Some scholars believe that it served as a place for chthonic rituals associated with the sacred serpents of Asklepios, while others suggest that it was a kind of labyrinth through which patients passed as part of the healing process. Regardless of its exact purpose, the tholos is a masterpiece of ancient architecture, stunning in its precision workmanship and harmony of proportion.

In addition to strictly religious structures, the sanctuary at Epidauros included extensive healing and recreational facilities. There were baths, a gymnasium, a stadium where sports competitions were held, and residential buildings for patients and staff. Of particular interest is the abaton, a long building with a portico, where patients spent their nights awaiting prophetic dreams. Incubation, or ritual sleeping in a sacred place, was a key part of the therapy. It was believed that during sleep, Asklepios or his sacred serpents haunted the sick, directly treating their ailments or giving instructions for further treatment.

The most impressive building in the complex is undoubtedly the Theater at Epidauros - a masterpiece of ancient architecture, famous for its excellent acoustics. Capable of accommodating 14,000 spectators, the theater was designed by Polycletus the Younger in the 4th century BC and still impresses today with its harmony of proportions and functionality. Interestingly, the theater did not serve only entertainment functions - theatrical and musical performances were an integral part of the therapeutic process. The ancient Greeks believed in the healing power of catharsis - the emotional cleansing that occurred while watching a tragedy. Moreover, the laughter induced by comedies was believed to be therapeutic for the body and soul.

The treatment methods used at Epidauros were surprisingly comprehensive and combined religious elements with rational medical practices. In addition to incubation and dream interpretation, priest-doctors used healing diets, herbal medicine, hydrotherapy and physical exercise. Patients used mineral waters, which had healing properties, and also underwent surgical procedures - as evidenced by medical instruments found in the shrine. An interesting aspect of therapy was the so-called 'laughter therapy' - the complex included a special building called the 'house of laughter', where comedy performances were held to improve the mood of patients.

The effectiveness of the methods used at Epidauros is evidenced by numerous inscriptions found at the sanctuary, documenting cases of successful healings. These texts, called 'iamata', describe the patients' ailments, the course of treatment and the results. Although some of the healings described are miraculous and difficult to explain from a medical point of view, many others indicate the use of rational therapeutic methods that may have had real health benefits.

Athens and other healing centers - the diversity of ancient medical tourism

Although Epidauros and Kos were the most important centers of ancient medical tourism, the asclepiejon system included dozens of shrines scattered throughout the Greco-Roman world. One important center was the Temple of Asklepios in Athens, located on the southern slope of the Acropolis. Founded in the fifth century BC, after a major epidemic struck the city, it quickly became an important healing center for the people of Athens and the surrounding area. Although smaller than the sanctuaries at Epidauros or Kos, Athens' Asklepiejon was strategically important due to its location in the heart of ancient Greece's most important city-state.

The Athenian asklepiejon was distinguished by its structure - it was partially carved into the rock of the Acropolis, which gave it a unique character. The complex included the temple of Asklepios, a sacred spring whose water was used in purification rituals, and the abaton building, where patients spent their nights awaiting prophetic dreams. An interesting feature of the Athenian sanctuary was a grotto dedicated to nymphs, who in Greek mythology were often associated with healing waters. Patients left votive offerings in the grotto, many of which have survived to the present day.

The treatment methods used in the Athenian asclepion were similar to those practiced in other sanctuaries, but due to its proximity to the city and its intellectual atmosphere, the center could more easily integrate the latest advances in rational medicine. Athens was home to many prominent physicians and philosophers whose works influenced the practices at the sanctuary. Proximity to other temples, especially those dedicated to Athena, the goddess of wisdom, fostered the development of a more rational approach to treatment that complemented religious elements.

Returning to the island of Kos, it is worth mentioning the Roman Odeon of Kos - a structure that, although built in the Roman period, was an integral part of the healing complex. The Odeon, a small theater designed mainly for musical performances, could accommodate about 750 spectators. Music played an important role in ancient medicine - it was believed that certain melodies and rhythms had healing properties and could restore harmony of soul and body. Concerts were held in the odeon as part of the therapy for patients staying in the asklepiejon.

Interestingly, ancient healing sanctuaries often competed among themselves for prestige and patients. Each center tried to distinguish itself with unique treatment methods or particularly impressive architecture. This competition contributed to the development of medicine and healing infrastructure. Asclepias advertised their services by spreading stories of miraculous healings, and by minting coins with the image of Asklepios and symbols associated with a particular sanctuary. Even ancient 'travel guides' were found that described the advantages of particular healing centers and helped travelers choose the best place for their health needs.

Ancient medical tourism also had an economic dimension - healing shrines generated significant revenue for local communities. Patients coming to asclepiejons needed accommodation, food and a variety of services, which fostered the development of local businesses. Workshops producing votive offerings, stores selling medicinal herbs, taverns and inns sprang up around the shrines. In some cases, entire towns developed around famous healing centers, benefiting from the influx of patients and pilgrims.

It is worth noting that ancient medical tourism was available to different social classes. While wealthy patients could afford luxurious accommodations and costly offerings to the god, shrines also welcomed the poor, who were often exempt from fees or could offer symbolic gifts. This inclusiveness was an important aspect of the cult of Asclepius, who, according to myths, never refused to help those in need. In some shrines, inscriptions have been found indicating the existence of a system of sponsoring the treatment of poor patients by wealthy benefactors.

The decline of ancient medical tourism was linked to the spread of Christianity and the gradual banning of pagan cults. Many asclepiejons were destroyed or converted into Christian churches. However, it is interesting to note that some elements of the cult of Asklepios were adapted by Christianity - holy healers such as Cosimo and Damian adopted many of the features and functions of the ancient god of medicine. Similarly, the practice of incubation survived in some regions, where the faithful spent their nights in churches dedicated to holy healers, awaiting prophetic dreams.

Today, the ruins of ancient asclepiejons provide fascinating testimony to the advancement of ancient medicine and the beginnings of organized medical tourism. Archaeological research and analysis of surviving medical texts are giving us a growing understanding of the treatment methods used at these centers. Surprisingly, many of the therapies practiced there are confirmed in modern medicine - hydrotherapy, herbalism, diet, exercise and psychological therapies are still important elements of a holistic approach to health. The ancient Greeks intuitively understood the connection between mental and physical conditions, which is reflected in today's psychosomatic medicine.

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