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1530_8 | Another study in 2021 (Sato et al.) analyzed the indigenous populations of northern Japan and the Russian Far East. They concluded that Siberia and northern Japan was populated by two distinct waves: "the southern migration wave seems to have diversified into the local populations in East Asia (defined in this paper as a region including China, Japan, Korea, Mongol, and Taiwan) and Southeast Asia, and the northern wave, which probably runs through the Siberian and Eurasian steppe regions and mixed with the southern wave, probably in Siberia. Archaeologists have considered that bear worship, which is a religious practice widely observed among the northern Eurasian ethnic groups, including the Ainu, Finns, Nivkh, and Sami, was also shared by the Okhotsk people. On the other hand, no traces of such a religious practice have ever been discovered from archaeological sites of the Jomon and Epi-Jomon periods, which were anterior to the Ainu cultural period. This implies that the Okhotsk culture contributed to the forming of the Ainu culture."
Genetics
Paternal lineages
Genetic testing has shown that the Ainu belong mainly to Y-DNA haplogroup D-M55 (D1a2) and C-M217. Y DNA haplogroup D M55 is found throughout the Japanese Archipelago, but with very high frequencies among the Ainu of Hokkaidō in the far north, and to a lesser extent among the Ryukyuans in the Ryukyu Islands of the far south. Recently it was confirmed that the Japanese branch of haplogroup D M55 is distinct and isolated from other D branches for more than 53,000 years.
Several studies (Hammer et al. 2006, Shinoda 2008, Matsumoto 2009, Cabrera et al. 2018) suggest that haplogroup D originated somewhere in Central Asia. According to Hammer et al., the ancestral haplogroup D originated between Tibet and the Altai mountains. He suggests that there were multiple waves into Eastern Eurasia.
A study by Tajima et al. (2004) found two out of a sample of sixteen Ainu men (or 12.5%) belong to Haplogroup C M217, which is the most common Y chromosome haplogroup among the indigenous populations of Siberia and Mongolia. Hammer et al. (2006) found that one in a sample of four Ainu men belonged to haplogroup C M217. | [
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1530_9 | Maternal lineages
Based on analysis of one sample of 51 modern Ainu, their mtDNA lineages consist mainly of haplogroup Y [ = 21.6% according to Tanaka et al. 2004, or = 19.6% according to Adachi et al. 2009, who have cited Tajima et al. 2004], haplogroup D [ = 17.6%, particularly D4 (xD1)], haplogroup M7a ( = 15.7%), and haplogroup G1 ( = 15.7%). Other mtDNA haplogroups detected in this sample include A (), M7b2 (), N9b (), B4f (), F1b (), and M9a (). Most of the remaining individuals in this sample have been classified definitively only as belonging to macro-haplogroup M.
According to Sato et al. (2009), who have studied the mtDNA of the same sample of modern Ainus (=51), the major haplogroups of the Ainu are N9 [ = 27.5%, including Y and N9 (xY)], D [ = 23.5%, including D (xD5) and D5], M7 ( = 19.6%), and G ( = 19.6%, including G1 and G2); the minor haplogroups are A (), B (), F (), and M (xM7, M8, CZ, D, G) ().
Studies published in 2004 and 2007 show the combined frequency of M7a and N9b were observed in Jōmons and which are believed by some to be Jōmon maternal contribution at 28% in Okinawans [ M7a1, M7a (xM7a1), N9b], 17.6% in Ainus [ M7a (xM7a1), N9b], and from 10% [ M7a (xM7a1), M7a1, N9b] to 17% [ M7a1, M7a (xM7a1)] in mainstream Japanese. | [
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1530_10 | In addition, haplogroups D4, D5, M7b, M9a, M10, G, A, B, and F have been found in Jōmon people as well. These mtDNA haplogroups were found in various Jōmon samples and in some modern Japanese people.
A study by Kanazawa-Kiriyama in 2013 about mitochondrial haplogroups, found that the Ainu people (including samples from Hokkaido and Tōhoku) have a high frequency of N9b, which is also found among Udege people of eastern Siberia, and more common among Europeans than Eastern Asians, but absent from the geographically close Kantō Jōmon period samples, which have a higher frequency of M7a7, which is commonly found among East and Southeast Asians. According to the authors, these results add to the internal-diversity observed among the Jōmon period population and that a significant percentage of the Jōmon period people had ancestry from a Northeast Asian source population, suggested to be the source of the proto-Ainu language and culture, which is not detected in samples from Kantō.
Autosomal DNA
A 2004 reevaluation of cranial traits suggests that the Ainu resemble the Okhotsk more than they do the Jōmon but there are large variations. This agrees with the references to the Ainu as a merger of Okhotsk and Satsumon referenced above. Similarly more recent studies link the Ainu to the local Hokkaido Jōmon period samples, such as the 3,800 year old Rebun sample.
Genetic analyses of HLA I and HLA II genes as well as HLA-A, -B, and -DRB1 gene frequencies links the Ainu to Indigenous peoples of the Americas. Genetic of variety Asian groups shows Ainu and of Native Americans are place relatively close can be traced back to Paleolithic groups in Siberia.
Hideo Matsumoto (2009) suggested, based on immunoglobulin analyses, that the Ainu (and Jōmon) have a Siberian origin. Compared with other East Asian populations, the Ainu have the highest amount of Siberian (immunoglobulin) components, higher than mainland Japanese people.
A 2012 genetic study has revealed that the closest genetic relatives of the Ainu are the Ryukyuan people, followed by the Yamato people and Nivkh. | [
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1530_11 | A genetic analysis in 2016 showed that although the Ainu have some genetic relations to the Japanese people and Eastern Siberians (especially Itelmens and Chukchis), they are not directly related to any modern ethnic group. Further, the study detected genetic contribution from the Ainu to populations around the Sea of Okhotsk but no genetic influence on the Ainu themselves. According to the study, the Ainu-like genetic contribution in the Ulch people is about 17.8% or 13.5% and about 27.2% in the Nivkhs. The study also disproved the idea about a relation to Andamanese or Tibetans; instead, it presented evidence of gene flow between the Ainu and "lowland East Asian farmer populations" (represented in the study by the Ami and Atayal in Taiwan, and the Dai and Lahu in Mainland East Asia).
A genetic study in 2016 about historical Ainu samples from southern Sakhalin (8) and northern Hokkaido (4), found that these samples were closely related to ancient Okhotsk people and various other Northeast Asians, such as indigenous populations in Kamchatka (Itelmens). The authors conclude that this points to heterogeneity among the historical Ainu, as other studies reported a rather isolated position of analyzed Ainu samples from southern Hokkaido. | [
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1530_12 | Recent autosomal evidence suggests that the Ainu derive a majority of their ancestry from the local Jōmon period people of Hokkaido. A 2019 study by Gakuhari et al., analyzing ancient Jōmon remains, finds about 79.3% Hokkaido Jōmon ancestry in the Ainu. Another 2019 study (by Kanazawa-Kiriyama et al.) finds about 66% Hokkaido Jōmon ancestry. A genetic study in 2021 (Sato et al.) found that the Ainu probably derived about ~49% of their ancestry from the local Hokkaido Jōmon, ~22% from the Okhotsk (samplified by Chukotko-Kamchatkan peoples), and ~29% from the Yamato Japanese. Population genomic data from various Jōmon period samples show that their main ancestry component split from other East Asian people at about 15,000 BCE. Following their migration into the Japanese archipelago, they became largely isolated from outside geneflow. However geneflow from Ancient North Eurasians towards the Jōmon period population was detected along a North to South cline, with a peak among Hokkaido Jōmon.
A study by Adachi et al. 2018 concluded that: "Our results suggest that the Ainu were formed from the Hokkaido Jomon people, but subsequently underwent considerable admixture with adjacent populations. The present study strongly recommends revision of the widely accepted dual-structure model for the population history of the Japanese, in which the Ainu are assumed to be the direct descendants of the Jomon people."
Physical description
The Ainu often resemble Native Americans, but exhibit a variation of phenotypes, ranging from "Caucasian" to East Asian, with many having an intermediate appearance. Physical differences could be observed between different Ainu subgroups and clans. The numerous large Kabata and Hidaka Ainu clans largely resembled Northeast Asians and Northeastern Siberians, rather than Europeans. The physical differences between Ainu and neighboring Japanese and Koreans, was found to be not as large as early historians suggested. Many Ainu men have abundant wavy hair and often have long beards. There was also a number of mixed Russian-Ainu individuals. | [
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1530_13 | The book of Ainu Life and Legends by author Kyōsuke Kindaichi (published by the Japanese Tourist Board in 1942) contains a physical description of Ainu: "Many have wavy hair, but some straight black hair. Very few of them have wavy brownish hair. Their skins are generally reported to be light brown. But this is due to the fact that they labor on the sea and in briny winds all day. Old people who have long desisted from their outdoor work are often found to be as white as western men. The Ainu have broad faces, beetling eyebrows, and sometimes large sunken eyes, which are generally horizontal and of the so-called European type. Eyes of the Mongolian type are rare but occasionally found among them."
A comparative study by Brace et al. (2001) showed a closer morphological relation of the Ainu and their Hokkaido Jōmon ancestors with prehistoric and living European groups. The study concludes that part of their ancestors are descended from of a population (dubbed "Eurasians" by Brace et al.) that moved into northern Eurasia eastwards in the Late Pleistocene, which significantly predates the expansion of the modern core population of East Asia from Mainland Southeast Asia. According to the authors, these morphological similarities suggest distant genetic ties at one time, and provides some basis for the long-time claim that the Ainu have an Indo-European component among their ancestry.
A study by Kura et al. 2014 based on cranial and genetic characteristics suggests a mostly Northeastern Asian ("Arctic") origin for Ainu people. Thus, despite Ainu sharing some morphological similarities to Caucasoid populations, the Ainu are essentially of North Asiatic origin. Genetic evidence support a closer relation with Paleosiberian Arctic populations, such as the Chukchi people.
A study by Omoto has shown that the Ainu are closer related to other East Asian groups (previously mentioned as 'Mongoloid') than to Western Eurasian groups (formerly termed as "Caucasian"), on the basis of fingerprints and dental morphology. | [
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1530_14 | A study published in the scientific journal "Nature" by Jinam et al. 2015, using genome-wide SNP data comparison, found that a noteworthy amount of Ainu carry gene alleles associated with facial features which are commonly found among Europeans but absent from Japanese people and other East Asians, but these alleles are not found in all tested Ainu samples. These alleles are the reason for their pseudo-Caucasian appearance and likely arrived from Paleolithic Siberia.
In 2021, it was confirmed that the Hokkaido Jōmon population formed from "Terminal Upper-Paleolithic people" (TUP) indigenous to Hokkaido and Northern Eurasia and from migrants of Jōmon period Honshu. The Ainu themselves formed from these heterogeneous Hokkaido Jōmon and from a more recent Northeast Asian/Okhotsk population.
Military service
Russo-Japanese War
Ainu men were first recruited into the Japanese military in 1898. Sixty-four Ainu served in the Russo-Japanese War (1904–1905), eight of whom died in battle or from illness contracted during military service. Two received the Order of the Golden Kite, granted for bravery, leadership or command in battle.
Second World War
During World War II, Australian troops engaged in the hard-fought Kokoda Track campaign (July–November 1942) in New Guinea, were surprised by the physique and fighting prowess of the first Japanese troops they encountered.
Language
In 2008 Hohmann gave an estimate of fewer than 100 remaining speakers of the language; other research (Vovin 1993) placed the number at fewer than 15 speakers. Vovin has characterised the language as "almost extinct". As a result of this, the study of the Ainu language is limited and is based largely on historical research. Historically, the status of the Ainu language was rather high and was also used by early Russian and Japanese administrative officials to communicate with each other and with the indigenous people. | [
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1530_15 | Despite the small number of native speakers of Ainu, there is an active movement to revitalize the language, mainly in Hokkaidō, but also elsewhere such as Kanto. Ainu oral literature has been documented both in hopes of safeguarding it for future generations, as well as using it as a teaching tool for language learners.
As of 2011 there has been an increasing number of second-language learners, especially in Hokkaidō, in large part due to the pioneering efforts of the late Ainu folklorist, activist and former Diet member Shigeru Kayano, himself a native speaker, who first opened an Ainu language school in 1987 funded by Ainu Kyokai.
Although some researchers have attempted to show that the Ainu language and the Japanese language are related, modern scholars have rejected the idea that the relationship goes beyond contact (such as the mutual borrowing of words between Japanese and Ainu). No attempt to show a relationship with Ainu to any other language has gained wide acceptance, and linguists currently classify Ainu as a language isolate. Most Ainu people speak either the Japanese language or the Russian language.
Concepts expressed with prepositions (such as to, from, by, in, and at) in English appear as postpositional forms in Ainu (postpositions come after the word that they modify). A single sentence in Ainu can comprise many added or agglutinated sounds or affixes that represent nouns or ideas.
The Ainu language has had no indigenous system of writing, and has historically been transliterated using the Japanese kana or Russian Cyrillic. it is typically written either in katakana or in the Latin alphabet.
Many of the Ainu dialects, even those from different extremities of Hokkaidō, were not mutually intelligible; however, all Ainu speakers understood the classic Ainu language of the Yukar, or epic stories. Without a writing system, the Ainu were masters of narration, with the Yukar and other forms of narration such as the Uepeker (Uwepeker) tales being committed to memory and related at gatherings which often lasted many hours or even days.
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] |
1530_16 | Culture
Traditional Ainu culture was quite different from Japanese culture. According to Tanaka Sakurako from the University of British Columbia, the Ainu culture can be included into a wider "northern circumpacific region", referring to various indigenous cultures of Northeast Asia and "beyond the Bering Strait" in North America.
Never shaving after a certain age, the men had full beards and moustaches. Men and women alike cut their hair level with the shoulders at the sides of the head, trimmed semicircularly behind. The women tattooed () their mouths, and sometimes the forearms. The mouth tattoos were started at a young age with a small spot on the upper lip, gradually increasing with size. The soot deposited on a pot hung over a fire of birch bark was used for colour. Their traditional dress was a robe spun from the inner bark of the elm tree, called attusi or attush. Various styles were made, and consisted generally of a simple short robe with straight sleeves, which was folded around the body, and tied with a band about the waist. The sleeves ended at the wrist or forearm and the length generally was to the calves. Women also wore an undergarment of Japanese cloth.
Modern craftswomen weave and embroider traditional garments that command very high prices. In winter the skins of animals were worn, with leggings of deerskin and in Sakhalin, boots were made from the skin of dogs or salmon. Ainu culture considers earrings, traditionally made from grapevines, to be gender neutral. Women also wear a beaded necklace called a tamasay.
Their traditional cuisine consists of the flesh of bear, fox, wolf, badger, ox, or horse, as well as fish, fowl, millet, vegetables, herbs, and roots. They never ate raw fish or flesh; it was always boiled or roasted.
Their traditional habitations were reed-thatched huts, the largest square, without partitions and having a fireplace in the center. There was no chimney, only a hole at the angle of the roof; there was one window on the eastern side and there were two doors. The house of the village head was used as a public meeting place when one was needed. Another kind of traditional Ainu house was called chise. | [
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1530_17 | Instead of using furniture, they sat on the floor, which was covered with two layers of mats, one of rush, the other of a water plant with long sword shaped leaves (Iris pseudacorus); and for beds they spread planks, hanging mats around them on poles, and employing skins for coverlets. The men used chopsticks when eating; the women had wooden spoons. Ainu cuisine is not commonly eaten outside Ainu communities; only a few restaurants in Japan serve traditional Ainu dishes, mainly in Tokyo and Hokkaidō.
The functions of judgeship were not entrusted to chiefs; an indefinite number of a community's members sat in judgment upon its criminals. Capital punishment did not exist, nor did the community resort to imprisonment. Beating was considered a sufficient and final penalty. However, in the case of murder, the nose and ears of the culprit were cut off or the tendons of his feet severed.
Hunting
The Ainu hunted from late autumn to early summer. The reasons for this were, among others, that in late autumn, plant gathering, salmon fishing and other activities of securing food came to an end, and hunters readily found game in fields and mountains in which plants had withered.
A village possessed a hunting ground of its own or several villages used a joint hunting territory (iwor). Heavy penalties were imposed on any outsiders trespassing on such hunting grounds or joint hunting territory.
The Ainu hunted Ussuri brown bears, Asian black bears, Ezo deer (a subspecies of sika deer), hares, red foxes, Japanese raccoon dogs, and other animals. Ezo deer were a particularly important food resource for the Ainu, as were salmon. They also hunted sea eagles such as white-tailed sea eagles, raven and other birds. The Ainu hunted eagles to obtain their tail feathers, which they used in trade with the Japanese. | [
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1530_18 | The Ainu hunted with arrows and spears with poison-coated points. They obtained the poison, called surku, from the roots and stalks of aconites. The recipe for this poison was a household secret that differed from family to family. They enhanced the poison with mixtures of roots and stalks of dog's bane, boiled juice of Mekuragumo (a type of harvestman), Matsumomushi (Notonecta triguttata, a species of backswimmer), tobacco and other ingredients. They also used stingray stingers or skin covering stingers.
They hunted in groups with dogs. Before the Ainu went hunting, particularly for bear and similar animals, they prayed to the god of fire, the house guardian god, to convey their wishes for a large catch, and to the god of mountains for safe hunting.
The Ainu usually hunted bear during the spring thaw. At that time, bears were weak because they had not fed at all during their long hibernation. Ainu hunters caught hibernating bears or bears that had just left hibernation dens. When they hunted bear in summer, they used a spring trap loaded with an arrow, called an amappo. The Ainu usually used arrows to hunt deer. Also, they drove deer into a river or sea and shot them with arrows. For a large catch, a whole village would drive a herd of deer off a cliff and club them to death.
Fishing
Fishing was important for the Ainu. They largely caught trout, primarily in summer, and salmon in autumn, as well as "ito" (Japanese huchen), dace and other fish. Spears called "marek" were often used. Other methods were "tesh" fishing, "uray" fishing and "rawomap" fishing. Many villages were built near rivers or along the coast. Each village or individual had a definite river fishing territory. Outsiders could not freely fish there and needed to ask the owner.
Ornaments
Men wore a crown called sapanpe for important ceremonies. Sapanpe was made from wood fibre with bundles of partially shaved wood. This crown had wooden figures of animal gods and other ornaments on its centre. Men carried an emush (ceremonial sword) secured by an emush at strap to their shoulders. | [
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1530_19 | Women wore matanpushi, embroidered headbands, and ninkari, earrings. Ninkari was a metal ring with a ball. Matanpushi and ninkari were originally worn by men. Furthermore, aprons called maidari now are a part of women's formal clothes. However, some old documents say that men wore maidari. Women sometimes wore a bracelet called tekunkani.
Women wore a necklace called rektunpe, a long, narrow strip of cloth with metal plaques. They wore a necklace that reached the breast called a tamasay or shitoki, usually made from glass balls. Some glass balls came from trade with the Asian continent. The Ainu also obtained glass balls secretly made by the Matsumae clan.
Housing
A village is called a kotan in the Ainu language. Kotan were located in river basins and seashores where food was readily available, particularly in the basins of rivers through which salmon went upstream. In the early modern times, the Ainu people were forced to labor at the fishing grounds of the Japanese. Ainu kotan were also forced to move near fishing grounds so that the Japanese could secure a labor force. When the Japanese moved to other fishing grounds, Ainu kotan were also forced to accompany them. As a result, the traditional kotan disappeared and large villages of several dozen families were formed around the fishing grounds. | [
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1530_20 | Cise or cisey (houses) in a kotan were made of cogon grass, bamboo grass, bark, etc. The length lay east to west or parallel to a river. A house was about seven meters by five with an entrance at the west end that also served as a storeroom. The house had three windows, including the "rorun-puyar," a window located on the side facing the entrance (at the east side), through which gods entered and left and ceremonial tools were taken in and out. The Ainu have regarded this window as sacred and have been told never to look in through it. A house had a fireplace near the entrance. The husband and wife sat on the fireplace's left side (called shiso) . Children and guests sat facing them on the fireplace's right side (called harkiso). The house had a platform for valuables called iyoykir behind the shiso. The Ainu placed sintoko (hokai) and ikayop (quivers) there.
Traditions
The Ainu people had various types of marriage. A child was promised in marriage by arrangement between his or her parents and the parents of his or her betrothed or by a go-between. When the betrothed reached a marriageable age, they were told who their spouse was to be. There were also marriages based on mutual consent of both sexes. In some areas, when a daughter reached a marriageable age, her parents let her live in a small room called tunpu annexed to the southern wall of her house. The parents chose her spouse from men who visited her.
The age of marriage was 17 to 18 years of age for men and 15 to 16 years of age for women, who were tattooed. At these ages, both sexes were regarded as adults. | [
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1530_21 | When a man proposed to a woman, he visited her house, ate half a full bowl of rice handed to him by her, and returned the rest to her. If the woman ate the rest, she accepted his proposal. If she did not and put it beside her, she rejected his proposal. When a man became engaged to a woman or they learned that their engagement had been arranged, they exchanged gifts. He sent her a small engraved knife, a workbox, a spool, and other gifts. She sent him embroidered clothes, coverings for the back of the hand, leggings and other handmade clothes.
The worn-out fabric of old clothing was used for baby clothes because soft cloth was good for the skin of babies and worn-out material protected babies from gods of illness and demons due to these gods' abhorrence of dirty things. Before a baby was breast-fed, they were given a decoction of the endodermis of alder and the roots of butterburs to discharge impurities. Children were raised almost naked until about the ages of four to five. Even when they wore clothes, they did not wear belts and left the front of their clothes open. Subsequently, they wore bark clothes without patterns, such as attush, until coming of age.
Newborn babies were named ayay (a baby's crying), shipo, poyshi (small excrement), and shion (old excrement). Children were called by these "temporary" names until the ages of two to three. They were not given permanent names when they were born. Their tentative names had a portion meaning "excrement" or "old things" to ward off the demon of ill-health. Some children were named based on their behaviour or habits. Other children were named after impressive events or after parents' wishes for the future of the children. When children were named, they were never given the same names as others. | [
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1530_22 | Men wore loincloths and had their hair dressed properly for the first time at age 15–16. Women were also considered adults at the age of 15–16. They wore underclothes called mour and had their hair dressed properly and wound waistcloths called raunkut and ponkut around their bodies. When women reached age 12–13, the lips, hands and arms were tattooed. When they reached age 15–16, their tattoos were completed. Thus were they qualified for marriage.
Religion
The Ainu are traditionally animists, believing that everything in nature has a (spirit or god) on the inside. The most important include , goddess of the hearth, , god of bears and mountains, and , god of the sea, fishing, and marine animals. is regarded as the creator of the world in the Ainu religion.
The Ainu have no priests by profession; instead the village chief performs whatever religious ceremonies are necessary. Ceremonies are confined to making libations of , saying prayers, and offering willow sticks with wooden shavings attached to them. These sticks are called (singular) and (plural).
They are placed on an altar used to "send back" the spirits of killed animals. Ainu ceremonies for sending back bears are called . The Ainu people give thanks to the gods before eating and pray to the deity of fire in time of sickness. They believe that their spirits are immortal, and that their spirits will be rewarded hereafter by ascending to (Land of the Gods).
The Ainu are part of a larger collective of indigenous people who practice "arctolatry" or bear worship. The Ainu believe that the bear holds particular importance as 's chosen method of delivering the gift of the bear's hide and meat to humans.
John Batchelor reported that the Ainu view the world as being a spherical ocean on which float many islands, a view based on the fact that the sun rises in the east and sets in the west. He wrote that they believe the world rests on the back of a large fish, which when it moves causes earthquakes. | [
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] |
1530_23 | Ainu assimilated into mainstream Japanese society have adopted Buddhism and Shintō, while some northern Ainu were converted as members of the Russian Orthodox Church. Regarding Ainu communities in () and other areas that fall within the Russian sphere of cultural influence, there have been cases of church construction as well as reports that some Ainu have decided to profess their Christian faith. There have also been reports that the Russian Orthodox Church has performed some missionary projects in the Sakhalin Ainu community. However, not many people have converted and there are only reports of several persons who have converted. Converts have been scorned as (Russian Ainu) by other members of the Ainu community. Even so, the reports indicate that many Ainu have kept their faith in the deities of ancient times.
According to a 2012 survey conducted by Hokkaidō University, a high percentage of Ainu are members of their household family religion which is Buddhism (especially Buddhism). However, it is pointed out that similar to the Japanese religious consciousness, there is not a strong feeling of identification with a particular religion, with Buddhist and traditional beliefs being part of their daily life culture.
Institutions
Most Hokkaidō Ainu and some other Ainu are members of an umbrella group called the Hokkaidō Utari Association. It was originally controlled by the government to speed Ainu assimilation and integration into the Japanese nation-state. It now is run exclusively by Ainu and operates mostly independently of the government.
Other key institutions include The Foundation for Research and Promotion of Ainu Culture (FRPAC), set up by the Japanese government after enactment of the Ainu Culture Law in 1997, the Hokkaidō University Center for Ainu and Indigenous Studies established in 2007, as well as museums and cultural centers. Ainu people living in Tokyo have also developed a vibrant political and cultural community.
Since late 2011, the Ainu have cultural exchange and cultural cooperation with the Sámi people of northern Europe. Both the Sámi and the Ainu participate in the organization for Arctic indigenous peoples and the Sámi research office in Lapland (Finland).
Currently, there are several Ainu museums and cultural parks. The most famous are:
National Ainu Museum
Kawamura Kaneto Ainu museum
Ainu Kotan
Ainu folklore museum
Hokkaido Museum of Northern Peoples
Ethnic rights | [
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] |
1530_24 | Ethnic rights
Legal action
On 27 March 1997, the Sapporo District Court decided a landmark case that, for the first time in Japanese history, recognized the right of the Ainu people to enjoy their distinct culture and traditions. The case arose because of a 1978 government plan to build two dams in the Saru River watershed in southern Hokkaidō. The dams were part of a series of development projects under the Second National Development Plan that were intended to industrialize the north of Japan. The planned location for one of the dams was across the valley floor close to Nibutani village, the home of a large community of Ainu people and an important center of Ainu culture and history. In the early 1980s when the government commenced construction on the dam, two Ainu landowners refused to agree to the expropriation of their land. These landowners were Kaizawa Tadashi and Kayano Shigeru—well-known and important leaders in the Ainu community. After Kaizawa and Kayano declined to sell their land, the Hokkaidō Development Bureau applied for and was subsequently granted a Project Authorization, which required the men to vacate their land. When their appeal of the Authorization was denied, Kayano and Kaizawa's son Koichii (Kaizawa died in 1992), filed suit against the Hokkaidō Development Bureau. | [
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1530_25 | The final decision denied the relief sought by the plaintiffs for pragmatic reasons, the dam was already standing, but the decision was nonetheless heralded as a landmark victory for the Ainu people. In short, nearly all of the plaintiffs' claims were recognized. Moreover, the decision marked the first time Japanese case law acknowledged the Ainu as an indigenous people and contemplated the responsibility of the Japanese nation to the indigenous people within its borders. The decision included broad fact-finding that underscored the long history of the oppression of the Ainu people by Japan's majority, referred to as Wa-Jin in the case and discussions about the case. The decision was issued on March 27, 1997, and because of the broad implications for Ainu rights, the plaintiffs decided not to appeal the decision, which became final two weeks later. After the decision was issued, on 8 May 1997, the Diet passed the Ainu Culture Law and repealed the Ainu Protection Act—the 1899 law that had been the vehicle of Ainu oppression for almost one hundred years. While the Ainu Culture Law has been widely criticized for its shortcomings, the shift that it represents in Japan's view of the Ainu people is a testament to the importance of the Nibutani decision. In 2007 the 'Cultural Landscape along the Sarugawa River resulting from Ainu Tradition and Modern Settlement' was designated an Important Cultural Landscape of Japan. A later action seeking restoration of Ainu assets held in trust by the Japanese Government was dismissed in 2008.
Governmental bodies on Ainu affairs
There is no single government body to coordinate Ainu affairs, rather, various advisory boards are set up by the Hokkaido government to advise specific matters. One such committee operated in the late 1990s, and its work resulted in the . This panel's circumstances were criticized for including not even a single Ainu person among its members.
More recently, a panel was established in 2006, which notably was the first time an Ainu person was included. It completed its work in 2008 issuing a major report that included an extensive historical record and called for substantial government policy changes towards the Ainu. | [
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1530_26 | Formation of Ainu political party
The was founded on 21 January 2012, after a group of Ainu activists in Hokkaidō announced the formation of a political party for the Ainu on 30 October 2011. The Ainu Association of Hokkaidō reported that Kayano Shiro, the son of the former Ainu leader Kayano Shigeru, will head the party. Their aim is to contribute to the realization of a multicultural and multiethnic society in Japan, along with rights for the Ainu.
Official promotion
Japan
The 2019 Ainu act simplified procedures for getting various permissions from authorities in regards to the traditional lifestyle of the Ainu and nurture the identity and cultures of the Ainu without defining the ethnic group by blood lineage.
The National Ainu Museum was opened on 12 July 2020. The museum had been scheduled to open on 24 April 2020, prior to the Tokyo Olympic and Paralympic Games scheduled in the same year, in Shiraoi, Hokkaidō. The park will be a base for the protection and promotion of Ainu people, culture and language. The museum promotes the culture and habits of the Ainu people who are the original inhabitants of Hokkaidō. Upopoy in Ainu language means "singing in a large group". The National Ainu Museum building has images and videos exhibiting the history and daily life of the Ainu.
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1530_27 | Russia
As a result of the Treaty of Saint Petersburg (1875), the Kuril Islands – along with their Ainu inhabitants – came under Japanese administration. A total of 83 North Kuril Ainu arrived in Petropavlovsk-Kamchatsky on September 18, 1877, after they decided to remain under Russian rule. They refused the offer by Russian officials to move to new reservations in the Commander Islands. Finally a deal was reached in 1881 and the Ainu decided to settle in the village of Yavin. In March 1881, the group left Petropavlovsk and started the journey towards Yavin on foot. Four months later they arrived at their new homes. Another village, Golygino, was founded later. Under Soviet rule, both the villages were forced to disband and residents were moved to the Russian-dominated Zaporozhye rural settlement in Ust-Bolsheretsky Raion. As a result of intermarriage, the three ethnic groups assimilated to form the Kamchadal community. In 1953, K. Omelchenko, the minister for the protection of military and state secrets in the USSR, banned the press from publishing any more information on the Ainu living in the USSR. This order was revoked after two decades.
, the North Kuril Ainu of Zaporozhye form the largest Ainu subgroup in Russia. The Nakamura clan (South Kuril Ainu on their paternal side), the smallest group, numbers just six people residing in Petropavlovsk. On Sakhalin island, a few dozen people identify themselves as Sakhalin Ainu, but many more with partial Ainu ancestry do not acknowledge it. Most of the 888 Japanese people living in Russia (2010 Census) are of mixed Japanese–Ainu ancestry, although they do not acknowledge it (full Japanese ancestry gives them the right of visa-free entry to Japan.) Similarly, no one identifies themselves as Amur Valley Ainu, although people with partial descent live in Khabarovsk. There is no evidence of living descendants of the Kamchatka Ainu. | [
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1530_28 | In the 2010 Census of Russia, close to 100 people tried to register themselves as ethnic Ainu in the village, but the governing council of Kamchatka Krai rejected their claim and enrolled them as ethnic Kamchadal. In 2011, the leader of the Ainu community in Kamchatka, Alexei Vladimirovich Nakamura, requested that Vladimir Ilyukhin (Governor of Kamchatka) and Boris Nevzorov (Chairman of the State Duma) include the Ainu in the central list of the Indigenous small-numbered peoples of the North, Siberia and the Far East. This request was also turned down.
Ethnic Ainu living in Sakhalin Oblast and Khabarovsk Krai are not organized politically. According to Alexei Nakamura, only 205 Ainu live in Russia (up from just 12 people who self-identified as Ainu in 2008) and they along with the Kurile Kamchadals (Itelmen of Kuril islands) are fighting for official recognition. Since the Ainu are not recognized in the official list of the peoples living in Russia, they are counted as people without nationality or as ethnic Russians or Kamchadal.
The Ainu have emphasized that they were the natives of the Kuril islands and that the Japanese and Russians were both invaders. In 2004, the small Ainu community living in Russia in Kamchatka Krai wrote a letter to Vladimir Putin, urging him to reconsider any move to award the Southern Kuril Islands to Japan. In the letter they blamed the Japanese, the Tsarist Russians and the Soviets for crimes against the Ainu such as killings and assimilation, and also urged him to recognize the Japanese genocide against the Ainu people—which was turned down by Putin.
both the Kuril Ainu and Kuril Kamchadal ethnic groups lack the fishing and hunting rights which the Russian government grants to the indigenous tribal communities of the far north.
In March 2017, Alexei Nakamura revealed that plans for an Ainu village to be created in Petropavlovsk-Kamchatsky and plans for an Ainu dictionary are underway.
Geography
The traditional locations of the Ainu are Hokkaido, Sakhalin, the Kuril Islands, Kamchatka, and the northern Tohoku region. Many of the place names that remain in Hokkaido and the Kuril Islands have a phonetic equivalent of the Ainu place names. | [
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] |
1530_29 | In 1756 CE, Mitsugu Nyui was a kanjō-bugyō (a high-ranking Edo period official responsible for finance) of the Hirosaki Domain in the Tsugaru Peninsula. He implemented an assimilation policy for Ainu who were engaged in fishing in the Tsugaru Peninsula. Since then, Ainu culture was rapidly lost from Honshu.
After the Treaty of Saint Petersburg (1875), most of the Ainu from the Kuril islands were moved to the island Shikotan by persuading the pioneers for difficult life supplies and for defense purposes (Kurishima Cruise Diary).
In 1945, the Soviet Union invaded Japan and occupied Sakhalin and the Kuril Islands. The Ainu who lived there were repatriated to their home country, Japan, except for those who indicated their willingness to remain.
Population
The population of the Ainu during the Edo period was a maximum of 26,800, but it has declined due to the epidemic of infectious diseases since it was regarded as a Tenryō territory.
According to the 1897 Russian census, 1,446 Ainu native speakers lived in Russian territory.
Currently, there are no Ainu items in the Japanese national census, and no fact-finding has been conducted at national institutions. Therefore, the exact number of Ainu people is unknown. However, multiple surveys were conducted that provide an indication of the total population.
According to a 2006 Hokkaido Agency survey, there were 23,782 Ainu people in Hokkaido. When viewed by the branch office (currently the Promotion Bureau), there are many in the Iburi / Hidaka branch office. In addition, the definition of "Ainu" by the Hokkaido Agency in this survey is "a person who seems to have inherited the blood of Ainu" or "the same livelihood as those with marriage or adoption." Additionally, if it is denied that the other person is an Ainu then it is not subject to investigation.
According to a 1971 survey, there were 77,000 survey results. There is also a survey that the total number of Ainu living in Japan is 200,000. However, there's no other survey that supports this estimate. | [
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1530_30 | Many Ainu live outside Hokkaido. A 1988 survey estimated that the population of Ainu living in Tokyo was 2,700. According to a 1989 survey report on Utari living in Tokyo, it is estimated that the area around Tokyo alone exceeds 10% of Ainu living in Hokkaido, and there are more than 10,000 Ainu living in the Tokyo metropolitan area.
In addition to Japan and Russia, it was reported in 1992 that there was a descendant of Kuril Ainu in Poland, but there are also indications that it is a descendant of the Aleut. On the other hand, the descendant of the children born in Poland by the Polish anthropologist Bronisław Piłsudski, who was the leading Ainu researcher and left a vast amount of research material such as photographs and wax tubes, was born in Japan.
According to a 2017 survey, the Ainu population in Hokkaido is about 13,000. This has dropped sharply from 24,000 in 2006, but this is because the number of members of the Ainu Association of Hokkaido, which is cooperating with the survey, has decreased, and interest in protecting personal information has increased. It is thought that the number of people who cooperated is decreasing, and that it does not match the actual number of people.
Subgroups
These are unofficial sub groups of the Ainu people with location and population estimates.
In popular culture | [
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] |
1530_31 | In popular culture
The characters Nakoruru, Rimururu, and Rera from the SNK game series Samurai Shodown are Ainu.
The manga and anime series Golden Kamuy has an Ainu girl, Asirpa, as one of the protagonists, and features many aspects of Ainu culture.
The character Fredzilla from Big Hero 6 is of Ainu descent.
The character Okuru from the anime series Samurai Champloo is the sole survivor of an Ainu village wiped out by disease.
Usui Horokeu, also known as Horohoro, from the manga series Shaman King is a member of an Ainu tribe.
"Ainu" is a playable nation in the game Europa Universalis IV.
The history of the island of Hokkaido, and of the Ainu people, are part of the plot of a chapter in the manga Silver Spoon.
A coming-of-age film, Ainu Mosir (2020), was released in Japan on 17 October 2020. The film portrays Kanto, a sensitive 14 year-old Ainu boy, who struggled to come to terms with his father's death and his identity. The film also focuses on the dilemma of controversial bear sacrifice under the shadow of the modern Japanese society and the Ainu's heavy reliance on tourists for their livelihood. Along with other restless teenagers, Kanto is under pressure to retain their Ainu identity and participate in the cultural rituals.
In the James Bond novel You Only Live Twice and film, Bond's character spends some time living in an Ainu village and (in the film) is supposedly disguised as one of the local people, 'marrying' a local pearl fisher () as part of his cover.
See also
Ainu-ken
Akira Ifukube
Bibliography of the Ainu
Bikki Sunazawa
Constitution of Japan
Declaration on the Rights of Indigenous Peoples
Emishi
Aterui
Ethnocide
Genocide of indigenous peoples
Hiram M. Hiller, Jr.
Indigenous peoples
Kankō Ainu
Takashi Ukaji
Shigeru Kayano
Nibutani Dam
Ainu culture
Ainu music
Ainu flag
Ainu genre painting
Ikupasuy
Iomante
Matagi
Yukar
Ethnic groups in Japan
Ethnic issues in Japan
Human rights in Japan
Ryukyuan people
Ryūkyū independence movement
Nivkhs
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] |
1530_32 | References
Sources
Japan Times. Ainu Plan Group for Upper House Run, October 31, 2011
Further reading
Hitchingham, Masako Yoshida (trans.), Act for the Promotion of Ainu Culture & Dissemination of Knowledge Regarding Ainu Traditions, Asian-Pacific Law & Policy Journal, vol. 1, no. 1 (2000).
Kayano, Shigeru (1994). Our Land Was A Forest: An Ainu Memoir. Westview Press. . .
(Harvard University)(Digitized January 24, 2006)
(Indiana University) (digitized September 3, 2009)
[Original from Harvard University Digitized Jan 30, 2008] [YOKOHAMA : R. MEIKLEJOHN & CO., NO 49.]
External links
Organizations
Hokkaido Utari Kyokai/Ainu Association of Hokkaido
Sapporo Pirka Kotan Ainu Cultural Center
Foundation for Research and Promotion of Ainu Culture (centers located in Sapporo and Tokyo)
Hokkaido University Center for Ainu and Indigenous Studies
Institute for the Study of Languages and Cultures of Ainu in Samani, Hokkaidō
Foundation for Ainu Culture
Museums and exhibits
Smithsonian Institution
The Boone Collection
Nibutani Ainu Cultural Museum
The Ainu Museum at Shiraoi
Ainu Komonjo (18th & 19th century records) – Ohnuki Collection
The Regions: North America—Ainu–North American cultural similarities
Articles
"Japan's Ainu hope new identity leads to more rights" in The Christian Science Monitor, June 9, 2008
A Salmon's Life: An Incredible Journey (Columbia River basin, June 8, 2016)—Posterback Activities
Video
"A Trip through Japan with the YWCA (ca. 1919)"—Rare Japanese video featuring Ainu
The Ainu: The First Peoples of Japan. Old videos and photographs arranged by Rawn Joseph
"The Despised Ainu People". The Ainus' Tense Relationship with Japan. 1994. Journeyman.tv
Ethnic groups in Japan
Ethnic groups in Russia
History of Hokkaido
History of Northeast Asia
History of Sakhalin
Indigenous peoples of East Asia
People of Kamakura-period Japan
Russian people of Japanese descent | [
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1536_0 | An acropolis was the settlement of an upper part of an ancient Greek city, especially a citadel, and frequently a hill with precipitous sides, mainly chosen for purposes of defense. The term is typically used to refer to the Acropolis of Athens, yet every Greek city had an acropolis of their own. Acropolises were used as religious centers and places of worship, forts, and places in which the royal and high-status resided in. Acropolises became the nuclei of large cities of classical ancient times, and served as important centers of a community. They are mostly known now as prominent landmarks in modern cities with ancient pasts, such as modern-day Athens. Some well-known acropolises have become the centers of tourism in present-day, and, especially, the Acropolis of Athens has been a revolutionary center for the studies of ancient Greece since the Mycenaean period. Many of them have become a source of revenue for greece, and represent some great technology during the period. | [
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1536_1 | Origin
An acropolis is defined by the Greek definition of ἀκρόπολις, akropolis; from akros (άκρος) or akron (άκρον) meaning “highest; edge; extremity”, and polis (πόλις) meaning “city.”The plural of acropolis (ακρόπολη) is acropolises, also commonly as acropoleis and acropoles, and ακροπόλεις in Greek. This word was first used in the 14th century BCE, in the context of Mycenaean Kings and community. The term acropolis is also used to describe the central complex of overlapping structures, such as plazas and pyramids, in many Maya cities, including Tikal and Copán. Acropolis is also the term used by archaeologists and historians for the urban Castro culture settlements located in Northwestern Iberian hilltops. It is primarily associated with the Greek cities of Athens, Argos (with Larissa), Thebes (with Cadmea), and Corinth (with its Acrocorinth). It may also be applied generically to all such citadels including Rome, Carthage, Jerusalem, Celtic Bratislava, Asia Minor, or even Castle Rock in Edinburgh. An example in Ireland is the Rock of Cashel. In Central Italy, many small rural communes still cluster at the base of a fortified habitation known as la Rocca of the commune. Other parts of the world have developed other names for the high citadel, or alcázar, which often have reinforced a naturally strong site. Because of this, many cultures have included acropolises in their societies, however, do not use the same name for them. | [
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1536_2 | Differing Acropolises
The acropolis of a city was used in many ways, with regards to ancient time and through references. Because an acropolis was built at the highest part of a city, it served as a highly functional form of protection-- a fortress-- as well as being a home to the royal of a city, and a center for religion through the worshipping of different gods. There have been many classical and ancient acropolises, including the most commonly-known, Acropolis of Athens, as well as the Tepecik Acropolis at Patara, Ankara Acropolis, Acropolis of La Blanca, Acropolis at the Maya Site in Guatemala, and the Acropolis at Halieis.
The most famous example is the Athenian Acropolis, which is a collection of structures featuring a citadel on the highest part of land in ancient (and modern-day) Athens, Greece. Many notable structures at this sight were constructed in the 5th century BCE, including the Propylaea, Erechtheion, and Temple of Athena (Great Temple). The Temple is also commonly known as the Parthenon, which is derived from the divine Athena Parthenos. There were often dances, music, and plays held at this acropolis, and it served as a community center for the city of Athens. This acropolis became a prime tourist destination by the second century AD during the Roman Empire, and was known as "the Greece of Greece," as coined by an unknown poet. Although originating in the mainland of Greece, use of this acropolis model quickly spread to Greek colonies such as the Dorian Lato on Crete during the Archaic Period. | [
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1536_3 | The Tepecik Acropolis at Patara served as a harbor to nearby communities and naval forces, such as Antigonos I Monopthalmos and Demetrios Poliorketes, and combined land and sea. Its fortification wall and Bastion date back to the Classical period. The acropolis was constructed in the fourth century BCE by the Hekatomnids that ultimately led to its seizure in 334 BCE by Alexander the Great. The acropolis contributed significantly to the overall development that took place during the Hellenistic empires. This acropolis was the earliest place of settlement, probably dating back to the third millennium BCE. During excavations that took place in 1989, ceramic items, terracotta figurines, coins, bone and stone objects were found that date to the fourth century BCE. The fortification wall and Bastion that are built at this acropolis uses a style of masonry, commonly known as the Greek word ἔμπλεκτον (meaning "woven"). This style of masonry was likely used for weight-bearing purposes.
The Acropolis at Halieis dates back to the Neolithic and Classical periods. It included a fortified wall, sanctuary of Apollo (two temples, an alter, a race course), and necropolis (cemetery). This acropolis was the highest point of fortification on the south edge at Halieis. There was a small open-air cult space, including an altar and monuments.
The Ankara Acropolis, which was set in modern-day Turkey, is a historically prominent space that has changed over time through the urban development of the country Turkey from the Phrygian period. This acropolis was well-known as a spot for holy worshipping, and was symbolic of the time. It has also been a place that has historically recognized the legislative changes that Turkey has faced.
The Acropolis of La Blanca was created in Guatemala as a small, ancient Maya settlement and archaeological site that is located adjacent to the Salsipuedes River. This acropolis developed as a place of residence for the city of La Blanca's rulers. Its main period of usage was during the Classical period of 600 AD to 850 AD, as the city developed as a commercial place of trade among a number of nearby settlements. | [
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1536_4 | The Mayan Acropolis site in Guatemala included a burial site and vaulted tombs of the highest status royal. This funerary structure was integrated into this sacred landscape, and illustrated the prosperity of power between the royal figures of Pedras Negras in Guatemala.
Modern-day uses
Tourism
Acropolises today have become the epicenters of tourism and attraction sites in many modern-day Greek cities. The Athenian Acropolis, in particular, is the most famous, and has the best vantage point in Athens, Greece. Today, tourists can purchase tickets to visit the Athenian Acropolis, including walking, sightseeing, and bus tours, as well as a classic Greek dinner.
Cultural ties
Because of its classical Hellenistic and Greco-Roman style, the ruins of Mission San Juan Capistrano's Great Stone Church in California, United States has been called an American Acropolis. The civilization developed its religious, educational, and cultural aspects of the acropolis, and is used today as a location that holds events, such as operas.
The concept of the American Acropolis was developed New York City, United States. In today's world and in ancient times, the Athenian Acropolis has been known as an acropolis whose ties are rooted in democracy, modern republicanism, and European traditions. This concept has been imitated worldwide across many cultures and countries. The studies of classical Greece were particularly popularized from mainly western traditions. Because of the popularized Athenian Acropolis and other surrounding acropolises in Greek city-states from ancient time, the American Acropolis was founded. This acropolis was built through the foundation of elite figures, who were involved in the religious and educational aspects of the building of the acropolis. The American Acropolis remains to be a national center that has been cultivated to the uses of learning and culture. | [
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1536_5 | Excavations
Much of the modern-day uses of acropolises have been discovered through excavations that have developed over the course of many years. For example, the Athenian Acropolis includes a Great Temple that holds the Parthenon, a specific space for ancient worship. Through today's findings and research, the Parthenon treasury is able to be recognized as the west part of the structure (the Erechtheion), as well as the Parthenon itself. Most excavations have been able to provide archaeologists with samples of pottery, ceramics, and vessels. The excavation of the Acropolis of Halieis produced remains that provided context that dated the Acropolis at Halieis from the Final Neolithic period through the first Early Helladic period.
See also
Asklepieion of Athens
Choragic Monument of Thrasyllos
Idjang
Tell (archaeology)
References
External links
Acropolis Museum
Acropolis: description, photo album
The Acropolis of Athens (Greek Government website)
The Acropolis Restoration Project (Greek Government website)
The Acropolis: A Walk Through History
The Parthenon Frieze (Hellenic Ministry of Culture web site)
UNESCO World Heritage Centre — Acropolis, Athens
Ancient Greek architecture
Greek culture
Archaeological terminology
Ancient Greek fortifications | [
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1537_0 | Acupuncture is a form of alternative medicine and a component of traditional Chinese medicine (TCM) in which thin needles are inserted into the body. Acupuncture is a pseudoscience; the theories and practices of TCM are not based on scientific knowledge, and it has been characterized as quackery. There is a range of acupuncture variants which originated in different philosophies, and techniques vary depending on the country in which it is performed, but can be divided into two main foundational philosophical applications and approaches, the first being the modern standardized form called eight principles TCM and the second an older system that is based on the ancient Taoist Wuxing or better known as the five elements or phases in the West. Acupuncture is most often used to attempt pain relief, though acupuncturists say that it can also be used for a wide range of other conditions. Acupuncture is generally used only in combination with other forms of treatment.
The global acupuncture market was worth US$24.55 billion in 2017. The market was led by Europe with a 32.7% share, followed by Asia-Pacific with a 29.4% share and the Americas with a 25.3% share. It is estimated that the industry will reach a market size of $55bn by 2023.
The conclusions of trials and systematic reviews of acupuncture are inconsistent, which suggests that it is not effective. An overview of Cochrane reviews found that acupuncture is not effective for a wide range of conditions. A systematic review conducted by medical scientists at the universities of Exeter and Plymouth found little evidence of acupuncture's effectiveness in treating pain. Overall, the evidence suggests that short-term treatment with acupuncture does not produce long-term benefits. Some research results suggest that acupuncture can alleviate some forms of pain, though the majority of research suggests that acupuncture's apparent effects are not caused by the treatment itself. A systematic review concluded that the analgesic effect of acupuncture seemed to lack clinical relevance and could not be clearly distinguished from bias. One meta-analysis found that acupuncture for chronic low back pain was cost-effective as an adjunct to standard care, while a separate systematic review found insufficient evidence for the cost-effectiveness of acupuncture in the treatment of chronic low back pain. | [
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1537_1 | Acupuncture is generally safe when done by appropriately trained practitioners using clean needle technique and single-use needles. When properly delivered, it has a low rate of mostly minor adverse effects. Accidents and infections do occur, though, and are associated with neglect on the part of the practitioner, particularly in the application of sterile techniques. A review conducted in 2013 stated that reports of infection transmission increased significantly in the preceding decade. The most frequently reported adverse events were pneumothorax and infections. Since serious adverse events continue to be reported, it is recommended that acupuncturists be trained sufficiently to reduce the risk.
Scientific investigation has not found any histological or physiological evidence for traditional Chinese concepts such as qi, meridians, and acupuncture points, and many modern practitioners no longer support the existence of life force energy (qi) or meridians, which was a major part of early belief systems. Acupuncture is believed to have originated around 100 BC in China, around the time The Inner Classic of Huang Di (Huangdi Neijing) was published, though some experts suggest it could have been practiced earlier. Over time, conflicting claims and belief systems emerged about the effect of lunar, celestial and earthly cycles, yin and yang energies, and a body's "rhythm" on the effectiveness of treatment. Acupuncture fluctuated in popularity in China due to changes in the country's political leadership and the preferential use of rationalism or Western medicine. Acupuncture spread first to Korea in the 6th century AD, then to Japan through medical missionaries, and then to Europe, beginning with France. In the 20th century, as it spread to the United States and Western countries, spiritual elements of acupuncture that conflicted with Western beliefs were sometimes abandoned in favor of simply tapping needles into acupuncture points.
Clinical practice
Acupuncture is a form of alternative medicine. It is used most commonly for pain relief, though it is also used to treat a wide range of conditions. Acupuncture is generally only used in combination with other forms of treatment. For example, the American Society of Anesthesiologists states it may be considered in the treatment for nonspecific, noninflammatory low back pain only in conjunction with conventional therapy. | [
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1537_2 | Acupuncture is the insertion of thin needles into the skin. According to the Mayo Foundation for Medical Education and Research (Mayo Clinic), a typical session entails lying still while approximately five to twenty needles are inserted; for the majority of cases, the needles will be left in place for ten to twenty minutes. It can be associated with the application of heat, pressure, or laser light. Classically, acupuncture is individualized and based on philosophy and intuition, and not on scientific research. There is also a non-invasive therapy developed in early 20th century Japan using an elaborate set of instruments other than needles for the treatment of children (shōnishin or shōnihari).
Clinical practice varies depending on the country. A comparison of the average number of patients treated per hour found significant differences between China (10) and the United States (1.2). Chinese herbs are often used. There is a diverse range of acupuncture approaches, involving different philosophies. Although various different techniques of acupuncture practice have emerged, the method used in traditional Chinese medicine (TCM) seems to be the most widely adopted in the US. Traditional acupuncture involves needle insertion, moxibustion, and cupping therapy, and may be accompanied by other procedures such as feeling the pulse and other parts of the body and examining the tongue. Traditional acupuncture involves the belief that a "life force" (qi) circulates within the body in lines called meridians. The main methods practiced in the UK are TCM and Western medical acupuncture. The term Western medical acupuncture is used to indicate an adaptation of TCM-based acupuncture which focuses less on TCM. The Western medical acupuncture approach involves using acupuncture after a medical diagnosis. Limited research has compared the contrasting acupuncture systems used in various countries for determining different acupuncture points and thus there is no defined standard for acupuncture points. | [
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1537_3 | In traditional acupuncture, the acupuncturist decides which points to treat by observing and questioning the patient to make a diagnosis according to the tradition used. In TCM, the four diagnostic methods are: inspection, auscultation and olfaction, inquiring, and palpation. Inspection focuses on the face and particularly on the tongue, including analysis of the tongue size, shape, tension, color and coating, and the absence or presence of teeth marks around the edge. Auscultation and olfaction involve listening for particular sounds such as wheezing, and observing body odor. Inquiring involves focusing on the "seven inquiries": chills and fever; perspiration; appetite, thirst and taste; defecation and urination; pain; sleep; and menses and leukorrhea. Palpation is focusing on feeling the body for tender "A-shi" points and feeling the pulse.
Needles
The most common mechanism of stimulation of acupuncture points employs penetration of the skin by thin metal needles, which are manipulated manually or the needle may be further stimulated by electrical stimulation (electroacupuncture). Acupuncture needles are typically made of stainless steel, making them flexible and preventing them from rusting or breaking. Needles are usually disposed of after each use to prevent contamination. Reusable needles when used should be sterilized between applications. In many areas, only sterile, single-use acupuncture needles are allowed, including the State of California, USA. Needles vary in length between , with shorter needles used near the face and eyes, and longer needles in areas with thicker tissues; needle diameters vary from 0 to 0, with thicker needles used on more robust patients. Thinner needles may be flexible and require tubes for insertion. The tip of the needle should not be made too sharp to prevent breakage, although blunt needles cause more pain.
Apart from the usual filiform needle, other needle types include three-edged needles and the Nine Ancient Needles. Japanese acupuncturists use extremely thin needles that are used superficially, sometimes without penetrating the skin, and surrounded by a guide tube (a 17th-century invention adopted in China and the West). Korean acupuncture uses copper needles and has a greater focus on the hand.
Needling technique
Insertion | [
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1537_4 | Needling technique
Insertion
The skin is sterilized and needles are inserted, frequently with a plastic guide tube. Needles may be manipulated in various ways, including spinning, flicking, or moving up and down relative to the skin. Since most pain is felt in the superficial layers of the skin, a quick insertion of the needle is recommended. Often the needles are stimulated by hand in order to cause a dull, localized, aching sensation that is called de qi, as well as "needle grasp," a tugging feeling felt by the acupuncturist and generated by a mechanical interaction between the needle and skin. Acupuncture can be painful. The skill level of the acupuncturist may influence how painful the needle insertion is, and a sufficiently skilled practitioner may be able to insert the needles without causing any pain.
De-qi sensation
De-qi (; "arrival of qi") refers to a claimed sensation of numbness, distension, or electrical tingling at the needling site. If these sensations are not observed then inaccurate location of the acupoint, improper depth of needle insertion, inadequate manual manipulation, are blamed. If de-qi is not immediately observed upon needle insertion, various manual manipulation techniques are often applied to promote it (such as "plucking", "shaking" or "trembling").
Once de-qi is observed, techniques might be used which attempt to "influence" the de-qi; for example, by certain manipulation the de-qi can allegedly be conducted from the needling site towards more distant sites of the body. Other techniques aim at "tonifying" () or "sedating" () qi. The former techniques are used in deficiency patterns, the latter in excess patterns. De qi is more important in Chinese acupuncture, while Western and Japanese patients may not consider it a necessary part of the treatment. | [
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1537_5 | Related practices
Acupressure, a non-invasive form of bodywork, uses physical pressure applied to acupressure points by the hand or elbow, or with various devices.
Acupuncture is often accompanied by moxibustion, the burning of cone-shaped preparations of moxa (made from dried mugwort) on or near the skin, often but not always near or on an acupuncture point. Traditionally, acupuncture was used to treat acute conditions while moxibustion was used for chronic diseases. Moxibustion could be direct (the cone was placed directly on the skin and allowed to burn the skin, producing a blister and eventually a scar), or indirect (either a cone of moxa was placed on a slice of garlic, ginger or other vegetable, or a cylinder of moxa was held above the skin, close enough to either warm or burn it).
Cupping therapy is an ancient Chinese form of alternative medicine in which a local suction is created on the skin; practitioners believe this mobilizes blood flow in order to promote healing.
Tui na is a TCM method of attempting to stimulate the flow of qi by various bare-handed techniques that do not involve needles.
Electroacupuncture is a form of acupuncture in which acupuncture needles are attached to a device that generates continuous electric pulses (this has been described as "essentially transdermal electrical nerve stimulation [TENS] masquerading as acupuncture").
Fire needle acupuncture also known as fire needling is a technique which involves quickly inserting a flame-heated needle into areas on the body.
Sonopuncture is a stimulation of the body similar to acupuncture using sound instead of needles. This may be done using purpose-built transducers to direct a narrow ultrasound beam to a depth of 6–8 centimetres at acupuncture meridian points on the body. Alternatively, tuning forks or other sound emitting devices are used. | [
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1537_6 | Acupuncture point injection is the injection of various substances (such as drugs, vitamins or herbal extracts) into acupoints. This technique combines traditional acupuncture with injection of what is often an effective dose of an approved pharmaceutical drug, and proponents claim that it may be more effective than either treatment alone, especially for the treatment of some kinds of chronic pain. However, a 2016 review found that most published trials of the technique were of poor value due to methodology issues and larger trials would be needed to draw useful conclusions.
Auriculotherapy, commonly known as ear acupuncture, auricular acupuncture, or auriculoacupuncture, is considered to date back to ancient China. It involves inserting needles to stimulate points on the outer ear. The modern approach was developed in France during the early 1950s. There is no scientific evidence that it can cure disease; the evidence of effectiveness is negligible.
Scalp acupuncture, developed in Japan, is based on reflexological considerations regarding the scalp.
Hand acupuncture, developed in Korea, centers around assumed reflex zones of the hand. Medical acupuncture attempts to integrate reflexological concepts, the trigger point model, and anatomical insights (such as dermatome distribution) into acupuncture practice, and emphasizes a more formulaic approach to acupuncture point location.
Cosmetic acupuncture is the use of acupuncture in an attempt to reduce wrinkles on the face.
Bee venom acupuncture is a treatment approach of injecting purified, diluted bee venom into acupoints.
Veterinary acupuncture is the use of acupuncture on domesticated animals. | [
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1537_7 | Efficacy
Acupuncture has been researched extensively; as of 2013, there were almost 1,500 randomized controlled trials on PubMed with "acupuncture" in the title. The results of reviews of acupuncture's efficacy, however, have been inconclusive.
In January 2020, David Gorski analyzed a 2020 review of systematic reviews ("Acupuncture for the Relief of Chronic Pain: A Synthesis of Systematic Reviews") concerning the use of acupuncture to treat chronic pain. Writing in Science-Based Medicine, Gorski said that its findings highlight the conclusion that acupuncture is "a theatrical placebo whose real history has been retconned beyond recognition." He also said this review "reveals the many weaknesses in the design of acupuncture clinical trials".
Sham acupuncture and research
It is difficult but not impossible to design rigorous research trials for acupuncture. Due to acupuncture's invasive nature, one of the major challenges in efficacy research is in the design of an appropriate placebo control group. For efficacy studies to determine whether acupuncture has specific effects, "sham" forms of acupuncture where the patient, practitioner, and analyst are blinded seem the most acceptable approach. Sham acupuncture uses non-penetrating needles or needling at non-acupuncture points, e.g. inserting needles on meridians not related to the specific condition being studied, or in places not associated with meridians. The under-performance of acupuncture in such trials may indicate that therapeutic effects are due entirely to non-specific effects, or that the sham treatments are not inert, or that systematic protocols yield less than optimal treatment. | [
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1537_8 | A 2014 review in Nature Reviews Cancer found that "contrary to the claimed mechanism of redirecting the flow of qi through meridians, researchers usually find that it generally does not matter where the needles are inserted, how often (that is, no dose-response effect is observed), or even if needles are actually inserted. In other words, 'sham' or 'placebo' acupuncture generally produces the same effects as 'real' acupuncture and, in some cases, does better." A 2013 meta-analysis found little evidence that the effectiveness of acupuncture on pain (compared to sham) was modified by the location of the needles, the number of needles used, the experience or technique of the practitioner, or by the circumstances of the sessions. The same analysis also suggested that the number of needles and sessions is important, as greater numbers improved the outcomes of acupuncture compared to non-acupuncture controls. There has been little systematic investigation of which components of an acupuncture session may be important for any therapeutic effect, including needle placement and depth, type and intensity of stimulation, and number of needles used. The research seems to suggest that needles do not need to stimulate the traditionally specified acupuncture points or penetrate the skin to attain an anticipated effect (e.g. psychosocial factors).
A response to "sham" acupuncture in osteoarthritis may be used in the elderly, but placebos have usually been regarded as deception and thus unethical. However, some physicians and ethicists have suggested circumstances for applicable uses for placebos such as it might present a theoretical advantage of an inexpensive treatment without adverse reactions or interactions with drugs or other medications. As the evidence for most types of alternative medicine such as acupuncture is far from strong, the use of alternative medicine in regular healthcare can present an ethical question.
Using the principles of evidence-based medicine to research acupuncture is controversial, and has produced different results. Some research suggests acupuncture can alleviate pain but the majority of research suggests that acupuncture's effects are mainly due to placebo. Evidence suggests that any benefits of acupuncture are short-lasting. There is insufficient evidence to support use of acupuncture compared to mainstream medical treatments. Acupuncture is not better than mainstream treatment in the long term. | [
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1537_9 | The use of acupuncture has been criticized owing to there being little scientific evidence for explicit effects, or the mechanisms for its supposed effectiveness, for any condition that is discernible from placebo. Acupuncture has been called 'theatrical placebo', and David Gorski argues that when acupuncture proponents advocate 'harnessing of placebo effects' or work on developing 'meaningful placebos', they essentially concede it is little more than that.
Publication bias
Publication bias is cited as a concern in the reviews of randomized controlled trials of acupuncture. A 1998 review of studies on acupuncture found that trials originating in China, Japan, Hong Kong, and Taiwan were uniformly favourable to acupuncture, as were ten out of eleven studies conducted in Russia. A 2011 assessment of the quality of randomized controlled trials on traditional Chinese medicine, including acupuncture, concluded that the methodological quality of most such trials (including randomization, experimental control, and blinding) was generally poor, particularly for trials published in Chinese journals (though the quality of acupuncture trials was better than the trials testing traditional Chinese medicine remedies). The study also found that trials published in non-Chinese journals tended to be of higher quality. Chinese authors use more Chinese studies, which have been demonstrated to be uniformly positive. A 2012 review of 88 systematic reviews of acupuncture published in Chinese journals found that less than half of these reviews reported testing for publication bias, and that the majority of these reviews were published in journals with impact factors of zero. A 2015 study comparing pre-registered records of acupuncture trials with their published results found that it was uncommon for such trials to be registered before the trial began. This study also found that selective reporting of results and changing outcome measures to obtain statistically significant results was common in this literature.
Scientist and journalist Steven Salzberg identifies acupuncture and Chinese medicine generally as a focus for "fake medical journals" such as the Journal of Acupuncture and Meridian Studies and Acupuncture in Medicine.
Specific conditions
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] |
1537_10 | Specific conditions
Pain
The conclusions of many trials and numerous systematic reviews of acupuncture are largely inconsistent with each other. A 2011 systematic review of systematic reviews found that for reducing pain, real acupuncture was no better than sham acupuncture, and concluded that numerous reviews have shown little convincing evidence that acupuncture is an effective treatment for reducing pain. The same review found that neck pain was one of only four types of pain for which a positive effect was suggested, but cautioned that the primary studies used carried a considerable risk of bias. A 2009 overview of Cochrane reviews found acupuncture is not effective for a wide range of conditions.
A 2014 systematic review suggests that the nocebo effect of acupuncture is clinically relevant and that the rate of adverse events may be a gauge of the nocebo effect. A 2012 meta-analysis conducted by the Acupuncture Trialists' Collaboration found "relatively modest" efficacy of acupuncture (in comparison to sham) for the treatment of four different types of chronic pain (back and neck pain, knee osteoarthritis, chronic headache, and shoulder pain) and on that basis concluded that it "is more than a placebo" and a reasonable referral option. Commenting on this meta-analysis, both Edzard Ernst and David Colquhoun said the results were of negligible clinical significance. Ernst later stated that "I fear that, once we manage to eliminate this bias [that operators are not blind] … we might find that the effects of acupuncture exclusively are a placebo response." In 2017, the same research group updated their previous meta-analysis and again found acupuncture to be superior to sham acupuncture for non-specific musculoskeletal pain, osteoarthritis, chronic headache, and shoulder pain. They also found that the effects of acupuncture decreased by about 15% after one year. | [
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1537_11 | A 2010 systematic review suggested that acupuncture is more than a placebo for commonly occurring chronic pain conditions, but the authors acknowledged that it is still unknown if the overall benefit is clinically meaningful or cost-effective. A 2010 review found real acupuncture and sham acupuncture produce similar improvements, which can only be accepted as evidence against the efficacy of acupuncture. The same review found limited evidence that real acupuncture and sham acupuncture appear to produce biological differences despite similar effects. A 2009 systematic review and meta-analysis found that acupuncture had a small analgesic effect, which appeared to lack any clinical importance and could not be discerned from bias. The same review found that it remains unclear whether acupuncture reduces pain independent of a psychological impact of the needling ritual. A 2017 systematic review and meta-analysis found that ear acupuncture may be effective at reducing pain within 48 hours of its use, but the mean difference between the acupuncture and control groups was small. | [
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1537_13 | A 2013 systematic review found that acupuncture may be effective for nonspecific lower back pain, but the authors noted there were limitations in the studies examined, such as heterogeneity in study characteristics and low methodological quality in many studies. A 2012 systematic review found some supporting evidence that acupuncture was more effective than no treatment for chronic non-specific low back pain; the evidence was conflicting comparing the effectiveness over other treatment approaches. A 2011 systematic review of systematic reviews found that "for chronic low back pain, individualized acupuncture is not better in reducing symptoms than formula | [
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1537_14 | symptoms than formula acupuncture or sham acupuncture with a toothpick that does not penetrate the skin." A 2010 review found that sham acupuncture was as effective as real acupuncture for chronic low back pain. The specific therapeutic effects of acupuncture were small, whereas its clinically relevant benefits were mostly due to contextual and psychosocial circumstances. Brain imaging studies have shown that traditional acupuncture and sham acupuncture differ in their effect on limbic structures, while at the same time showed equivalent analgesic effects. A 2005 Cochrane review found insufficient evidence to recommend for or against either | [
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1537_15 | or against either acupuncture or dry needling for acute low back pain. The same review found low quality evidence for pain relief and improvement compared to no treatment or sham therapy for chronic low back pain only in the short term immediately after treatment. The same review also found that acupuncture is not more effective than conventional therapy and other alternative medicine treatments. A 2017 systematic review and meta-analysis concluded that, for neck pain, acupuncture was comparable in effectiveness to conventional treatment, while electroacupuncture was even more effective in reducing pain than was conventional acupuncture. The same | [
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1537_16 | The same review noted that "It is difficult to draw conclusion [sic] because the included studies have a high risk of bias and imprecision." A 2015 overview of systematic reviews of variable quality showed that acupuncture can provide short-term improvements to people with chronic Low Back Pain. The overview said this was true when acupuncture was used either in isolation or in addition to conventional therapy. A 2017 systematic review for an American College of Physicians clinical practice guideline found low to moderate evidence that acupuncture was effective for chronic low back pain, and limited evidence that it | [
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1537_17 | evidence that it was effective for acute low back pain. The same review found that the strength of the evidence for both conditions was low to moderate. Another 2017 clinical practice guideline, this one produced by the Danish Health Authority, recommended against acupuncture for both recent-onset low back pain and lumbar radiculopathy. | [
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1537_18 | Headaches and migraines
Two separate 2016 Cochrane reviews found that acupuncture could be useful in the prevention of tension-type headaches and episodic migraines. The 2016 Cochrane review evaluating acupuncture for episodic migraine prevention concluded that true acupuncture had a small effect beyond sham acupuncture and found moderate-quality evidence to suggest that acupuncture is at least similarly effective to prophylactic medications for this purpose. A 2012 review found that acupuncture has demonstrated benefit for the treatment of headaches, but that safety needed to be more fully documented in order to make any strong recommendations in support of its use.
Arthritis pain
A 2014 review concluded that "current evidence supports the use of acupuncture as an alternative to traditional analgesics in osteoarthritis patients." , a meta-analysis showed that acupuncture may help osteoarthritis pain but it was noted that the effects were insignificant in comparison to sham needles. A 2012 review found "the potential beneficial action of acupuncture on osteoarthritis pain does not appear to be clinically relevant." A 2010 Cochrane review found that acupuncture shows statistically significant benefit over sham acupuncture in the treatment of peripheral joint osteoarthritis; however, these benefits were found to be so small that their clinical significance was doubtful, and "probably due at least partially to placebo effects from incomplete blinding".
A 2013 Cochrane review found low to moderate evidence that acupuncture improves pain and stiffness in treating people with fibromyalgia compared with no treatment and standard care. A 2012 review found "there is insufficient evidence to recommend acupuncture for the treatment of fibromyalgia." A 2010 systematic review found a small pain relief effect that was not apparently discernible from bias; acupuncture is not a recommendable treatment for the management of fibromyalgia on the basis of this review. | [
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1537_19 | A 2012 review found that the effectiveness of acupuncture to treat rheumatoid arthritis is "sparse and inconclusive." A 2005 Cochrane review concluded that acupuncture use to treat rheumatoid arthritis "has no effect on ESR, CRP, pain, patient's global assessment, number of swollen joints, number of tender joints, general health, disease activity and reduction of analgesics." A 2010 overview of systematic reviews found insufficient evidence to recommend acupuncture in the treatment of most rheumatic conditions, with the exceptions of osteoarthritis, low back pain, and lateral elbow pain. A 2018 systematic review found some evidence that acupuncture could be effective for the treatment of rheumatoid arthritis, but that the evidence was limited because of heterogeneity and methodological flaws in the included studies.
Other joint pain
A 2014 systematic review found that although manual acupuncture was effective at relieving short-term pain when used to treat tennis elbow, its long-term effect in relieving pain was "unremarkable". A 2007 review found that acupuncture was significantly better than sham acupuncture at treating chronic knee pain; the evidence was not conclusive due to the lack of large, high-quality trials.
Post-operative pain and nausea
A 2014 overview of systematic reviews found insufficient evidence to suggest that acupuncture is an effective treatment for postoperative nausea and vomiting (PONV) in a clinical setting. A 2013 systematic review concluded that acupuncture might be beneficial in prevention and treatment of PONV. A 2015 Cochrane review found moderate-quality evidence of no difference between stimulation of the P6 acupoint on the wrist and antiemetic drugs for preventing PONV. A new finding of the review was that further comparative trials are futile, based on the conclusions of a trial sequential analysis. Whether combining PC6 acupoint stimulation with antiemetics is effective was inconclusive. | [
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1537_20 | A 2014 overview of systematic reviews found insufficient evidence to suggest that acupuncture is effective for surgical or post-operative pain. For the use of acupuncture for post-operative pain, there was contradictory evidence. A 2014 systematic review found supportive but limited evidence for use of acupuncture for acute post-operative pain after back surgery. A 2014 systematic review found that while the evidence suggested acupuncture could be an effective treatment for postoperative gastroparesis, a firm conclusion could not be reached because the trials examined were of low quality.
Pain and nausea associated with cancer and cancer treatment
A 2015 Cochrane review found that there is insufficient evidence to determine whether acupuncture is an effective treatment for cancer pain in adults. A 2014 systematic review published in the Chinese Journal of Integrative Medicine found that acupuncture may be effective as an adjunctive treatment to palliative care for cancer patients. A 2013 overview of reviews published in the Journal of Multinational Association for Supportive Care in Cancer found evidence that acupuncture could be beneficial for people with cancer-related symptoms, but also identified few rigorous trials and high heterogeneity between trials. A 2012 systematic review of randomised clinical trials published in the same journal found that the number and quality of RCTs for using acupuncture in the treatment of cancer pain was too low to draw definite conclusions.
A 2014 systematic review reached inconclusive results with regard to the effectiveness of acupuncture for treating cancer-related fatigue. A 2013 systematic review found that acupuncture is an acceptable adjunctive treatment for chemotherapy-induced nausea and vomiting, but that further research with a low risk of bias is needed. A 2013 systematic review found that the quantity and quality of available RCTs for analysis were too low to draw valid conclusions for the effectiveness of acupuncture for cancer-related fatigue.
Sleep
Several meta-analytic and systematic reviews suggest that acupuncture alleviates sleep disturbance, particularly insomnia. However, reviewers caution that this evidence should be considered preliminary due to publication bias, problems with research methodology, small sample sizes, and heterogeneity.
Other conditions
For the following conditions, the Cochrane Collaboration or other reviews have concluded there is no strong evidence of benefit:
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] |
1537_21 | Moxibustion and cupping
A 2010 overview of systematic reviews found that moxibustion was effective for several conditions but the primary studies were of poor quality, so there persists ample uncertainty, which limits the conclusiveness of their findings.
Safety
Adverse events
Acupuncture is generally safe when administered by an experienced, appropriately trained practitioner using clean-needle technique and sterile single-use needles. When improperly delivered it can cause adverse effects. Accidents and infections are associated with infractions of sterile technique or neglect on the part of the practitioner. To reduce the risk of serious adverse events after acupuncture, acupuncturists should be trained sufficiently. People with serious spinal disease, such as cancer or infection, are not good candidates for acupuncture. Contraindications to acupuncture (conditions that should not be treated with acupuncture) include coagulopathy disorders (e.g. hemophilia and advanced liver disease), warfarin use, severe psychiatric disorders (e.g. psychosis), and skin infections or skin trauma (e.g. burns). Further, electroacupuncture should be avoided at the spot of implanted electrical devices (such as pacemakers).
A 2011 systematic review of systematic reviews (internationally and without language restrictions) found that serious complications following acupuncture continue to be reported. Between 2000 and 2009, ninety-five cases of serious adverse events, including five deaths, were reported. Many such events are not inherent to acupuncture but are due to malpractice of acupuncturists. This might be why such complications have not been reported in surveys of adequately trained acupuncturists. Most such reports originate from Asia, which may reflect the large number of treatments performed there or a relatively higher number of poorly trained Asian acupuncturists. Many serious adverse events were reported from developed countries. These included Australia, Austria, Canada, Croatia, France, Germany, Ireland, the Netherlands, New Zealand, Spain, Sweden, Switzerland, the UK, and the US. The number of adverse effects reported from the UK appears particularly unusual, which may indicate less under-reporting in the UK than other countries. Reports included 38 cases of infections and 42 cases of organ trauma. The most frequent adverse events included pneumothorax, and bacterial and viral infections. | [
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1537_22 | A 2013 review found (without restrictions regarding publication date, study type or language) 295 cases of infections; mycobacterium was the pathogen in at least 96%. Likely sources of infection include towels, hot packs or boiling tank water, and reusing reprocessed needles. Possible sources of infection include contaminated needles, reusing personal needles, a person's skin containing mycobacterium, and reusing needles at various sites in the same person. Although acupuncture is generally considered a safe procedure, a 2013 review stated that the reports of infection transmission increased significantly in the prior decade, including those of mycobacterium. Although it is recommended that practitioners of acupuncture use disposable needles, the reuse of sterilized needles is still permitted. It is also recommended that thorough control practices for preventing infection be implemented and adapted.
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1537_23 | English-language
A 2013 systematic review of the English-language case reports found that serious adverse events associated with acupuncture are rare, but that acupuncture is not without risk. Between 2000 and 2011 the English-language literature from 25 countries and regions reported 294 adverse events. The majority of the reported adverse events were relatively minor, and the incidences were low. For example, a prospective survey of 34,000 acupuncture treatments found no serious adverse events and 43 minor ones, a rate of 1.3 per 1000 interventions. Another survey found there were 7.1% minor adverse events, of which 5 were serious, amid 97,733 acupuncture patients. The most common adverse effect observed was infection (e.g. mycobacterium), and the majority of infections were bacterial in nature, caused by skin contact at the needling site. Infection has also resulted from skin contact with unsterilized equipment or with dirty towels in an unhygienic clinical setting. Other adverse complications included five reported cases of spinal cord injuries (e.g. migrating broken needles or needling too deeply), four brain injuries, four peripheral nerve injuries, five heart injuries, seven other organ and tissue injuries, bilateral hand edema, epithelioid granuloma, pseudolymphoma, argyria, pustules, pancytopenia, and scarring due to hot-needle technique. Adverse reactions from acupuncture, which are unusual and uncommon in typical acupuncture practice, included syncope, galactorrhoea, bilateral nystagmus, pyoderma gangrenosum, hepatotoxicity, eruptive lichen planus, and spontaneous needle migration. | [
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1537_24 | A 2013 systematic review found 31 cases of vascular injuries caused by acupuncture, three resulting in death. Two died from pericardial tamponade and one was from an aortoduodenal fistula. The same review found vascular injuries were rare, bleeding and pseudoaneurysm were most prevalent. A 2011 systematic review (without restriction in time or language), aiming to summarize all reported case of cardiac tamponade after acupuncture, found 26 cases resulting in 14 deaths, with little doubt about causality in most fatal instances. The same review concluded cardiac tamponade was a serious, usually fatal, though theoretically avoidable complication following acupuncture, and urged training to minimize risk.
A 2012 review found a number of adverse events were reported after acupuncture in the UK's National Health Service (NHS) but most (95%) were not severe, though miscategorization and under-reporting may alter the total figures. From January 2009 to December 2011, 468 safety incidents were recognized within the NHS organizations. The adverse events recorded included retained needles (31%), dizziness (30%), loss of consciousness/unresponsive (19%), falls (4%), bruising or soreness at needle site (2%), pneumothorax (1%) and other adverse side effects (12%). Acupuncture practitioners should know, and be prepared to be responsible for, any substantial harm from treatments. Some acupuncture proponents argue that the long history of acupuncture suggests it is safe. However, there is an increasing literature on adverse events (e.g. spinal-cord injury).
Acupuncture seems to be safe in people getting anticoagulants, assuming needles are used at the correct location and depth. Studies are required to verify these findings. The evidence suggests that acupuncture might be a safe option for people with allergic rhinitis.
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1537_25 | Chinese, Korean, and Japanese-language
A 2010 systematic review of the Chinese-language literature found numerous acupuncture-related adverse events, including pneumothorax, fainting, subarachnoid hemorrhage, and infection as the most frequent, and cardiovascular injuries, subarachnoid hemorrhage, pneumothorax, and recurrent cerebral hemorrhage as the most serious, most of which were due to improper technique. Between 1980 and 2009, the Chinese-language literature reported 479 adverse events. Prospective surveys show that mild, transient acupuncture-associated adverse events ranged from 6.71% to 15%. In a study with 190,924 patients, the prevalence of serious adverse events was roughly 0.024%. Another study showed a rate of adverse events requiring specific treatment of 2.2%, 4,963 incidences among 229,230 patients. Infections, mainly hepatitis, after acupuncture are reported often in English-language research, though are rarely reported in Chinese-language research, making it plausible that acupuncture-associated infections have been underreported in China. Infections were mostly caused by poor sterilization of acupuncture needles. Other adverse events included spinal epidural hematoma (in the cervical, thoracic and lumbar spine), chylothorax, injuries of abdominal organs and tissues, injuries in the neck region, injuries to the eyes, including orbital hemorrhage, traumatic cataract, injury of the oculomotor nerve and retinal puncture, hemorrhage to the cheeks and the hypoglottis, peripheral motor-nerve injuries and subsequent motor dysfunction, local allergic reactions to metal needles, stroke, and cerebral hemorrhage after acupuncture.
A causal link between acupuncture and the adverse events cardiac arrest, pyknolepsy, shock, fever, cough, thirst, aphonia, leg numbness, and sexual dysfunction remains uncertain. The same review concluded that acupuncture can be considered inherently safe when practiced by properly trained practitioners, but the review also stated there is a need to find effective strategies to minimize the health risks. Between 1999 and 2010, the Korean-language literature contained reports of 1104 adverse events. Between the 1980s and 2002, the Japanese-language literature contained reports of 150 adverse events. | [
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1537_26 | Children and pregnancy
Although acupuncture has been practiced for thousands of years in China, its use in pediatrics in the United States did not become common until the early 2000s. In 2007, the National Health Interview Survey (NHIS) conducted by the National Center For Health Statistics (NCHS) estimated that approximately 150,000 children had received acupuncture treatment for a variety of conditions.
In 2008 a study determined that the use of acupuncture-needle treatment on children was "questionable" due to the possibility of adverse side-effects and the pain manifestation differences in children versus adults. The study also includes warnings against practicing acupuncture on infants, as well as on children who are over-fatigued, very weak, or have over-eaten.
When used on children, acupuncture is considered safe when administered by well-trained, licensed practitioners using sterile needles; however, a 2011 review found there was limited research to draw definite conclusions about the overall safety of pediatric acupuncture. The same review found 279 adverse events, 25 of them serious. The adverse events were mostly mild in nature (e.g. bruising or bleeding). The prevalence of mild adverse events ranged from 10.1% to 13.5%, an estimated 168 incidences among 1,422 patients. On rare occasions adverse events were serious (e.g. cardiac rupture or hemoptysis); many might have been a result of substandard practice. The incidence of serious adverse events was 5 per one million, which included children and adults.
When used during pregnancy, the majority of adverse events caused by acupuncture were mild and transient, with few serious adverse events. The most frequent mild adverse event was needling or unspecified pain, followed by bleeding. Although two deaths (one stillbirth and one neonatal death) were reported, there was a lack of acupuncture-associated maternal mortality. Limiting the evidence as certain, probable or possible in the causality evaluation, the estimated incidence of adverse events following acupuncture in pregnant women was 131 per 10,000.
Although acupuncture is not contraindicated in pregnant women, some specific acupuncture points are particularly sensitive to needle insertion; these spots, as well as the abdominal region, should be avoided during pregnancy.
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] |
1537_27 | Moxibustion and cupping
Four adverse events associated with moxibustion were bruising, burns and cellulitis, spinal epidural abscess, and large superficial basal cell carcinoma. Ten adverse events were associated with cupping. The minor ones were keloid scarring, burns, and bullae; the serious ones were acquired hemophilia A, stroke following cupping on the back and neck, factitious panniculitis, reversible cardiac hypertrophy, and iron deficiency anemia.
Cost-effectiveness
A 2013 meta-analysis found that acupuncture for chronic low back pain was cost-effective as a complement to standard care, but not as a substitute for standard care except in cases where comorbid depression presented. The same meta-analysis found there was no difference between sham and non-sham acupuncture. A 2011 systematic review found insufficient evidence for the cost-effectiveness of acupuncture in the treatment of chronic low back pain. A 2010 systematic review found that the cost-effectiveness of acupuncture could not be concluded. A 2012 review found that acupuncture seems to be cost-effective for some pain conditions.
Risk of forgoing conventional medical care
As with other alternative medicines, unethical or naïve practitioners may induce patients to exhaust financial resources by pursuing ineffective treatment. Professional ethics codes set by accrediting organizations such as the National Certification Commission for Acupuncture and Oriental Medicine require practitioners to make "timely referrals to other health care professionals as may be appropriate." Stephen Barrett states that there is a "risk that an acupuncturist whose approach to diagnosis is not based on scientific concepts will fail to diagnose a dangerous condition".
Conceptual basis
Traditional | [
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1537_28 | Conceptual basis
Traditional
Acupuncture is a substantial part of traditional Chinese medicine (TCM). Early acupuncture beliefs relied on concepts that are common in TCM, such as a life force energy called qi. Qi was believed to flow from the body's primary organs (zang-fu organs) to the "superficial" body tissues of the skin, muscles, tendons, bones, and joints, through channels called meridians. Acupuncture points where needles are inserted are mainly (but not always) found at locations along the meridians. Acupuncture points not found along a meridian are called extraordinary points and those with no designated site are called "A-shi" points.
In TCM, disease is generally perceived as a disharmony or imbalance in energies such as yin, yang, qi, xuĕ, zàng-fǔ, meridians, and of the interaction between the body and the environment. Therapy is based on which "pattern of disharmony" can be identified. For example, some diseases are believed to be caused by meridians being invaded with an excess of wind, cold, and damp. In order to determine which pattern is at hand, practitioners examine things like the color and shape of the tongue, the relative strength of pulse-points, the smell of the breath, the quality of breathing, or the sound of the voice. TCM and its concept of disease does not strongly differentiate between the cause and effect of symptoms.
Purported scientific basis
Scientific research has not supported the existence of qi, meridians, or yin and yang. A Nature editorial described TCM as "fraught with pseudoscience", with the majority of its treatments having no logical mechanism of action. Quackwatch states that "TCM theory and practice are not based upon the body of knowledge related to health, disease, and health care that has been widely accepted by the scientific community. TCM practitioners disagree among themselves about how to diagnose patients and which treatments should go with which diagnoses. Even if they could agree, the TCM theories are so nebulous that no amount of scientific study will enable TCM to offer rational care." | [
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1537_29 | Some modern practitioners support the use of acupuncture to treat pain, but have abandoned the use of qi, meridians, yin, yang and other mystical energies as an explanatory frameworks. The use of qi as an explanatory framework has been decreasing in China, even as it becomes more prominent during discussions of acupuncture in the US. Academic discussions of acupuncture still make reference to pseudoscientific concepts such as qi and meridians despite the lack of scientific evidence. Many within the scientific community consider attempts to rationalize acupuncture in science to be quackery and pseudoscience. Academics Massimo Pigliucci and Maarten Boudry describe it as a "borderlands science" lying between science and pseudoscience.
Many acupuncturists attribute pain relief to the release of endorphins when needles penetrate, but no longer support the idea that acupuncture can affect a disease. It is a generally held belief within the acupuncture community that acupuncture points and meridians structures are special conduits for electrical signals, but no research has established any consistent anatomical structure or function for either acupuncture points or meridians. Human tests to determine whether electrical continuity was significantly different near meridians than other places in the body have been inconclusive.
Some studies suggest acupuncture causes a series of events within the central nervous system, and that it is possible to inhibit acupuncture's analgesic effects with the opioid antagonist naloxone. Mechanical deformation of the skin by acupuncture needles appears to result in the release of adenosine. The anti-nociceptive effect of acupuncture may be mediated by the adenosine A1 receptor. A 2014 review in Nature Reviews Cancer analyzed mouse studies that suggested acupuncture relieves pain via the local release of adenosine, which then triggered nearby A1 receptors. The review found that in those studies, because acupuncture "caused more tissue damage and inflammation relative to the size of the animal in mice than in humans, such studies unnecessarily muddled a finding that local inflammation can result in the local release of adenosine with analgesic effect."
History
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1537_30 | History
Origins
Acupuncture, along with moxibustion, is one of the oldest practices of traditional Chinese medicine. Most historians believe the practice began in China, though there are some conflicting narratives on when it originated. Academics David Ramey and Paul Buell said the exact date acupuncture was founded depends on the extent to which dating of ancient texts can be trusted and the interpretation of what constitutes acupuncture.
Scholars note that acupressure therapy was prevalent in India. Once Buddhism spread to China, the acupressure therapy was also integrated into common medical practice in China and it came to be known as acupuncture. Scholars note these similarities because the major points of Indian acupressure and Chinese acupuncture are similar to each other.
According to an article in Rheumatology, the first documentation of an "organized system of diagnosis and treatment" for acupuncture was in ‘Inner Classic of Huang Di (Huangdi Neijing) from about 100 BC. Gold and silver needles found in the tomb of Liu Sheng from around 100 BC are believed to be the earliest archaeological evidence of acupuncture, though it is unclear if that was their purpose. According to Plinio Prioreschi, the earliest known historical record of acupuncture is the Shiji ("Records of the Grand Historian"), written by a historian around 100 BC. It is believed that this text was documenting what was established practice at that time.
Alternate theories
The 5,000-year-old mummified body of Ötzi the Iceman was found with 15 groups of tattoos, many of which were located at points on the body where acupuncture needles are used for abdominal or lower back problems. Evidence from the body suggests Otzi suffered from these conditions. This has been cited as evidence that practices similar to acupuncture may have been practised elsewhere in Eurasia during the early Bronze Age; however, The Oxford Handbook of the History of Medicine calls this theory "speculative". It is considered unlikely that acupuncture was practised before 2000 BC. | [
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1537_31 | Acupuncture may have been practised during the Neolithic era, near the end of the Stone Age, using sharpened stones called Bian shi. Many Chinese texts from later eras refer to sharp stones called "plen", which means "stone probe", that may have been used for acupuncture purposes. The ancient Chinese medical text, Huangdi Neijing, indicates that sharp stones were believed at-the-time to cure illnesses at or near the body's surface, perhaps because of the short depth a stone could penetrate. However, it is more likely that stones were used for other medical purposes, such as puncturing a growth to drain its pus. The Mawangdui texts, which are believed to be from the 2nd century BC, mention the use of pointed stones to open abscesses, and moxibustion, but not for acupuncture. It is also speculated that these stones may have been used for bloodletting, due to the ancient Chinese belief that illnesses were caused by demons within the body that could be killed or released. It is likely bloodletting was an antecedent to acupuncture. | [
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1537_32 | According to historians Lu Gwei-djen and Joseph Needham, there is substantial evidence that acupuncture may have begun around 600 BC. Some hieroglyphs and pictographs from that era suggests acupuncture and moxibustion were practised. However, historians Lu and Needham said it was unlikely a needle could be made out of the materials available in China during this time period. It is possible that bronze was used for early acupuncture needles. Tin, copper, gold and silver are also possibilities, though they are considered less likely, or to have been used in fewer cases. If acupuncture was practised during the Shang dynasty (1766 to 1122 BC), organic materials like thorns, sharpened bones, or bamboo may have been used. Once methods for producing steel were discovered, it would replace all other materials, since it could be used to create a very fine, but sturdy needles. Lu and Needham noted that all the ancient materials that could have been used for acupuncture and which often produce archaeological evidence, such as sharpened bones, bamboo or stones, were also used for other purposes. An article in Rheumatology said that the absence of any mention of acupuncture in documents found in the tomb of Mawangdui from 198 BC suggest that acupuncture was not practised by that time.
Belief systems
Several different and sometimes conflicting belief systems emerged regarding acupuncture. This may have been the result of competing schools of thought. Some ancient texts referred to using acupuncture to cause bleeding, while others mixed the ideas of blood-letting and spiritual ch'i energy. Over time, the focus shifted from blood to the concept of puncturing specific points on the body, and eventually to balancing Yin and Yang energies as well. According to David Ramey, no single "method or theory" was ever predominantly adopted as the standard. At the time, scientific knowledge of medicine was not yet developed, especially because in China dissection of the deceased was forbidden, preventing the development of basic anatomical knowledge. | [
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1537_33 | It is not certain when specific acupuncture points were introduced, but the autobiography of Bian Que from around 400–500 BC references inserting needles at designated areas. Bian Que believed there was a single acupuncture point at the top of one's skull that he called the point "of the hundred meetings." Texts dated to be from 156–186 BC document early beliefs in channels of life force energy called meridians that would later be an element in early acupuncture beliefs.
Ramey and Buell said the "practice and theoretical underpinnings" of modern acupuncture were introduced in The Yellow Emperor's Classic (Huangdi Neijing) around 100 BC. It introduced the concept of using acupuncture to manipulate the flow of life energy (qi) in a network of meridian (channels) in the body. The network concept was made up of acu-tracts, such as a line down the arms, where it said acupoints were located. Some of the sites acupuncturists use needles at today still have the same names as those given to them by the Yellow Emperor's Classic. Numerous additional documents were published over the centuries introducing new acupoints. By the 4th century AD, most of the acupuncture sites in use today had been named and identified.
Early development in China
Establishment and growth
In the first half of the 1st century AD, acupuncturists began promoting the belief that acupuncture's effectiveness was influenced by the time of day or night, the lunar cycle, and the season. The Science of the Yin-Yang Cycles (Yün Chhi Hsüeh) was a set of beliefs that curing diseases relied on the alignment of both heavenly (tian) and earthly (di) forces that were attuned to cycles like that of the sun and moon. There were several different belief systems that relied on a number of celestial and earthly bodies or elements that rotated and only became aligned at certain times. According to Needham and Lu, these "arbitrary predictions" were depicted by acupuncturists in complex charts and through a set of special terminology. | [
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1537_34 | Acupuncture needles during this period were much thicker than most modern ones and often resulted in infection. Infection is caused by a lack of sterilization, but at that time it was believed to be caused by use of the wrong needle, or needling in the wrong place, or at the wrong time. Later, many needles were heated in boiling water, or in a flame. Sometimes needles were used while they were still hot, creating a cauterizing effect at the injection site. Nine needles were recommended in the Chen Chiu Ta Chheng from 1601, which may have been because of an ancient Chinese belief that nine was a magic number.
Other belief systems were based on the idea that the human body operated on a rhythm and acupuncture had to be applied at the right point in the rhythm to be effective. In some cases a lack of balance between Yin and Yang were believed to be the cause of disease.
In the 1st century AD, many of the first books about acupuncture were published and recognized acupuncturist experts began to emerge. The Zhen Jiu Jia Yi Jing, which was published in the mid-3rd century, became the oldest acupuncture book that is still in existence in the modern era. Other books like the Yu Kuei Chen Ching, written by the Director of Medical Services for China, were also influential during this period, but were not preserved. In the mid 7th century, Sun Simiao published acupuncture-related diagrams and charts that established standardized methods for finding acupuncture sites on people of different sizes and categorized acupuncture sites in a set of modules.
Acupuncture became more established in China as improvements in paper led to the publication of more acupuncture books. The Imperial Medical Service and the Imperial Medical College, which both supported acupuncture, became more established and created medical colleges in every province. The public was also exposed to stories about royal figures being cured of their diseases by prominent acupuncturists. By time The Great Compendium of Acupuncture and Moxibustion was published during the Ming dynasty (1368–1644 AD), most of the acupuncture practices used in the modern era had been established. | [
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1537_35 | Decline
By the end of the Song dynasty (1279 AD), acupuncture had lost much of its status in China. It became rarer in the following centuries, and was associated with less prestigious professions like alchemy, shamanism, midwifery and moxibustion. Additionally, by the 18th century, scientific rationality was becoming more popular than traditional superstitious beliefs. By 1757 a book documenting the history of Chinese medicine called acupuncture a "lost art". Its decline was attributed in part to the popularity of prescriptions and medications, as well as its association with the lower classes.
In 1822, the Chinese Emperor signed a decree excluding the practice of acupuncture from the Imperial Medical Institute. He said it was unfit for practice by gentlemen-scholars. In China acupuncture was increasingly associated with lower-class, illiterate practitioners. It was restored for a time, but banned again in 1929 in favor of science-based Western medicine. Although acupuncture declined in China during this time period, it was also growing in popularity in other countries.
International expansion
Korea is believed to be the first country in Asia that acupuncture spread to outside of China. Within Korea there is a legend that acupuncture was developed by emperor Dangun, though it is more likely to have been brought into Korea from a Chinese colonial prefecture in 514 AD. Acupuncture use was commonplace in Korea by the 6th century. It spread to Vietnam in the 8th and 9th centuries. As Vietnam began trading with Japan and China around the 9th century, it was influenced by their acupuncture practices as well. China and Korea sent "medical missionaries" that spread traditional Chinese medicine to Japan, starting around 219 AD. In 553, several Korean and Chinese citizens were appointed to re-organize medical education in Japan and they incorporated acupuncture as part of that system. Japan later sent students back to China and established acupuncture as one of five divisions of the Chinese State Medical Administration System. | [
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1537_36 | Acupuncture began to spread to Europe in the second half of the 17th century. Around this time the surgeon-general of the Dutch East India Company met Japanese and Chinese acupuncture practitioners and later encouraged Europeans to further investigate it. He published the first in-depth description of acupuncture for the European audience and created the term "acupuncture" in his 1683 work De Acupunctura. France was an early adopter among the West due to the influence of Jesuit missionaries, who brought the practice to French clinics in the 16th century. The French doctor Louis Berlioz (the father of the composer Hector Berlioz) is usually credited with being the first to experiment with the procedure in Europe in 1810, before publishing his findings in 1816.
By the 19th century, acupuncture had become commonplace in many areas of the world. Americans and Britons began showing interest in acupuncture in the early 19th century, although interest waned by mid-century. Western practitioners abandoned acupuncture's traditional beliefs in spiritual energy, pulse diagnosis, and the cycles of the moon, sun or the body's rhythm. Diagrams of the flow of spiritual energy, for example, conflicted with the West's own anatomical diagrams. It adopted a new set of ideas for acupuncture based on tapping needles into nerves. In Europe it was speculated that acupuncture may allow or prevent the flow of electricity in the body, as electrical pulses were found to make a frog's leg twitch after death.
The West eventually created a belief system based on Travell trigger points that were believed to inhibit pain. They were in the same locations as China's spiritually identified acupuncture points, but under a different nomenclature. The first elaborate Western treatise on acupuncture was published in 1683 by Willem ten Rhijne.
Modern era
In China, the popularity of acupuncture rebounded in 1949 when Mao Zedong took power and sought to unite China behind traditional cultural values. It was also during this time that many Eastern medical practices were consolidated under the name traditional Chinese medicine (TCM). | [
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1537_37 | New practices were adopted in the 20th century, such as using a cluster of needles, electrified needles, or leaving needles inserted for up to a week. A lot of emphasis developed on using acupuncture on the ear. Acupuncture research organizations such as the International Society of Acupuncture were founded in the 1940s and 1950s and acupuncture services became available in modern hospitals. China, where acupuncture was believed to have originated, was increasingly influenced by Western medicine. Meanwhile, acupuncture grew in popularity in the US. The US Congress created the Office of Alternative Medicine in 1992 and the National Institutes of Health (NIH) declared support for acupuncture for some conditions in November 1997. In 1999, the National Center for Complementary and Alternative Medicine was created within the NIH. Acupuncture became the most popular alternative medicine in the US.
Politicians from the Chinese Communist Party said acupuncture was superstitious and conflicted with the party's commitment to science. Communist Party Chairman Mao Zedong later reversed this position, arguing that the practice was based on scientific principles.
In 1971, New York Times reporter James Reston published an article on his acupuncture experiences in China, which led to more investigation of and support for acupuncture. The US President Richard Nixon visited China in 1972. During one part of the visit, the delegation was shown a patient undergoing major surgery while fully awake, ostensibly receiving acupuncture rather than anesthesia. Later it was found that the patients selected for the surgery had both a high pain tolerance and received heavy indoctrination before the operation; these demonstration cases were also frequently receiving morphine surreptitiously through an intravenous drip that observers were told contained only fluids and nutrients. One patient receiving open heart surgery while awake was ultimately found to have received a combination of three powerful sedatives as well as large injections of a local anesthetic into the wound. After the National Institute of Health expressed support for acupuncture for a limited number of conditions, adoption in the US grew further. In 1972 the first legal acupuncture center in the US was established in Washington DC and in 1973 the American Internal Revenue Service allowed acupuncture to be deducted as a medical expense. | [
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1537_38 | In 2006, a BBC documentary Alternative Medicine filmed a patient undergoing open heart surgery allegedly under acupuncture-induced anesthesia. It was later revealed that the patient had been given a cocktail of anesthetics.
In 2010, UNESCO inscribed "acupuncture and moxibustion of traditional Chinese medicine" on the UNESCO Intangible Cultural Heritage List following China's nomination.
Adoption
Acupuncture is most heavily practiced in China and is popular in the US, Australia, and Europe. In Switzerland, acupuncture has become the most frequently used alternative medicine since 2004. In the United Kingdom, a total of 4 million acupuncture treatments were administered in 2009. Acupuncture is used in most pain clinics and hospices in the UK. An estimated 1 in 10 adults in Australia used acupuncture in 2004. In Japan, it is estimated that 25 percent of the population will try acupuncture at some point, though in most cases it is not covered by public health insurance. Users of acupuncture in Japan are more likely to be elderly and to have a limited education. Approximately half of users surveyed indicated a likelihood to seek such remedies in the future, while 37% did not. Less than one percent of the US population reported having used acupuncture in the early 1990s. By the early 2010s, more than 14 million Americans reported having used acupuncture as part of their health care.
In the US, acupuncture is increasingly () used at academic medical centers, and is usually offered through CAM centers or anesthesia and pain management services. Examples include those at Harvard University, Stanford University, Johns Hopkins University, and UCLA. | [
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1537_39 | The use of acupuncture in Germany increased by 20% in 2007, after the German acupuncture trials supported its efficacy for certain uses. In 2011, there were more than one million users, and insurance companies have estimated that two-thirds of German users are women. As a result of the trials, German public health insurers began to cover acupuncture for chronic low back pain and osteoarthritis of the knee, but not tension headache or migraine. This decision was based in part on socio-political reasons. Some insurers in Germany chose to stop reimbursement of acupuncture because of the trials. For other conditions, insurers in Germany were not convinced that acupuncture had adequate benefits over usual care or sham treatments. Highlighting the results of the placebo group, researchers refused to accept a placebo therapy as efficient.
Regulation
There are various government and trade association regulatory bodies for acupuncture in the United Kingdom, the United States, Saudi Arabia, Australia, New Zealand, Japan, Canada, and in European countries and elsewhere. The World Health Organization recommends that before being licensed or certified, an acupuncturist receive 200 hours of specialized training if they are a physician and 2,500 hours for non-physicians; many governments have adopted similar standards.
In Hong Kong, the practice of acupuncture is regulated by the Chinese Medicine Council that was formed in 1999 by the Legislative Council. It includes a licensing exam and registration, as well as degree courses approved by the board. Canada has acupuncture licensing programs in the provinces of British Columbia, Ontario, Alberta and Quebec; standards set by the Chinese Medicine and Acupuncture Association of Canada are used in provinces without government regulation. Regulation in the US began in the 1970s in California, which was eventually followed by every state but Wyoming and Idaho. Licensing requirements vary greatly from state to state. The needles used in acupuncture are regulated in the US by the Food and Drug Administration. In some states acupuncture is regulated by a board of medical examiners, while in others by the board of licensing, health or education. | [
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] |
1537_40 | In Japan, acupuncturists are licensed by the Minister of Health, Labour and Welfare after passing an examination and graduating from a technical school or university. In Australia, the Chinese Medicine Board of Australia regulates acupuncture, among other Chinese medical traditions, and restricts the use of titles like 'acupuncturist' to registered practitioners only. The practice of Acupuncture in New Zealand in 1990 acupuncture was included into the Governmental Accident Compensation Corporation (ACC) Act. This inclusion granted qualified and professionally registered acupuncturists to provide subsidised care and treatment to citizens, residents, and temporary visitors for work or sports related injuries that occurred within the country of New Zealand.The two bodies for the regulation of acupuncture and attainment of ACC treatment provider status in New Zealand are Acupuncture NZ, and The New Zealand Acupuncture Standards Authority. At least 28 countries in Europe have professional associations for acupuncturists. In France, the Académie Nationale de Médecine (National Academy of Medicine) has regulated acupuncture since 1955.
See also
Auriculotherapy
Baunscheidtism
Colorpuncture
Dry needling
List of acupuncture points
List of ineffective cancer treatments – Includes moxibustion
Moxibustion
Oriental Medicine
Pharmacopuncture
Pressure point
Regulation of acupuncture
Bibliography
Notes
References
Further reading
External links
Alternative medicine
Chinese inventions
Energy therapies
Pain management
Pseudoscience
Traditional Chinese medicine | [
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1538_0 | Adder may refer to:
Any of several groups of venomous snakes
Vipera berus, the common European adder, found in Europe and northern Asia
Adder (electronics), an electronic circuit designed to do addition
AA-12 Adder, the NATO name for the R-77, a Russian air-to-air missile
HMS Adder, any of seven ships of the Royal Navy
USS Adder (SS-3), an early US submarine
Adder Technology, a manufacturing company
Addition, a mathematical operation
Armstrong Siddeley Adder, a late 1940s British turbojet engine
Blackadder, a series of BBC sitcoms
Golden Axe: The Revenge of Death Adder, a video game | [
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1540_0 | In Greco-Roman mythology, Aeneas (, ; from ) was a Trojan hero, the son of the Trojan prince Anchises and the Greek goddess Aphrodite (equivalent to the Roman Venus). His father was a first cousin of King Priam of Troy (both being grandsons of Ilus, founder of Troy), making Aeneas a second cousin to Priam's children (such as Hector and Paris). He is a character in Greek mythology and is mentioned in Homer's Iliad. Aeneas receives full treatment in Roman mythology, most extensively in Virgil's Aeneid, where he is cast as an ancestor of Romulus and Remus. He became the first true hero of Rome. Snorri Sturluson identifies him with the Norse god Vidarr of the Æsir.
Etymology
Aeneas is the Romanization of the hero's original Greek name (Aineías). Aineías is first introduced in the Homeric Hymn to Aphrodite when Aphrodite gives him his name from the adjective
(,
"terrible"), for the "terrible grief" () he has caused her by being born a mortal who will age and die. It is a popular etymology for the name, apparently exploited by Homer in the Iliad. Later in the Medieval period there were writers who held that, because the Aeneid was written by a philosopher, it is meant to be read philosophically. As such, in the "natural order", the meaning of Aeneas' name combines Greek ("dweller") with ("body"), which becomes or "in-dweller"—i.e. as a god inhabiting a mortal body. However, there is no certainty regarding the origin of his name. | [
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1540_1 | Epithets
In imitation of the Iliad, Virgil borrows epithets of Homer, including: Anchisiades, magnanimum, magnus, heros, and bonus. Though he borrows many, Virgil gives Aeneas two epithets of his own in the Aeneid: pater and pius. The epithets applied by Virgil are an example of an attitude different from that of Homer, for whilst Odysseus is ("wily"), Aeneas is described as ("pious"), which conveys a strong moral tone. The purpose of these epithets seems to enforce the notion of Aeneas' divine hand as father and founder of the Roman race, and their use seems circumstantial: when Aeneas is praying he refers to himself as pius, and is referred to as such by the author only when the character is acting on behalf of the gods to fulfill his divine mission. Likewise, Aeneas is called pater when acting in the interest of his men.
Greek myth and epos
Homeric Hymn to Aphrodite | [
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1540_2 | Homeric Hymn to Aphrodite
The story of the birth of Aeneas is told in the Homeric Hymn to Aphrodite, one of the major Homeric Hymns. Aphrodite has caused Zeus to fall in love with mortal women. In retaliation, Zeus puts desire in her heart for Anchises, who is tending his cattle among the hills near Mount Ida. When Aphrodite sees him she is smitten. She adorns herself as if for a wedding among the gods and appears before him. He is overcome by her beauty, believing that she is a goddess, but Aphrodite identifies herself as a Phrygian princess. After they make love, Aphrodite reveals her true identity to him and Anchises fears what might happen to him as a result of their liaison. Aphrodite assures him that he will be protected, and tells him that she will bear him a son to be called Aeneas. However, she warns him that he must never tell anyone that he has lain with a goddess. When Aeneas is born, Aphrodite takes him to the nymphs of Mount Ida, instructing them to raise the child to age five, then take him to Anchises. According to other sources, Anchises later brags about his encounter with Aphrodite, and as a result is struck in the foot with a thunderbolt by Zeus. Thereafter he is lame in that foot, so that Aeneas has to carry him from the flames of Troy.
Homer's Iliad
Aeneas is a minor character in the Iliad, where he is twice saved from death by the gods as if for an as-yet-unknown destiny, but is an honorable warrior in his own right. Having held back from the fighting, aggrieved with Priam because in spite of his brave deeds he was not given his due share of honour, he leads an attack against Idomeneus to recover the body of his brother-in-law Alcathous at the urging of Deiphobus. He is the leader of the Trojans' Dardanian allies, as well as a second cousin and principal lieutenant of Hector, son and heir of the Trojan king Priam. | [
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1540_3 | Aeneas's mother Aphrodite frequently comes to his aid on the battlefield, and he is a favorite of Apollo. Aphrodite and Apollo rescue Aeneas from combat with Diomedes of Argos, who nearly kills him, and carry him away to Pergamos for healing. Even Poseidon, who usually favors the Greeks, comes to Aeneas's rescue after he falls under the assault of Achilles, noting that Aeneas, though from a junior branch of the royal family, is destined to become king of the Trojan people.
Bruce Louden presents Aeneas as a "type": The sole virtuous individual (or family) spared from general destruction, following the mytheme of Utnapishtim, Baucis and Philemon, Noah, and Lot. Pseudo-Apollodorus in his Bibliotheca explains that "... the Greeks [spared] him alone, on account of his piety."
Other sources
The Roman mythographer Gaius Julius Hyginus (c. 64 BCE – CE 17) in his Fabulae credits Aeneas with killing 28 enemies in the Trojan War. Aeneas also appears in the Trojan narratives attributed to Dares Phrygius and Dictys of Crete.
Roman myth and literature
The history of Aeneas was continued by Roman authors. One influential source was the account of Rome's founding in Cato the Elder's Origines. The Aeneas legend was well known in Virgil's day and appeared in various historical works, including the Roman Antiquities of the Greek historian Dionysius of Halicarnassus (relying on Marcus Terentius Varro), Ab Urbe Condita by Livy (probably dependent on Quintus Fabius Pictor, fl. 200 BCE), and Gnaeus Pompeius Trogus (now extant only in an epitome by Justin).
Virgil's Aeneid | [
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1540_4 | Virgil's Aeneid
The Aeneid explains that Aeneas is one of the few Trojans who were not killed or enslaved when Troy fell. Aeneas, after being commanded by the gods to flee, gathered a group, collectively known as the Aeneads, who then traveled to Italy and became progenitors of Romans. The Aeneads included Aeneas's trumpeter Misenus, his father Anchises, his friends Achates, Sergestus, and Acmon, the healer Iapyx, the helmsman Palinurus, and his son Ascanius (also known as Iulus, Julus, or Ascanius Julius). He carried with him the Lares and Penates, the statues of the household gods of Troy, and transplanted them to Italy.
Several attempts to find a new home failed; one such stop was on Sicily, where in Drepanum, on the island's western coast, his father, Anchises, died peacefully.
After a brief but fierce storm sent up against the group at Juno's request, Aeneas and his fleet made landfall at Carthage after six years of wanderings. Aeneas had a year-long affair with the Carthaginian queen Dido (also known as Elissa), who proposed that the Trojans settle in her land and that she and Aeneas reign jointly over their peoples. A marriage of sorts was arranged between Dido and Aeneas at the instigation of Juno, who was told that her favorite city would eventually be defeated by the Trojans' descendants. Aeneas's mother Venus (the Roman adaptation of Aphrodite) realized that her son and his company needed a temporary respite to reinforce themselves for the journey to come. However, the messenger god Mercury was sent by Jupiter and Venus to remind Aeneas of his journey and his purpose, compelling him to leave secretly. When Dido learned of this, she uttered a curse that would forever pit Carthage against Rome, an enmity that would culminate in the Punic Wars. She then committed suicide by stabbing herself with the same sword she gave Aeneas when they first met. | [
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1540_5 | After the sojourn in Carthage, the Trojans returned to Sicily where Aeneas organized funeral games to honor his father, who had died a year before. The company traveled on and landed on the western coast of Italy. Aeneas descended into the underworld where he met Dido (who turned away from him to return to her husband) and his father, who showed him the future of his descendants and thus the history of Rome.
Latinus, king of the Latins, welcomed Aeneas's army of exiled Trojans and let them reorganize their lives in Latium. His daughter Lavinia had been promised to Turnus, king of the Rutuli, but Latinus received a prophecy that Lavinia would be betrothed to one from another land – namely, Aeneas. Latinus heeded the prophecy, and Turnus consequently declared war on Aeneas at the urging of Juno, who was aligned with King Mezentius of the Etruscans and Queen Amata of the Latins. Aeneas's forces prevailed. Turnus was killed, and Virgil's account ends abruptly.
Other sources
The rest of Aeneas's biography is gleaned from other ancient sources, including Livy and Ovid's Metamorphoses. According to Livy, Aeneas was victorious but Latinus died in the war. Aeneas founded the city of Lavinium, named after his wife. He later welcomed Dido's sister, Anna Perenna, who then committed suicide after learning of Lavinia's jealousy. After Aeneas's death, Venus asked Jupiter to make her son immortal. Jupiter agreed. The river god Numicus cleansed Aeneas of all his mortal parts and Venus anointed him with ambrosia and nectar, making him a god. Aeneas was recognized as the god Jupiter Indiges. | [
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1540_6 | Medieval accounts
Snorri Sturlason, in the Prologue of the Prose Edda, tells of the world as parted in three continents: Africa, Asia and the third part called Europe or Enea. Snorri also tells of a Trojan named Munon) (or Mennon), who marries the daughter of the High King (Yfirkonungr) Priam called Troan and travels to distant lands, marries the Sybil and got a son, Tror, who, as Snorri tells, is identical to Thor. This tale resembles some episodes of the Aeneid.
Continuations of Trojan matter in the Middle Ages had their effects on the character of Aeneas as well. The 12th-century French Roman d'Enéas addresses Aeneas's sexuality. Though Virgil appears to deflect all homoeroticism onto Nisus and Euryalus, making his Aeneas a purely heterosexual character, in the Middle Ages there was at least a suspicion of homoeroticism in Aeneas. The Roman d'Enéas addresses that charge, when Queen Amata opposes Aeneas's marrying Lavinia,
Medieval interpretations of Aeneas were greatly influenced by both Virgil and other Latin sources. Specifically, the accounts by Dares and Dictys, which were reworked by the 13th-century Italian writer Guido delle Colonne (in Historia destructionis Troiae), colored many later readings. From Guido, for instance, the Pearl Poet and other English writers get the suggestion that Aeneas's safe departure from Troy with his possessions and family was a reward for treason, for which he was chastised by Hecuba. In Sir Gawain and the Green Knight (late 14th century) the Pearl Poet, like many other English writers, employed Aeneas to establish a genealogy for the foundation of Britain, and explains that Aeneas was "impeached for his perfidy, proven most true" (line 4).
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1540_7 | Family and legendary descendants
Aeneas had an extensive family tree. His wet-nurse was Caieta, and he is the father of Ascanius with Creusa, and of Silvius with Lavinia. Ascanius, also known as Iulus (or Julius), founded Alba Longa and was the first in a long series of kings. According to the mythology used by Virgil in the Aeneid, Romulus and Remus were both descendants of Aeneas through their mother Rhea Silvia, making Aeneas the progenitor of the Roman people. Some early sources call him their father or grandfather, but once the dates of the fall of Troy (1184 BCE) and the founding of Rome (753 BCE) became accepted, authors added generations between them. The Julian family of Rome, most notably Julius Cæsar and Augustus, traced their lineage to Ascanius and Aeneas, thus to the goddess Venus. Through the Julians, the Palemonids make this claim. The legendary kings of Britain – including King Arthur – trace their family through a grandson of Aeneas, Brutus.
Character and appearance
Aeneas's consistent epithet in Virgil and other Latin authors is pius, a term that connotes reverence toward the gods and familial dutifulness.
In the Aeneid, Aeneas is described as strong and handsome, but neither his hair colour nor complexion are described. In late antiquity however sources add further physical descriptions. The De excidio Troiae of Dares Phrygius describes Aeneas as "auburn-haired, stocky, eloquent, courteous, prudent, pious, and charming". There is also a brief physical description found in the 6th-century John Malalas' Chronographia: "Aeneas: short, fat, with a good chest, powerful, with a ruddy complexion, a broad face, a good nose, fair skin, bald on the forehead, a good beard, grey eyes."
Modern portrayals
Literature
Aeneas appears as a character in William Shakespeare's play Troilus and Cressida, set during the Trojan War. | [
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1540_8 | Aeneas and Dido are the main characters of a 17th-century broadside ballad called "The Wandering Prince of Troy". The ballad ultimately alters Aeneas's fate from traveling on years after Dido's death to joining her as a spirit soon after her suicide.
In modern literature, Aeneas is the speaker in two poems by Allen Tate, "Aeneas at Washington" and "Aeneas at New York". He is a main character in Ursula K. Le Guin's Lavinia, a re-telling of the last six books of the Aeneid told from the point of view of Lavinia, daughter of King Latinus of Latium.
Aeneas appears in David Gemmell's Troy series as a main heroic character who goes by the name Helikaon.
In Rick Riordan's book series The Heroes of Olympus, Aeneas is regarded as the first Roman demigod, son of Venus rather than Aphrodite.
Will Adams' novel City of the Lost assumes that much of the information provided by Virgil is mistaken, and that the true Aeneas and Dido did not meet and love in Carthage but in a Phoenician colony at Cyprus, on the site of the modern Famagusta. Their tale is interspersed with that of modern activists who, while striving to stop an ambitious Turkish Army general trying to stage a coup, accidentally discover the hidden ruins of Dido's palace.
Opera, film and other media
Aeneas is a title character in Henry Purcell's opera Dido and Aeneas (c. 1688), and Jakob Greber's (Aeneas in Carthage) (1711), and one of the principal roles in Hector Berlioz' opera Les Troyens (c. 1857), as well as in Metastasio's immensely popular opera libretto Didone abbandonata. Canadian composer James Rolfe composed his opera Aeneas and Dido (2007; to a libretto by André Alexis) as a companion piece to Purcell's opera. | [
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1540_9 | Despite its many dramatic elements, Aeneas's story has generated little interest from the film industry. Ronald Lewis portrayed Aeneas in Helen of Troy, directed by Robert Wise, as a supporting character, who is a member of the Trojan Royal family, and a close and loyal friend to Paris, and escapes at the end of the film. Portrayed by Steve Reeves, he was the main character in the 1961 sword and sandal film Guerra di Troia (The Trojan War). Reeves reprised the role the following year in the film The Avenger, about Aeneas's arrival in Latium and his conflicts with local tribes as he tries to settle his fellow Trojan refugees there.
Giulio Brogi, portrayed as Aeneas in the 1971 Italian TV miniseries series called Eneide, which gives the whole story of the Aeneid, from Aeneas escape from to Troy, to his meeting of Dido, his arrival in Italy, and his duel with Turnus.
The most recent cinematic portrayal of Aeneas was in the film Troy, in which he appears as a youth charged by Paris to protect the Trojan refugees, and to continue the ideals of the city and its people. Paris gives Aeneas Priam's sword, in order to give legitimacy and continuity to the royal line of Troy – and lay the foundations of Roman culture. In this film, he is not a member of the royal family and does not appear to fight in the war.
In the role-playing game Vampire: The Requiem by White Wolf Game Studios, Aeneas figures as one of the mythical founders of the Ventrue Clan.
in the action game Warriors: Legends of Troy, Aeneas is a playable character. The game ends with him and the Aeneans fleeing Troy's destruction and, spurned by the words of a prophetess thought crazed, goes to a new country (Italy) where he will start an empire greater than Greece and Troy combined that shall rule the world for 1000 years, never to be outdone in the tale of men (The Roman Empire).
In the 2018 TV miniseries Troy: Fall of a City, Aeneas is portrayed by Alfred Enoch. He also featured as an Epic Fighter of the Dardania faction in the Total War Saga: Troy in 2020. | [
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1540_10 | Depictions in art
Scenes depicting Aeneas, especially from the Aeneid, have been the focus of study for centuries. They have been the frequent subject of art and literature since their debut in the 1st century.
Villa Valmarana
The artist Giovanni Battista Tiepolo was commissioned by Gaetano Valmarana in 1757 to fresco several rooms in the Villa Valmarana, the family villa situated outside Vicenza. Tiepolo decorated the palazzina with scenes from epics such as Homer's Iliad and Virgil's Aeneid.
Aeneas flees Troy
Aeneas with Dido
Family tree
See also
Cumaean Sibyl
Lacrimae rerum
The Golden Bough
Latin kings of Alba Longa
Notes
References
Sources
Homer, Iliad II. 819–21; V. 217–575; XIII. 455–544; XX. 75–352.
Apollodorus, Bibliotheca III. xii. 2; Epitome III. 32–IV. 2; V. 21.
Virgil, Aeneid.
Ovid, Metamorphoses XIII. 623–715; XIV. 75–153; 581–608.
Ovid, Heroides, VII.
Livy, Book 1.1–2.
Dictys Cretensis.
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1540_11 | Further reading
Cramer, D. "The Wrath of Aeneas: Iliad 13.455–67 and 20.75–352." Syllecta Classica, vol. 11, 2000, pp. 16–33. .
de Vasconcellos, P.S. "A Sound Play on Aeneas' Name in the Aeneid: A Brief Note on VII.69." Vergilius (1959–), vol. 61, 2015, pp. 125–29. .
Farron, S. "The Aeneas–Dido Episode as an Attack on Aeneas' Mission and Rome." Greece & Rome, vol. 27, no. 1, 1980, pp. 34–47. . .
Gowers, E. "Trees and Family Trees in the Aeneid." Classical Antiquity, vol. 30, no. 1, 2011, pp. 87–118. . .
Grillo, L. "Leaving Troy and Creusa: Reflections on Aeneas' Flight." The Classical Journal, vol. 106, no. 1, 2010, pp. 43–68. . .
Noonan, J. "Sum Pius Aeneas: Aeneas and the Leader as Conservator/Σωτήρ" The Classical Bulletin. vol. 83, no. 1, 2007, pp. 65–91.
Putnam, M.C.J. The Humanness of Heroes: Studies in the Conclusion of Virgil's Aeneid. The Amsterdam Vergil lectures, 1. Amsterdam: Amsterdam University Press, 2011.
Starr, R.J. "Aeneas the Rhetorician: 'Aeneid IV', 279–95." Latomus, vol. 62, no. 1, 2003, pp. 36–46. .
Scafoglio, G. "The Betrayal of Aeneas." Greek, Roman and Byzantine Studies, vol. 53 no. 1, 2013, pp. 1–14.
Schauer, M. Aeneas dux in Vergils Aeneis. Eine literarische Fiktion in augusteischer Zeit. Zetemata vol. 128. Munich: C.H. Beck, 2007.
External links
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1540_12 | Trojans
Characters in the Aeneid
Greek mythological heroes
Children of Aphrodite
Characters in Roman mythology
Heroes who ventured to Hades
Demigods in classical mythology
Legendary progenitors
Metamorphoses characters
Characters in Greek mythology
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] |
1541_0 | Events
Pre-1600
1111 – Henry V is crowned Holy Roman Emperor.
1204 – Constantinople falls to the Crusaders of the Fourth Crusade, temporarily ending the Byzantine Empire.
1601–1900
1612 – Miyamoto Musashi defeats Sasaki Kojirō at Funajima island.
1613 – Samuel Argall, having captured Pocahontas in Passapatanzy, Virginia, sets off with her to Jamestown with the intention of exchanging her for English prisoners held by her father.
1742 – George Frideric Handel's oratorio Messiah makes its world premiere in Dublin, Ireland.
1777 – American Revolutionary War: American forces are ambushed and defeated in the Battle of Bound Brook, New Jersey.
1829 – The Roman Catholic Relief Act 1829 gives Roman Catholics in the United Kingdom the right to vote and to sit in Parliament.
1849 – Lajos Kossuth presents the Hungarian Declaration of Independence in a closed session of the National Assembly.
1861 – American Civil War: Fort Sumter surrenders to Confederate forces.
1865 – American Civil War: Raleigh, North Carolina is occupied by Union Forces.
1870 – The New York City Metropolitan Museum of Art is founded.
1873 – The Colfax massacre, in which more than 60 black men are murdered, takes place. | [
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1541_1 | 1901–present
1909 – The 31 March Incident leads to the overthrow of Sultan Abdul Hamid II.
1919 – Jallianwala Bagh massacre: British Indian Army troops lead by Brigadier-General Reginald Dyer killed approx 379-1000 unarmed demonstrators including men and women in Amritsar, India; and approximately 1,500 injured.
1941 – A pact of neutrality between the USSR and Japan is signed.
1943 – World War II: The discovery of mass graves of Polish prisoners of war killed by Soviet forces in the Katyń Forest Massacre is announced, causing a diplomatic rift between the Polish government-in-exile in London and the Soviet Union, which denies responsibility.
1943 – The Jefferson Memorial is dedicated in Washington, D.C., on the 200th anniversary of President Thomas Jefferson's birth.
1944 – Relations between New Zealand and the Soviet Union are established.
1945 – World War II: German troops kill more than 1,000 political and military prisoners in Gardelegen, Germany.
1945 – World War II: Soviet and Bulgarian forces capture Vienna.
1948 – In an ambush, 78 Jewish doctors, nurses and medical students from Hadassah Hospital, and a British soldier, are massacred by Arabs in Sheikh Jarrah. This event came to be known as the Hadassah medical convoy massacre.
1953 – CIA director Allen Dulles launches the mind-control program Project MKUltra.
1958 – American pianist Van Cliburn is awarded first prize at the inaugural International Tchaikovsky Competition in Moscow.
1960 – The United States launches Transit 1-B, the world's first satellite navigation system.
1964 – At the Academy Awards, Sidney Poitier becomes the first African-American male to win the Best Actor award for the 1963 film Lilies of the Field.
1970 – An oxygen tank aboard the Apollo 13 Service Module explodes, putting the crew in great danger and causing major damage to the Apollo command and service module (codenamed "Odyssey") while en route to the Moon.
1972 – The Universal Postal Union decides to recognize the People's Republic of China as the only legitimate Chinese representative, effectively expelling the Republic of China administering Taiwan. | [
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] |
1541_2 | 1972 – Vietnam War: The Battle of An Lộc begins.
1975 – An attack by the Phalangist resistance kills 26 militia members of the Popular Front for the Liberation of Palestine, marking the start of the 15-year Lebanese Civil War.
1976 – The United States Treasury Department reintroduces the two-dollar bill as a Federal Reserve Note on Thomas Jefferson's 233rd birthday as part of the United States Bicentennial celebration.
1976 – Forty workers die in an explosion at the Lapua ammunition factory, the deadliest accidental disaster in modern history in Finland.
1996 – 2 women and 4 children are killed after Israeli helicopter fired rockets at an ambulance in Mansouri, Lebanon.
1997 – Tiger Woods becomes the youngest golfer to win the Masters Tournament.
2017 – The US drops the largest ever non-nuclear weapon on Nangarhar Province, Afghanistan. | [
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1541_3 | Births
Pre-1600
1229 – Louis II, Duke of Bavaria (d. 1294)
1350 – Margaret III, Countess of Flanders (d. 1405)
1506 – Peter Faber, French priest and theologian, co-founded the Society of Jesus (d. 1546)
1519 – Catherine de' Medici, Italian-French wife of Henry II of France (d. 1589)
1570 – Guy Fawkes, English soldier, member of the Gunpowder Plot (probable; d. 1606)
1573 – Christina of Holstein-Gottorp (d. 1625)
1593 – Thomas Wentworth, 1st Earl of Strafford, English soldier and politician, Lord Lieutenant of Ireland (d. 1641) | [
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] |
1541_4 | 1601–1900
1618 – Roger de Rabutin, Comte de Bussy, French author (d. 1693)
1636 – Hendrik van Rheede, Dutch botanist (d. 1691)
1648 – Jeanne Marie Bouvier de la Motte Guyon, French mystic (d. 1717)
1713 – Pierre Jélyotte, French tenor (d. 1797)
1729 – Thomas Percy, Irish bishop and poet (d. 1811)
1732 – Frederick North, Lord North, English politician, Prime Minister of the United Kingdom (d. 1792)
1735 – Isaac Low, American merchant and politician, founded the New York Chamber of Commerce (d. 1791)
1743 – Thomas Jefferson, American lawyer and politician, 3rd President of the United States (d. 1826)
1747 – Louis Philippe II, Duke of Orléans (d. 1793)
1764 – Laurent de Gouvion Saint-Cyr, French general and politician, French Minister of War (d. 1830)
1769 – Thomas Lawrence, English painter and educator (d. 1830)
1771 – Richard Trevithick, Cornish-English engineer and explorer (d. 1833)
1780 – Alexander Mitchell, Irish engineer, invented the Screw-pile lighthouse (d. 1868)
1784 – Friedrich Graf von Wrangel, Prussian field marshal (d. 1877)
1787 – John Robertson, American lawyer and politician (d. 1873)
1794 – Jean Pierre Flourens, French physiologist and academic (d. 1867)
1802 – Leopold Fitzinger, Austrian zoologist and herpetologist (d. 1884)
1808 – Antonio Meucci, Italian-American engineer (d. 1889)
1810 – Félicien David, French composer (d. 1876)
1824 – William Alexander, Irish archbishop, poet, and theologian (d. 1911)
1825 – Thomas D'Arcy McGee, Irish-Canadian journalist and politician (d. 1868)
1828 – Josephine Butler, English feminist and social reformer (d. 1906)
1828 – Joseph Lightfoot, English bishop and theologian (d. 1889) | [
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] |
1541_5 | 1832 – Juan Montalvo, Ecuadorian author and diplomat (d. 1889)
1841 – Louis-Ernest Barrias, French sculptor and academic (d. 1905)
1850 – Arthur Matthew Weld Downing, Irish astronomer (d. 1917)
1851 – Robert Abbe, American surgeon and radiologist (d. 1928)
1851 – William Quan Judge, Irish occultist and theosophist (d. 1896)
1852 – Frank Winfield Woolworth, American businessman, founded the F. W. Woolworth Company (d. 1919)
1854 – Lucy Craft Laney, American founder of the Haines Normal and Industrial School, Augusta, Georgia (d. 1933)
1860 – James Ensor, English-Belgian painter, an important influence on expressionism and surrealism (d. 1949)
1866 – Butch Cassidy, American criminal (d. 1908)
1872 – John Cameron, Scottish international footballer and manager (d. 1935)
1872 – Alexander Roda Roda, Austrian-Croatian journalist and author (d. 1945)
1873 – John W. Davis, American lawyer and politician, 14th United States Solicitor General (d. 1955)
1875 – Ray Lyman Wilbur, American physician, academic, and politician, 31st United States Secretary of the Interior (d. 1949)
1879 – Edward Bruce, American lawyer and painter (d. 1943)
1879 – Oswald Bruce Cooper, American type designer, lettering artist, graphic designer, and educator (d. 1940)
1880 – Charles Christie, Canadian-American businessman, co-founded the Christie Film Company (d. 1955)
1885 – Vean Gregg, American baseball player (d. 1964)
1885 – Juhan Kukk, Estonian politician, Head of State of Estonia (d. 1942)
1885 – György Lukács, Hungarian philosopher and critic (d. 1971)
1885 – Pieter Sjoerds Gerbrandy, Dutch politician (d. 1961)
1887 – Gordon S. Fahrni, Canadian physician and golfer (d. 1995)
1889 – Herbert Yardley, American cryptologist and author (d. 1958) | [
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] |
1541_6 | 1890 – Frank Murphy, American jurist and politician, 56th United States Attorney General (d. 1949)
1890 – Dadasaheb Torne, Indian director and producer (d. 1960)
1891 – Maurice Buckley, Australian sergeant, Victoria Cross recipient (d. 1921)
1891 – Nella Larsen, Danish/African-American nurse, librarian, and author (d. 1964)
1891 – Robert Scholl, German accountant and politician (d. 1973)
1892 – Sir Arthur Harris, 1st Baronet, English air marshal (d. 1984)
1892 – Robert Watson-Watt, Scottish engineer, invented Radar (d. 1973)
1894 – Arthur Fadden, Australian accountant and politician, 13th Prime Minister of Australia (d. 1973)
1894 – Joie Ray, American runner (d. 1978)
1896 – Fred Barnett, English footballer (d. 1982)
1897 – Werner Voss, German lieutenant and pilot (d. 1917)
1899 – Alfred Mosher Butts, American architect and game designer, created Scrabble (d. 1993)
1899 – Harold Osborn, American high jumper and decathlete (d. 1975)
1900 – Sorcha Boru, American potter and ceramic sculptor (d. 2006)
1900 – Pierre Molinier, French painter and photographer (d. 1976) | [
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] |
1541_7 | 1901–present
1901 – Jacques Lacan, French psychiatrist and psychoanalyst (d. 1981)
1901 – Alan Watt, Australian public servant and diplomat, Australian Ambassador to Japan (d. 1988)
1902 – Philippe de Rothschild, French Grand Prix driver, playwright, and producer (d. 1988)
1902 – Marguerite Henry, American author (d. 1997)
1904 – David Robinson, English businessman and philanthropist (d. 1987)
1905 – Rae Johnstone, Australian jockey (d. 1964)
1906 – Samuel Beckett, Irish novelist, poet, and playwright, Nobel Prize laureate (d. 1989)
1906 – Bud Freeman, American saxophonist, composer, and bandleader (d. 1991)
1907 – Harold Stassen, American lawyer and politician, 25th Governor of Minnesota (d. 2001)
1909 – Eudora Welty, American short story writer and novelist (d. 2001)
1911 – Ico Hitrec, Croatian footballer and manager (d. 1946)
1911 – Jean-Louis Lévesque, Canadian businessman and philanthropist (d. 1994)
1911 – Nino Sanzogno, Italian conductor and composer (d. 1983)
1913 – Dave Albritton, American high jumper and coach (d. 1994)
1913 – Kermit Tyler, American lieutenant and pilot (d. 2010)
1914 – Orhan Veli Kanık, Turkish poet and author (d. 1950)
1916 – Phyllis Fraser, Welsh-American actress, journalist, and publisher, co-founded Beginner Books (d. 2006)
1917 – Robert Orville Anderson, American businessman, founded Atlantic Richfield Oil Co. (d. 2007)
1917 – Bill Clements, American soldier, engineer, and politician, 15th United States Deputy Secretary of Defense (d. 2011)
1919 – Roland Gaucher, French journalist and politician (d. 2007)
1919 – Howard Keel, American actor and singer (d. 2004)
1919 – Madalyn Murray O'Hair, American activist, founded American Atheists (d. 1995) | [
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] |
1541_8 | 1920 – Roberto Calvi, Italian banker (d. 1982)
1920 – Claude Cheysson, French lieutenant and politician, French Minister of Foreign Affairs (d. 2012)
1920 – Liam Cosgrave, Irish lawyer and politician, 6th Taoiseach of Ireland (d. 2017)
1920 – Theodore L. Thomas, American chemical engineer, Patent attorney and writer (d. 2005)
1922 – Heinz Baas, German footballer and manager (d. 1994)
1922 – John Braine, English librarian and author (d. 1986)
1922 – Julius Nyerere, Tanzanian politician and teacher, 1st President of Tanzania (d. 1999)
1922 – Valve Pormeister, Estonian architect (d. 2002)
1923 – Don Adams, American actor and director (d. 2005)
1923 – A. H. Halsey, English sociologist and academic (d. 2014)
1924 – John T. Biggers, American painter (d. 2001)
1924 – Jack T. Chick, American author, illustrator, and publisher (d. 2016)
1924 – Stanley Donen, American film director and choreographer (d. 2019)
1926 – Ellie Lambeti, Greek actress (d. 1983)
1926 – John Spencer-Churchill, 11th Duke of Marlborough, English businessman (d. 2014)
1927 – Rosemary Haughton, English philosopher, theologian, and author
1927 – Antonino Rocca, Italian-American wrestler (d. 1977)
1927 – Maurice Ronet, French actor and director (d. 1983)
1928 – Alan Clark, English historian and politician, Minister of State for Trade (d. 1999)
1928 – Gianni Marzotto, Italian racing driver and businessman (d. 2012)
1929 – Marilynn Smith, American golfer (d. 2019)
1931 – Anita Cerquetti, Italian soprano (d. 2014)
1931 – Robert Enrico, French director and screenwriter (d. 2001)
1931 – Dan Gurney, American race car driver and engineer (d. 2018) | [
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] |
1541_9 | 1931 – Jon Stone, American composer, producer, and screenwriter (d. 1997)
1932 – Orlando Letelier, Chilean-American economist and politician, Chilean Minister of National Defense (d. 1976)
1933 – Ben Nighthorse Campbell, American soldier and politician
1934 – John Muckler, Canadian ice hockey player, coach, and manager (d. 2021)
1936 – Pierre Rosenberg, French historian and academic
1937 – Col Joye, Australian singer-songwriter and guitarist
1937 – Edward Fox, English actor
1937 – Lanford Wilson, American playwright, co-founded the Circle Repertory Company (d. 2011)
1938 – Klaus Lehnertz, German pole vaulter
1938 – John Weston, English poet and diplomat
1939 – Seamus Heaney, Irish poet and playwright, Nobel Prize laureate (d. 2013)
1939 – Paul Sorvino, American actor and singer
1940 – Mike Beuttler, Egyptian-English racing driver (d. 1988)
1940 – Lester Chambers, American singer and musician
1940 – J. M. G. Le Clézio, Breton French-Mauritian author and academic, Nobel Prize laureate
1940 – Vladimir Cosma, French composer, conductor and violinist
1940 – Jim McNab, Scottish footballer (d. 2006)
1940 – Max Mosley, English racing driver and engineer, co-founded March Engineering, former president of the FIA (d. 2021)
1940 – Ruby Puryear Hearn, African-American biophysicist
1941 – Michael Stuart Brown, American geneticist and academic, Nobel Prize laureate
1941 – Jean-Marc Reiser, French author and illustrator (d. 1983)
1942 – Bill Conti, American composer and conductor
1943 – Alan Jones, Australian rugby coach and radio host
1943 – Tim Krabbé, Dutch journalist and author
1943 – Philip Norman, English journalist, author, and playwright
1944 – Susan Davis, Russian-American social worker and politician
1945 – Judy Nunn, Australian actress and author | [
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] |
1541_10 | 1945 – Judy Nunn, Australian actress and author
1946 – Al Green, American singer-songwriter, producer, and pastor
1947 – Rae Armantrout, American poet and academic
1947 – Mike Chapman, Australian-English songwriter and producer
1947 – Jean-Jacques Laffont, French economist and academic (d. 2004)
1948 – Nam Hae-il, South Korean admiral
1948 – Drago Jančar, Slovenian author and playwright
1948 – Mikhail Shufutinsky, Soviet and Russian singer, actor, TV presenter
1949 – Len Cook, New Zealand-English mathematician and statistician
1949 – Frank Doran, Scottish lawyer and politician (d. 2017)
1949 – Christopher Hitchens, English-American essayist, literary critic, and journalist (d. 2011)
1950 – Ron Perlman, American actor
1950 – Tommy Raudonikis, Australian rugby league player and coach (d. 2021)
1951 – Leszek Borysiewicz, Welsh immunologist and academic
1951 – Peter Davison, English actor
1952 – Gabrielle Gourdeau, Canadian writer (d. 2006)
1952 – Jonjo O'Neill, Irish jockey and trainer
1955 – Steve Camp, American singer-songwriter and guitarist
1955 – Muwenda Mutebi II, current King of Buganda Kingdom
1960 – Rudi Völler, German footballer and manager
1963 – Garry Kasparov, Russian chess player and author
1964 – Davis Love III, American golfer and sportscaster
1965 – Patricio Pouchulu, Argentinian architect and educator
1967 – Michael Eisen, American biologist and academic
1967 – Olga Tañón, Puerto Rican-American singer-songwriter
1971 – Franck Esposito, French swimmer
1971 – Danie Mellor, Australian painter and sculptor
1972 – Aaron Lewis, American singer-songwriter and guitarist
1977 – Margus Tsahkna, Estonian lawyer and politician
1978 – Carles Puyol, Spanish footballer | [
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] |
1541_11 | 1978 – Carles Puyol, Spanish footballer
1982 – Nellie McKay, British-American singer-songwriter, musician, and actress
1987 – John-Allison Weiss, American singer-songwriter
1988 – Allison Williams, American actress and singer
1989 – Josh Reynolds, Australian rugby league player | [
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] |
1541_12 | Deaths
Pre-1600
548 – Lý Nam Đế, Vietnamese emperor (b. 503)
585 – Hermenegild, Visigothic prince and saint
799 – Paul the Deacon, Italian monk and historian (b. 720)
814 – Krum, khan of the Bulgarian Khanate
862 – Donald I, king of the Picts (b. 812)
989 – Bardas Phokas, Byzantine general
1035 – Herbert I, Count of Maine
1093 – Vsevolod I of Kiev (b. 1030)
1113 – Ida of Lorraine, saint and noblewoman (b. c. 1040)
1138 – Simon I, Duke of Lorraine (b. 1076)
1213 – Guy of Thouars, regent of Brittany
1275 – Eleanor of England (b. 1215)
1367 – John Tiptoft, 2nd Baron Tibetot (b. 1313)
1592 – Bartolomeo Ammannati, Italian architect and sculptor (b. 1511) | [
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] |
1541_13 | 1601–1900
1605 – Boris Godunov, Tsar of Russia (b. 1551)
1612 – Sasaki Kojirō, Japanese samurai (b. 1585)
1635 – Fakhr-al-Din II, Ottoman prince (b. 1572)
1638 – Henri, Duke of Rohan (b. 1579)
1641 – Richard Montagu, English bishop (b. 1577)
1695 – Jean de La Fontaine, French author and poet (b. 1621)
1716 – Arthur Herbert, 1st Earl of Torrington, English admiral and politician (b. 1648)
1722 – Charles Leslie, Irish priest and theologian (b. 1650)
1793 – Pierre Gaspard Chaumette, French botanist, lawyer, and politician (b. 1763)
1794 – Nicolas Chamfort, French playwright and poet (b. 1741)
1826 – Franz Danzi, German cellist, composer, and conductor (b. 1763)
1853 – Leopold Gmelin, German chemist and academic (b. 1788)
1853 – James Iredell, Jr., American lawyer and politician, 23rd Governor of North Carolina (b. 1788)
1855 – Henry De la Beche, English geologist and palaeontologist (b. 1796)
1868 – Tewodros II of Ethiopia (b. 1818)
1880 – Robert Fortune, Scottish botanist and author (b. 1813)
1882 – Bruno Bauer, German historian and philosopher (b. 1809)
1886 – John Humphrey Noyes, American religious leader, founded the Oneida Community (b. 1811)
1890 – Samuel J. Randall, American captain, lawyer, and politician, 33rd Speaker of the United States House of Representatives (b. 1828) | [
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