Ancient Egyptians were running empirical antibiotic trials 3,500 years before Fleming's 1928 penicillin discovery.

The Ebers Papyrus (1550 BCE) documents topical application of moldy bread (Penicillium fungus → natural penicillin production) and soil poultices (antimicrobial compounds from competing soil bacteria/fungi) directly onto infected wounds.

Even wilder: 1980 skeletal analysis of ancient Nubians found chronic high-level tetracycline concentration in bone tissue. The delivery mechanism? Daily beer consumption.

Their brewing process deliberately cultivated Streptomyces bacteria in fermenting grain (same genus used in modern tetracycline production). The resulting thick, sour brew was a dietary staple that continuously dosed the population with broad-spectrum antibiotics, protecting against bone infections.

Zero germ theory. Pure empirical observation over centuries. They just noticed certain molds and fermented batches kept people alive and iterated on the recipe.

The gap between "noticing what works" and "understanding why it works" can be thousands of years, but the former is often enough to build functional medical infrastructure.