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The province of Khuzestan is one of the centres of ancient civilization, based around Susa. The first large scale empire based here was that of the powerful 4th millennium BC Elamites.
Archeological ruins verify the entire province of Khuzestan to be home to the Elamite civilization, a non-Semitic, and non-Indo-European-speaking kingdom, and "the earliest civilization of Persia".[3] The name Khuzestan is derived from the Elamite (Ūvja).[4]
In fact, in the words of Elton L. Daniel, the Elamites were "the founders of the first 'Iranian' empire in the geographic sense."[5] Hence the central geopolitical significance of Khuzestan, the seat of Iran's first empire.[citation needed]
In 640 BC, the Elamites were defeated by Ashurbanipal, coming under the rule of the Assyrians who brought destruction upon Susa and Chogha Zanbil. But in 538 BC, Cyrus the Great was able to re-conquer the Elamite lands. The city of Susa was then proclaimed as one of the Achaemenid capitals. Darius the Great then erected a grand palace known as Apadana there in 521 BC. But this astonishing period of glory and splendor of the Achaemenian dynasty came to an end by the conquests of Alexander of Macedon. After Alexander, the Seleucid dynasty came to rule the area.
As the Seleucid dynasty weakened, Mehrdad I the Parthian (171-137 BC), gained ascendency over the region. During the Sassanid dynasty this area thrived tremendously and flourished, and this dynasty was responsible for the many constructions that were erected in Ahvaz, Shushtar, and the north of Andimeshk.
During the early years of the reign of Shapur II (AD 309 or 310-379), Arabs crossed the Persian Gulf from Bahrain to "Ardashir-Khora" of Fars and raided the interior. In retaliation, Shapur II led an expedition through Bahrain, defeated the combined forces of the Arab tribes of "Taghleb", "Bakr bin Wael", and "Abd Al-Qays" and advanced temporarily into Yamama in central Najd. The Sassanids resettled these tribes in Kerman and Ahvaz. Arabs named Shapur II, as "Shabur Dhul-aktāf" after this battle.[6]
The existence of prominent scientific and cultural centers such as Academy of Gundishapur which gathered distinguished medical scientists from Egypt, India, and Rome, shows the importance and prosperity of this region during this era. The Jondi-Shapur Medical School was founded by the order of Shapur I. It was repaired and restored by Shapur II (a.k.a. Zol-Aktaf: "The Possessor of Shoulder Blades") and was completed and expanded during the reign of Anushirvan.
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