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Ancient Greek medicine was a compilation of theories and practices that were constantly expanding through new ideologies and trials. Many components were considered in
ancient Greek Ancient Greek includes the forms of the Greek language used in ancient Greece and the ancient world from around 1500 BC to 300 BC. It is often roughly divided into the following periods: Mycenaean Greek (), Dark Ages (), the Archaic pe ...
medicine, intertwining the spiritual with the physical. Specifically, the ancient Greeks believed health was affected by the humors, geographic location, social class, diet, trauma, beliefs, and mindset. Early on the ancient Greeks believed that illnesses were "divine punishments" and that healing was a "gift from the Gods". As trials continued wherein theories were tested against symptoms and results, the pure spiritual beliefs regarding "punishments" and "gifts" were replaced with a foundation based in the physical, i.e., cause and effect.
Humorism Humorism, the humoral theory, or humoralism, was a system of medicine detailing a supposed makeup and workings of the human body, adopted by Ancient Greek and Roman physicians and philosophers. Humorism began to fall out of favor in the 1850s ...
(or the four humors) refers to blood, phlegm, yellow bile and black bile. Each of the four humors were linked to an organ, temper, season and element. It was also theorized that sex played a role in medicine because some diseases and treatments were different for females than for males. Moreover, geographic location and social class affected the living conditions of the people and might subject them to different environmental issues such as mosquitoes, rats, and availability of clean drinking water. Diet was thought to be an issue as well and might be affected by a lack of access to adequate nourishment. Trauma, such as that suffered by gladiators, from dog bites or other injuries, played a role in theories relating to understanding anatomy and infections. Additionally, there was significant focus on the beliefs and mindset of the patient in the diagnosis and treatment theories. It was recognized that the mind played a role in healing, or that it might also be the sole basis for the illness. Ancient Greek medicine began to revolve around the theory of humors. The humoral theory states that good health comes from a perfect balance of the four humors: blood, phlegm, yellow bile, and black bile. Consequently, poor health resulted from improper balance of the four humors.
Hippocrates Hippocrates of Kos (; grc-gre, Ἱπποκράτης ὁ Κῷος, Hippokrátēs ho Kôios; ), also known as Hippocrates II, was a Greek physician of the classical period who is considered one of the most outstanding figures in the history ...
, known as the "Father of Modern Medicine", * * *
The father of modern medicine: the first research of the physical factor of tetanus
, European Society of Clinical Microbiology and Infectious Diseases *
established a medical school at
Cos Cos, COS, CoS, coS or Cos. may refer to: Mathematics, science and technology * Carbonyl sulfide * Class of service (CoS or COS), a network header field defined by the IEEE 802.1p task group * Class of service (COS), a parameter in telephone sys ...
and is the most important figure in ancient Greek medicine. Hippocrates and his students documented numerous illnesses in the ''
Hippocratic Corpus The Hippocratic Corpus ( Latin: ''Corpus Hippocraticum''), or Hippocratic Collection, is a collection of around 60 early Ancient Greek medical works strongly associated with the physician Hippocrates and his teachings. The Hippocratic Corpus co ...
'', and developed the
Hippocratic Oath The Hippocratic Oath is an oath of ethics historically taken by physicians. It is one of the most widely known of Greek medical texts. In its original form, it requires a new physician to swear, by a number of healing gods, to uphold specific ...
for physicians, which is still in use today. His students and him also created medical terminology that is part of our vocabulary today. Medical words included acute, chronic, epidemic, exacerbation, relapse, and others. The contributions to ancient Greek medicine of Hippocrates, Socrates and others had a lasting influence on
Islamic medicine In the history of medicine, "Islamic medicine" is the science of medicine developed in the Middle East, and usually written in Arabic, the '' lingua franca'' of Islamic civilization. Islamic medicine adopted, systematized and developed the ...
and medieval European medicine until many of their findings eventually became obsolete in the 14th century. The earliest known Greek medical school opened in
Cnidus Knidos or Cnidus (; grc-gre, Κνίδος, , , Knídos) was a Greek city in ancient Caria and part of the Dorian Hexapolis, in south-western Asia Minor, modern-day Turkey. It was situated on the Datça peninsula, which forms the southern side ...
in 700 BC. Alcmaeon, author of the first anatomical compilation, worked at this school, and it was here that the practice of observing patients was established. Despite their known respect for
ancient Egyptian medicine The medicine of the ancient Egyptians is some of the oldest documented. From the beginnings of the civilization in the late fourth millennium BC until the Persian invasion of 525 BC, Egyptian medical practice went largely unchanged and includ ...
, attempts to discern any particular influence on Greek practice at this early time have not been dramatically successful because of the lack of sources and the challenge of understanding ancient
medical terminology Medical terminology is a language used to precisely describe the human body including all its components, processes, conditions affecting it, and procedures performed upon it. Medical terminology is used in the field of medicine Medical terminolog ...
. It is clear, however, that the Greeks imported Egyptian substances into their
pharmacopoeia A pharmacopoeia, pharmacopeia, or pharmacopoea (from the obsolete typography ''pharmacopœia'', meaning "drug-making"), in its modern technical sense, is a book containing directions for the identification of compound medicines, and published by ...
, and the influence became more pronounced after the establishment of a school of Greek medicine in
Alexandria Alexandria ( or ; ar, ٱلْإِسْكَنْدَرِيَّةُ ; grc-gre, Αλεξάνδρεια, Alexándria) is the second largest city in Egypt, and the largest city on the Mediterranean coast. Founded in by Alexander the Great, Alexandri ...
.


Asclepieia

Asclepius Asclepius (; grc-gre, Ἀσκληπιός ''Asklēpiós'' ; la, Aesculapius) is a hero and god of medicine in ancient Greek religion and mythology. He is the son of Apollo and Coronis, or Arsinoe, or of Apollo alone. Asclepius repres ...
was espoused as the first physician, and myth placed him as the son of
Apollo Apollo, grc, Ἀπόλλωνος, Apóllōnos, label=genitive , ; , grc-dor, Ἀπέλλων, Apéllōn, ; grc, Ἀπείλων, Apeílōn, label=Arcadocypriot Greek, ; grc-aeo, Ἄπλουν, Áploun, la, Apollō, la, Apollinis, label= ...
. Temples dedicated to the healer-god Asclepius, known as '' Asclepieia'' ( el, Ἀσκληπιεῖα; sing. Ἀσκληπιεῖον ''Asclepieion''), functioned as centers of medical advice, prognosis, and healing.Risse, G. B. ''Mending bodies, saving souls: a history of hospitals.'' Oxford University Press, 1990. p. 5

/ref> At these shrines, patients would enter a dream-like state of induced sleep known as "enkoimesis" ( el, ἐγκοίμησις) not unlike anesthesia, in which they either received guidance from the deity Sleep temple, in a dream or were cured by surgery.Askitopoulou, H., Konsolaki, E., Ramoutsaki, I., Anastassaki, E. ''Surgical cures by sleep induction as the Asclepieion of Epidaurus.'' The mistory of anesthesia: proceedings of the Fifth International Symposium, by José Carlos Diz, Avelino Franco, Douglas R. Bacon, J. Rupreht, Julián Alvarez. Elsevier Science B.V., International Congress Series 1242(2002), p.11-17

/ref> Asclepeia provided carefully controlled spaces conducive to healing and fulfilled several of the requirements of institutions created for healing. The Pergamum#Sanctuary of Asclepius, Temple of Asclepius in
Pergamum Pergamon or Pergamum ( or ; grc-gre, Πέργαμον), also referred to by its modern Greek form Pergamos (), was a rich and powerful ancient Greek city in Mysia. It is located from the modern coastline of the Aegean Sea on a promontory on th ...
had a spring that flowed down into an underground room in the Temple. People would come to drink the waters and to bathe in them because they were believed to have medicinal properties. Mud baths and hot teas such as
chamomile Chamomile (American English) or camomile (British English; see spelling differences) ( or ) is the common name for several plants of the family Asteraceae. Two of the species, '' Matricaria recutita'' and '' Anthemis nobilis'', are commonly ...
were used to calm them or peppermint tea to soothe their headaches, which is still a home remedy used by many today. The patients were encouraged to sleep in the facilities too. Their dreams were interpreted by the doctors and their symptoms were then reviewed. Dogs would occasionally be brought in to lick open wounds for assistance in their healing. In the Asclepieion of
Epidaurus Epidaurus ( gr, Ἐπίδαυρος) was a small city (''polis'') in ancient Greece, on the Argolid Peninsula at the Saronic Gulf. Two modern towns bear the name Epidavros: '' Palaia Epidavros'' and '' Nea Epidavros''. Since 2010 they belong to ...
, three large marble boards dated to 350 BC preserve the names, case histories, complaints, and cures of about 70 patients who came to the temple with a problem and shed it there. Some of the surgical cures listed, such as the opening of an abdominal abscess or the removal of traumatic foreign material, are realistic enough to have taken place, but with the patient in a state of enkoimesis induced with the help of soporific substances such as opium. The
Rod of Asclepius In Greek mythology, the Rod of Asclepius (⚕; grc, Ράβδος του Ασκληπιού, , sometimes also spelled Asklepios), also known as the Staff of Aesculapius and as the asklepian, is a serpent-entwined rod wielded by the Greek god A ...
is a universal symbol for medicine to this day. However, it is frequently confused with
Caduceus The caduceus (☤; ; la, cādūceus, from grc-gre, κηρύκειον "herald's wand, or staff") is the staff carried by Hermes in Greek mythology and consequently by Hermes Trismegistus in Greco-Egyptian mythology. The same staff was also ...
, which was a staff wielded by the god Hermes. The Rod of Asclepius embodies one snake with no wings whereas Caduceus is represented by two snakes and a pair of wings depicting the swiftness of Hermes.


Ancient Greek physicians

Ancient Greek physicians did not regard disease as being of supernatural origin, i.e., brought about from the dissatisfaction of the gods or from demonic possession. 'The Greeks developed a system of medicine based on an empirico-rational approach, such that they relied ever more on naturalistic observation, enhanced by practical trial and error experience, abandoning magical and religious justifications of human bodily dysfunction.' However, in some instances, the fault of the ailment was still placed on the patient and the role of the physician was to conciliate with the gods or exorcise the demon with prayers, spells, and sacrifices.


The Hippocratic Corpus and Humorism

The ''
Hippocratic Corpus The Hippocratic Corpus ( Latin: ''Corpus Hippocraticum''), or Hippocratic Collection, is a collection of around 60 early Ancient Greek medical works strongly associated with the physician Hippocrates and his teachings. The Hippocratic Corpus co ...
'' opposes ancient beliefs, offering biologically based approaches to disease instead of magical intervention. The ''Hippocratic Corpus'' is a collection of about seventy early medical works from ancient Greece that are associated with Hippocrates and his students. Although once thought to have been written by Hippocrates himself, many scholars today believe that these texts were written by a series of authors over several decades. The Corpus contains the treatise, the Sacred Disease, which argues that if all diseases were derived from supernatural sources, biological medicines would not work. The establishment of the
humoral theory Humorism, the humoral theory, or humoralism, was a system of medicine detailing a supposed makeup and workings of the human body, adopted by Ancient Greek and Roman physicians and philosophers. Humorism began to fall out of favor in the 1850s ...
of medicine focused on the balance between blood, yellow and black bile, and phlegm in the human body. Being too hot, cold, dry or wet disturbed the balance between the humors, resulting in disease and illness. Gods and demons were not believed to punish the patient, but attributed to bad air (
miasma theory The miasma theory (also called the miasmatic theory) is an obsolete medical theory that held that diseases—such as cholera, chlamydia, or the Black Death—were caused by a ''miasma'' (, Ancient Greek for 'pollution'), a noxious form of "bad ...
). Physicians who practiced humoral medicine focused on reestablishing balance between the humors. The shift from supernatural disease to biological disease did not completely abolish Greek religion, but offered a new method of how physicians interacted with patients. Ancient Greek physicians who followed humorism emphasized the importance of environment. Physicians believed patients would be subjected to various diseases based on the environment they resided. The local water supply and the direction the wind blew influenced the health of the local populace. Patients played an important role in their treatment. Stated in the treatise "''Aphorisms''", " is not enough for the physician to do what is necessary, but the patient and the attendant must do their part as well". Patient compliance was rooted in their respect for the physician. According to the treatise "''Prognostic''", a physician was able to increase their reputation and respect through "prognosis", knowing the outcome of the disease. Physicians had an active role in the lives of patients, taking into consideration their residence. Distinguishing between fatal diseases and recoverable disease was important for patient trust and respect, positively influencing patient compliance. With the growth of patient compliance in Greek medicine, consent became an important factor between the doctor and patient relationship. Presented with all the information concerning the patient's health, the patient makes the decision to accept treatment. Physician and patient responsibility is mentioned in the treatise "''Epidemics''", where it states, "there are three factors in the practice of medicine: the disease, the patient and the physician. The physician is the servant of science, and the patient must do what he can to fight the disease with the assistance of the physician".


Aristotle's influence on Greek perception

Ancient Greek philosopher
Aristotle Aristotle (; grc-gre, Ἀριστοτέλης ''Aristotélēs'', ; 384–322 BC) was a Greek philosopher and polymath during the Classical period in Ancient Greece. Taught by Plato, he was the founder of the Peripatetic school of ...
was the most influential scholar of the living world from antiquity. Aristotle's biological writings demonstrate great concern for
empiricism In philosophy, empiricism is an epistemological theory that holds that knowledge or justification comes only or primarily from sensory experience. It is one of several views within epistemology, along with rationalism and skepticism. Empir ...
, biological causation, and the diversity of life. Aristotle did not experiment, however, holding that items display their real natures in their own environments, rather than controlled artificial ones. While in modern-day physics and chemistry this assumption has been found unhelpful, in zoology and ethology it remains the dominant practice, and Aristotle's work "retains real interest". He made countless observations of nature, especially the habits and
attributes Attribute may refer to: * Attribute (philosophy), an extrinsic property of an object * Attribute (research), a characteristic of an object * Grammatical modifier, in natural languages * Attribute (computing), a specification that defines a proper ...
of plants and animals in the world around him, which he devoted considerable attention to
categorizing Categorization is the ability and activity of recognizing shared features or similarities between the elements of the experience of the world (such as objects, events, or ideas), organizing and classifying experience by associating them to a ...
. In all, Aristotle classified 540 animal species, and dissected at least 50. Aristotle believed that
formal cause The four causes or four explanations are, in Aristotelian thought, four fundamental types of answer to the question "why?", in analysis of change or movement in nature: the material, the formal, the efficient, and the final. Aristotle wrote th ...
s guided all natural processes. Such a
teleological Teleology (from and )Partridge, Eric. 1977''Origins: A Short Etymological Dictionary of Modern English'' London: Routledge, p. 4187. or finalityDubray, Charles. 2020 912Teleology" In ''The Catholic Encyclopedia'' 14. New York: Robert Appleton ...
view gave Aristotle cause to justify his observed data as an expression of formal design; for example suggesting that Nature, giving no animal both horns and tusks, was staving off vanity, and generally giving creatures faculties only to such a degree as they are necessary. In a similar fashion, Aristotle believed that creatures were arranged in a graded scale of perfection rising from plants on up to man—the ''scala naturae'' or
Great Chain of Being The great chain of being is a hierarchical structure of all matter and life, thought by medieval Christianity to have been decreed by God. The chain begins with God and descends through angels, humans, animals and plants to minerals. The grea ...
. He held that the level of a creature's perfection was reflected in its form, but not foreordained by that form. Yet another aspect of his biology divided souls into three groups: a vegetative soul, responsible for reproduction and growth; a sensitive soul, responsible for mobility and sensation; and a rational soul, capable of thought and reflection. He attributed only the first to plants, the first two to animals, and all three to humans. Aristotle, in contrast to earlier philosophers, and like the Egyptians, placed the rational soul in the heart, rather than the brain. Notable is Aristotle's division of sensation and thought, which generally went against previous philosophers, with the exception of Alcmaeon. Aristotle's successor at the
Lyceum The lyceum is a category of educational institution defined within the education system of many countries, mainly in Europe. The definition varies among countries; usually it is a type of secondary school. Generally in that type of school the ...
,
Theophrastus Theophrastus (; grc-gre, Θεόφραστος ; c. 371c. 287 BC), a Greek philosopher and the successor to Aristotle in the Peripatetic school. He was a native of Eresos in Lesbos.Gavin Hardy and Laurence Totelin, ''Ancient Botany'', Routledg ...
, wrote a series of books on botany—the '' History of Plants''—which survived as the most important contribution of antiquity to botany, even into the
Middle Ages In the history of Europe, the Middle Ages or medieval period lasted approximately from the late 5th to the late 15th centuries, similar to the post-classical period of global history. It began with the fall of the Western Roman Empire ...
. Many of Theophrastus' names survive into modern times, such as ''carpos'' for fruit, and ''pericarpium'' for seed vessel. Rather than focus on formal causes, as Aristotle did, Theophrastus suggested a mechanistic scheme, drawing analogies between natural and artificial processes, and relying on Aristotle's concept of the
efficient cause The four causes or four explanations are, in Aristotelian thought, four fundamental types of answer to the question "why?", in analysis of change or movement in nature: the material, the formal, the efficient, and the final. Aristotle wrote t ...
. Theophrastus also recognized the role of sex in the reproduction of some higher plants, though this last discovery was lost in later ages. The biological/teleological ideas of Aristotle and Theophrastus, as well as their emphasis on a series of axioms rather than on empirical observation, cannot be easily separated from their consequent impact on Western medicine.


Herophilus, Erasistratus and ancient Greek anatomy

Nomenclature, methods and applications for the study of anatomy all date back to the Greeks. After Theophrastus (d. 286 BC), the extent of original work produced was diminished. Though interest in Aristotle's ideas survived, they were generally taken unquestioningly. It is not until the age of
Alexandria Alexandria ( or ; ar, ٱلْإِسْكَنْدَرِيَّةُ ; grc-gre, Αλεξάνδρεια, Alexándria) is the second largest city in Egypt, and the largest city on the Mediterranean coast. Founded in by Alexander the Great, Alexandri ...
under the
Ptolemies The Ptolemaic dynasty (; grc, Πτολεμαῖοι, ''Ptolemaioi''), sometimes referred to as the Lagid dynasty (Λαγίδαι, ''Lagidae;'' after Ptolemy I's father, Lagus), was a Macedonian Greek royal dynasty which ruled the Ptolemaic ...
that advances in biology can be again found. The first medical teacher at Alexandria was Herophilus of Chalcedon (''the father of anatomy''), who differed from Aristotle, placing intelligence in the brain, and connected the nervous system to motion and sensation. Herophilus also distinguished between
vein Veins are blood vessels in humans and most other animals that carry blood towards the heart. Most veins carry deoxygenated blood from the tissues back to the heart; exceptions are the pulmonary and umbilical veins, both of which carry oxygenated ...
s and
arteries An artery (plural arteries) () is a blood vessel in humans and most animals that takes blood away from the heart to one or more parts of the body (tissues, lungs, brain etc.). Most arteries carry oxygenated blood; the two exceptions are the pu ...
, noting that the latter had a
pulse In medicine, a pulse represents the tactile arterial palpation of the cardiac cycle (heartbeat) by trained fingertips. The pulse may be palpated in any place that allows an artery to be compressed near the surface of the body, such as at the nec ...
while the former do not. He did this using an experiment involving cutting certain veins and arteries in a pig's neck until the squealing stopped. In the same vein, he developed a
diagnostic Diagnosis is the identification of the nature and cause of a certain phenomenon. Diagnosis is used in many different disciplines, with variations in the use of logic, analytics, and experience, to determine "cause and effect". In systems engineer ...
technique which relied upon distinguishing different types of pulse. He, and his contemporary, Erasistratus of Chios, researched the role of veins and
nerve A nerve is an enclosed, cable-like bundle of nerve fibers (called axons) in the peripheral nervous system. A nerve transmits electrical impulses. It is the basic unit of the peripheral nervous system. A nerve provides a common pathway for the ...
s, mapping their courses across the body. Erasistratus connected the increased complexity of the surface of the human brain compared to other animals to its superior
intelligence Intelligence has been defined in many ways: the capacity for abstraction, logic, understanding, self-awareness, learning, emotional knowledge, reasoning, planning, creativity, critical thinking, and problem-solving. More generally, it can be ...
. He sometimes employed
experiment An experiment is a procedure carried out to support or refute a hypothesis, or determine the efficacy or likelihood of something previously untried. Experiments provide insight into cause-and-effect by demonstrating what outcome occurs whe ...
s to further his research, at one time repeatedly weighing a caged bird and noting its weight loss between feeding times. Following his teacher's researches into
pneumatics Pneumatics (from Greek ‘wind, breath’) is a branch of engineering that makes use of gas or pressurized air. Pneumatic systems used in industry are commonly powered by compressed air or compressed inert gases. A centrally located and e ...
, he claimed that the human system of
blood vessel The blood vessels are the components of the circulatory system that transport blood throughout the human body. These vessels transport blood cells, nutrients, and oxygen to the tissues of the body. They also take waste and carbon dioxide awa ...
s was controlled by
vacuum A vacuum is a space devoid of matter. The word is derived from the Latin adjective ''vacuus'' for "vacant" or " void". An approximation to such vacuum is a region with a gaseous pressure much less than atmospheric pressure. Physicists often di ...
s, drawing blood across the body. In Erasistratus' physiology, air enters the body, is then drawn by the lungs into the heart, where it is transformed into vital spirit, and is then pumped by the arteries throughout the body. Some of this vital spirit reaches the
brain A brain is an organ that serves as the center of the nervous system in all vertebrate and most invertebrate animals. It is located in the head, usually close to the sensory organs for senses such as vision. It is the most complex organ in ...
, where it is transformed into animal spirit, which is then distributed by the nerves. Herophilus and Erasistratus performed their experiments upon criminals given to them by their Ptolemaic kings. They dissected these criminals alive, and "while they were still breathing they observed parts which nature had formerly concealed, and examined their position, colour, shape, size, arrangement, hardness, softness, smoothness, connection." Though a few ancient
atomists Atomism (from Greek , ''atomon'', i.e. "uncuttable, indivisible") is a natural philosophy proposing that the physical universe is composed of fundamental indivisible components known as atoms. References to the concept of atomism and its atoms a ...
such as
Lucretius Titus Lucretius Carus ( , ;  – ) was a Ancient Rome, Roman Roman literature, poet and Ancient Roman philosophy, philosopher. His only known work is the philosophical poem ''De rerum natura'', a didactic work about the tenets and philosoph ...
challenged the teleological viewpoint of Aristotelian ideas about life, teleology (and after the rise of Christianity,
natural theology Natural theology, once also termed physico-theology, is a type of theology that seeks to provide arguments for theological topics (such as the existence of a deity) based on reason and the discoveries of science. This distinguishes it from ...
) would remain central to biological thought essentially until the 18th and 19th centuries. In the words of
Ernst Mayr Ernst Walter Mayr (; 5 July 1904 – 3 February 2005) was one of the 20th century's leading evolutionary biologists. He was also a renowned taxonomist, tropical explorer, ornithologist, philosopher of biology, and historian of science. His ...
, "Nothing of any real consequence in biology after Lucretius and Galen until the Renaissance." Aristotle's ideas of natural history and medicine survived, but they were generally taken unquestioningly.


Galen

Aelius Galenus was a prominent
Greek Greek may refer to: Greece Anything of, from, or related to Greece, a country in Southern Europe: *Greeks, an ethnic group. *Greek language, a branch of the Indo-European language family. **Proto-Greek language, the assumed last common ancestor ...
physician A physician (American English), medical practitioner ( Commonwealth English), medical doctor, or simply doctor, is a health professional who practices medicine, which is concerned with promoting, maintaining or restoring health through t ...
,
surgeon In modern medicine, a surgeon is a medical professional who performs surgery. Although there are different traditions in different times and places, a modern surgeon usually is also a licensed physician or received the same medical training a ...
and
philosopher A philosopher is a person who practices or investigates philosophy. The term ''philosopher'' comes from the grc, φιλόσοφος, , translit=philosophos, meaning 'lover of wisdom'. The coining of the term has been attributed to the Greek th ...
in the
Roman Empire The Roman Empire ( la, Imperium Romanum ; grc-gre, Βασιλεία τῶν Ῥωμαίων, Basileía tôn Rhōmaíōn) was the post- Republican period of ancient Rome. As a polity, it included large territorial holdings around the Medit ...
. Arguably the most accomplished of all
medical research Medical research (or biomedical research), also known as experimental medicine, encompasses a wide array of research, extending from "basic research" (also called ''bench science'' or ''bench research''), – involving fundamental scientif ...
ers of antiquity, Galen influenced the development of various
scientific Science is a systematic endeavor that builds and organizes knowledge in the form of testable explanations and predictions about the universe. Science may be as old as the human species, and some of the earliest archeological evidence f ...
disciplines, including
anatomy Anatomy () is the branch of biology concerned with the study of the structure of organisms and their parts. Anatomy is a branch of natural science that deals with the structural organization of living things. It is an old science, having its ...
,
physiology Physiology (; ) is the scientific study of functions and mechanisms in a living system. As a sub-discipline of biology, physiology focuses on how organisms, organ systems, individual organs, cells, and biomolecules carry out the chemica ...
,
pathology Pathology is the study of the causes and effects of disease or injury. The word ''pathology'' also refers to the study of disease in general, incorporating a wide range of biology research fields and medical practices. However, when used i ...
,Arthur John Brock (translator), ''Introduction. Galen. On the Natural Faculties''. Edinburgh 1916
pharmacology Pharmacology is a branch of medicine, biology and pharmaceutical sciences concerned with drug or medication action, where a drug may be defined as any artificial, natural, or endogenous (from within the body) molecule which exerts a biochemica ...
, and
neurology Neurology (from el, νεῦρον (neûron), "string, nerve" and the suffix -logia, "study of") is the branch of medicine dealing with the diagnosis and treatment of all categories of conditions and disease involving the brain, the spinal ...
, as well as philosophyGalen on the brain
/ref> and
logic Logic is the study of correct reasoning. It includes both formal and informal logic. Formal logic is the science of deductively valid inferences or of logical truths. It is a formal science investigating how conclusions follow from premi ...
. The son of Aelius Nicon, a wealthy
architect An architect is a person who plans, designs and oversees the construction of buildings. To practice architecture means to provide services in connection with the design of buildings and the space within the site surrounding the buildings that h ...
with scholarly interests, Galen received a comprehensive education that prepared him for a successful career as a physician and philosopher. Born in
Pergamon Pergamon or Pergamum ( or ; grc-gre, Πέργαμον), also referred to by its modern Greek form Pergamos (), was a rich and powerful ancient Greek city in Mysia. It is located from the modern coastline of the Aegean Sea on a promontory on t ...
(present-day Bergama,
Turkey Turkey ( tr, Türkiye ), officially the Republic of Türkiye ( tr, Türkiye Cumhuriyeti, links=no ), is a transcontinental country located mainly on the Anatolian Peninsula in Western Asia, with a small portion on the Balkan Peninsula in ...
), Galen traveled extensively, exposing himself to a wide variety of medical theories and discoveries before settling in
Rome , established_title = Founded , established_date = 753 BC , founder = King Romulus ( legendary) , image_map = Map of comune of Rome (metropolitan city of Capital Rome, region Lazio, Italy).svg , map_caption ...
, where he served prominent members of Roman society and eventually was given the position of personal physician to several
emperors An emperor (from la, imperator, via fro, empereor) is a monarch, and usually the sovereign ruler of an empire or another type of imperial realm. Empress, the female equivalent, may indicate an emperor's wife ( empress consort), mother (em ...
. Galen's understanding of anatomy and
medicine Medicine is the science and practice of caring for a patient, managing the diagnosis, prognosis, prevention, treatment, palliation of their injury or disease, and promoting their health. Medicine encompasses a variety of health care p ...
was principally influenced by the then-current theory of
humorism Humorism, the humoral theory, or humoralism, was a system of medicine detailing a supposed makeup and workings of the human body, adopted by Ancient Greek and Roman physicians and philosophers. Humorism began to fall out of favor in the 1850s ...
, as advanced by ancient Greek physicians such as Hippocrates. His theories dominated and influenced Western medical science for more than 1,300 years. His anatomical reports, based mainly on
dissection Dissection (from Latin ' "to cut to pieces"; also called anatomization) is the dismembering of the body of a deceased animal or plant to study its anatomical structure. Autopsy is used in pathology and forensic medicine to determine the cause ...
of
monkeys Monkey is a common name that may refer to most mammals of the infraorder Simiiformes, also known as the simians. Traditionally, all animals in the group now known as simians are counted as monkeys except the apes, which constitutes an incomple ...
, especially the
Barbary macaque The Barbary macaque (''Macaca sylvanus''), also known as Barbary ape, is a macaque species native to the Atlas Mountains of Algeria, Libya, Tunisia and Morocco, along with a small introduced population in Gibraltar. It is the type species of the ...
, and
pig The pig (''Sus domesticus''), often called swine, hog, or domestic pig when distinguishing from other members of the genus '' Sus'', is an omnivorous, domesticated, even-toed, hoofed mammal. It is variously considered a subspecies of ''Sus ...
s, remained uncontested until 1543, when printed descriptions and illustrations of human dissections were published in the seminal work ''
De humani corporis fabrica ''De Humani Corporis Fabrica Libri Septem'' (Latin, lit. "On the fabric of the human body in seven books") is a set of books on human anatomy written by Andreas Vesalius (1514–1564) and published in 1543. It was a major advance in the histor ...
'' by
Andreas Vesalius Andreas Vesalius (Latinized from Andries van Wezel) () was a 16th-century anatomist, physician, and author of one of the most influential books on human anatomy, ''De Humani Corporis Fabrica Libri Septem'' (''On the fabric of the human body'' ...
where Galen's physiological theory was accommodated to these new observations. Galen's theory of the
physiology Physiology (; ) is the scientific study of functions and mechanisms in a living system. As a sub-discipline of biology, physiology focuses on how organisms, organ systems, individual organs, cells, and biomolecules carry out the chemica ...
of the
circulatory system The blood circulatory system is a system of organs that includes the heart, blood vessels, and blood which is circulated throughout the entire body of a human or other vertebrate. It includes the cardiovascular system, or vascular system, tha ...
endured until 1628, when
William Harvey William Harvey (1 April 1578 – 3 June 1657) was an English physician who made influential contributions in anatomy and physiology. He was the first known physician to describe completely, and in detail, the systemic circulation and proper ...
published his
treatise A treatise is a formal and systematic written discourse on some subject, generally longer and treating it in greater depth than an essay, and more concerned with investigating or exposing the principles of the subject and its conclusions." Tre ...
entitled '' De motu cordis'', in which he established that blood circulates, with the
heart The heart is a muscular organ in most animals. This organ pumps blood through the blood vessels of the circulatory system. The pumped blood carries oxygen and nutrients to the body, while carrying metabolic waste such as carbon dioxid ...
acting as a pump.Furley, D, and J. Wilkie, 1984, ''Galen On Respiration and the Arteries'', Princeton University Press, and Bylebyl, J (ed), 1979, ''William Harvey and His Age'', Baltimore: Johns Hopkins University Press
Medical students A medical school is a tertiary educational institution, or part of such an institution, that teaches medicine, and awards a professional degree for physicians. Such medical degrees include the Bachelor of Medicine, Bachelor of Surgery (MBBS, M ...
continued to study Galen's writings until well into the 19th century. Galen conducted many nerve ligation experiments that supported the theory, which is still accepted today, that the
brain A brain is an organ that serves as the center of the nervous system in all vertebrate and most invertebrate animals. It is located in the head, usually close to the sensory organs for senses such as vision. It is the most complex organ in ...
controls all the motions of the
muscle Skeletal muscles (commonly referred to as muscles) are organs of the vertebrate muscular system and typically are attached by tendons to bones of a skeleton. The muscle cells of skeletal muscles are much longer than in the other types of m ...
s by means of the cranial and
peripheral nervous system The peripheral nervous system (PNS) is one of two components that make up the nervous system of bilateral animals, with the other part being the central nervous system (CNS). The PNS consists of nerves and ganglia, which lie outside the brai ...
s. Galen saw himself as both a physician and a philosopher, as he wrote in his treatise entitled ''That the Best Physician is also a Philosopher''. Galen was very interested in the debate between the rationalist and empiricist medical sects, and his use of direct observation, dissection and
vivisection Vivisection () is surgery conducted for experimental purposes on a living organism, typically animals with a central nervous system, to view living internal structure. The word is, more broadly, used as a pejorative catch-all term for Animal testi ...
represents a complex middle ground between the extremes of those two viewpoints.


Dioscorides

The first century AD Greek physician,
pharmacologist Pharmacology is a branch of medicine, biology and pharmaceutical sciences concerned with drug or medication action, where a drug may be defined as any artificial, natural, or endogenous (from within the body) molecule which exerts a biochemica ...
, botanist, and Roman army surgeon
Pedanius Dioscorides Pedanius Dioscorides ( grc-gre, Πεδάνιος Διοσκουρίδης, ; 40–90 AD), “the father of pharmacognosy”, was a Greek physician, pharmacologist, botanist, and author of ''De materia medica'' (, On Medical Material) —a 5-vol ...
authored an encyclopedia of medicinal substances commonly known as ''
De Materia Medica ( Latin name for the Greek work , , both meaning "On Medical Material") is a pharmacopoeia of medicinal plants and the medicines that can be obtained from them. The five-volume work was written between 50 and 70 CE by Pedanius Dioscorides ...
.'' This work did not delve into medical theory or explanation of pathogenesis, but described the uses and actions of some 600 substances, based on empirical observation. Unlike other works of Classical antiquity, Dioscorides' manuscript was never out of publication; it formed the basis for the Western pharmacopeia through the 19th century, a true testament to the efficacy of the medicines described; moreover, the influence of work on European
herbal medicine Herbal medicine (also herbalism) is the study of pharmacognosy and the use of medicinal plants, which are a basis of traditional medicine. With worldwide research into pharmacology, some herbal medicines have been translated into modern remedi ...
eclipsed that of the ''Hippocratic Corpes''.


Herodicus

Herodicus ( el, Ἡρóδιĸος) was a
Greek Greek may refer to: Greece Anything of, from, or related to Greece, a country in Southern Europe: *Greeks, an ethnic group. *Greek language, a branch of the Indo-European language family. **Proto-Greek language, the assumed last common ancestor ...
physician of the 5th century BC, who is considered to be the ''father of sports medicine''. The first use of therapeutic
exercise Exercise is a body activity that enhances or maintains physical fitness and overall health and wellness. It is performed for various reasons, to aid growth and improve strength, develop muscles and the cardiovascular system, hone athletic s ...
for the treatment of
disease A disease is a particular abnormal condition that negatively affects the structure or function (biology), function of all or part of an organism, and that is not immediately due to any external injury. Diseases are often known to be medica ...
and maintenance of health is credited to him, and he is believed to have been one of the tutors of
Hippocrates Hippocrates of Kos (; grc-gre, Ἱπποκράτης ὁ Κῷος, Hippokrátēs ho Kôios; ), also known as Hippocrates II, was a Greek physician of the classical period who is considered one of the most outstanding figures in the history ...
. He also recommended good diet and
massage Massage is the manipulation of the body's soft tissues. Massage techniques are commonly applied with hands, fingers, elbows, knees, forearms, feet or a device. The purpose of massage is generally for the treatment of body stress or pain. In Eu ...
using beneficial herbs and oils, and his theories are considered the foundation of
sports medicine Sports medicine is a branch of medicine that deals with physical fitness and the treatment and prevention of injuries related to sports and exercise. Although most sports teams have employed team physicians for many years, it is only since th ...
. He was specific in the manner that a massage should be given. He recommended that rubbing be initially slow and gentle, then subsequently faster, with the application of more pressure, which was to be followed by more gentle friction.


Historical legacy

Through long contact with Greek culture, and their eventual conquest of Greece, the Romans adopted a favorable view of Hippocratic medicine. Heinrich von Staden, "Liminal Perils: Early Roman Receptions of Greek Medicine", in ''Tradition, Transmission, Transformation'', ed. F. Jamil Ragep and Sally P. Ragep with Steven Livesey (Leiden: Brill, 1996), pp. 369-418. This acceptance led to the spread of Greek medical theories throughout the Roman Empire, and thus a large portion of the West. The most influential Roman scholar to continue and expand on the Hippocratic tradition was
Galen Aelius Galenus or Claudius Galenus ( el, Κλαύδιος Γαληνός; September 129 – c. AD 216), often Anglicized as Galen () or Galen of Pergamon, was a Greek physician, surgeon and philosopher in the Roman Empire. Considered to be one o ...
(d. c. 207). Study of Hippocratic and Galenic texts, however, all but disappeared in the Latin West in the
Early Middle Ages The Early Middle Ages (or early medieval period), sometimes controversially referred to as the Dark Ages, is typically regarded by historians as lasting from the late 5th or early 6th century to the 10th century. They marked the start of the M ...
, following the collapse of the Western Empire, although the Hippocratic-Galenic tradition of Greek medicine continued to be studied and practiced in the Eastern Roman Empire (Byzantium). After AD 750, Arab, Persian and
Andalusi The Arabic '' nisbah'' (attributive title) Al-Andalusi denotes an origin from Al-Andalus. Al-Andalusi may refer to: * Abu Hayyan al-Gharnati * Ibn Hazm * Ibn Juzayy * Ibn 'Atiyya * Said Al-Andalusi Ṣāʿid al-Andalusī (); he was Abū al-Qāsim ...
scholars translated Galen's and Dioscorides' works in particular. Thereafter the Hippocratic-Galenic medical tradition was assimilated and eventually expanded, with the most influential Muslim doctor-scholar being
Avicenna Ibn Sina ( fa, ابن سینا; 980 – June 1037 CE), commonly known in the West as Avicenna (), was a Persian polymath who is regarded as one of the most significant physicians, astronomers, philosophers, and writers of the Islamic ...
. Beginning in the late eleventh century, the Hippocratic-Galenic tradition returned to the Latin West with a series of translations of the Classical texts, mainly from Arabic translations but occasionally from the original Greek. In the Renaissance, more translations of Galen and Hippocrates directly from the Greek were made from newly available Byzantine manuscripts. Galen's influence was so great that even after Western Europeans started making dissections in the thirteenth century, scholars often assimilated findings into the Galenic model that otherwise might have thrown Galen's accuracy into doubt. Over time, however, Classical medical theory came to be superseded by increasing emphasis on scientific experimental methods in the 16th and 17th centuries. Nevertheless, the Hippocratic-Galenic practice of bloodletting was practiced into the 19th century, despite its empirical ineffectiveness and riskiness.


See also

* Medical community of ancient Rome *
Medicine in ancient Rome Medicine in ancient Rome was highly influenced by ancient Greek medicine, but also developed new practices through knowledge of the Hippocratic Corpus combined with use of the treatment of diet, regimen, along with surgical procedures. This was ...
* ''
On Ancient Medicine The treatise ''On Ancient Medicine'' ( el, Περὶ Ἀρχαίας Ἰατρικῆς; Latin: De vetere medicina) is perhaps the most intriguing and compelling work of the Hippocratic Corpus. The Corpus itself is a collection of about sixty wri ...
'' (Hippocratic Corpus) *
Ibn Sina Academy of Medieval Medicine and Sciences Ibn Sina Academy of Medieval Medicine and Sciences (IAMMS) ( ur, ) is a trust registered under the Indian Trusts Act, 1882. Mohammad Hamid Ansari, former vice-chancellor of Aligarh Muslim University, Aligarh, formally inaugurated it on 21 April ...
*
History of medicine The history of medicine is both a study of medicine throughout history as well as a multidisciplinary field of study that seeks to explore and understand medical practices, both past and present, throughout human societies. More than just hist ...


References


Bibliography

* Connor, J. T. H
An English Language Bibliography of Classical Greek Medicine


Further reading

* Annas, Julia. ''Classical Greek Philosophy''. In Boardman, John; Griffin, Jasper; Murray, Oswyn (ed.) ''The Oxford History of the Classical World''.
Oxford University Press Oxford University Press (OUP) is the university press of the University of Oxford. It is the largest university press in the world, and its printing history dates back to the 1480s. Having been officially granted the legal right to print books ...
: New York, 1986. * Barnes, Jonathan. ''Hellenistic Philosophy and Science''. In Boardman, John; Griffin, Jasper; Murray, Oswyn (ed.) ''The Oxford History of the Classical World''.
Oxford University Press Oxford University Press (OUP) is the university press of the University of Oxford. It is the largest university press in the world, and its printing history dates back to the 1480s. Having been officially granted the legal right to print books ...
: New York, 1986. * Cohn-Haft, Louis. ''The Public Physicians of Ancient Greece'', Northampton, Massachusetts, 1956. * Guido, Majno. ''The Healing Hand: Man and Wound in the Ancient World'',
Harvard University Press Harvard University Press (HUP) is a publishing house established on January 13, 1913, as a division of Harvard University, and focused on academic publishing. It is a member of the Association of American University Presses. After the retir ...
, 1975. * Guthrie, W. K. C. ''A History of Greek Philosophy. Volume I: The earlier Presocratics and the Pythagoreans''.
Cambridge University Press Cambridge University Press is the university press of the University of Cambridge. Granted letters patent by King Henry VIII in 1534, it is the oldest university press in the world. It is also the King's Printer. Cambridge University Pres ...
: New York, 1962. * Jones, W. H. S. ''Philosophy and Medicine in Ancient Greece'', Johns Hopkins Press, Baltimore, 1946. * * Longrigg, James. ''Greek Rational Medicine: Philosophy and Medicine from Alcmæon to the Alexandrians'', Routledge, 1993. * Lovejoy, Arthur O. ''The Great Chain of Being: A Study of the History of an Idea''.
Harvard University Press Harvard University Press (HUP) is a publishing house established on January 13, 1913, as a division of Harvard University, and focused on academic publishing. It is a member of the Association of American University Presses. After the retir ...
, 1936. Reprinted by Harper & Row, , 2005 paperback: * Mason, Stephen F. ''A History of the Sciences''. Collier Books: New York, 1956. * Mayr, Ernst. ''The Growth of Biological Thought: Diversity, Evolution, and Inheritance''. The Belknap Press of
Harvard University Press Harvard University Press (HUP) is a publishing house established on January 13, 1913, as a division of Harvard University, and focused on academic publishing. It is a member of the Association of American University Presses. After the retir ...
: Cambridge, Massachusetts, 1982. * Guido Majno. ''The Healing Hand: Man and Wound in the Ancient World''. Routledge, 2004 * Heinrich von Staden (ed. trans.)
''Herophilus: The Art of Medicine in Early Alexandria''
Cambridge University Press Cambridge University Press is the university press of the University of Cambridge. Granted letters patent by King Henry VIII in 1534, it is the oldest university press in the world. It is also the King's Printer. Cambridge University Pres ...
, 1989. , ] * Longrigg, James. ''Greek Medicine From the Heroic to the Hellenistic Age''. New York, NY, 1998.


External links


Ancient Greek Medicine in medicinenet.com


* ttp://medecine.ancienne.perso.sfr.fr/ Medicine in Antiquity
greekmedicine.net


at Ancient Medicine compiled by Lee T. Pearcy {{DEFAULTSORT:Ancient Greek Medicine * * * * .
Greece Greece,, or , romanized: ', officially the Hellenic Republic, is a country in Southeast Europe. It is situated on the southern tip of the Balkans, and is located at the crossroads of Europe, Asia, and Africa. Greece shares land borders with ...
Pseudoscience Our lives are influenced by the Greeks in a multitude of ways. Even in the ancient times of Greece, the y made advancements in areas such as science, mathematics, philosophy, literature, theatre, science, and medicine. Archaic, or Ancient Greece, refers to the period of 700BCE-480BCE. For such primitive years, it is incredible to see the advancements that they made in science and medicine, which directly correlates to the questions they asked themselves about the human body. Then, in turn, strategically finding logical answers to those questions. The Greeks overcame scientifical ailments or illnesses by way of medical treatment/surgeries. They incorporated their belief system, such as the Four Humors, in their medicinal revolutions. Hippocrates, a Greek doctor, was also crucial to the change in medicinal customs in Greek practices. The Four Humors Akhlat Arba, or the four humors, originated as a concept in Egyptian culture, but it wasn’t until the Greeks, specifically from Hippocrates, that it was synthesized into medical ideas and practices. Essentially, the four humors were thought to be the four bodily fluids that corelated to environmental aspects that worked together in harmony to keep the body in good health. The four bodily fluids are known to be the “dietary sources” to nourish the human body’s organs and keep us well. The four humors are black bile, yellow bile, phlegm, and blood. The theory developed that when all four of these were balanced harmoniously, the individual would be in perfect health. Opposingly, if someone had too much or too little of one or more of the humors, they would become ill. As described by Unani philosophers, disharmony in quantity of these humors is called as Imtala Ba Hasbul Auhia while disharmony of quality is known as Imtala Ba Hasbul. The Greeks also linked each Akhlat (humor) to a season, an organ, a temper, and an element. 16th century illustration of the four humors: Flegmat (phlegm), Sanguin (blood), Coleric (yellow bile) and Melanc (black bile). (n.d.) Surgeries/Medical Practices The first surgical techniques were developed to treat injuries and trauma wounds. Over time, the Greeks became increasingly more aware of human anatomy because of the wounded soldiers that required attention. Greenhill(n.d) explains “the word chirurgia is derived from χείρ the hand, and ἔργον a work, and is explained by Celsus (De Med. lib. VII. Praefat.) to mean that part of medicine quae manu curat, ‘which cures diseases by means of the hand;’ in Diogenes Laërtius (III.85) it is said to cure διὰ τοῦ τέμνειν καὶ καίειν, ‘by cutting and burning’”. In addition to the development of medical practices performed on humans, the Greeks also manufactured the first editions of many of the medical tools that we continue to use to this day. For example, there is record of probes made of iron, lancets made of copper, different kinds of forceps, and the very first male catheters (William, n.d.). Hippocrates Contributions During this period in history, there was no actual certification or license for doctors to perform treatments or procedures on their patients, but Hippocrates set the gold standard for what being a doctor meant. Not just in Ancient Greece, but for many years to come. There was still so much unknown about human anatomy and lots to learn, but the main idea that he addressed is: doctors should be very careful with human lives and the techniques that they used on patients need to be diligent. He wrote many arguments and reports about diseases and the recommended treatments he made have formed the foundation of medical practices today. In On Ancient Medicine, a book by Hippocrates, he stresses that doctors’ duty is to help alleviate the suffering of the people (Tsiompanou, Marketos, 2013). Conclusion Greek medicine was the predecessor and set the framework by which we were able to build on and improve throughout history. There were several factors that contributed to the changes that occurred in Ancient Greek medicine. Doctors, like Hippocrates, started questioning the previous theories on medicine and the human body. Curiosity is proven time and time again to be the precursor for interventions and discoveries in all aspects of humanity – it is human nature. Philosophy and religion were very prominent in ancient times, so they played a key role in the way that the Ancient Greeks viewed medicine and the human body. This is evident from their interpretations of the Four Humors. Wars and violence were very much a part of Ancient Greece, so trauma to the human body and illnesses were something that was necessary to take seriously which blossomed the into surgeries and new medical practices. Throughout the years, medical procedures and surgeries have become more advanced, but Ancient Greek doctors and healers were some of the first to introduce these acts. I cannot imagine where we would even be without the introduction of medicine and medical thoughts based out of Ancient Greece. References Fornaro, M., Clementi, N., & Fornaro, P. (2009, October 7). Medicine and Physciatry in Western Culture: Ancient Greek Myths and Modern Prejudices. SpringerLink. https://link.springer.com/article/10.1186/1744-859X-8-21 Greenhill, William A. (n.d.). Chirurgia. Greek and Roman Surgery (Smith's Dictionary, 1875). http://penelope.uchicago.edu/Thayer/E/Roman/Texts/secondary/SMIGRA*/Chirurgia.html Kleisiaris, C., Sfakianakis, C. , Papathanasiou, I. (2014, March 15) Health care practices in ancient Greece: The Hippocratic ideal. J Med Ethics Hist Med. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4263393/ Medicine in Ancient Greece. (n.d.). Maryville University. https://online.maryville.edu/online-doctorate-degrees/doctor-education/medicine-in-ancient-greece/ Rahman, Azizur & Ali, S. Javed & Zulkifle, Mohd & Ahmad, Imtiyaz (2014, September 24). Concept of Akhlat Arba (four humors) with relation to health and disease. International Journal of Herbal Medicine. https://www.florajournal.com/archives/2014/vol2issue4/PartA/2-3-21.1.pdf Tsiompanou, E., Marketos, S. (2013, July). Hippocrates: Timeless still. National Library of Medicine. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3704070/ (sculptor/artist unkown) istorical sculpture of Asclepius at The Glypotek, Copenhagen (n.d.) https://www.worldhistory.org/image/535/statue-of-asklepios/ (author/artist unknown) istorical artwork of a half-male and half-female figure illustrating the four humors (n.d.) https://intheravine.wordpress.com/2017/02/16/the-four-humors-of-greco-roman-medicine/