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Octopus, detail from Oceanus and Tethys mosaic, Zeugmas Mosaic Museum, Gaziantep. Image by Dosseman via Wikimedia Commons CC BY-SA 4.0.

Rufus of Ephesus on Sexual Health

July 17, 2023 by Sean Coughlin in Ancient Medicine

On Sexual Activity from the works of Rufus (of Ephesus).

Sex is indeed a natural act, while nothing natural is harmful. But intimacy becomes harmful when it is immoderate and frequent and when it is engaged in at inappropriate times. Frequent intimacy is especially harmful for those who have weakness in the nerve-like parts, such as the chest, kidneys, lower back, hip region, or legs. Here also are some indications [it is harmful]: a person's whole strength becomes weaker during intimacy, but strength is the innate heat within us, hence concoction does not happen as well for those engaging in intercourse, and they become extremely pale and do not see or hear as they should, nor do they have any other strong sensation. Indeed, such people are forgetful and trembling, their joints painful, especially in the hip area; some also develop kidney disease, others have illness in the bladder, some develop thrush-like sores around the mouth, tooth pain, or inflammation of the tonsils; many men ejaculate blood after excessive sexual activity, some due to the violent retention and tension of pneuma, some due to the interaction of the veins and arteries running from the chest to the testicles. Women however ejaculate very little blood during intercourse due to the overall moistness of their bodies, due to the fact that they do not exert themselves as much during intercourse, and due to their regular discharges below, so that even if a woman happens to ejaculate blood, the discharges are a great healing factor for her. For these reasons, the good doctors will recommend that if any of the illnesses mentioned are present or if they are anticipated due to the natural weakness of the person, that they should abstain from sexual activity.

So far, I have spoken about the harms and co-affections (lit. sympathies) of sexual activity, to the extent that as I was able to do so succinctly. Now, we must speak about its benefits. For sexual activity is not always harmful if one takes into consideration the timing, measure, and overall health of the person engaging in intimacy. The benefits of sexual activity are these: to relieve fullness, to provide the body with lightness, to stimulate growth, and to bring about a more manly appearance. And for those in a hardened (tense) state, intimacy at regular intervals is beneficial: it softens (relaxes?) the organs, widens the pores, and removes some phlegm; it breaks up coagulated thoughts and relaxes intense desires. Hence, for a melancholic, depressed, and misanthropic person, sexual intercourse can serve as the most significant and suitable remedy. It can bring to a more moderate state of mind those driven mad in other ways, halt some epileptic symptoms, and relieve those suffering from a weary head and those with pains brought about during puberty. Hippocrates said, in a word, that sexual activity, “is the best remedy for illnesses from phlegm.” Many weakened people have been restored to health from illnesses due to intimacy, with some people’s breathing becoming easier instead of more difficult, and some people's appetite becoming better instead of worse. Some have even been freed from frequent nocturnal emissions. Natures suitable for sexual activity are warmer, more moist, and more actively disposed to intimacy than others, while least suitable are dry and cold; and the nature of those in their prime is right for it, but not the nature of those in their old age.

In terms of seasons, spring is appropriate, while autumn and summer are inappropriate. Winter is not too good either because it is cooling. Moreover, a warmer and moister diet is productive for sexual activity, while a drying and cooling diet is unproductive. Diets suitable for intercourse are appropriate for those who are unable to perform during intercourse. Therefore, the diet should be moist and warm, exertion should be moderate, and food should be plentiful. Wine therefore should be tawny in color and light in body, breads should be freshly baked and pure, meats, of young goats, lambs and pigs, poultry such as hens, thrushes, partridges, geese, and duck; of fish, octopus and whichever are called soft-bodied; of vegetables, sage, erysimon, rocket and turnip that is difficult to cook and has become tender (for these are also given as drugs); of legumes, bean, chick-peas, ochroi, phasiloi, pissoi, and loboi that are full of pneuma and provide plenty of nutrition. I also encourage adding the extremely excellent grape into the current diet; for it moistens and fills the body with blood and pneuma. But someone about to engage in sexual activity must avoid doing it on a full stomach, or with indigestion, drunkenness, or a lack of food. For it is bad to have intercourse when there are residues, one should avoid fatigue from the gym and bath, and recent vomiting and diarrhea from the belly. For these can be chronic when sexual activity causes dryness. The best intercourse happens with food but not after becoming full. For it contributes to strength and the chilling that occurs become less. If someone eagerly desires sex after breakfast, they should wait until the food settles; but if after dinner, it is necessary to sleep for a while. I do not encourage intense desires, and I rather recommend one resist them, especially those for whom it is an illness and are easily harmed by intimacy.

Περὶ ἀφροδισίων ἐκ τῶν Ῥούφου. Φυσικὸν μὲν ἔργον ἡ συνουσία ἐστίν, οὐδὲν δὲ τῶν φυσικῶν βλαβερόν· παρὰ δὲ τὴν ἄμετρόν τε καὶ συνεχῆ χρῆσιν καὶ κατὰ καιρὸν τὸν οὐ προσήκοντα παραλαμβανομένη βλαβερὰ γίγνεται, πολλῷ δὲ μᾶλλον βλαβερὰ ἡ συνεχὴς χρῆσις γίγνεται τοῖς τὸ νευρῶδες ἀσθενὲς ἔχουσιν ἢ θώρακα ἢ νεφροὺς ἢ ὀσφὺν ἢ ἰσχιάδα ἢ πόδας. ἔστω δέ σοι τεκμήρια καὶ τάδε· σύμπασα γὰρ ἡ ἰσχὺς τοῦ ἀνθρώπου ἀσθενεστέρα γίγνεται ἐν τῇ χρήσει· ἡ δὲ ἰσχύς ἐστι τὸ ἐν ἡμῖν ἔμφυτον θερμόν· ὅθεν αἱ πέψεις οὐκ ἀγαθαὶ τῷ μισγομένῳ καὶ ἔξωχροι γίγνονται καὶ οὔτε δεόντως ὁρῶσιν οὔτε ἀκούουσιν, ὡς χρή, οὐδὲ ἄλλην τινὰ αἴσθησιν ἐρρωμένην κέκτηνται καὶ μὲν δὴ καὶ ἐπιλήσμονες οἱ τοιοῦτοι καὶ τρομώδεις εἰσὶ καὶ τὰ ἄρθρα ὀδυνηροί, μάλιστα τὰ τῶν ἰσχίων, καὶ οἱ μὲν νεφριτικοὶ γίγνονται, οἱ δὲ καὶ κατὰ κύστιν νόσημα ἔχουσιν, τοῖς δὲ καὶ στόματα ἀφθώδη γίγνεται καὶ ὀδόντων πόνοι καὶ γαργαρεώνων φλεγμοναί· πολλοὶ δὲ ἄνδρες ἐπὶ τοῖς πολλοῖς ἀφροδισίοις καὶ αἷμα ἔπτυσαν, τὸ μέν τι τῇ βιαίῳ κατοχῇ τε καὶ ἐντάσει τοῦ πνεύματος, τὸ δέ τι τῇ κοινωνίᾳ τῶν ἀπὸ τοῦ θώρακος ἐπὶ τοὺς ὄρχεις φερομένων φλεβῶν καὶ ἀρτηριῶν. γυνὴ δὲ ἥκιστα ἐπὶ ταῖς μίξεσι πτύει αἷμα τῇ τε ἄλλῃ τοῦ σώματος ὑγρότητι καὶ τῷ ἧσσον πονεῖσθαι ἐν τῇ μίξει, καὶ διὰ τὰς εἰωθυίας κάτω καθάρσεις, ὥστε κἂν τύχῃ γυναῖκα πτύσαι αἷμα, μέγα ἴαμα αἱ καθάρσεις αὐτῇ γίγνονται. διὰ ταῦτα μὲν δὴ τὰ εἰρημένα παρακελεύονται τῶν ἰατρῶν οἱ ἀγαθοί, ἤν τε πάρεστι τι τῶν εἰρημένων νοσημάτων, ἤν τε προσδόκιμον ᾖ διὰ τὴν φυσικὴν ἀσθένειαν τοῦ ἀνθρώπου, ἀπέχεσθαι τῶν ἀφροδισίων.

ἄχρι μὲν δὴ τούτων τὰς βλάβας καὶ τὰς συμπαθείας, ἐφ' ὅσον δυνατὸν ἦν ἡμῖν διὰ βραχέων εἰπεῖν, εἰρήκαμεν· ῥητέον δὲ νῦν καὶ τὰς ὠφελείας· οὐ γὰρ παντάπασι κάκιστα τὰ ἀφροδίσιά ἐστιν, ἐὰν καὶ τὸν καιρὸν τῆς χρήσεως καὶ τὸ μέτρον καὶ τὴν ὑγιεινὴν κατάστασιν τοῦ χρωμένου σκοπεῖν ἐθέλοις. ὠφέλειαι δὲ αἱ ἐκ τῶν ἀφροδισίων εἰσὶν αἵδε· πλησμονήν τε κενῶσαι καὶ ἐλαφρὸν παρασχεῖν τὸ σῶμα καὶ εἰς αὔξησιν προτρέψαι καὶ ἀνδρωδέστερον ἀποφῆναι. καὶ τῇ δὲ σκληρᾷ ἕξει ἐκ διαλειμμάτων πλειόνων ἡ χρῆσις ὠφέλιμος· μαλάσσει γὰρ τὰ ὄργανα καὶ ἀνευρύνει τοὺς πόρους καί τι τοῦ φλέγματος ἐκκαθαίρει, καὶ συνεστηκότα δὲ λογισμὸν διαλύει καὶ ὀργὰς μεγίστας ἐπανίησι. διὸ καὶ τῷ μελαγχολικῷ καὶ κατηφεῖ καὶ μισανθρώπῳ ὄντι ὥς τι μέγιστον ἴαμα ἐπιτηδειότατον μίσγεσθαι. καθίστησι δ' εἰς τὸ σωφρονέστερον καὶ τοὺς κατ' ἄλλον τρόπον ἐκμανέντας καί τινας ἐπιλήπτους ἔπαυσε καὶ βαρυνομένους τὴν κεφαλὴν καὶ ἀλγοῦντας μεταβολῇ τοῦ ἡβάσκειν. Ἱπποκράτης δὲ ἑνὶ λόγῳ “τοῖς ἀπὸ φλέγματος νοσήμασιν εἶναι κράτιστα” ἀφροδίσια ἔφη. πολλοὶ δὲ καὶ ἐκ νόσων ἄτροφοι ἀνεκομίσθησαν ἐπὶ τῇ χρήσει· οἱ δὲ καὶ εὐπνούστεροι ἀντὶ δυσπνουστέρων ἐγένοντο, καὶ εὐσιτότεροι ἀντὶ ἀποσίτων· οἱ δὲ καὶ ὀνειρωγμῶν συνεχῶν ἀπηλλάγησαν. φύσεις δὲ πρὸς ἀφροδίσια ἐπιτήδειοι αἱ θερμότεραι καὶ ὑγρότεραι καὶ πλέον τῶν ἄλλων εἰς τὴν χρῆσιν εὔφοροι, ἥκιστα δὲ αἱ ξηραὶ καὶ ψυχραὶ καὶ ἡ μὲν τῶν ἀκμαζόντων εὔθετος, ἡ δὲ τῶν γερόντων οὐδαμῶς.

ὥρα δὲ τὸ μὲν ἔαρ ἐπιτήδειον. ἄθετον δὲ τὸ φθινόπωρον καὶ τὸ θέρος. ἀλλ' οὐδὲ ὁ χειμών ἐστιν ἀγαθὸς τῷ ψύχειν. καὶ δὴ καὶ δίαιτα ἡ θερμοτέρα καὶ ὑγροτέρα εἰς λαγνείαν εὔφορος, δύσφορος δὲ ἡ ξηραίνουσα καὶ ψύχουσα. αἱ γὰρ δίαιται πρὸς μίξεις τῷ ἀδυνάτῳ μίσγεσθαι ἐπιτήδειοι. χρὴ τοίνυν τὴν μὲν δίαιταν ὑγρὰν καὶ θερμὴν ὑπάρχειν· εἴη δ' ἂν πόνων μὲν μετριότης καὶ σίτου εὐωχία. οἶνος μὲν οὖν ἔστω κιρρὸς τῇ χροιᾷ, λεπτὸς δὲ τῇ συστάσει, ἄρτοι καθαροὶ ἰπνῖται πρόσφατοι, κρέα ἐρίφων καὶ ἀρνῶν καὶ χοίρων, πτηνὰ ἀλεκτορίδες ἀτταγῆνες πέρδικες χῆνες νῆσσαι· ἰχθύων δὲ οἱ πολύποδες καὶ ὅσα μαλακόσαρκα λέγεται· λαχάνων δὲ ὅρμινον ἐρύσιμον εὔζωμον γογγυλὶς δύσεφθος καὶ τακερὰ γενομένη (ταῦτα γὰρ καὶ ὡς φάρμακα δίδοται), ὀσπρίων δὲ κύαμοι ἐρέβινθοι ὦχροι φάσιλοι πισσοὶ λοβοὶ πνεύματός τε ἐμπιπλῶντες καὶ ἀφθονίαν τροφῆς παρασκευάζοντες. μεγάλως δὲ ἐπαινῶ καὶ τὴν καλλίστην σταφυλὴν εἰς τὴν νῦν δίαιταν· ὑγραίνει γὰρ καὶ αἵματος καὶ πνεύματος ἐμπίπλησι τὸ σῶμα. τὸν δὲ μέλλοντα ἀφροδισίοις χρῆσθαι πλησμονὰς προσφάτους φυλάττεσθαι χρὴ καὶ ἀπεψίας καὶ μέθας καὶ ἐνδείας. κακὸν γὰρ ἐπὶ περιττώμασι μίσγεσθαι καὶ ἀπὸ γυμνασίων καὶ λουτρῶν καὶ κόπους δὲ φυλακτέον καὶ ἐμέτους γεγενημένους καὶ διαρροίας γαστρὸς προσφάτους. τὰς γὰρ χρονίους ἐστὶν ὅτε ξηραίνει τὰ ἀφροδίσια. κάλλιστον δὲ τὸν μισγόμενον ἐπὶ σίτοις μίσγεσθαι μὴ ἐμπλησθέντα· καὶ γὰρ πρὸς ἰσχὺν συμφέρει καὶ αἱ γιγνόμεναι ψύξεις ἧσσον γίγνονται καὶ εἰ μὲν ἐπὶ τῷ ἀρίστῳ τις προθυμηθείη, ἀναπαύσασθαι χρὴ μέχρι καταστῇ τὸ σιτίον, εἰ δὲ ἐπὶ τῷ δείπνῳ ὑπνοῦν ἀνάγκη πρὸς ὀλίγον. καὶ τὰς σφοδρὰς δὲ ἐπιθυμίας οὐκ ἐπαινῶ ἀλλὰ κελεύω δὴ πλέον ἀντέχειν καὶ μᾶλλον οἷς νόσημά ἐστι ῥᾷον ἐκ τῆς χρήσεως βλαπτόμενον.

Rufus of Ephesus, quoted in Aetius of Amida, Medical Books, 3.8, 265,13–268,12 Olivieri

Also in Daremberg’s Oeuvres de Rufus d'Ephèse, pp. 318–325

July 17, 2023 /Sean Coughlin
Rufus of Ephesus, Hippocrates, sex, pneuma, pharmacology, diet
Ancient Medicine
Comment
16th c. manuscript illustration by Francesco Salviati of a reduction of the humerus. From a Latin translation of Galen’s commentary on Hippocrates’ Fractures. Par. lat. 6866, fol. 90 via BnF Gallica.

16th c. manuscript illustration by Francesco Salviati of a reduction of the humerus. From a Latin translation of Galen’s commentary on Hippocrates’ Fractures. Par. lat. 6866, fol. 90 via BnF Gallica.

Galen’s Commentary on Hippocrates’ Fractures

Humboldt-Universität zu Berlin
July 16, 2021 by Sean Coughlin in Ancient Medicine

It’s almost impossible to find English translations of Galen’s Hippocratic commentaries. There’s an English translation by W. J. Lewis of Galen’s commentary on the Nature of the Human Being available at the Society for Ancient Medicine site at Cambridge; and there are English translations by Uwe Vagelpohl of Arabic translations of some of Galen’s commentaries for the Corpus Medicorum Graecorum. That’s about it for English. The situation is only marginally better for French, German, Italian and Spanish (see the CMG’s Galen catalogue).

It is frustrating because Galen’s commentaries contain a huge amount of material on Greek scholarship of the second century—not only philosophy and medicine, but literature and philology as well. They are also important parts of the reception of earlier philosophy, medicine, literature and philology, since many later scholars drew from and responded to them in Syriac, Arabic, Latin and Greek traditions. Making them more widely available in modern language translations would help to open the field up quite a bit.

As for the texts themselves, some of Galen’s commentaries have modern critical editions and are available online in Greek and / or in Arabic at the Corpus Medicorum Graecorum of the Berlin-Brandenburg Academy of Sciences. Some are in preparation (like Airs, Waters, Places in Arabic). Others are still to be edited, like much of the Aphorisms commentary.

A lot of in-depth scholarship is still behind paywalls. The most important study, for instance, is the 1994 contribution, “Galeno commentatore di Ippocrate” by Daniela Manetti and Amneris Roselli, to the Aufstieg und Niedergang der römischen Welt (I see De Gruyter sells the article for 30 EUR). There’s also great new work by Manetti and Roselli in a few recent volumes, as well as work by (and the following are merely examples) Hans Diller, Georg Harig and Jutta Kollesch, Geoffrey Lloyd, Mario Vegetti, Paola Manuli, Heinrich von Staden and P. N. Singer. I’d add Glenn Most’s work on ancient Greco-Roman scholarship and David Sedley’s work on commentary and philosophical allegiance to the list of important resources that are not always easy to find online (less of a necessity for now while the pandemic restrictions are being relaxed). There are surely many others.

There is however a scholarly and open-access discussion of Galen’s Hippocratic commentary and Hippocratism in a piece by Jacques Jouanna called “Galen’s Reading of the Hippocratic Treatise The Nature of Man: The Foundations of Hippocratism in Galen” from the 2012 volume of his collected papers published by Brill. And there’s the wonderful 1979 book The Hippocratic Tradition by Wesley Smith that’s available online in a special electronic edition Smith revised for BIU Santé in 2002.

Lately, I’ve been posting translations of the more programmatic or weird bits of Galen’s commentaries to try to make them a bit more accessible (also to motivate me while I write a chapter on them for a handbook). This time it’s the preface to Galen’s commentary on Hippocrates’ Fractures.

Galen’s commentary on Hippocrates’ Fractures belongs to an earlier period of Galen’s Hippocratic scholarship, when he was writing mainly at the request of friends (as in last week’s post). The period includes commentaries on Aphorisms, Fractures, Joints, Prognosis, Regimen in Acute Diseases, Wounds, Injuries of the Head, and Epidemics 1. Eventually, he says he started producing commentaries for wider publication, after he came across some particularly bad but popular commentaries written by a couple of physicians named Lycos and Julian. These are commentaries on Nature of the Human Being, Epidemics 2, Epidemics 3, Epidemics 6, Humours, Nutriment, Prorrhetic, Surgery and Airs, Waters, Places.

The preface to the commentary on Fractures is unique because it contains a summary of Galen’s reflection on interpretation (exegesis) from his lost essay On Interpretation.* In that work, Galen says he defined interpretation as the ability to make what is obscure in written texts clear. He also distinguishes two kinds of interpretation according to a distinction between two kinds of obscurity: obscurity per se and obscurity relative to the audience (perhaps drawing on Platonist categorial distinction between things that exist kath’auto and pros ti). Something is obscure per se when it implies a contradiction. Something is obscure relative to an audience when the audience is unfamiliar with the subject of the discussion.

Galen thinks the result is that interpreting something that is obscure per se will be different from interpreting something that is only obscure relative to the audience. In the latter case, Galen says he’ll nearly always clarify what is relatively obscure in the case of anatomical claims, but for the most part he’ll target people who are already fairly well trained in philosophy, literature and medicine. We also find Galen’s views on what teaching at different levels consists in.

Comments on the translation welcome.

Galen’s Commentary on Hippocrates’ Fractures, preface

“Before going on to individual interpretations, it is better to have an understanding of interpretation in general: that its capacity is to make clear whatever in written treatises is obscure. To demonstrate something written down as true, or to refute it as false—even if someone alleges [the position] was defended sophistically—is distinct from interpretation, although it is customary for just about everyone who writes commentaries to do this. And, by god, there is nothing to prevent the interpreter from touching on this in moderation, but to be completely contentious about the opinions of the author is to exceed the boundaries of interpretation. Therefore, since I am not making this my aim, but what has been mentioned, I will make concise additions to the actual interpretation for the sake of making what was said plausible.

“Nevertheless, there are two different kinds of interpretation, because obscurity itself has two kinds. I think it is better to speak about this in advance; however, I will only speak briefly about these things, like a kind of summary, since they have been discussed at length in my essay On Interpretation. In that work I showed what is actually obscure being such itself through itself, and what in itself did not arise at first, but when there happened to be many differences among readers of the discussion, either in being educated and trained in argument or completely untrained, or with respect to some people being naturally sharp and intelligent, others dull and unintelligent.

“For example, in the book under discussion, On Fractures, where Hippocrates says ‘it must then be stated which of the errors of doctors one wishes to teach, which to unteach’, the passage is obscure itself through itself, since we do not expect there to be any errors that should be taught. Similar also is this one: ‘and the extension of the joint in this configuration has been bent.’ For he is saying the bent configuration of the outstretched arm has the joint at the elbow, but it seems absurd to say that the straight has been bent.

“Nevertheless, what has been said in the following way: ‘if the hinge-like part of the humerus in the cavity of the ulna is fixed in this kind of position, it makes a line with the bones of the ulna and humerus, as if the whole were one’—if someone had observed what the bones under discussion are like, there would be no obscurity; but to someone who does not know the nature of the articulation at the elbow, the passage reasonably appears obscure.

“I think it is better to interpret all such passages, because the majority of the book's readers have not learned anatomy. Nevertheless, it is fitting to pass over what is not like this, saying to those reading this book only this much about them: if you think one of the passages I have interpreted is obscure, first look into whether your book has mistakes by comparing and collating it with the most trustworthy copies. If it appears to be correct, read the same passage a second and a third time paying precise attention to it. For when I read a book together with someone in person, I am able to target the appropriate interpretation precisely, considering on each occasion the ability of the student. But when I am writing for everyone, I do not target those who are best or worst prepared. For in the former case, the interpretation will be obscure for most people; in the latter, it will be irritating for those who have to spend a long time on things that are clear.

“I think what is best, therefore, is to target one whose ability is in the middle; but when I miss this, I rather look to those who are more capable. For in general I do not think it is valuable for those whose ability is less than mediocre to read commentaries: they must be content to understand what has been said by listening many times to their teacher give the same explanations in passage after passage.”

Πρὸ τῆς τῶν κατὰ μέρος ἐξηγήσεως ἄμεινον ἀκηκοέναι καθόλου περὶ πάσης ἐξηγήσεως, ὡς ἔστιν ἡ δύναμις αὐτῆς, ὅσα τῶν ἐν τοῖς συγγράμμασίν ἐστιν ἀσαφῆ, ταῦτ' ἐργάσασθαι σαφῆ. τὸ δ' ἀποδεῖξαί τι τῶν γεγραμμένων ὡς ἀληθὲς ἢ ὡς ψεῦδος ἐλέγξαι, καὶ εἰ κατηγόρησέ τις σοφιστικῶς ἀπολογήσασθαι, κεχώρισται μὲν ἐξηγήσεως, εἴθισται δὲ γίγνεσθαι πρὸς ἁπάντων ὡς εἰπεῖν τῶν γραφόντων ὑπομνήματα. καὶ νὴ Δία οὐδὲν κωλύει καὶ τούτου μετρίως ἅπτεσθαι τὸν ἐξηγητήν. τὸ δ' ἀγωνίζεσθαι τελέως ὑπὲρ τῶν τοῦ γράφοντος δογμάτων ἐκπέπτωκε τὸν ὅρον τῆς ἐξηγήσεως. οὐ πρὸς τοῦτον οὖν τὸν σκοπὸν, ἀλλὰ πρὸς τὸν εἰρημένον ἀποβλέπων ἐγὼ προσθήσω ταῖς ὄντως ἐξηγήσεσιν ἑκάστοτε βραχέα τῆς πίστεως ἕνεκα τῶν εἰρημένων.

οὔσης μέντοι καὶ κατὰ ταύτην τὴν ἐξήγησιν διαφορᾶς διττῆς, ὅτι καὶ τὸ ἀσαφὲς αὐτὸ διττόν ἐστιν, ἄμεινον εἶναί μοι δοκεῖ καὶ περὶ τούτου προειπεῖν, εἰρήσεται δὲ καὶ αὐτὰ ταῦτα διὰ βραχέων, οἷον ἐπιτομή τις, ὧν ἰδίᾳ λέλεκται διὰ μακροτέρων ἐν τῷ περὶ ἐξηγήσεως ὑπομνήματι. δέδεικται δὲ ἐν ἐκείνῳ τὸ μὲν ὄντως ἀσαφὲς αὐτὸ δι' ἑαυτὸ τοιοῦτον ὑπάρχον, τὸ δὲ ἐν αὐτῷ πρότερον τὴν γένεσιν οὐκ ἔχον, ἐπειδὴ τῶν ἀκουόντων τοῦ λόγου διαφοραὶ πάμπολλαι τυγχάνουσιν οὖσαι κατά τε τὸ προπαιδεύεσθαι καὶ γεγυμνάσθαι περὶ λόγους ἢ παντάπασί γε ἀγυμνάστους ὑπάρχειν, εἶναί τε φύσει τοὺς μὲν ὀξεῖς τε καὶ συνετοὺς, τοὺς δὲ ἀμβλεῖς καὶ ἀσυνέτους.

αὐτίκα γοῦν ἐν αὐτῷ τῷ προκειμένῳ βιβλίῳ τῷ περὶ τῶν καταγμάτων, ἔνθα μέν φησιν ὁ Ἱπποκράτης· ῥητέον οὖν ὁκόσας ἂν ἐθέλει τῶν ἁμαρτάδων τῶν ἰητρῶν τὰς μὲν διδάξαι, τὰς δὲ ἀποδιδάξαι, τὴν ἀσάφειαν ἔχει αὐτὴ δι' ἑαυτὴν ἡ λέξις, οὐ προσδεχομένων ἡμῶν εἶναί τινας ἁμαρτίας, ἃς διδάξαι χρὴ, τοιοῦτόν ἐστι κἀκεῖνο· καὶ ἡ ἀνάτασις τοῦ ἄρθρου κέκλασται ἐν τουτέῳ τῷ σχήματι. τὸ γὰρ ἐκτεταμένης τῆς χειρὸς σχῆμα κεκλασμένον, φησὶν, ἔχει τὸ ἄρθρον τὸ κατ' ἀγκῶνα. δοκεῖ δὲ τοῦτ' ἄτοπον εἶναι κεκλάσθαι φάναι τὸ εὐθύ.

τὸ μέντοι λελεγμένον οὕτως· εἰ τοῦ βραχίονος τὸ γιγγλυμοειδὲς ἐν τῇ τοῦ πήχεος βαθμίδι, ἐν τοιουτέῳ τῷ σχήματι ἐρεῖδον, ἰθυωρίην ποιέει τοῖσιν ὀστέοισι τοῦ πήχεος καὶ τοῦ βραχίονος, ὡς ἓν εἴη τὸ πᾶν. εἰ μέντοι τις ἑώρακεν ὁποῖόν ἐστι τῶν ὀστῶν ἑκάτερον, ὑπὲρ ὧν ὁ λόγος ἐστὶν, οὐδεμίαν ἀσάφειαν ἔχει. τῷ δ' ἀγνοοῦντι τῆς κατ' ἀγκῶνα διαρθρώσεως τὴν φύσιν ἀσαφὴς εἰκότως ἡ λέξις φαίνεται.

δοκεῖ δέ μοι βέλτιον εἶναι καὶ τὰ τοιαῦτα πάντα ἐξηγεῖσθαι, διὰ τὸ τοὺς πλείστους τῶν ἀναγινωσκόντων τὸ βιβλίον ἀμαθεῖς ἀνατομῆς εἶναι. τὰ μέντοι μηδὲν ἐχόντων τοιοῦτον παρέρχεσθαι προσήκει, τοσοῦτον προειπόντα περὶ αὐτῶν ἔτι τοῖς ἀναγνωσομένοις τὸ βιβλίον, ἐάν τινα λέξιν ὧν ἐξηγησάμην ἀσαφὲς ἔχειν τι νομίσῃς, ἐπίσκεψαι μὲν πρῶτον εἰ μὲν τὸ βιβλίον ἡμάρτηταί σου παραβάλλων τε καὶ ἀντεξετάζων τοῖς ἀξιοπίστοις ἀντιγράφοις· εἶτ' ἂν ὀρθῶς ἔχειν φαίνηται, δεύτερόν τε καὶ τρίτον ἀνάγνωθι τὴν αὐτὴν λέξιν προσέχων ἀκριβῶς αὐτῇ τὸν νοῦν. ἐγὼ γὰρ ὅταν μὲν παρὼν παρόντι συναναγινώσκω τι βιβλίον, ἀκριβῶς στοχάζεσθαι δύναμαι τοῦ μέτρου τῆς ἐξηγήσεως, ἀποβλέπων ἑκάστοτε πρὸς τὴν τοῦ μανθάνοντος ἕξιν. ὅταν δὲ γράφω πᾶσιν, οὔτε τοῦ ἄριστα παρεσκευασμένου οὔτε τοῦ χείριστα στοχάζομαι. τὸ μὲν γὰρ τοῖς πλείστοις ἀσαφὲς ἔσται, τὸ δὲ ἀνιᾶται χρονίζοντας ἐν τοῖς σαφέσιν.

ἄριστον οὖν ἡγοῦμαι τῶν μέσην ἕξιν ἐχόντων στοχάζεσθαι· τούτου δὲ ἀποτυγχάνων ἐπὶ τοὺς ἑκτικωτέρους ἐπόπτειν μᾶλλον. οὐδὲ γὰρ ὅλως ὑπομνήμασιν ἐντυγχάνειν ἀξιῶ, τοὺς κατωτέρους τῆς μέσης ἕξεως, οἷς ἀγαπητόν ἐστι παρὰ διδασκάλων ἀκούσασι πολλάκις τὰ αὐτὰ κατ' ἄλλην καὶ ἄλλην λέξιν ἑρμηνευόμενα συνιέναι τῶν λεγομένων.

Gal. Hipp. Frac. 18B 318–322 K.

July 16, 2021 /Sean Coughlin
Galen, Hippocratic Commentary, Hippocrates, Commentaries
Ancient Medicine
Comment
Funerary relief for a physician, ca 100 BCE / 100 CE, marble. Part of the Soul is an Octopus exhibition: plaster cast, 20th c., Gipsformerei der Staatlichen Museen zu Berlin, Spgntung Preußischer Kulturbesitz.

Funerary relief for a physician, ca 100 BCE / 100 CE, marble. Part of the Soul is an Octopus exhibition: plaster cast, 20th c., Gipsformerei der Staatlichen Museen zu Berlin, Spgntung Preußischer Kulturbesitz.

What doctors say they saw

Humboldt-Universität zu Berlin
June 12, 2021 by Sean Coughlin in Ancient Medicine

“For instance, I have seen people who, having slit their own throats, have completely severed the windpipe. Sometimes they live, but they cannot speak unless someone closes their windpipe—then they can speak.”

εἶδον δὲ ἤδη οἳ, σφάξαντες ἑωυτοὺς, ἀπέταμον τὸν φάρυγγα παντάπασιν· οὗτοι ζῶσι μὲν, φθέγγονται δὲ οὐδὲν, εἰ μή τις συλλάβῃ τὸν φάρυγγα· οὕτω δὲ φθέγγονται·

Fleshes 18

“Firstly, when the seed enters the womb, after seven days it develops all the parts the body is going to have. Now, you might wonder how I know this, but I have seen many things in the following way. The common prostitutes who have a lot of experience with these things, when they have had sex with a man, know when they’ve conceived in the womb, and then they destroy it. When it is actually destroyed, it falls out as flesh. When you put this flesh into water and examine it in the water, you will find it has all its parts: the eye sockets, the ears and limbs, also the fingers of the hands, the legs, the feet and the toes and the genitals and the whole rest of the body is evident.”

ὁ δὲ αἰών ἐστι τοῦ ἀνθρώπου ἑπταήμερος. πρῶτον μὲν ἐπὴν ἐς τὰς μήτρας ἔλθῃ ὁ γόνος, ἐν ἑπτὰ ἡμέρῃσιν ἔχει ὁκόσα περ ἐστὶν ἔχειν τοῦ σώματος· τοῦτο δέ τις ἂν θαυμάσειεν ὅκως ἐγὼ οἶδα· πολλὰ δὲ εἶδον τρόπῳ τοιῷδε· αἱ ἑταῖραι αἱ δημόσιαι, αἵτινες αὐτέων πεπείρηνται πολλάκις, ὁκόταν παρὰ ἄνδρα ἔλθῃ, γινώσκουσιν ὁκόταν λάβωσιν ἐν γαστρί· κἄπειτ' ἐνδιαφθείρουσιν· ἐπειδὰν δὲ ἤδη διαφθαρῇ, ἐκπίπτει ὥσπερ σάρξ· ταύτην τὴν σάρκα ἐς ὕδωρ ἐμβαλὼν, σκεπτόμενος ἐν τῷ ὕδατι, εὑρήσεις ἔχειν πάντα μέλεα καὶ τῶν ὀφθαλμῶν τὰς χώρας καὶ τὰ οὔατα καὶ τὰ γυῖα· καὶ τῶν χειρῶν οἱ δάκτυλοι καὶ τὰ σκέλεα καὶ οἱ πόδες καὶ οἱ δάκτυλοι τῶν ποδῶν, καὶ τὸ αἰδοῖον καὶ τὸ ἄλλο πᾶν σῶμα δῆλον.

Fleshes 19

“And clothes that are tied up together and fixed tightly with a stick are burnt up by themselves, as I have actually seen, as if they were burnt up by fire.”

καὶ ἱμάτια συνδεδεμένα καὶ κατεσφηνωμένα ἰσχυρῶς δορὶ κατακαίεται ὑπὸ σφέων αὐτῶν, ὡς ἐγὼ ἤδη εἶδον, ὥσπερ ὑπὸ πυρὸς ἐκκαέντα.

Nature of the Child 24

June 12, 2021 /Sean Coughlin
early Greek medicine, Hippocrates, embryology
Ancient Medicine
Comment

Frontispiece to the 1580 edition of Jean Bodin’s On the Demon-Mania of Witches. Image via wikimedia commons.

Fire and water: Jean Bodin’s use of ancient medicine to justify the murder of women for crimes of witchcraft

April 30, 2021 by Sean Coughlin in Ancient Medicine, Philosophy

Walpurgisnacht, 2021

I despise Jean Bodin (c.1530–1596) more than just about any other philosopher. I usually like to stay impartial, focusing my energy instead on trying to understand why someone held certain beliefs or made a particular argument rather than thinking about what that person might have been like. Not with Bodin.

Bodin had people tortured and burned alive for witchcraft (he presided over trials as a judge and especially sought out women as victims). He wrote a work to strengthen the legitimacy of witch trials, trials which almost everyone agreed relied on evidence that would be inadmissible or at least dubious in normal circumstances. And he relentlessly attacked anyone who tried to argue against the state-sanctioned murder of women, people like Johann Weyer (1515–1588), a Dutch doctor and student of Agrippa, who argued (following a long pagan and Christian tradition) that crimes such as those in Bodin’s fantasies were not humanly possible, or at least that there were far more plausible explanations for them (Weyer says the Malleus Maleficarum, the Hammer of the Witches, another dark chapter of humanity, written by the inquisitor Heinrich Kramer around 1486 and later also attributed to Jacob Sprenger, is basically a work of “silly and often godless absurdities”).

In fact, Bodin literally stopped the press on his own book, On the Demon-Mania of Witches (De la démonomanie des sorciers, 1580), when he received a copy of Weyer’s book, On Witches (De lamiis, 1577; lamiae is an old name that was appropriated for the early modern incarnation of the witch) so that he could add an appendix attacking Weyer’s humanist arguments against burning people alive for crimes like flying through the air or fucking Satan.

I wanted to reflect a bit on this text for Walpurgisnacht, since I find Bodin’s arguments— both in their rhetoric (“Weyer is either ignorant or evil, and he’s been to university, so he is not ignorant”) and in their speciousness (“women can’t be melancholic because Hippocrates says so, therefore the only remaining possibility is that they are witches”)—sound a lot like the fanatical rhetoric I’ve come across more and more since the start of this century. Sometimes it feels as if, like global warming, it keeps getting worse.

This fanaticism is one of the qualities of his work that makes it extremely difficult for me to consider him as just another “man of his time.” He may be indistinguishable from his contemporaries as a believer in demons and witchcraft. But why does this matter? Belief in witchcraft doesn’t make you a loathsome piece of shit. Appealing to that belief when burning people alive and saying it is for their own good does. Mind you, not everyone at the time did this, and believe it or not, it wasn’t only because these non-murderers were either witches or afraid of them. It strikes me as far too apologist a position to take to say he was not alone in holding beliefs we find unlikely to be true. Try to understand his arguments, even if they are difficult, but don’t think a common belief in demons or witchcraft is reason enough to explain them.

There’s this point in his appendix against Johann Weyer where he calls Weyer a fanatic. It’s as if Bodin knows his own position is fanatical and so he makes sure to accuse his opponent of it first. His reasons couldn’t be less convincing. He thinks Weyer is a fanatic because Weyer says women tried as witches were more likely to be melancholic than in league with Satan. Weyer is a medical doctor. His opinion is the considered opinion of one who has trained professionally for a lifetime. Bodin, however, thinks that to refute Weyer, it’s enough to quote Hippocrates and Galen, as if some 1000-year-old shit he read in Greek class makes him an expert. Weyer may have been wrong, but a contemporary doctor is a better judge of this than a theologian and jurist.

Weyer wasn’t alone in thinking a non-demonic explanation might be in order. In Bodin’s own France, Montaigne was wondering the same thing:

“‘Tis now some years ago that I travelled through the territories of a sovereign prince, who, in my favour, and to abate my incredulity, did me the honour to let me see, in his own presence, and in a private place, ten or twelve prisoners of this kind, and amongst others, an old woman, a real witch in foulness and deformity, who long had been famous in that profession. I saw both proofs and free confessions, and I know not what insensible mark upon the miserable creature: I examined and talked with her and the rest as much and as long as I would, and gave the best and soundest attention I could, and I am not a man to suffer my judgment to be made captive by prepossession. In the end, and in all conscience, I should rather have prescribed them hellebore than hemlock;

Captisque res magis mentibus, quam consceleratis similis visa;

[‘The thing seemed to resemble minds possessed rather than guilty.’ Livy, viii, 18.]

“Justice has its corrections proper for such maladies. As to the oppositions and arguments that worthy men have made to me, both there, and often in other places, I have met with none that have convinced me, and that have not admitted a more likely solution than their conclusions. It is true, indeed, that the proofs and reasons that are founded upon experience and fact, I do not go about to untie, neither have they any end; I often cut them, as Alexander did the Gordian knot. After all, ‘tis setting a man’s conjectures at a very high price upon them to cause a man to be roasted alive.”

Michel de Montaigne, “Of Cripples” (Des boyteux), Essays III 11 (first published 1580), trans. Charles Cotton

Unlike Weyer or Montaigne, I’m skeptical that something disturbed in the mind of the accused was ever behind accusations of witchcraft. I think another observation of Montaigne is more likely, where he says “[t]he witches of my neighbourhood run the hazard of their lives upon the report of every new author who seeks to give body to their dreams.” The fantasies were probably not in the minds of the victims.

I agree with them, however, that Bodin’s unshakeable and certain belief, and the belief of fanatics like him, in shit like flying through the fucking air to copulate with devils and destroying some crops along the way was completely unwarranted even by the standards of knowledge professed by “all the ancient philosophers and doctors” whom Bodin pretends to admire. And honestly, even if they did fly through the air, isn’t this all a misdirection? At what point was the severity and inhumanity of the punishment simply allowed to slip in there unargued?

I’m going on too long. Here’s a translation of a part of Bodin’s attack against Weyer. I transcribed the text as well, but I’m sure I’ve made mistakes in the transcription. Best to use the new critical edition. The original is here. At this point, Bodin brings in his reading of Hippocrates, Galen and Aristotle to explain why the doctor, Johann Weyer, is wrong about medical topics. Bodin’s implication is that Weyer knows these things but is lying because he is on the devil’s side. I’m not kidding.

One might keep in the back of one’s mind that Bodin himself could be dissembling: he might not believe the witch stuff either, but think it is politically expedient, maybe to preserve certain political alliances, or to bolster the legitimacy of a mechanism for terrorizing people for political ends. But to be honest, I do not know enough about Bodin or the political situation in 16th century Europe to be able to say much about the why of his statements. I just know I hate the man.

I based my translation on the one found in Monter’s European Witchcraft (online here), which is what I use when I teach this.

There’s one more thing: Bodin mentions a trial of Jeanne Harvilliers. This is a reference to an earlier part of the book. Bodin was one of the judges in her trial: he questioned her, tortured her, and sentenced her to death for having sexual intercourse with the devil. She’s known as the “witch of Ribemont” (la sorcière de Ribemont). A television movie was made about this in the 70s. The Wikipedia entry on it contains a philologically interesting quotation about her last words. I’ll post about it next week.


Jean Bodin, “Refutation of the Opinions of Johann Weyer”, On the Demon-Mania of Witches, 1580, fol. 225v-227v

[Johann] Weyer agrees that witches are in communication and pacts with devils, and that they do many wicked things with the help of the devil. Nevertheless, in his book On Witches (De lamiis), at one point he says that no compact exists, at another that one could not prove it exists, at another that the confessions of witches are not to be believed, at another that they trick themselves into thinking that they have done what they say and that they are possessed by the melancholic disease. This is the disguise that ignorant people or sorcerers have used in order to help their familiars escape and increase the reign of Satan.

Until now, those who have said it was melancholia may not have believed that demons exist, nor, perhaps, that any angels exist, nor even any god. But Weyer confesses that there is a god (as also the devils confess and tremble beneath his power as we read in scripture). He also confesses throughout his writings that there are good and bad spirits that conspire and make pacts with men. One must not, therefore, attribute the transportation, bad deeds and strange actions of witches to melancholia. Much less should one make women melancholics. For antiquity has noted a peculiar fact: that no woman ever died of melancholia nor any man of extreme joy, but on the contrary many women have died of extreme joy.

And because Weyer is a doctor, he cannot ignore that the humour of women is directly contrary to the dryness of melancholia from which the madness arises, whether it comes from dry, yellow bile or from melancholic fluid, as doctors agree. For both arise from excessive heat and dryness as Galen says in On Black Bile (*melan=black, chole=bile). Women, on the other hand, are naturally cold and wet, as the same author says, and all the Greeks, Latin and Arabs agree on this very point. For this reason, Galen also says that a man, having a hot and dry mixture, when in a hot and dry region, he can fall into the melancholic disease.

At any rate, Olaus the Great, Caspar Peucer, Saxo Grammaticus and Weyer himself agree with all the Inquisitors of witches in Germany that below the arctic region where the sea is frozen, in Germany and the mountains of the Alps and of Savoy – all these regions are full of witches. It is also certain that northern peoples have as little melancholia as the people of Africa have phlegm. For one sees that all northern people are white, with green eyes, blond hair, and slender, the face red, joyous and talkative, things totally contrary to the melancholic humour.

In addition, Hippocrates in the first book of the Epidemics and Galen in the same book holds that women are generally healthier than men because of their menstrual flow which protects them from a thousand diseases. Never, says Hippocrates, have women suffered gout, ulcerations of the lungs, adds Galen (in the book On Venesection), epilepsy, apoplexis, phrenesis, lethargy, convulsions, or tremblings while they have their “flows”, or, to put it better, their menstruation and flows. And although Hippocrates says that seizures (including those caused by demonic possession, which is called the sacred disease) are natural, nevertheless he maintains that these happen only to the phlegmatic and not at all to the bilious—something Johann Weyer, being a doctor, cannot ignore.

So, we have shown that women are normally more often demoniacal than men, and that witches are often transported in body, and also often ravished in ecstasy, their souls being separated from their bodies, by means of something diabolical, leaving the body insensible and stupid.

It is even more ridiculous to say that the illness of witches comes from melancholia, seeing that illnesses arising from melancholia are always dangerous. Nevertheless, one sees witches who have practiced this occupation for 40 or 50 years, and from the age of 12, like Jeanne Harvilliers, who was burned alive on the 29 April 1578*, and Magdalena de la Cruz, Abbess of Cordoba in Spain, 1545, having had ordinary acquaintance and sexual intercourse with the devil, which lasted 40 years in the first case, and 30 in the other. It is necessary, therefore, that Weyer admit that it is a notable incongruity in him as a doctor, and an ignorance far too gross (but it is not ignorance) to attribute melancholic diseases to women, which are as little compatible with them as the praiseworthy affections of a temperate melancholic humour, affections which make men wise, serious, contemplative (as all the ancient philosophers and doctors have remarked) — qualities as little compatible with women as fire with water. And Solomon himself, who also clearly recognized the humour of women (that man of the world) said that among a thousand men he saw one that was wise, but among women he did not see a single one. Let us put aside, therefore, the fanatical error of those who make women melancholics.

What’s more, Weyer—seeing that his cloak of melancholia was removed by demonstration and self-evident truth with respect to divine and human law, and by so many stories from all the peoples of the earth, and by so many confessions, some voluntary, some forced, and so many judgments, convictions, condemnations, and executions performed for 3,000 years in every country in the world—he offered a ruse much too gross to prevent sorcerers from being put to death, saying that the devil seduces the witches and makes them believe that they are doing what he does himself.

In doing this, he pretends that he is very much against Satan; however, he saves the sorcerers, which is plainly just to mock Satan with words, but in reality establish his grandeur and his power. For he knows well that the magistrates do not have any jurisdiction nor power to seize the devils. This will not only absolve witches, but also all the murderers, thieves, and perpetrators of incest or parricide, who are compelled by the enemy of the human race to carry out their deeds. Then he offers high praise to the tax of the Papal Camera, which condemns repentant witches to pay two ducats for a pardon; and in another place he says that he maintains not only that witches should not be punished with death by the law of god, but also that there is no mention of witches in holy scripture by which he could be easily convinced. Here I call on god and his law as witness, and 1000 passages from the Bible to convince this man.

Car Wier (I. lib.2.c.4. et 8. et 34. et lib.4 c.14. et lib.5.cap.9 de Praestigiis, et Saepe alibi.) est d'accord que les Sorcieres ont communication, et paction avec les Diables, et qu'elles font beaucoup de meschancetés à layde du Diable, et neantmoins au livre de lamiis, il dict tantost qu'il ny a point de paction, et tanost qu'on ne sçauroit le prouver, tantost qu'il ne faut pas croire la confession des Sorcieres, et qu'elles s'abusent de penser faire ce qu'elles disent, et que c'est la maladie melancholique qui les tient. Voila la couverture que les ignorans, ou les Sorciers ont prise pour faire evader leurs semblables et accroistre le regne de Sathan. Par cy devant ceux qui ont dict que c'estoit la melancholie, ne pensoyent pas qu'il y eust des Demons, ny peut estre qu'il eust des anges, ny Dieu quelconque. Mais Wier confesse qu'il y a un Dieu (commes les Diables le confessent aussi, et tremblent soubz sa puissance, ainsi que nous lisons en l'escripture (Epistola Jacobi c.2)) il confesse aussi par tous ces escripts qu'il y à de bons, et malins esprits qui ont intelligence, et paction avec les hommes. Il ne falloit donc pas attribuer les transports des Sorciers, leurs malefices, et actions estranges à la melancholie, et beaucoup moins faire les femmes melancholiques, veu que l'antiquité à remarqué pour chose estrange, que jamais femme ne mourut de melancholie, ny l'homme de joye extreme, ains au contraire plusieurs (Pline liv. 7. Valere Mox. Solin.) femmes meurent de joye extreme, et puisque Wier est medecin il ne peut ignorer, que l'humeur de la femme ne soit directemeut contraire à la melancholie aduste, dont la fureur procede, soit qu'elle vienne à bile flana adusta, aut à succo melancholico, comme les medecins demeurent d'accord. Car l'un et l'autre procede d'une chaleur, et secheresse excessive comme dict Galen au livre de atra bile. Or les femmes naturellment sont froides et humides comme dict le mesme autheur, et tous les Grecs, Latins, et Arabes, s'accordent en ce point icy. Et pour cette cause Galen (in liv. de atra bile) dit aussi que l'homme estant d'un temperament chaut, et sec, en region chaude et seche, et en esté tombe en la maladie melancholique, et neantmoins Olavs le grand, Gaspar Peucerus, Saxo Grammatic, et Wier mesmes est d'accord avec tous les inquisiteurs des Sorcier d'Allemaigne que souz la region arctique, ou la mer glace, et en Allemaigne et aux mons des alpes, et de Savoye tout est plein de Sorcieres. Or est il certain que les peuples de Septentrion tiennent aussi peu de la melancholie, comme les peuples d'Afrique de la pituité. Car on voit tous les peuples de Septentrion blancs, les yeux vers, les cheveux blondz, et desliez, la face vermeille, joyeux et babilardz, chose du tout contraire à l'humeur melancholique. D'avantage Hippocratte au premier livre des maladies populaires, et Galen au mesme livre tiennent que les femmes generallement sont plus saines que les hommes, pour les flueurs menstruales, qui les garantissent de mille maladies. Jamais, dict Hippocrate, les femmes n'ont la goute, ny ulceratione de poulmons, dict Galen (in libro de Vena Sectione), ny d'epilepsies, ny d'apoplexies, ny de frenesies, ny de lethargies, ny de covulsions, ny de tremblement tant qu'elles ont leurs flueurs, ou pour mieux dire leurs menstruës, et flueurs. Et combien que Hippocrate (in libro de Mobrbo Sacro) dict que le mal-caduc, et de ceux qui estoyent assiegés des Demons, qu'on appelloit maladie sacree, est naturelle: neantmoins il soustient, que cela n'advient sinon aux pituiteux, et non point aux bilieux: ce que Jean Wier estant medecin, ne pouvoit ignorer. Or nous avons monstré que les femmes ordinairement sont demoniaques plustost que les hommes, et que les Sorcieres sont transportees souvent en corps, et souvent aussi ravies en ectase, estant l'ame separee due corps, par moyens diaboliques, demeurant le corps insensible, et stupide. Encores est il plus ridicule de dire, que la maladie des Sorcieres provient de melancholie, veu que les maladies procedans de la melancholie, sont tousiours dangereuses (Galen, in lib. de atra bile). Neantmoins on void des Sorcieres, qui ont fait ce mestier quarante, ou cinquante ans, et de l'aage de douze ans, comme Jeanne Haruilier, qui fut bruslee vive le vigntneufiesm Avrile, mil cinq cens septante huict (1578), et Magdaleine de la Croix, Abbesse de Cordouë en Espaigne, mil cinq cens quarante cinq (1545), avoyent eu accointance ordinaire, et copulation avec le Diable, qui dura quarante ans à l'une, et trente à l'autre. Il faut donc que Wier confesse que c'est une incongruité notable à luy qui est Medecin, et ignorance par trop grossiere: (mais ce n'est pas ignorance) d'attribuer aux femmes les maladies melancholiques, qui leur conviennent aussi peu que les effects loüables de l'humeur melancholique temperé, qui rend l'homme sage, posé, contemplatif, (comme tous les anciens Philosophes et Medecine on remarqué (Aristot. in Proble. sectio. 30.princip.)) qui sont qualités aussi peu compatible avec la femme, que le feu avec l'eau. Et mesmes Salomon qui cognoissoit aussi bien l'humeur des femmes, que homme du monde, dit qu'il à veu de mil (in proverbiis.) hommes un sage, mais de femmes qu'il n'en à pas veu une seule. Laissons donc l'erreur fanatique de ceux qui font les femmes malancholiques. Aussi Wier voyant que son voile de melancholie estoit descouvert par la demonstration et verité apparente partant de loix divines et humaines, par tant d'histoires de tous les peuples de la terre, par tant de confessions les unes volontaires, les autre forcees, part tant jugemens, de convictions, de condamnations, d'executions faites depuis trois mille ans en tous les pays du monde, il c'est advisé d'une ruse trop grossiere, pour empecher qu'on face mourir les Sorciers, disant (9.cap.4 et ca.ult. de Lamiis) que le Diable seduict les Sorcieres, et leur faict croire qu'elles font ce que luy mesme faict. Et en ce faisant il fait semblant, qu'il est bien fort contraire à Sathan, et ce pendant il sauve les Sorciers: qui est en bons termes se jouer avec Sathan de parolles, et en effect establir sa grandeur, et sa puissance. Car il sçait bien que les magistrats n'ont point de Jurisdiction ny de main mise sur les Diables. Que n'est pas seulement absoudre les Sorciers, ains aussi tous les meurtriers, voleurs, incestueux, et parricides, qui sont poussés par l'ennemy du genre humain à faire ce qu'ils font. Puis il loue grandement (4.cap.24. de Lamiis) la taxe de la chambre du Pape, qui condamne les Sorcieres repenties à deux ducats pour le paron: et en autre (5.lib.2.c.335 de Praestig.) lieu il dit que s'il soustenoit que non seulement les Sorcieres ne doyvent estre punies à mort par la Loy de Dieu, ains aussi qu'il n'est faicte aucune mention des Sorcieres en la S. Escripture, qu'il ne peut estre conveincu facilement. Icy j'appelle Dieu, et sa loy en tesmoignage, et mille passages (6. Exod.ca.7. et 8. et 9. et 20. Deutero. ca.18 et 4. Reg. c.9. et 21. et 23. et. 2.Parali.33. et Jefa.ca.34 et Jesa. ca. 34. et 8. et 47. Daniel.cap.2. Miche.c.3. et cap.5. Ezechiel ca.13. Num.ca.23. Hierem. ca. 19. et 23. et 27. et 50. et Acto. cap.16. Nahum. c.3.) de la Bible pour convaincre cest homme.

April 30, 2021 /Sean Coughlin
witchcraft, Jean Bodin, Johann Weyer, Galen, Hippocrates, melancholy, humours, demons, Walpurgisnacht
Ancient Medicine, Philosophy
Comment
Hippocrates, gaining the respect of the youth.

Hippocrates, gaining the respect of the youth.

Conspiracy Theories

Humboldt-Universität zu Berlin
January 20, 2020 by Sean Coughlin in Ancient Medicine

After a couple years’ work, Maria Βörno and I are finishing up a paper about the criteria Galen uses to decide when a work should or should not be attributed to Hippocrates. Galen’s work on this, On the Genuine and Spurious Writings of Hippocrates (Περὶ τῶν γνησίων τε καὶ νόθων Ἱπποκράτους συγγραμμάτων), is lost, but Maria is preparing a critical edition of Galen’s commentary on the seventh book of the Aphorisms, which is a great source for examples of how Galen attacks earlier Hippocratic interpreters’ attributions.

Maria found this one, where Galen invents something like a conspiracy theory explaining why the seventh book is full of spurious material (we give Kühn’s text below):

“Still, I think the people who interpolated these aphorisms composed them using these words for the following reason: to make the passage confusing, like an enigma, and need a lot of research, at which point they can position themselves as interpreters of what was said and gain the respect of the youth. Just from looking at this aphorism, it should be obvious to you that all of these unclear passages provide the sophists a pretext for garrulity.”

ἀλλ᾽ οἱ τούτους τοὺς ἀφορισμοὺς παρενθέντες δοκοῦσί μοι χάριν αὐτοῦ τούτοις συνθεῖναι, τοῦ συγκεχύσθαι τε τὸν λόγον, ὥσπερ αἴνιγμα, καὶ δεῖσθαι ζητήσεως πολλῆς, ἐν ᾗ καθιστάντες ἑαυτοὺς ἐξηγητὰς τῶν λεγομένων εὐδοκιμοῦσι παρὰ τοῖς μειρακίοις. ὅτι δὲ οἱ λόγοι πάντες οἱ ἀσαφεῖς ἀφορμὰς πολυλογίας παρέχουσι τοῖς σοφισταῖς δῆλον ἔσται σοι κατ᾽ αὐτὸν τοῦτον τὸν ἀφορισμόν.

Galen, Commentary on Hippocrates’ Aphorisms VII 69 (XVIIIA 184–185 K.)


January 20, 2020 /Sean Coughlin
Hippocrates, Hippocratic Commentary, Aphorisms, Galen
Ancient Medicine
Comment
A Wyvern, in the Laws of Hywel Dda, NLW MS. 20143A fol. 21r, ca.1350. Llyfrgell Genedlaethol Cymru – The National Library of Wales.

A Wyvern, in the Laws of Hywel Dda, NLW MS. 20143A fol. 21r, ca.1350. Llyfrgell Genedlaethol Cymru – The National Library of Wales.

Nicknames

Humboldt-Universität zu Berlin
January 14, 2020 by Sean Coughlin in Ancient Medicine

I

Satyros from Thasos, nicknamed Griffinfox (Γρυπαλώπηξ).* When he was around 25 years old, he started having frequent wet dreams. It happened to him often during the day, as well. Around the time he turned 30, he became consumptive and died.

Σάτυρος ἐν Θάσῳ παρωνύμιον ἐκαλεῖτο Γρυπαλώπηξ* περὶ ἔτεα ἐὼν πέντε καὶ εἴκοσιν, ἐξωνείρωσσε πολλάκις. προῄει δ’ αὐτῷ καὶ δι’ ἡμέρης πλεονάκις· γενόμενος δὲ περὶ ἔτεα τριήκοντα φθινώδης ἐγένετο καὶ ἀπέθανεν.

Hippocrates, Epidemics 6.8.29, 5.354 Littré (nb: I’ve given Smith’s text)

Στρυμάργου: Dioscorides knows this reading, as well—not only Στομάργου [see IV below]. He doesn’t interpret this one as a proper name, either; instead, he says it indicates someone with manic excitement about sex. For many other epithets are also mentioned in Hippocrates in the same way, like Μυοχάνη, Σαράπους, Γρυπαλώπηξ.* But even in Erasistratos, he says, [we find] ῥινοκολοῦρος.

Στρυμάργου: οἶδε καὶ ταύτην τὴν γραφὴν ὁ Διοσκουρίδης, οὐ μόνον τὴν Στομάργου, ἀλλὰ καὶ τοῦτο οὐχ ὡς κύριον ὄνομα ἐξηγεῖται, ἀλλὰ τὸν μανικῶς ἐπτοημένον, περὶ τὰ ἀφροδίσια δηλοῦσθαί φησιν. εἰρῆσθαι γὰρ παρὰ τῷ Ἱπποκράτει καὶ ἄλλα πολλὰ κατὰ τὸν αὐτὸν τρόπον ἐπίθετα, καθάπερ Μυοχάνη, Σαράπους, Γρυπαλώπηξ. ἀλλὰ καὶ παρ' Ἐρασιστράτῳ φησὶν ὁ ῥινοκολοῦρος.

Galen, Glossary of Hippocrates’ Terminology, 19.142 K.

*γρυπαλώπηξ: γρύψ (griffin) + ἀλώπηξ (fox). γρύψ enters English as both the griffin and the wyvern, a bipedal dragon.

II

Raw and liquid feces are checked with solid millet cooked in oil—like the sailor-boy and <Myriochaune or the woman with her mouth open or> the joking-woman.

Τὰ ὠμὰ διαχωρήματα καὶ ὑγρὰ κέγχρος στερεὸς ἐν ἐλαίῳ ἑφθὸς ἵστησιν, οἷον τὸ ναυτοπαίδιον, καὶ ἡ Μυριοχαύνη.

Hippocrates, Epidemics 2.1.12, 5.82 Littré (Smith’s text)

Μηριοχάνη: a woman's name.

†Μηριοχάνη· ὄνομα γυναικός.

Erotian, Collection of Words used by Hippocrates, μ 2 (59,8 Nachmanson)

Μυοχάνη: epithet of a woman with her mouth open. But if Μυριοχαύνη is written, she would be a woman who makes lots of jokes.

Μυοχάνη: ἐπίθετον χασκούσης. εἰ δὲ Μυριοχαύνη γράφοιτο, ἡ ἐπὶ μυρίοις ἂν εἴη χαινουμένη.

Galen, Glossary of Hippocrates’ Terminology, 19.142 K.

III

Serapis <or the woman with her toes splayed> was swollen from a moist belly. Itching started—I don’t know on what day. No progress. She had an abscess in her waist; when it blackened, she died.

Ἡ Σεράπις ἐξ ὑγρῆς κοιλίης ᾤδησεν· κνησμοὶ δ' οὐκ οἶδα ποσταίῃ, οὐ πρόσω· ἔσχε δ’ ἔτι καὶ ἀπόστημα ἐν κενεῶνι, ὅπερ μελανθὲν ἀπέκτεινεν.

Hippocrates, Epidemics 2.2.3, 5.84 Littré (Smith’s text)

Σαράπους: A woman having the toes of her feet spread out and splayed.

Σαράπους: ἡ διασεσηρότας καὶ διεστῶτας ἔχουσα τοὺς δακτύλους τῶν ποδῶν.

Galen, Glossary of Hippocrates’ Terminology, 19.142 K.

IV

And <the Babbling-Woman or> the wife of Stymarges, after a confusion lasting a few days, was very constipated. She aborted a female child after the constipation, was healthy for four months, then became swollen.

Καὶ ἡ Στυμάργεω ἐκ ταραχῆς ὀλιγημέρου πολλὰ στήσασα, καὶ παιδίου μετὰ στάσιν θήλεος ἀποφθορῆς τετραμήνου ὑγιήνασα, ᾤδησεν.

Hippocrates, Epidemics 2.2.4, 5.84-6 Littré (Smith’s text and name for the woman)

Στομάργου: In the second book of the Epidemics, Dioscorides writes as follows: ‘and it refers to manic babbling,’ he says. But others write Στυμάργου and interpret it as a proper name.

Στομάργου: ἐν τῷ δευτέρῳ τῶν ἐπιδημιῶν ὁ Διοσκουρίδης οὕτως γράφει καὶ δηλοῦσθαί φησι τοῦ λαλοῦντος μανικῶς. οἱ δὲ ἄλλοι στυμάργου γράφουσι καὶ ὄνομα κύριον ἀκούουσι.

Galen, Glossary of Hippocrates’ Terminology, 19.141 K.

January 14, 2020 /Sean Coughlin
Hippocrates, Hippocratic Commentary, magic animals, The Other Dioscorides, Epidemics
Ancient Medicine
Comment
Bath house scene from MS Arsenal 5196, fol. 372r, digitized by the BNF at Gallica. A nice description.

Bath house scene from MS Arsenal 5196, fol. 372r, digitized by the BNF at Gallica. A nice description.

Almost Healthy

Humboldt-Universität zu Berlin
September 09, 2019 by Sean Coughlin in Ancient Medicine

In Athens, a man contracted itching on his whole body, especially his testicles and his forehead. It was extremely severe. The skin was thick on his whole body and like leprosy in appearance. You couldn't even remove any of the skin because of its thickness. No one was able to help him. Having gone to Melos, however, where there are thermal baths, he was relieved of the itching and the thick skin, but he became dropsical and died.

Ἀθήνῃσιν, ἄνθρωπος ξυσμῷ εἴχετο πᾶν τὸ σῶμα, μάλιστα δὲ τοὺς ὄρχιας καὶ τὸ μέτωπον, εἴχετο δὲ πάνυ σφόδρα, καὶ τὸ δέρμα παχὺ ἦν καθ' ἅπαν τὸ σῶμα, καὶ οἷόν περ λέπρη τὴν πρόσοψιν· καὶ οὐκ ἂν ἀπέλαβες οὐδαμόθεν τοῦ δέρματος ὑπὸ τῆς παχύτητος· τοῦτον οὐδεὶς ἠδύνατο ὠφελῆσαι· διελθὼν δὲ ἐς Μῆλον, ᾗ τὰ θερμὰ λοετρὰ, τοῦ μὲν κνησμοῦ ἐπαύσατο καὶ τῆς παχυδερμίης· ὑδρωπιήσας δὲ ἔθανεν.

Hippocratic Corpus, Epidemics 5.1.9

Eurydamas, in Oineiadai, went mad on the tenth day of a lung inflammation. Once he was treated, he came back to his senses, his saliva became clearer, and the disease took a turn for the better. Then much sleep poured over him, his eyes became jaundiced, and he died near the twentieth day.

Εὐρυδάμας, ἐν Οἰνειάδῃσιν, ἐν περιπλευμονίῃ δεκαταῖος ἤρχετο παρακόπτειν· ἰητρευόμενος δὲ κατενόησέ τε, καὶ τὰ πτύαλα ἐγένετο καθαρώτερα, καὶ προχωρέουσα ἡ νοῦσος ἐπὶ τὸ βέλτιον, ὕπνος τε αὐτέῳ κατεχύθη πουλὺς, καὶ τὰ ὄμματα ἰκτερώδεα ἐγένετο, καὶ ἀπέθανε πρὸς τὰς εἴκοσιν ἡμέρας.

Hippocratic Corpus, Epidemics 5.1.5

September 09, 2019 /Sean Coughlin
Hippocrates
Ancient Medicine
Comment
Galen and Hippocrates... photo from Nina Aldin Thune via wikimedia commons.

Galen and Hippocrates... photo from Nina Aldin Thune via wikimedia commons.

Galen on Hippocrates in Stobaeus: a fragment of Antyllus? or, Antyllus and the Pneumatist School

May 27, 2018 by Sean Coughlin in Ancient Medicine

(a short essay for my 36th birthday)

I came across this text in Stobaeus' Eclogae. It's a characterization of Hippocrates' beliefs about medicine, purportedly from Galen, but I doubt this attribution is correct. (I'll explain why in a minute.)

Jouanna made an edition of it in 2008 with French translation and discussion [J. Jouanna, « Un Galien oublié: "Caractéristiques propres à Hippocrate" (Stobée, Anthologie 4.37.14), avec une nouvelle édition », Storia della tradizione e edizione dei medici greci. Atti del VI Colloquio internazionale, Paris 12-14 aprile 2008, Collectanea 27, Napoli, M. D'Auria, 2010, p. 199-229], but I couldn't find an English translation or discussion of it, so I translated it here.

I think lots can be said about it, and I hope this gives more people a chance to take a look.

The text comes from a section of the Eclogae on regimen or healthy way of life (περὶ ὑγείας καὶ τῆς περὶ τὴν διαμονήν αὐτῆς προνοίας = Eclogae 4.37). The section includes quotations from Pythagoras, Alcmaeon, Plato, Plutarch, Aristoxenus, "Socrates", "Gorgias", and "Hippocrates" — quite a weird mix.

There is one other author, who is quoted more than the others (eight times total): the doctor and surgeon, Antyllus. And four of these fragments of Antyllus' writings come immediately after this passage, on differences in the air according to things like time of day, time of year, and geography. (Air was often thought to be a cause of disease: more famously in extreme cases, like the miasmata, i.e., the gases given off when things rot and decay; sometimes in cases we don't think too much about today, like the effects of morning or afternoon air; and sometimes in cases we still think about, like smokey or dirty city air.) Is there a connection between this text and the Antyllus fragments that follow it?

The text presents a series of claims about medicine which are "believed by Hippocrates" ("ἀρέσκει δὲ αὐτῷ" and variants). First, we are given Hippocrates' beliefs about physiology (and in what texts he wrote about them). Physiology here begins with whatever things are 'evident' (ἐναργῆ), and that means the primary division is that of the body into solids, liquids and gases. These are in turn associated with tissues (solids), pneuma and the four humours (liquids). Next, we get a statement of his beliefs about correlations among humours, times of life of a human being, seasons of the year, times of day, and about the basis of those correlations in different mixtures of the qualities hot, cold, moist and dry. Then, a discussion of the differences in qualities (hot cold moist dry) of men and women, of the function of the humours, his views on reproduction, and the relationship between bodily axes (right / left, up / down). Last come his views on pathology, followed by therapy and prognostics, and especially the importance of knowing critical days and affected parts.

In Hense's text of the Eclogae, he prints "Galen's" ("Γαληνοῦ'), and there is nothing in the critical apparatus to suggest it was attributed to any other author. Hense, who edited Stobaeus for Teubner in the early 1900s, writes: "ecl. cum lemm. hab. S, om. M A. Gesnerum fere sequitur Charterius." I think what he is saying is that the title is missing in manuscripts M and A (although maybe it means the whole thing is missing in M and A?), and also that Chartier, who included it in his edition of Galen of 1638/9, followed Gesner's 1559 edition of Stobaeus (or followed him in attributing it to Galen? or what? I don't know how to read these properly). I haven't checked M (codex Mendozae Escurialensis LXXXX Σ II 14) or A (codex Parisinus Graecus 1984) to see what they say, but it would be worth doing.

Whether or not Galen's name is in the manuscripts, I think it is pretty unlikely that this text comes from him. It seems to me to contradict some basic commitments Galen ascribes to Hippocrates, particularly about the elements and about the relationship between the seasons of the year, times of life, the humours, and the four-qualities. For example, in Mixtures 1.3-4, Galen says that the attempts to find strong correlations, like the ones in our passage, result from a lack of scientific training, and he suggests the passages from Hippocrates' writings, which others use to support the correlations, are misinterpreted. (Of course, someone might object to what I’ve just said: Galen does not state explicitly what he thinks Hippocrates' views on this relationship are, only that it is incorrect to think there is in fact a strong correlation between seasons and bodily mixtures, and that in each season only one quality dominates. But in response I think we could say, the fact Galen thinks these people get it wrong is a pretty strong indication he thinks Hippocrates would not commit such an error.)

Regarding the elements, Galen wrote a whole book explaining that the primary elements according to Hippocrates are earth, air, water and fire, which are not elements evident to perception. I have not come across any passages where Galen attributes the three-fold division of the body (into solid parts, liquid parts, and pneumata) to Hippocrates, although he writes of other doctors who did. I've written about these passages here before.

My hunch then is that this text is not from Galen, but that it comes either from Antyllus, or from some book (or passage in a book) incorrectly ascribed to Galen. Antyllus because he is the medical source Stobaeus relies on the most and the fragments we have from him generally agree with the beliefs ascribed to Hippocrates in this text. A pseudo-Galenic work because there are many instances of texts, like the Introductio or Definitiones, carrying Galen's name even though they were not written by him. It could also come from an earlier compilation with a similar incorrect attribution.

Because of the correspondence between this text and the passages from Antyllus that come after, I'd like to think it's from him. Antyllus is an interesting thinker and writer, but he is mysterious. This makes my claim a bit hard to prove. There are lots of fragments preserved in Oribasius, but we have almost no other evidence about him. The best we can say is that he probably lived after Archigenes (fl. around the time of Trajan), since Archigenes' name shows up in a passage attributed to Antyllus in Oribasius (Coll. med. 9.23.18 at the end). That would put him at the earliest around 100 CE. And we can say, since Oribasius quotes him, that it is very likely that he lived before Oribasius (who was born early fourth century). That would put him at the latest around the 350s or so. Somewhere in those 250 years, we can find Antyllus.

I have an ulterior motive in wanting to attribute the text to Antyllus. What I find interesting about this text is how similar it sounds to views scholars often ascribe to the Pneumatist school of medicine, of which Antyllus is often said to be a member. I think historians of medicine too often assume that the Pneumatists were a more distinctive group of doctors than they actually were. I have read that the Pneumatists shared a unique set of beliefs, beliefs that differ markedly from their contemporaries. These are beliefs about the composition of the human being (either out of three kinds of parts, solids, liquids, gases; or out of the four qualities, hot cold moist and dry); beliefs about analogies between the seasons, times of life and bodily humours; beliefs about the causes of diseases and their treatment through opposites; and I have heard people say that the Pneumatists had an interest in developing a way of doing medicine which followed the doctrines of "Hippocrates".

There is however very little evidence tying these beliefs and practices specifically to the doctors called 'Pneumatist' in our sources. Texts like the pseudo-Galenic Introductio and Definitiones, and even the Anonymus Londinensis, show that these characteristics were common to a lot of doctors in the 00s and 100s CE. On the other hand, what our sources say was distinctive about the Pneumatists is in fact very little: we are told they, following the Stoics, believe pneuma controls health and disease, that they follow Hippocrates, and that Hippocrates identifies pneuma with the innate heat. That's it.

When people claim Antyllus is a Pneumatist, they almost never offer any evidence. When they do, the evidence tends not to be very convincing. I think there are two reasons for this. First, there are no complete writings by Antyllus which survive, no contemporary discussions about him and we have no precise evidence for when he lived. He is an obscure figure in the history of medicine, and any evidence we have is going to be controversial and require a lot of interpretation and speculation. That's fine - the same goes for most ancient authors - but I also think it means we should be a bit more careful.

Second, Antyllus does not call himself a Pneumatist in any of the fragments we have. This means the evidence usually comes from places where Antyllus mentions some Pneumatist authors, or where he mentions things that sound Pneumatist in the fragments. People especially point to cases where he uses the word 'pneuma.' But the fact that he adopts views from Athenaeus or discusses Archigenes does not make him a Pneumatist any more than it makes Galen one. Neither does the fact that Antyllus occasionally talks about pneuma or "tension" (tonos - a Stoic and Pneumatist technical term, but the word is by no means limited to them) make him a Pneumatist any more than it makes one of Caelius Aurelianus (who uses Latin equivalents for both but calls himself a Methodist). Just about everyone in antiquity after Aristotle who writes about living things mentions pneuma, and no one thinks they're all Pneumatists.

This, then, is the unconvincing evidence. There is, however, some better evidence that Antyllus is a Pneumatist doctor. For one thing, he fits the description of some people whom Galen calls the "followers of Athenaeus". (I've placed the text from Galen at the end of this piece.) I have also found some striking similarities between a fragment of Athenaeus preserved in Aetius and some fragments of Antyllus preserved in Oribasius' Medical Collections (and in their parallels in this section of Stobaeus). In fact, Antyllus takes over whole sentences from Athenaeus, always without attribution, and he expands on them as if he were trying to explain or refine Athenaeus' views.

Nevertheless, I do not find even this evidence all that persuasive. Athenaeus was followed by lots of people, but that does not imply each follower was committed to the all or even the most central of the ideas associated with him: that pneuma controls health and disease. I haven't found any evidence for this belief in the fragments of Antyllus. Given this lack of evidence and given we don't know Antyllus' dates, it's even harder to place him among the Pneumatists. He may have been a later medical writer who liked what Athenaeus had to say, or both he and Athenaeus may have been drawing on the same source material. We just don't know.

I admit that whether Antyllus was a Pneumatist or not is not a terribly important historical question. I guess the question of whether he wrote this particular text isn't that important either. Still, whoever it was who wrote the characateristics of Hippocrates, it's a nice example of the ideal of a "Hippocratic" medicine, an ideal which was developed and promoted in the 00s and 100s CE (and after), and which has endured until today. It's only recently that historians of medicine like Philip van der Eijk began to try to understand this ideal: scholars who raise the question of how and why the idea of "the Hippocratic" was constructed and how it rose to such prominence. Along with other texts like the pseudo-Galenic Introductio, I think this little fragment (which I'd still like to think was written by Antyllus) tells part of this story.

Stobaeus, Eclogae, 4.37.14 (Vol. 5, 883,2-886,6 Hense)

Galen’s “Characterizations of Hippocrates”

He says that it is clearly his opinion that the elements of the art are those which are evident. So, he says "human beings and all animals are composed from solids, liquids and pneumata." The nature of plants are not without a share of the three-fold kind of these things; however, it lives, increases, reproduces and grows by their composition in accordance with nature, and it becomes diseased, decays, dies and withers by their imperfection and dissolution.

He refers the composition of the solid parts to bones, nerves and cartilage, and further membrane, artery and vein. For in some [of his writings] he also says these belong to the solid kind. Following what is reasonable, he shares the opinion the principle of their assembly and formation is the head. He has also devoted to [the subject of] the nature of the solid parts the [books] On Fractures, On Joints, and those similar to them; while to the pneumata, [he devoted] the book called (peculiarly) On Winds; to the liquids, [he devoted] the [books] On Humours, On the Nature of the Human Being, and [he wrote about them] here and there in other works. These are blood and phlegm, and the two biles, yellow and black. [He says] the nature of blood is moist and hot, its colour red, and its quality sweet. Phlegm is cold and moist, white and salty. Yellow bile is hot and dry, ochre and bitter, while the other is cold and dry, black and sea-weedy.

It is also his opinion that the age of a person and the seasons of the year alike are divided into four. Each of the humours mentioned exceed the others in amount at the proper age and season of each of them. So in the time of childhood and in the season of spring, blood exceeds the others. In the time of the prime of life and in the season of summer, yellow bile. In the time past one's prime and in the autumn, black [bile]. And [in the time of] of old age and in winter, phlegm. For the natures of humours resemble those of the seasons. Therefore, the spring is hot and moist, like blood, and the summer is hot and dry. Fall is cold and dry, while winter is cold and wet, in proportion with the humours. The day is also divided in accordance with them, both in number and nature, as if in a small proportion. Generally, the natures of men differ from those of women. For the former tend towards hotter and drier, the latter towards colder and wetter. There is a smaller difference in kind for each of these and relative to one another, following the locations of the places, the particular qualities of the airs, and how people lead their lives. Each of the humours in the nature of a human being provides a special use. So blood nourishes, heats, moistens and is productive of good complexion. Yellow bile holds the body and the pores together, lest it be relaxed, stimulates perception, completes concoction, and provides easy passages for excretions. Black [bile] is a seat and, as it were, pedestal of the other humours. Phlegm [provides] for rapidity of movement to the nerves, membranes, cartilage, and tongue.

He thinks the seed contributes to reproduction, that of the male and of the female equally, and that it comes from all the parts of the body. And that males are generated on the right side of the womb, females on the left. The [parts] on the right side [of the body] are dominant relative to those on the left, and the upper [parts] relative to the lower ones.

And he thinks, concerning the causes of diseases, that some are from violent blows, some are from the environment, while the majority come from the liquids we mentioned, according to excess and defect, and change in quality or change from place to place [in the body]. 

It is also his belief that one [should] use remedies from things which are contrary to the causes [of the disease]. Of diseases, some are by nature acute, some chronic, some unclear. Acute diseases come about for the most part from bile and blood, and occur in the prime of life, and in summer and spring. Chronic diseases come from phlegm, black bile, and occur in the elderly and in winter. Unclear diseases are those which have mixed causes. And further, he makes prognoses about which of them one can recover from and which are fatal. He also thinks prognosis and prediction are both necessary for the art and that they differ from one another. For, sometimes the doctor only needs to make a prognosis, but sometimes it is safe to predict. He divides prognosis into past and present symptoms, as many have an uncertain quantity, and into future ones. 

It is also his opinion that one recognize the critical days. For the most part, the odd-numbered days belong to acute diseases, the even-numbered ones to chronic [diseases]. And those in the summer time, in youths, in the right-side parts [of the body], and in the upper parts [occur on] odd-numbered days, while in the case of their contraries, on even-numbered days. And further, he recommends knowing the places affected primarily, the recognition of which contributes no small part to indication and therapy.

Γαληνοῦ χαρακτηριάζοντα εἰς Ἱπποκράτην (=II p. 72 Chart.)

Τὰ τῆς τέχνης στοιχεῖα σαφῶς ἀρέσκειν αὐτῷ λέγει τὰ ὅσα ἐναργῆ. συνέστηκεν οὖν, φησίν, ὅ τε ἄνθρωπος καὶ τὰ σύμπαντα ζῷα ἐκ στερεῶν ὑγρῶν καὶ πνευμάτων. οὐκ ἀμοιρεῖ δὲ οὐδ' ἡ τῶν φυτῶν φύσις τῆς τούτων τριγενείας, ἀλλὰ ζῇ τε καὶ αὔξεται καὶ γεννᾷ καὶ φύεται τῇ τούτων συστάσει κατὰ φύσιν, νοσεῖ δὲ καὶ φθίνει καὶ θνῄσκει καὶ αὐαίνεται τῇ τούτων πλημμελείᾳ καὶ διαστάσει.

τὴν μὲν οὖν τῶν στερεῶν σύστασιν ὀστοῖς ἀνατίθησι καὶ νεύροις καὶ χόνδροις, ἤδη δὲ καὶ ὑμένι καὶ ἀρτηρίαις καὶ φλεψί· καὶ γὰρ ταῦτα τοῦ στερεοῦ γένους ἔν τισιν εἶναι λέγει. τῆς δὲ τούτων συμπηγίας καὶ διαπλάσεως, ἑπόμενος τῷ εὐλόγῳ, τὴν κεφαλὴν εἶναι ἀρχὴν συνδοκεῖ. ἀνατέθεικε δὲ τῇ τῶν στερεῶν φύσει τό τε περὶ ἀγμῶν καὶ τὰ περὶ ἄρθρων καὶ τὰ τούτοις ὅμοια· τῷ δὲ πνεύματι τὸ περὶ φυσέων ἰδίως ἐπιγραφόμενον σύγγραμμα· τοῖς δ' ὑγροῖς τὸ περὶ χυμῶν καὶ τὸ περὶ ἀνθρώπου φύσεως, ἤδη δὲ καὶ σποράδην ἐν ἄλλοις· ἔστι δὲ ταῦτα αἷμα καὶ φλέγμα, χολὴ διττή, ξανθὴ καὶ μέλαινα. εἶναι δὲ τὸ μὲν αἷμα τὴν φύσιν ὑγρὸν καὶ θερμὸν καὶ τὴν χρόαν ἐρυθρόν, τὴν δὲ ποιότητα γλυκύ· τὸ δὲ φλέγμα ψυχρὸν καὶ ὑγρὸν καὶ λευκὸν καὶ μᾶλλον ἁλμυρόν· τὴν δὲ ξανθὴν χολὴν θερμήν τε καὶ ξηρὰν καὶ ὠχρὰν καὶ πικράν, τὴν δὲ ἑτέραν ψυχρὰν καὶ ξηρὰν καὶ μέλαιναν καὶ φυκώδη.

ἀρέσκει δὲ αὐτῷ καὶ τὰς ἡλικίας διαιρεῖν εἰς δʹ καὶ τὰς ὥρας τοῦ ἔτους ὁμοίως. πλεονάζειν δὲ τῶν εἰρημένων χυμῶν ἕκαστον ἐν τῇ ἡλικίᾳ καὶ τῇ ὥρᾳ τῇ οἰκείᾳ ἑκάστου. καὶ ἐν μὲν τῇ τῶν παίδων ἡλικίᾳ πλεονάζειν τὸ αἷμα, καὶ τῇ ὥρᾳ τοῦ ἔαρος· ἐν δὲ τῇ τῶν ἀκμαζόντων τὴν ξανθὴν χολήν, καὶ ὥρᾳ θέρους· ἐν δὲ τῇ τῶν παρηβώντων τὴν μέλαιναν, καὶ φθινοπώρῳ· ἐν δὲ τῇ τῶν γερόντων τὸ φλέγμα, καὶ χειμῶνος· ἐοικέναι γὰρ τὰς τῶν χυμῶν φύσεις ταῖς τῶν ὡρῶν. τὸ γοῦν ἔαρ θερμόν τε καὶ ὑγρόν, ὡς τὸ αἷμα· καὶ τὸ θέρος θερμόν τε καὶ ξηρόν· τὸ δὲ μετόπωρον ψυχρόν τε καὶ ξηρόν· ὁ δὲ χειμὼν ψυχρὸς καὶ ὑγρός, ἀναλόγως τοῖς χυμοῖς· κατὰ ταὐτὰ δὲ καὶ τὴν ἡμέραν διαιρεῖ, καὶ τῷ ἀριθμῷ καὶ τῇ φύσει, ὡς ἐν μικρᾷ τῇ ἀναλογίᾳ. καθόλου γε τὰς τῶν ἀνδρῶν φύσεις πρὸς τὰς τῶν γυναικῶν διαφέρειν. εἶναι γὰρ τοὺς μὲν ἐπὶ τὸ θερμότερον καὶ ξηρότερον, τὰς δὲ ἐπὶ τὸ ψυχρότερον καὶ ὑγρότερον. ἐν ἑκάστου δὲ τούτων γένει καὶ πρὸς ἀλλήλους ἔχειν μικροτέραν διαφοράν, παρά τε τὰς τῶν χωρίων θέσεις καὶ τὰς τῶν ἀέρων ἰδιότητας καὶ τὰς τῶν διαιτημάτων ἀγωγάς. παρέχειν δὲ καὶ τῶν χυμῶν ἕκαστον ἐν τῇ φύσει τοῦ ἀνθρώπου χρείαν ἐξαίρετον. καὶ τὸ μὲν αἷμα τρέφειν καὶ θερμαίνειν καὶ ὑγραίνειν καὶ εὐχροίας εἶναι ποιητικόν· τὴν δὲ ξανθὴν χολὴν συνέχειν τὸ σῶμα καὶ τοὺς πόρους μὴ ἐᾶν ἐκλύεσθαι, καὶ μυωπίζειν τὴν αἴσθησιν, καὶ συντελεῖν τῇ πέψει, καὶ τὰς ὁδοὺς τῶν ἐκκρίσεων παρέχειν εὐπετεῖς· τὴν δὲ μέλαιναν ἕδραν καὶ οἱονεὶ βάθρον τῶν ἄλλων χυμῶν· τὸ δὲ φλέγμα νεύροις ὑμέσι καὶ χόνδροις καὶ ἄρθροις καὶ γλώττῃ πρὸς τὸ εὔδρομον τῆς κινήσεως.

δοκεῖ δὲ αὐτῷ καὶ τὸ σπέρμα πρὸς ζῳογονίαν τό τε τοῦ ἀνδρὸς καὶ τὸ τῆς γυναικὸς ἐπίσης συντελεῖν καὶ ἀπὸ πάντων τῶν μελῶν φέρεσθαι τοῦ σώματος. καὶ τὰ μὲν ἄρρενα ἐν τοῖς δεξιοῖς τῆς μήτρας, τὰ δὲ θήλεα ἐν τοῖς ἀριστεροῖς γεννᾶσθαι. ἰσχύειν δὲ καὶ τὰ δεξιὰ ὡς πρὸς τὰ ἀριστερά, καὶ τὰ ὑπερκείμενα ὡς πρὸς τὰ ὑποκείμενα.

δοκεῖ δ' αὐτῷ καὶ τὰς αἰτίας τῶν νοσημάτων ἃς μὲν ἐκ πληγῶν βιαίων, ἃς δὲ ἐκ τοῦ περιέχοντος εἶναι· τὰς δὲ πλείστας ἐκ τῶν ὑγρῶν τῶν εἰρημένων κατὰ πλῆθος καὶ ἔλλειψιν καὶ μεταβολὴν τὴν κατὰ ποιότητα ἢ τὴν ἐκ τόπου εἰς τόπον.

ἀρέσκει δὲ αὐτῷ καὶ τὰ βοηθήματα εἰσφέρειν ἐκ τῶν ἐναντίων ἱσταμένων ταῖς αἰτίαις. τῶν δὲ νοσημάτων ἃ μὲν εἶναι φύσει ὀξέα, ἃ δὲ χρόνια, ἃ δὲ ἐνδοιαστά. γίνεσθαι δὲ ὡς πολὺ ἀπὸ χολῆς καὶ αἵματος καὶ ἡλικίας ἀκμαζούσης καὶ θέρους καὶ ἔαρος τὰ ὀξέα· τὰ δὲ χρόνια ἀπὸ φλέγματος καὶ μελαίνης χολῆς καὶ ἐν πρεσβύταις καὶ χειμῶνι· τὰ δ' ἐνδοιαστά, ὁπόσα μεμιγμένας ἔχει τὰς αἰτίας. ἤδη δὲ καὶ τίνα αὐτῶν σωτήρια καὶ τίνα θανατικά, προγινώσκει· βούλεται δὲ καὶ τὴν πρόγνωσιν καὶ τὴν πρόρρησιν ἀναγκαίαν τε εἶναι πρὸς τὴν τέχνην καὶ διαφέρειν ἀλλήλων. ὅπου μὲν γὰρ προγνῶναι χρὴ μόνον τὸν ἰατρόν, ὅπου δὲ καὶ προειπεῖν ἀσφαλές. διαιρεῖ δὲ τὴν πρόγνωσιν εἴς τε τὰ προγεγονότα καὶ τὰ ἐνεστῶτα τῶν συμπτωμάτων, ὁπόσα † ἔχει πόσην ἀδηλότητα, καὶ εἰς τὰ μέλλοντα.

ἀρέσκει δ' αὐτῷ καὶ τὰς κρισίμους ἡμέρας ἐπεγνωκέναι. γίνεσθαι γὰρ ὡς τὸ πολὺ τὰς μὲν περιττὰς κριτικὰς τῶν ὀξέων νοσημάτων, τὰς δὲ ἀρτίους τῶν χρονίων. καὶ τὰς μὲν θέρους καὶ ἐπὶ νέων καὶ τῶν δεξιῶν μερῶν καὶ τῶν ὑπερκειμένων τὰς περισσάς· τὰς δὲ ἀρτίους ἐπὶ τῶν ἐναντίων. ἤδη δὲ καὶ τοὺς πρωτοπαθοῦντας τόπους εἰδέναι παραινεῖ, ἐκ τῆς τούτων ἐπιγνώσεως οὐ μικρὰν συμβαλλομένης μοῖραν εἰς σημείωσίν τε καὶ θεραπείαν.


Galen, Mixtures 1.3 (8,28-10,3 Helmreich = I 522-523K)

When attacking these kinds of arguments [against the non-existence of hot/wet diseases], some of the followers of Athenaeus of Attalia force the issue, saying there is nothing wrong with a wet and hot condition, and asserting that no illness has been discovered that is wet and hot; rather, in every case [illness] is either hot and dry like fever, cold and wet like dropsy, or cold and dry like melancholia. And they also mention at this point the seasons of the year, asserting that the winter is wet and cold, the summer dry and hot, and the autumn cold and dry, while the spring, they say, is well-mixed, [being] at the same time a hot and wet season.

And so they also say that, of the ages of life, youth is well-mixed and [is] both hot and wet. They consider the good balance of it [sc. youth] to be shown also from [the fact that] the activities of nature are strong especially at this time. And then they also say that death leads the bodies of animals to dryness and cold—at any rate, corpses are called "alibas" because they no longer possess any "libas", i.e., moisture: at the same time, they have been desiccated due to the departure of the hot and solidified by the cooling. 'But if,' they say, 'death is such, then necessarily life, being the opposite of this, will be both hot and wet.' And they say, 'if life is something hot and wet, it is also altogether necessary that the mixture most resembling it [sc. life] be best. But if [it is best], it is altogether clear [that it is] as well-mixed as possible. Therefore, in regard to the same thing, it follows that a well-mixed [person?] has a wet and hot nature and good-mixture is nothing other than the prevalence of the wet and the hot.'

These, then, are the arguments of those around Athenaeus. In a way, the opinion of the philosopher Aristotle and of Theophrastus seems to be the same, and also after them, of the Stoics, so that we are embarrassed by the majority of witnesses. But concerning Aristotle, how he used to understand hot and wet mixture, perhaps, if it is needed, I will explain as the argument proceeds. For they seem to me to have misunderstood him.


πρὸς δὴ τοὺς τοιούτους λόγους ἀπομαχόμενοί τινες τῶν ἀπ' Ἀθηναίου τοῦ Ἀτταλέως ὁμόσε χωροῦσιν οὔτε κατάστασιν ὑγρὰν καὶ θερμὴν μέμφεσθαι λέγοντες οὔθ' εὑρεθῆναί τι νόσημα φάσκοντες ὑγρὸν καὶ θερμόν, ἀλλὰ πάντως ἢ θερμὸν καὶ ξηρὸν ὑπάρχειν ὡς τὸν πυρετόν, ἢ ψυχρὸν καὶ ὑγρὸν ὡς τὸν ὕδερον, ἢ ψυχρὸν καὶ ξηρὸν ὡς τὴν μελαγχολίαν. ἐπιμέμνηνται δ' ἐνταῦθα καὶ τῶν ὡρῶν τοῦ ἔτους, ὑγρὸν μὲν καὶ ψυχρὸν εἶναι τὸν χειμῶνα φάσκοντες, ξηρὸν δὲ καὶ θερμὸν τὸ θέρος καὶ ψυχρὸν καὶ ξηρὸν τὸ φθινόπωρον, εὔκρατον δ' ἅμα καὶ θερμὴν καὶ ὑγρὰν ὥραν εἶναί φασι τὸ ἔαρ.

οὕτω δὲ καὶ τῶν ἡλικιῶν τὴν παιδικὴν εὔκρατον θ' ἅμα καὶ θερμὴν καὶ ὑγρὰν εἶναί φασιν. δηλοῦσθαι δὲ τὴν εὐκρασίαν αὐτῆς νομίζουσι κἀκ τῶν ἐνεργειῶν τῆς φύσεως ἐρρωμένων τηνικαῦτα μάλιστα. καὶ μὲν δὴ καὶ τὸν θάνατόν φασιν εἰς ξηρότητα καὶ ψῦξιν ἄγειν τὰ τῶν ζῴων σώματα. καλεῖσθαι γοῦν ἀλίβαντας τοὺς νεκροὺς ὡς ἂν οὐκέτι λιβάδα καὶ ὑγρότητα κεκτημένους οὐδεμίαν, ἐξατμισθέντας θ' ἅμα διὰ | τὴν ἀποχώρησιν τοῦ θερμοῦ καὶ παγέντας ὑπὸ τῆς ψύξεως. ἀλλ' εἴπερ ὁ θάνατος, φασί, τοιοῦτος, ἀναγκαῖον ἤδη τὴν ζωήν, ὡς ἂν ἐναντίαν οὖσαν αὐτῷ, θερμήν τ' εἶναι καὶ ὑγράν· καὶ μὴν εἴπερ ἡ ζωή, φασί, θερμόν τι χρῆμα καὶ ὑγρόν, ἀνάγκη πᾶσα καὶ τὴν ὁμοιοτάτην αὐτῇ κρᾶσιν ἀρίστην ὑπάρχειν· εἰ δὲ τοῦτο, παντί που δῆλον, ὡς εὐκρατοτάτην, ὥστ' εἰς ταὐτὸ συμβαίνειν ὑγρὰν καὶ θερμὴν φύσιν εὐκράτῳ καὶ μηδὲν ἄλλ' εἶναι τὴν εὐκρασίαν ἢ τῆς ὑγρότητός τε καὶ θερμότητος ἐπικρατούσης.

οἱ μὲν δὴ τῶν ἀμφὶ τὸν Ἀθήναιον λόγοι τοιοίδε. δοκεῖ δέ πως ἡ αὐτὴ δόξα καὶ Ἀριστοτέλους εἶναι τοῦ φιλοσόφου καὶ Θεοφράστου γε μετ' αὐτὸν καὶ τῶν Στωϊκῶν, ὥστε καὶ τῷ πλήθει τῶν μαρτύρων ἡμᾶς δυσωποῦσιν. ἐγὼ δὲ περὶ μὲν Ἀριστοτέλους, ὅπως ἐγίγνωσκεν ὑπὲρ θερμῆς καὶ ὑγρᾶς κράσεως, ἴσως ἄν, εἰ δεηθείην, ἐπὶ προήκοντι τῷ λόγῳ δείξαιμι· δοκοῦσι γάρ μοι παρακούειν αὐτοῦ.
 

May 27, 2018 /Sean Coughlin
regimen, Stobaeus, Antyllus, Hippocrates, Elements, Pneumatist School, fragments, Athenaeus of Attalia, Galen
Ancient Medicine
Comment
Vital heat / nutrition. The illustration is one of several by Christoph Geiger, created for the exhibition "The Soul is an Octopus" curated by Uta Kornmeier and now on display at the Museum of Psychiatry,&nbsp;Christophsbad Hospital, in Göppingen. T…

Vital heat / nutrition. The illustration is one of several by Christoph Geiger, created for the exhibition "The Soul is an Octopus" curated by Uta Kornmeier and now on display at the Museum of Psychiatry, Christophsbad Hospital, in Göppingen. The show there runs until 15. July 2018.

"When the soul is inflamed", part II

February 27, 2018 by Sean Coughlin in Philosophy, Ancient Medicine

... Galen discusses the opinions of Aristotle, Plato and the Stoics on the relationship between nature, soul, vital breath and innate heat. Some physicians, perhaps the Pneumatists, were interested in finding the Stoic view already articulated by Hippocrates, particularly in a work called On Sevens, and in Epidemics 6, which is being discussed here. I've added paragraph breaks to make the text easier to read. This is a continuation from part i...


In fact, some of those who wrote commentaries on the book under discussion say the word 'born' was written in the sense of 'becomes better'. They suppose it [sc. the soul] becomes better over time for those who are concerned about science and wisdom. This discussion, however, is neither medical nor is it consistent with what comes next, for it is clear from the following quotation that 'produced' is said about the substance of [the soul]: "when it is inflamed together with disease, the soul also consumes the body." The word 'inflamed' would seem to indicate Hippocrates thinks the substance of the soul is the innate heat, which he uses as a cause of natural activities in many other places.

On this point, there is also a great difference of opinion among philosophers. Some believe the substance of the soul and of nature are identical, some of these ones positing its existence in pneuma, others in a specific quality of the body. Certain people think it is not one substance, but claim each of them is distinct and differ not just in a small way in species, but wholly in kind. In this case, they think that the substance of nature is perishable, while that of the soul is imperishable.

Now, Aristotle and Plato introduce both capacities using one word, not only calling that by which we think and remember 'soul', but also the capacity in plants by which they are nourished, increased and preserved until they dry out over time. For the Stoics, on the other hand, it is customary to refer 'nature' to that by which plants are governed, 'soul' that by which animals are. They posit that the substance of both is the co-natural pneuma, and they think these differ from each other by quality: the pneuma of the soul is drier, that of nature more moist, but both require not only food in order to persist, but also air.

Whoever thinks the person who introduced this opinion is Hippocrates, according to what was mentioned in On Sevens, say the word 'born' is mentioned concerning the production in them of additional stuff from both substances, of food and air, since it is clearly observable and we know the usefulness of each of them. For it has been proven that respiration preserves the balance of the innate heat, while ingestion of food replenishes the flowing-out of bodily substance. Moreover, if the soul is a kind of form of the body, it would be appropriate to say that 'it is born until death.'  

Now, if there is some other substance, then concerning the one called 'nature', which Aristotle calls 'threptic', Plato 'epithumetic', what was said would be true; but it would not be true in the case of the 'dianoetic' soul. Certainly, that the innate heat, to which Hippocrates very often refers bodily functions, is inflamed, not only when it is no longer able to complete its previous activities or nourish us —which is its most important function—but also when it destroys and consumes like fire does, this is clear to us when we look carefully at the text and when we see the colliquesence of the body produced by excessively hot fevers.

Left out of the whole discussion is the third 'soul' or 'capacity' or whatever you might want to call it, which Plato called 'spirited'. It is good to mention this so that nothing is left out of our discussion about the soul. One kind of innate warmth, by which blood is produced, is contained in the liver. But a different, greater warmth has been received by the heart for the production of emotion. For if there is some use for it, as it has been pointed out in On the Opinions of Hippocrates and Plato, the one warmth needs respiration, the other transpiration. For thus it is customary for doctors to call what occurs through the artery along its whole body a 'double-activity', sending out residues at systole, drawing in outside air at diastole.

τῶν μέντοι γραψάντων ὑπομνήματα τοῦ προκειμένου βιβλίου τινὲς ἀντὶ τοῦ βελτίων γίνεται τὸ «φύεταί» φασιν εἰρῆσθαι. γίνεσθαι δ' αὐτὴν ἐν τῷ χρόνῳ βελτίονα νομίζουσι τοῖς προνοουμένοις ἐπιστήμης τε καὶ σοφίας, ἀλλ' οὔτε ἰατρικὸς ὁ λόγος οὔθ' ὁμολογῶν τοῖς ἐπιφερομένοις. ὅτι γὰρ ἐπὶ τῆς οὐσίας αὐτῆς εἴρηται τὸ «φύεται», δῆλον ἐκ τοῦ φάναι· «ἢν δ' ἐκπυρωθῇ, ἅμα τῇ νούσῳ καὶ ἡ ψυχὴ <καὶ> τὸ σῶμα φέρβεται». καὶ δόξειε δ' ἂν ἐνδείκνυσθαι τὸ «ἐκπυρωθῇ» ῥῆμα τὴν οὐσίαν τῆς ψυχῆς ἡγεῖσθαι τὸν Ἱπποκράτην τὸ ἔμφυτον εἶναι θερμὸν, ὃ καὶ τῶν φυσικῶν ἔργων αἰτιᾶται πολλαχόθι.

μέγιστον δ' ἐνταῦθα κινεῖται δόγμα διαπεφωνημένον καὶ αὐτοῖς τοῖς φιλοσόφοις. ἔνιοι μὲν ἡγοῦνται μίαν οὐσίαν εἶναι ψυχῆς τε καὶ φύσεως, οἱ μὲν ἐν τῷ πνεύματι τιθέμενοι τὴν ὕπαρξιν αὐτῶν, οἱ δ' ἐν τῇ τοῦ σώματος ἰδιότητι. τινὲς δὲ οὐ μίαν, ἀλλ' ἰδίαν ἑκατέρᾳ τὴν οὐσίαν εἶναί φασι καὶ οὐ σμικρῷ γ' <εἴδει> τινὶ διαφερούσας, ἀλλ' ὅλῳ τῷ γένει, ὅπου γε καὶ τὴν μὲν τῆς φύσεως φθαρτὴν εἶναι ἡγοῦνται, τὴν δὲ τῆς ψυχῆς ἄφθαρτον.

Ἀριστοτέλης μὲν οὖν καὶ Πλάτων ὑπὸ μίαν προσηγορίαν ἀμφοτέρας ἄγουσι τὰς δυνάμεις, οὐ μόνον ᾗ λογιζόμεθα καὶ μεμνήμεθα ψυχὴν καλοῦντες, ἀλλὰ καὶ τὴν ἐν τοῖς φυτοῖς, ᾗ τρέφεταί τε καὶ αὔξεται καὶ διασῴζεται, μέχρι περ ἂν ἐν τῷ χρόνῳ ξηρανθῇ. τοῖς Στωϊκοῖς δ' ἔθος ἐστὶ φύσιν μὲν ὀνομάζειν, ᾗ τὰ φυτὰ διοικεῖται, ψυχὴν δὲ ᾗ τὰ ζῷα, τὴν οὐσίαν ἀμφοτέρων μὲν τίθενται τὸ σύμφυτον πνεῦμα καὶ διαφέρειν ἀλλήλων οἴονται ποιότητι. ξηρότερον μὲν γὰρ πνεῦμα τὸ τῆς ψυχῆς, ὑγρότερον δὲ τὸ τῆς φύσεως εἶναι, δεῖσθαι δ' ἄμφω πρὸς διαμονὴν οὐ τροφῆς μόνον, ἀλλὰ καὶ ἀέρος.

καὶ ὅσοι γε τοῦ δόγματος τούτου νομίζουσιν ἡγεμόνα τὸν Ἱπποκράτην γεγονέναι, καθάπερ ἐν τῷ Περὶ ἑβδομάδων εἴρηται, τὸ «φύεσθαι» λέγουσιν εἰρῆσθαι κατὰ τῆς γινομένης ἐν αὐτοῖς προσθέσεως ἐξ ἀμφοτέρων τῶν οὐσιῶν, τῆς τε <τροφῆς καὶ> τοῦ ἀέρος, <ὡς> ἐναργῶς φαίνεται καὶ τὴν ἑκατέρου χρείαν ἐπιστάμεθα (δέδεικται γὰρ ἡ μὲν ἀναπνοὴ τὴν συμμετρίαν τῆς ἐμφύτου θερμασίας φυλάττειν, ἡ δὲ τῶν σιτίων προσφορὰ τὸ διαρρέον τῆς σωματικῆς οὐσίας ἀναπληροῦν) καὶ, εἴπερ εἶδός τι τοῦ σώματός ἐστιν ἡ ψυχή, προσηκόντως ἂν λέγοιτο «φύεσθαι μέχρι τοῦ θανάτου». 

εἰ δ' ἐστὶν ἑτέρα τις αὐτῆς <ἡ> οὐσία, <περὶ ταύτης> τῆς φύσεως, ἣν Ἀριστοτέλης μὲν ὀνομάζει θρεπτικὴν, ἐπιθυμητικὴν δὲ Πλάτων, ἀληθὲς ἂν εἴη τὸ εἰρημένον, οὐκ ἀληθὲς δὲ ἐπὶ τῆς διανοητικῆς ψυχῆς. ὅτι μέντοι τὸ ἔμφυτον θερμόν, ᾧ μάλιστα ἀναφέρει τὰ σωματικὰ τῶν ἔργων ὁ Ἱπποκράτης, ἐκπυρωθὲν οὐ μόνον οὐκέτι δύναται τὰς ἔμπροσθεν ἐνεργείας ἐπιτελεῖν οὐδὲ τρέφειν ἡμᾶς, ὅπερ ἦν ἔργον αὐτῷ κυριώτατον, ἀλλὰ διαφθείρει τε καὶ τήκει καθάπερ τὸ πῦρ, εὔδηλόν ἐστι τῷ λόγῳ σκοπουμένοις ἡμῖν καὶ τὰς <γινομένας> ὑπὸ τῶν διακαῶν πυρετῶν συντήξεις τοῦ σώματος ἐναργῶς ὁρῶσι.

παραλελειμμένης δὲ κατὰ τὸν εἰρημένον λόγον ἅπαντα τῆς τρίτης ψυχῆς ἢ δυνάμεως ἢ ὅπως ἂν ἐθέλῃς ὀνομάζειν αὐτήν, ἣν ὁ Πλάτων ἐκάλει θυμοειδῆ, καὶ περὶ ταύτης ἄμεινόν ἐστιν εἰπεῖν ἕνεκα τοῦ μηδὲν ἔτι ὑπολείπεσθαι κατὰ τὸν περὶ ψυχῆς λόγον. θερμασία μέν τις ἔμφυτος ἐν ἥπατι περιέχεται, καθ' ἣν αἷμα γεννᾶται· θερμασία δὲ ἑτέρα πλείων ἐστὶ κατὰ τὴν καρδίαν εἰς θυμοῦ γένεσιν ἡμῖν δοθεῖσα. καὶ γὰρ <εἰ> χρεία τούτου τίς ἐστιν, ὡς ἐν τοῖς Περὶ τῶν Ἱπποκράτους καὶ Πλάτωνος δογμάτων ἐπιδέδεικται, δεῖται μὲν αὕτη ἡ θερμασία τῆς ἀναπνοῆς, ἡ δ' ἑτέρα τῆς διαπνοῆς. οὕτω γὰρ ὀνομάζειν ἔθος ἐστὶ τοῖς ἰατροῖς τὴν διὰ τῶν ἀρτηριῶν γινομένην καθ' ὅλον τὸ σῶμα διττὴν ἐνέργειαν, ἐκπεμπουσῶν αἰθαλῶδες περίττωμα κατὰ τὴν συστολὴν, ἑλκουσῶν δὲ τὸν πέριξ ἀέρα κατὰ τὴν διαστολήν.

Galen, Commentary on Hippocrates' Epidemics 6, 5.5 (272,10-274,11 Wenkebach = XVIIB 249-253 Kühn)

February 27, 2018 /Sean Coughlin
vital heat, soul, Hippocrates, Aristotle, Stoics, Plato, Pneumatist School, Thessalus, Medicine of the mind, The soul is an octopus, Hippocratic Commentary, pneuma, Epidemics, Athenaeus of Attalia, Galen
Philosophy, Ancient Medicine
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Vital spirits. The illustration is one of several by Christoph Geiger, created for the exhibition "The Soul is an Octopus" curated by Uta Kornmeier and now on display at the Museum of Psychiatry,&nbsp;Christophsbad Hospital, in Göppingen. The show t…

Vital spirits. The illustration is one of several by Christoph Geiger, created for the exhibition "The Soul is an Octopus" curated by Uta Kornmeier and now on display at the Museum of Psychiatry, Christophsbad Hospital, in Göppingen. The show there runs until 15. July 2018.

"When the soul is inflamed", part I

Humboldt-Universitaet zu Berlin
February 17, 2018 by Sean Coughlin in Ancient Medicine

(edit: the sequel can be found here)

While I've been collecting the fragments of Athenaeus of Attalia, I've also been tracking down texts about the Pneumatist school of medicine. They are pretty elusive, and this makes me wonder whether it was a medical 'school' in the normal sense (like the 'Rationalists' , Empiricists', or 'Methodists'). I'm also curious about the idea of 'belonging to a school' and how what it meant to doctors changed during the first and second centuries.

Galen's commentary on Epidemics 6 is a good place to go to with these questions. It contains lots of discussions of people Galen disagrees with, and some of them sound pretty close to people he calls "Pneumatikoi" in other places. He never names them in the commentary, which means I need to file them away as possible testimonies. Still, whether or not the "τινές" – the "some people" – Galen talks about here are Pneumatists, this passage is further evidence that Epidemics 6 and its interpretation was an important locus for the revival of Hippocratean medicine, and for bringing medicine, natural philosophy and ethics closer together.

I'll post this comment on Epidemics 6.5.2 in two parts. The first part deals with medical views on the soul and its relation to pneuma (or spirit), as well as Galen's thoughts on the soul's importance for medicine. The second records the views of Platonists, Aristotelians and Stoics on the soul.


Lemma: A person's soul is ever born until death, but when the soul is inflamed with disease, it consumes the body.

Ἀνθρώπου ψυχὴ αἰεὶ φύεται μέχρι θανάτου· ἢν δὲ ἐκπυρωθῇ ἅμα τῇ νούσῳ καὶ ἡ ψυχὴ, τὸ σῶμα φέρβεται.

'Hippocrates', Epidemics 6.5.2 (V 314,14-15 Littré)

Galen's Commentary: One needs the power of prophecy more than any method, if one is going to figure out what the person who wrote [the word] "born" intended it to mean. One can take it in the sense of "begotten", like Asclepiades later understood it; or one can take it in the sense of "increased"; or, one can take it, as some people did, in the sense of "preserved", since we engage in nutrition and respiration—for all those who consider the soul to be pneuma say it is preserved by an exhalation of the blood and the air drawn through the trachea into the body during inspiration. Obviously, it is impossible for us to maintain that any of these claims are true, without first having identified the substance of the soul precisely. If, therefore, as in the case of On Sevens, in which the book's author clearly stated his opinion about the substance of the soul, it was likewise mentioned in some of the other books which are agreed to be the genuine works of  Hippocrates, then I would have to say something about the word "born". Since, however, Hippocrates nowhere in the genuine books states his opinion clearly [...Wenkebach marks a lacuna...] whatever the word "produced" means.

In addition to my ignorance about this, I myself am not convinced that I can know the substance of the soul with any certainty. That the brain controls perception and voluntary movement for all the parts of an animal, I have demonstrated in The Opinions of Hippocrates and Plato. I am convinced, moreover, that the pneuma in the ventricles [of the brain] is a primary kind of psychic instrument, which it would be rather rash for me to claim is the substance of the soul. Whether the whole nature of the brain arose out of the mixture of the four elements to form some specific quality of the substance, because of which it becomes the primary source of perception and voluntary movement in animals (and obviously also of imagination, memory and thought), or whether some further incorporeal capacity is fastened to us at the brain by a craftsman and then separated again from us when we are dying, I have no sound demonstration. But I also think that those who have an opinion about this have a larger share than mine of rashness rather than wisdom.

And in fact, I think it is superfluous for doctors to know the substance of the soul. For those who practice the art of medicine in a rational way, it is enough to know that as long as the natural mixture of the brain itself and the pneuma in its ventricles is preserved, then the animal is able to live. When the pneuma in the ventricles is completely destroyed, or is diverted a good deal from its natural mixture along with the substance in the brain, then either psychic disease or death necessarily follow. When the doctor knows these things, he will provide for their good-mixture and for the subsistence <of the pneuma>, always according to the methods we mentioned in the notes on Matters of Health (De sanitate tuenda) and The Therapeutic Method (Methodus medendi), all of which I showed Hippocrates had discovered first.

For this reason, then, I think the present passage is not genuine, but was written by someone, as it were, not too far removed, perhaps even his son Thessalus. They say he strung together his father's writings, which he found written on papyrus, parchment and writing-tablets, and inserted passages like these ones along with them.

Μαντείας δεῖ μᾶλλον ἤ τινος μεθόδου, καθ' ἣν εὑρήσει τις, ὅ τί ποτε σημαίνειν βουληθεὶς ἔγραψε τὸ «φύεται». δύναται μὲν γὰρ ἀκούεσθαι καὶ <ἀντὶ> τοῦ "γεννᾶται", καθάπερ ὁ Ἀσκληπιάδης ὕστερον ὑπέλαβε, δύναται δὲ καὶ <ἀντὶ> τοῦ "αὐξάνεται", δύναται δ', ὥσπερ τινὲς ἤκουσαν, ἀντὶ τοῦ "διασῴζεται", τροφῇ καὶ ἀναπνοῇ χρωμένων ἡμῶν· ὅσοι γὰρ οἴονται τὴν <ψυχὴν> εἶναι πνεῦμα, διασῴζεσθαι λέγουσιν αὐτὴν ἔκ τε τῆς ἀναθυμιάσεως τοῦ αἵματος καὶ τοῦ κατὰ τὴν εἰσπνοὴν <ἀέρος> ἑλκομένου διὰ τῆς τραχείας ἀρτηρίας εἴσω τοῦ σώματος. οὐκ ἄδηλον δ' ἐστὶ καὶ ὡς οὐδὲν ὧν εἶπον ἀποφήνασθαι δυνατὸν ἡμῖν ἐστι διατεινομένοις, ὡς ἀληθὲς εἴη, μὴ πρότερον οὐσίαν ψυχῆς ἀκριβῶς ἐξευροῦσιν. εἰ μὲν οὖν, ὥσπερ ἐν τῷ Περὶ ἑβδομάδων ὁ γράψας τὸ βιβλίον ἐκεῖνο σαφῶς ἀπεφήνατο περὶ ψυχῆς οὐσίας, οὕτως καὶ κατ' ἄλλο τι τῶν ὁμολογουμένων γνησίων Ἱπποκράτους συγγραμμάτων ἦν εἰρημένον, εἶχον ἄν τι κἀγὼ λέγειν περὶ τοῦ «φύεται» ῥήματος. ἐπεὶ δ' οὐδαμόθι τῶν γνησίων βιβλίων Ἱπποκράτης ἀπεφήνατο σαφῶς ***, ὅ τί ποτε σημαίνει τὸ «φύεται» ῥῆμα.

πρὸς δὲ τῷ τοῦτ' ἀγνοεῖν οὐδ' αὐτὸς ἐμαυτὸν πέπεικα ψυχῆς οὐσίαν ἐπίστασθαι βεβαίως. ὅτι μὲν γὰρ ὁ ἐγκέφαλος αἰσθήσεώς τε καὶ κινήσεως τῆς καθ' ὁρμὴν ἡγεμών ἐστι τοῖς τοῦ ζῴου μορίοις ἅπασιν, ἐν τοῖς Περὶ τῶν Ἱπποκράτους καὶ Πλάτωνος δογμάτων ἀποδέδειγμαι. πέπεισμαι <δὲ> καὶ πρός γε τούτῳ τὸ κατὰ τὰς κοιλίας αὐτοῦ πνεῦμα πρῶτόν τι τῶν ὀργάνων εἶναι τῶν ψυχικῶν, ὅπερ ἦν μοι προπετέστερον ἀποφηναμένῳ ψυχῆς οὐσίαν εἰπεῖν. εἴτε δὲ ἡ ὅλη τοῦ ἐγκεφάλου φύσις ἐκ τῆς τῶν τεττάρων στοιχείων κράσεως εἰς τοιαύτην <τῆς> οὐσίας ἦλθεν [ἢ] ἰδιότητα, καθ' ἣν αἰσθήσεώς τε καὶ κινήσεως τῆς καθ' ὁρμὴν ἀρχηγὸς ἔσται τῷ ζῴῳ καὶ δηλονότι <καὶ φαντασίας> καὶ μνήμης τε καὶ νοήσεως, εἴτε τις ἄλλη δύναμις ἀσώματος ὑπὸ τοῦ δημιουργήσαντος ἡμᾶς ἐνδεῖταί τε τῷ ἐγκεφάλῳ καὶ χωρίζεται πάλιν ἀποθνῃσκόντων, οὐδεμίαν ἔχω ἀπόδειξιν βεβαίαν, ἀλλὰ καὶ τοὺς ἀποφηναμένους περὶ τούτων ἡγοῦμαι πλεονεκτεῖν ἐμοῦ προπετείᾳ μᾶλλον ἢ σοφίᾳ.

καὶ μέντοι καὶ περιττὸν εἶναι νομίζω τοῖς ἰατροῖς ἐπίστασθαι ψυχῆς οὐσίαν. ἀρκεῖ γὰρ γινώσκεσθαι τοῖς τὴν ἰατρικὴν τέχνην λογικῶς μεταχειριζομένοις, ὡς, ἡ κατὰ φύσιν κρᾶσις αὐτοῦ τοῦ ἐγκεφάλου καὶ τοῦ κατὰ τὰς κοιλίας αὐτοῦ πνεύματος ἄχρι περ ἂν διασῴζηται, ζῆν δυνάμενον τὸ ζῷον. ἐὰν δὲ ἤτοι τὸ κατὰ τὰς κοιλίας πνεῦμα διαφθαρῇ παντάπασιν ἢ τῆς κατὰ φύσιν κράσεως ἐπὶ πλεῖστον ἐκτραπῇ, μετὰ τῆς κατὰ τὸν ἐγκέφαλον <οὐσίας ἀναγκαῖον αὐτῇ ἢ ψυχικὴν νόσον ἢ θάνατον> ἀκολουθῆσαι. ταῦτα γὰρ γινώσκων ὁ ἰατρὸς τῆς τ' εὐκρασίας αὐτῶν καὶ τῆς ὑπάρξεως προνοήσεται <τοῦ πνεύματος> ἀεὶ κατὰ τὰς εἰρημένας μεθόδους ὑφ' ἡμῶν ἔν τε τοῖς Ὑγιεινοῖς καὶ τοῖς Θεραπευτικοῖς ὑπομνήμασιν, ἃς ἔδειξα πάσας Ἱπποκράτην πρῶτον εὑρηκότα.

διὰ τοῦτ' οὖν οὐδὲ γνησίαν νομίζω τὴν προκειμένην ῥῆσιν εἶναι, παρεγγεγράφθαι δ' ὑπό τινος ὥσπερ καὶ ἄλλας οὐκ ὀλίγας, ἴσως δὲ καὶ τὸν υἱὸν αὐτοῦ Θεσσαλόν, <ὃν> ἀθροῖσαί φασι τὰς ὑπογραφὰς τοῦ πατρὸς εὑρόντα γεγραμμένας ἐν χάρταις τε καὶ διφθέραις καὶ δέλτοις, καὶ τοιαύτας τινὰς παρεντεθεικέναι ῥήσεις.

Galen, Commentary on Hippocrates' Epidemics 6, 5.5 (270,21-272,9 Wenkebach = XVIIB 246-249 Kühn)

February 17, 2018 /Sean Coughlin
Pneumatist School, Thessalus, pneuma, Hippocratic Commentary, Hippocrates, The soul is an octopus, Medicine of the mind, Epidemics, Athenaeus of Attalia, Galen, soul
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