At this point, also, I would gladly have been able to ask Erasistratus
whether his "artistic" Nature has not constructed any organ for
_clearing away_ a humour such as this. For whilst there are two organs
for the excretion of urine, and another of considerable size for that
of yellow bile, does the humour which is more pernicious than these
wander about persistently in the veins mingled with the blood? Yet
Hippocrates says, "Dysentery is a fatal condition if it proceeds from
black bile"; while that proceeding from yellow bile is by no means
deadly, and most people recover from it; this proves how much more
pernicious and acrid in its potentialities is black than yellow bile.
Has Erasistratus, then, not read the book, "On the Nature of Man," any
more than any of the rest of Hippocrates's writings, that he so
carelessly passes over the consideration of the humours? Or, does he
know it, and yet voluntarily neglect one of the finest studies[282] in
medicine? Thus he ought not to have said anything about the
_spleen_,[283] nor have stultified himself by holding that an artistic
Nature would have prepared so large an organ for no purpose. As a
matter of fact, not only Hippocrates and Plato--who are no less
authorities on Nature than is Erasistratus--say that this viscus also
is one of those which cleanse the blood, but there are thousands of
the ancient physicians and philosophers as well who are in agreement
with them. Now, all of these the high and mighty Erasistratus affected
to despise, and he neither contradicted them nor even so much as
mentioned their opinion. Hippocrates, indeed, says that the spleen
wastes in those people in whom the body is in good condition, and all
those physicians also who base themselves on experience[284] agree
with this. Again, in those cases in which the spleen is large and is
increasing from internal suppuration, it destroys the body and fills
it with evil humours;[285] this again is agreed on, not only by
Hippocrates, but also by Plato and many others, including the Empiric
physicians. And the jaundice which occurs when the spleen is out of
order is darker in colour, and the cicatrices of ulcers are dark. For,
generally speaking, when the spleen is drawing the atrabiliary[286]
humour into itself to a less degree than is proper, the blood is
unpurified, and the whole body takes on a bad colour. And when does it
draw this in to a less degree than proper? Obviously, when it [the
spleen] is in a bad condition. Thus, just as the kidneys, whose
function it is to attract the urine, do this badly when they are out
of order, so also the spleen, which has in itself a native power of
attracting an atrabiliary quality,[287] if it ever happens to be weak,
must necessarily exercise this attraction badly, with the result that
the blood becomes thicker and darker.
Public-domain text, read in full here on John Shaqi.
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