This view of a "vital principle" as necessarily consisting of matter
in a finely divided, fluid, or "etheric" state is not unknown even in
our day. Belief in the fundamental importance of the Pneuma formed the
basis of the teaching of another vitalist school in ancient Greece,
that of the Pneumatists.
[Sidenote: Galen and the Circulation of the Blood.]
It is unnecessary to detail here the various ways in which Galen's
physiological views differ from those of the Moderns, as most of these
are noticed in footnotes to the text of the present translation. His
ignorance of the circulation of the blood does not lessen the force of
his general physiological conclusions to the extent that might be
anticipated. In his opinion, the great bulk of the blood travelled
with a to-and-fro motion in the veins, while a little of it, mixed
with inspired air, moved in the same way along the arteries; whereas
we now know that all the blood goes outward by the arteries and
returns by the veins; in either case blood is carried to the tissues
by blood-vessels, and Galen's ideas of tissue-nutrition were
wonderfully sound. The ingenious method by which (in ignorance of the
pulmonary circulation) he makes blood pass from the right to the left
ventricle, may be read in the present work (p. 321). As will be seen,
he was conversant with the "anastomoses" between the ultimate branches
of arteries and veins, although he imagined that they were not used
under "normal" conditions.
[Sidenote: Galen's Character.]
Galen was not only a man of great intellectual gifts, but one also of
strong moral fibre. In his short treatise "That the best Physician is
also a Philosopher" he outlines his professional ideals. It is
necessary for the efficient healer to be versed in the three branches
of "philosophy," viz.: (_a_) _logic_, the science of how to think;
(_b_) _physics_, the science of what is--_i.e._ of "Nature" in the
widest sense; (_c_) _ethics_, the science of what to do. The amount of
toil which he who wishes to be a physician must undergo--firstly, in
mastering the work of his predecessors and afterwards in studying
disease at first hand--makes it absolutely necessary that he should
possess perfect self-control, that he should scorn money and the weak
pleasures of the senses, and should live laborious days.
Readers of the following pages will notice that Galen uses what we
should call distinctly immoderate language towards those who ventured
to differ from the views of his master Hippocrates (which were also
his own). The employment of such language was one of the few
weaknesses of his age which he did not transcend. Possibly also his
mother's choleric temper may have predisposed him to it.
Public-domain text, read in full here on John Shaqi.
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