If, then, heat plays so important a part in abnormal
functioning, so must it also in normal (_i.e._ causes of
eucrasia involved in those of dyscrasia, of physiology
in those of pathology). A like argument explains the
_genesis of the humours_. Addition of warmth to things
already warm makes them bitter; thus honey turns to bile
in people who are already warm; where warmth deficient,
as in old people, it turns to useful blood. This is a
proof that bile does not pre-exist, as such, in the
food.
Chapter IX
The _functions of organs_ also depend on the way in
which the four qualities are mixed--_e.g._ the
contracting function of the stomach. Treatment only
possible when we know the _causes_ of errors of
function. The Erasistrateans practically Empiricists in
this respect. On an appreciation of the meaning of a
_dyscrasia_ follows naturally the Hippocratic principle
of treating opposites by opposites (_e.g._ cooling the
over-heated stomach, warming it when chilled, etc.).
Useless in treatment to know merely the function of each
organ; we must know the _bodily condition_ which upsets
this function. Blood is warm and moist. Yellow bile is
warm and (virtually, though not apparently) dry. Phlegm
is cold and moist. The fourth possible combination (cold
and dry) is represented by _black bile_. For the
clearing out of this humour from the blood, Nature has
provided the spleen--an organ which, according to
Erasistratus, fulfils no purpose. Proof of the
importance of the spleen is the jaundice, toxaemia,
etc., occurring when it is diseased. Erasistratus's
failure to mention the views of leading authorities on
this organ shows the hopelessness of his position. The
Hippocratic view has now been demonstrated deductively
and inductively. The classical view as to the generation
of the humours. Normal and pathological forms of yellow
and black bile. Part played by the _innate heat_ in
their production. Other kinds of bile are merely
transition-stages between these extreme types. Abnormal
forms removed by liver and spleen respectively. Phlegm,
however, does not need a special excretory organ, as it
can undergo entire metabolism in the body.
Need for studying the works of the Ancients carefully,
in order to reach a proper understanding of this
subject.
BOOK III
Chapter I
A recapitulation of certain points previously
demonstrated. Every part of the animal has an attractive
and an alterative (assimilative) faculty; it attracts
the nutrient juice which is proper to it. Assimilation
is preceded by adhesion (_prosphysis_) and that again,
by application (_prosthesis_). Application the goal of
attraction. It would not, however, be followed by
adhesion and assimilation if each part did not also
possess a faculty for _retaining in position_ the
nutriment which has been applied. _A priori_ necessity
for this _retentive_ faculty.
Chapter II
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