At the dawn of recorded medical history Hippocrates stands for the
fundamental and primary importance of _seeing clearly_--that is of
_clinical observation_. And what he observed was that the human
organism, when exposed to certain abnormal conditions--certain
stresses--tends to behave in a certain way: that in other words, each
"disease" tends to run a certain definite course. To him a disease was
essentially a process, one and indivisible, and thus his practical
problem was essentially one of _prognosis_--"what will be the natural
course of this disease, if left to itself?" Here he found himself to
no small extent in opposition with the teaching of the neighbouring
medical school of Cnidus, where a more static view-point laid special
emphasis upon the minutiae of _diagnosis_.
Observation taught Hippocrates to place unbounded faith in the
recuperative powers of the living organism--in what we sometimes call
nowadays the _vis medicatrix Naturae_. His observation was that even
with a very considerable "abnormality" of environmental stress the
organism, in the large majority of cases, manages eventually by its
own inherent powers to adjust itself to the new conditions. "Merely
give Nature a chance," said the father of medicine in effect, "and
most diseases will cure themselves." And accordingly his treatment
was mainly directed towards "giving Nature a chance."
His keen sense of the solidarity (or rather, of the constant
interplay) between the organism and its environment (the "conditions"
to which it is exposed) is instanced in his book, "Airs, Waters, and
Places." As we recognise, in our popular everyday psychology, that "it
takes two to make a quarrel," so Hippocrates recognised that in
pathology, it takes two (organism and environment) to make a disease.
As an outstanding example of his power of clinical observation we may
recall the _facies Hippocratica_, an accurate study of the countenance
of a dying man.
His ideals for the profession are embodied in the "Hippocratic oath."
[Sidenote: Anatomy.]
Impressed by this view of the organism as a unity, the Hippocratic
school tended in some degree to overlook the importance of its
constituent _parts_. The balance was re-adjusted later on by the
labours of the anatomical school of Alexandria, which, under the aegis
of the enlightened Ptolemies, arose in the 3rd century B.C. Two
prominent exponents of anatomy belonging to this school were
Herophilus and Erasistratus, the latter of whom we shall frequently
meet with in the following pages (_v._ p. 95 _et seq._).
[Sidenote: The Empirics.]
Public-domain text, read in full here on John Shaqi.
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