And what profit did he derive from these opinions from the point of
view of treatment? He neither was able to cure a kidney ailment, nor
jaundice, nor a disease of black bile, nor would he agree with the
view held not merely by Hippocrates but by all men regarding
drugs--that some of them purge away yellow bile, and others black,
some again phlegm, and others the thin and watery superfluity[98]; he
held that all the substances evacuated[99] were _produced by the drugs
themselves_, just as yellow bile is produced by the biliary passages!
It matters nothing, according to this extraordinary man, whether we
give a hydragogue or a cholagogue in a case of dropsy, for these all
equally purge[99] and dissolve the body, and produce a solution having
such and such an appearance, which did not exist as such before![100]
Must we not, therefore, suppose he was either mad, or entirely
unacquainted with practical medicine? For who does not know that if a
drug for attracting phlegm be given in a case of jaundice it will not
even evacuate four _cyathi_[101] of phlegm? Similarly also if one of
the hydragogues be given. A cholagogue, on the other hand, clears away
a great quantity of bile, and the skin of patients so treated at once
becomes clear. I myself have, in many cases, after treating the liver
condition, then removed the disease by means of a single purgation;
whereas, if one had employed a drug for removing phlegm one would have
done no good.
Nor is Hippocrates the only one who knows this to be so, whilst those
who take experience alone as their starting-point[102] know otherwise;
they, as well as all physicians who are engaged in the practice of
medicine, are of this opinion. Asclepiades, however is an exception;
he would hold it a betrayal of his assumed "elements"[103] to confess
the truth about such matters. For if a single drug were to be
discovered which attracted such and such a humour only, there would
obviously be danger of the opinion gaining ground that there is in
every body[104] a faculty which attracts its own particular quality.
He therefore says that safflower,[105] the Cnidian berry,[106] and
_Hippophaes_,[107] do not draw phlegm from the body, but actually make
it. Moreover, he holds that the flower and scales of bronze, and burnt
bronze itself, and germander,[108] and wild mastich[109] dissolve the
body into water, and that dropsical patients derive benefit from these
substances, not because they are purged by them, but because they are
rid of substances which actually help to increase the disease; for, if
the medicine does not evacuate[110] the dropsical fluid contained in
the body, but generates it, it aggravates the condition further.
Moreover, scammony, according to the Asclepiadean argument, not only
fails to evacuate[110] the bile from the bodies of jaundiced subjects,
but actually turns the useful blood into bile, and dissolves the body;
in fact it does all manner of evil and increases the disease.
Public-domain text, read in full here on John Shaqi.
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