Biology -- Greece -- History; Medicine, Greek and Roman
The chief glory of the Hippocratic collection regarded from the
clinical point of view is perhaps the actual description of cases. A
number of these—forty-two in all—have survived.[118] They are not only
unique as a collection for nearly 2,000 years, but they are still to
this day models of what succinct clinical records should be, clear and
short, without a superfluous word, yet with all that is most essential,
and exhibiting merely a desire to record the most important facts
without the least attempt to prejudge the case. They illustrate to the
full the Greek genius for seizing on the essential. The writer show’s
not the least wish to exalt his own skill. He seeks merely to put the
data before the reader for his guidance under like circumstances. It
is a reflex of the spirit of full honesty in which these men lived and
worked that the great majority of the cases are recorded to have died.
Two of this remarkable little collection may be given:
‘The woman with quinsy, who lodged with Aristion: her
complaint began in the tongue; voice inarticulate; tongue
red and parched. _First day_, shivered, then became heated.
_Third day_, rigor, acute fever; reddish and hard swelling
on both sides of neck and chest; extremities cold and livid;
respiration elevated; drink returned by the nose; she could
not swallow; alvine and urinary discharges suppressed.
_Fourth day_, all symptoms exacerbated. _Fifth day_, she
died.’
[118] They are to be found as an Appendix to Books I and III of the
_Epidemics_ and embedded in Book III.
We probably have here to do with a case of diphtheria. The quinsy,
the paralysis of the palate leading to return of the food through
the nose, and the difficulty with speech and swallowing are typical
results of this affection which was here complicated by a spread of
the septic processes into the neck and chest, a not uncommon sequela
of the disease. The rapid onset of the conditions is rather unusual,
but may be explained if we regard the case as a mild and unnoticed
diphtheria, subsequently complicated by paralysis and by secondary
septic infection, for which reasons she came under observation.
Public-domain text, read in full here on John Shaqi.
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