Biology -- Greece -- History; Medicine, Greek and Roman
Before parting with the Hippocratic physician a word must be said
as to his therapeutic means. His general armoury may be described
as resembling that of the modern physician of about two generations
ago. During those two generations we have, it is true, added to our
list of effective remedies but, on the other hand, there has been by
common consent a return to the Hippocratic simplicity of treatment.
After rest and quiet the central factor in treatment was Dietetics.
This science regarded the age—‘Old persons use less nutriment than
young’; the season—‘In winter abundant nourishment is wholesome, in
summer a more frugal diet’; the bodily condition—‘Lean persons should
take little food, but this little should be fat, fat persons on the
other hand should take much food, but it should be lean’. Respect
was also paid to the digestibility of different foods—‘white meat is
more easily digestible than dark’—and to their preparation. Water,
barley water, and lime water were recommended as drinks. The dietetic
principles of the Hippocratics, especially in connexion with fevers,
are substantially those of the present day, and it may be said that
the general medical tendency of the last generation in these matters
has been an even closer approximation to the Hippocratic. ‘The more we
nourish unhealthy bodies the more we injure them’; ‘The sick upon whom
fever seizes with the greatest severity from the very outset, must at
once subject themselves to a rigid diet’; ‘Complete abstinence often
acts well, if the strength of the patient can in any way sustain it’;
yet ‘We should examine the strength of the sick, to see whether they be
in condition to maintain this spare diet to the crisis of the disease’.
‘In the application of these rules we must always be mindful of the
strength of the patient and of the course of each particular disease,
as well as of the constitution and ordinary mode of life in each
disease.’
Besides diet the Hippocratic physician had at his disposal a
considerable variety of other remedies. Baths, inunctions, clysters,
warm and cold suffusions, massage and gymnastic, as well as gentler
exercise are among them. He probably employed cupping and bleeding
rather too freely, and we have several representations of the
instruments used for these operations (fig. 8). He was no great user of
drugs and seldom names them except, we may note, in the works on the
treatment of women, which are probably of Cnidian origin and whence the
greater part of the 300 constituents of the Hippocratic pharmacopœia
are derived. Thus his list of drugs is small, but several known to him
are still used by us.
[Illustration: Fig. 7. ATHENIAN FUNERARY MONUMENT
Second century A. D. British Museum
Inscription reads: ‘Jason, also called Dekmos, the Acharnian, a
physician’, followed by his genealogy. By side of patient stands a
cupping vessel.]
Public-domain text, read in full here on John Shaqi.
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