Biology -- Greece -- History; Medicine, Greek and Roman
We shall pass over the general course of later Greek medicine with
great rapidity. A definite medical school was established at Alexandria
and others perhaps at Pergamon and elsewhere. Athens, after the death
of Aristotle and his pupils, passes entirely into the background and is
of no importance so far as medicine is concerned. At Alexandria, where
a great medical library was collected, anatomy began to be studied and
two men whose discoveries were of primary importance for the history of
that subject, Erasistratus and Herophilus, early practised there. With
anatomy as a basis medical education could become much more systematic.
It is a very great misfortune that the works of these two eminent men
have disappeared. Of Herophilus fragments have survived embedded in the
works of Galen (A. D. 130-201), Caelius Aurelianus (fifth century), and
others. These fragments have been the subject of one of the earliest,
most laborious, and most successful attempts made in modern times to
reconstruct the lost work of an ancient author.[127] For Erasistratus
our chief source of information are two polemical treatises directed
against him by Galen. Recently, too, a little more information
concerning the works of both men has become available from the Menon
papyrus.
[127] K. F. H. Marx, _Herophilus, ein Beitrag zur Geschichte der
Medizin_, Karlsruhe, 1838.
It has been found possible to reconstruct especially a treatise on
anatomy by Herophilus with a considerable show of probability. He
opened by giving general directions for the process of dissection and
followed with detailed descriptions of the various systems, nervous,
vascular, glandular, digestive, generative, and osseous. There was a
separate section on the liver, a small part of which has survived.
It is of his account of the nervous system that we have perhaps the
best record, and it is evident that he has advanced far beyond the
Hippocratic position. In the braincase he saw the membranes that cover
the brain and distinguished between the cerebrum and cerebellum. He
attained to some knowledge of the ventricles of the brain, the cranial
and spinal nerves, the nerves of the heart, and the coats of the eye.
He distinguished the blood sinuses of the skull, and the _torcular
Herophili_ (winepress of Herophilus), a sinus described by him, has
preserved his name in modern anatomical nomenclature. He even made out
more minute structures, such as the little depression in the fourth
ventricle of the brain, known to modern anatomists as the _calamus
scriptorius_, which still bears the name which he gave it (κάλαμος ῷ
γράφομεν), because it seemed to him, as Galen tells us, to resemble
the pens then in use in Alexandria.[128] We still use, too, his term
_duodenum_ (δωδεκαδάκτυλος ἔκφυσις = twelve-finger extension), for as
Galen assures us, Herophilus ‘so named the first part of the intestine
before it is rolled into folds‘.[129] The duodenum is a U-shaped
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