Outlines of Greek and Roman MedicineElliott, James, Sir
History
Outlines of Greek and Roman Medicine
Elliott, James, Sir
Medicine, Greek and Roman
and support them by new facts and observations. Yet, in reality, we have
few writers whose works, both as to substance and manner, are more
different from each other than those of Hippocrates and Galen, the
simplicity of the former being strongly contrasted with the abstruseness
and refinement of the latter."[23]
A list of the various editions of Galen's works is given in Dr. Smith's
"Dictionary of Greek and Roman Biography and Mythology" (1890 edition,
vol. ii, pp. 210-12), and also the titles of the treatises classified
according to the branch of medical science with which they deal, and it
is convenient to follow this classification.
I.--WORKS ON ANATOMY AND PHYSIOLOGY.
Galen insisted upon the study of anatomy as essential, and in this
respect was in conflict with the view held by the Methodists and the
Empirics who believed that a physician could understand diseases without
any knowledge of the exact structure of the body. His books on anatomy
were originally fifteen in number. The last six of these are now extant
only in an Arabic translation, two copies of which are preserved in the
Bodleian Library at Oxford.
The directions he gives for dissection show that he was a master of the
art. In dissecting out the portal vein and its ramifications, for
instance, he advises that a probe should be inserted into the vein, and
the point of the probe gradually advanced as the surrounding tissue is
cut away, so that finally the minute branches are exposed; and he
describes the use of the blowpipe, and other instruments used in
dissection. He carried out the experiment of tying the iliac and
axillary arteries in animals, and found that this procedure stopped the
pulse in the leg and arm, but caused no serious symptoms, and he found
that even the carotid arteries could be tied without causing death. He
also pointed out that tying the carotid artery did not cause loss of
voice, but that tying the artery carelessly so as to include the nerve
had this effect. He was the first to describe the ductus arteriosus, and
the three coats of the arteries.
It is highly improbable that Galen dissected human bodies in Rome,
though he dissected a great variety of the lower animals. He writes that
the doctors who attended Marcus Aurelius in the German wars dissected
the dead bodies of the barbarians. The chief mistakes made by Galen as
an anatomist were due to his assumption that what is true of the anatomy
of a lower animal is true also when applied to man.
Galen greatly assisted the advance of physiology by recognizing that
every part of the body exists for the purpose of performing a definite
function. Aristotle, like Plato, had taught that "Nature makes nothing
in vain," and Galen's philosophy was greatly influenced by the teaching
of Aristotle. Galen regarded his work as "a religious hymn in honour of
the Creator, who has given proof of His Omnipotence in creating
everything perfectly conformable to its destination."
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