The Legacy of Greece: Essays By: Gilbert Murray, W. R. Inge, J. Burnet, Sir T. L. Heath, D'arcy W. Thompson, Charles Singer, R. W. Livingston, A. Toynbee, A. E. Zimmern, Percy Gardner, Sir Reginald Blomfield
Philosophy
The Legacy of Greece: Essays By: Gilbert Murray, W. R. Inge, J. Burnet, Sir T. L. Heath, D'arcy W. Thompson, Charles Singer, R. W. Livingston, A. Toynbee, A. E. Zimmern, Percy Gardner, Sir Reginald Blomfield
Greece -- Civilization
'We must attend to the appearances of the eyes in sleep as presented
from below; for if a portion of the white be seen between the closing
eyelids, and if this be not connected with diarrhœa or severe purging,
it is a very bad and mortal symptom.' In this, the last Aphorism which
we shall quote, we see the Hippocratic physician actually making his
observations. Now during sleep the eyeball is turned upward, so that if
the eye be then opened and examined only the white is seen. In the later
stages of all wasting and chronic diseases the eyelids tend not to be
closed during sleep. Such patients, as is well known, often die with the
eyes open and sometimes exhibiting only the whites.
But the Hippocratic physician was not content to make only passive
observation; he also took active measures to elicit the 'physical
signs'. In modern times a large, perhaps the chief, task of the student
of medicine is to acquire a knowledge of these so-called physical signs
of disease, the tradition of which has been gradually rebuilt during the
last three centuries. Among the most important measures in which he
learns to acquire facility is that of auscultation. This useful process
has come specially into vogue since the invention of the stethoscope in
1819 by Laennec, who derived valuable hints for it from the Hippocratic
writings. Auscultation is several times mentioned and described by the
Hippocratic physicians, who used the direct method of listening and not
the mediate method devised by Laennec. There are, however, certain cases
in which the modern physician still finds the older non-instrumental
Hippocratic method superior. In the Hippocratic work περι νουσων {peri
nousôn}, _On diseases_, we read of a case with fluid in the pleura that
'you will place the patient on a seat which does not move, an assistant
will hold him by the shoulders, and you will shake him, applying the ear
to the chest, so as to recognize on which side the sign occurs'. This
sign is still used by physicians and is known as _Hippocratic
succussion_. In another passage in the same work the symptoms of
pleurisy are described and 'a creak like that of leather may be heard'.
This is the well known _pleuritic rub_ which the physician is accustomed
to seek in such cases, and of which the creak of leather is an excellent
representation.
Public-domain text, read in full here on John Shaqi.
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