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Hippocrates of Kos (c. 460 - c. 370 BC) was a Greek physician of the classical period who is considered one of the most outstanding figures in the history of medicine. He is traditionally referred to as the “Father of Medicine” and the Hippocratic school of medicine revolutionized ancient Greek medicine, establishing it as a discipline distinct from other fields with which it had traditionally been associated (theurgy and philosophy), thus establishing medicine as a profession.
Our publishing house brings to the attention of readers the treatise
Of the Epidemics, attributed to Hippocrates, in the translation from ancient Greek into English made in the nineteenth century by Francis Adams, a Scottish medical doctor and translator of many Greek, Roman and Arabic ancient medical works. It is the first true historical, medical and scientific treatise of antiquity on the theme of epidemics.
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Τεληστήριον
HIPPOCRATES
OF THE EPIDEMICS
TRANSLATED FROM ANCIENT GREEK BY FRANCIS ADAMS
Edizioni Aurora Boreale
Title: Of the Epidemics
Author: Hippocrates
Publishing Series: Telestèrion
With a preface by Nicola Bizzi
ISBN: 979-12-5504-352-2
Cover image: Pieter Bruegel the Elder, The Triumph of Death, 1562
(Madrid, Prado Museum)
Edizioni Aurora Boreale
© 2022 Edizioni Aurora Boreale
Via del Fiordaliso 14 - 59100 Prato - Italia
www.auroraboreale-edizioni.com
HIPPOCRATES OF KOS, THE FATHER OF MEDICINE
Hippocrates of Kos (Ἱπποκράτης ὁ Κῷος, Hippokrátēs ho Kôios; c.460 - c.370 BC), also known as Hippocrates II, was a Greek physician of the classical period who is considered one of the most outstanding figures in the history of medicine. He is traditionally referred to as the “Father of Medicine” in recognition of his lasting contributions to the field, such as the use of prognosis and clinical observation, the systematic categorization of diseases, or the formulation of humoural theory. The Hippocratic school of medicine revolutionized ancient Greek medicine, establishing it as a discipline distinct from other fields with which it had traditionally been associated (theurgy and philosophy), thus establishing medicine as a profession.
However, the achievements of the writers of the Hippocratic Corpus, the practitioners of Hippocratic medicine, and the actions of Hippocrates himself were often conflated; thus very little is known about what Hippocrates actually thought, wrote, and did. Hippocrates is commonly portrayed as the paragon of the ancient physician and credited with coining the Hippocratic Oath, which is still relevant and in use today. He is also credited with greatly advancing the systematic study of clinical medicine, summing up the medical knowledge of previous schools, and prescribing practices for physicians through the Hippocratic Corpus and other works.
Historians agree that Hippocrates was born around the year 460 BC on the Greek island of Kos; other biographical information, however, is likely to be untrue.
Soranus of Ephesus, a 2nd-century Greek physician, was Hippocrates’ first biographer and is the source of most personal information about him. Later biographies are in the Suda of the 10th century AD, and in the works of John Tzetzes, which date from the 12th century AD. Hippocrates is mentioned in passing in the writings of two contemporaries: Plato, in Protagoras and Phaedrus, and Aristotle’s Politics, which date from the 4th century BC.
Soranus wrote that Hippocrates’ father was Heraclides, a physician, and his mother was Praxitela, daughter of Tizane. The two sons of Hippocrates, Thessalus and Draco, and his son-in-law, Polybus, were his students. According to Galen, a later physician, Polybus, was Hippocrates’ true successor, while Thessalus and Draco each had a son named Hippocrates (Hippocrates III and IV).
Soranus said that Hippocrates learned medicine from his father and grandfather (Hippocrates I), and studied other subjects with Democritus and Gorgias. Hippocrates was probably trained at the asklepieion of Kos, and took lessons from the Thracian physician Herodicus of Selymbria.
Plato mentions Hippocrates in two of his dialogues: in Protagoras, he describes Hippocrates as “Hippocrates of Kos, the Asclepiad”; while in Phaedrus, Plato suggests that “Hippocrates the Asclepiad” thought that a complete knowledge of the nature of the body was necessary for medicine.
Hippocrates taught and practiced medicine throughout his life, traveling at least as far as Thessaly, Thrace, and the Sea of Marmara. Several different accounts of his death exist. He died, probably in Larissa, at the age of 83, 85 or 90, though some say he lived to be well over 100.
Hippocrates is credited with being the first person to believe that diseases were caused naturally, not because of superstition and Gods. He was credited by the disciples of Pythagoras of allying philosophy and medicine. He separated the discipline of medicine from religion, believing and arguing that disease was not a punishment inflicted by the gods but rather the product of environmental factors, diet, and living habits. Indeed there is not a single mention of a mystical illness in the entirety of the Hippocratic Corpus. However, Hippocrates did work with many convictions that were based on what is now known to be incorrect anatomy and physiology, such as Humorism.
«It is thus with regard to the disease called Sacred: it appears to me to be nowise more divine nor more sacred than other diseases, but has a natural cause from the originates like other affections. Men regard its nature and cause as divine from ignorance and wonder...» (Hippocrates, On the Sacred Disease).
Ancient Greek schools of medicine were split (into the Knidian and Koan) on how to deal with disease. The Knidian school of medicine focused on diagnosis. Medicine at the time of Hippocrates knew almost nothing of human anatomy and physiology because of the Greek taboo forbidding the dissection of humans. The Knidian school consequently failed to distinguish when one disease caused many possible series of symptoms. The Hippocratic school or Koan school achieved greater success by applying general diagnoses and passive treatments. Its focus was on patient care and prognosis, not diagnosis. It could effectively treat diseases and allowed for a great development in clinical practice.
Hippocratic medicine and its philosophy are far removed from that of modern medicine. Now, the physician focuses on specific diagnosis and specialized treatment, both of which were espoused by the Knidian school. This shift in medical thought since Hippocrates’ day has caused serious criticism over their denunciations; for example, the French doctor M.S. Houdart called the Hippocratic treatment a «meditation upon death».
Analogies have been drawn between Thucydides’ historical method and the Hippocratic method, in particular the notion of “human nature” as a way of explaining foreseeable repetitions for future usefulness, for other times or for other cases.
An important concept in Hippocratic medicine was that of a crisis, a point in the progression of disease at which either the illness would begin to triumph and the patient would succumb to death, or the opposite would occur and natural processes would make the patient recover. After a crisis, a relapse might follow, and then another deciding crisis. According to this doctrine, crises tend to occur on critical days, which were supposed to be a fixed time after the contraction of a disease. If a crisis occurred on a day far from a critical day, a relapse might be expected. Galen believed that this idea originated with Hippocrates, though it is possible that it predated him.
Hippocratic medicine was humble and passive. The therapeutic approach was based on «the healing power of nature» (vis medicatrix naturae in Latin). According to this doctrine, the body contains within itself the power to re-balance the four humours and heal itself (physis). Hippocratic therapy focused on simply easing this natural process. To this end, Hippocrates believed «rest and immobilization were of capital importance».