Hippocratic Corpus

The Hippocratic oath is such an enduring icon of medical morality that physicians in Nazi Germany invoked it to protest _Euthanasie_, the systematized killing of weak or sick children, people with incurable diseases, hospitalized criminals (a category applicable to gays), geriatric patients, long-term patients, patients not of German blood (Jews and Romani), and people with disabilities. Several expert witnesses at the 1945 Nuremberg Medical Trial also cited the oath to condemn Nazi physicians' abuse of human research subjects. Noting these invocations, (...) in 1947 the physicians who founded the World Medical Association modernized the Hippocratic oath to convey to future medical students its foundational precepts: benefitting the sick, not harming them, not breaching confidentiality, and not treating patients unjustly, irrespective of their gender or social status. This article presents a historically accurate reading of the oath's strange-seeming passages to show that it does not prohibit abortion, euthanasia (medical aid in dying), or surgery. The article also contends that oath-swearing remains an important asset in teaching clinicians their role responsibilities, and that its ethics supports women's rights to reproductive health care and can valorize challenges to venture-capitalist and for-profit managements that prioritize profitability over providing quality health care for patients. (shrink)

Athenaeus of Attaleia (fl. mid-first century BC) offers a fascinating example of the interest among Graeco-Roman physicians in marking out the boundaries between medicine and philosophy. As founder of the so-called Pneumatist medical sect, he was deeply influenced by contemporary Stoicism. A number of surviving ancient testimonia tell us that he held a distinctive view on the question of how far medicine should analyse the composition of the human body. Rather than having recourse to the Stoic cosmic elements fire, air, (...) earth and water, he maintained that in the context of the medical art, the relevant elements were the elemental qualities hot, cold, wet and dry. This paper is an attempt to pin down Athenaeus’ position on these issues, and his motivations for holding it, despite a number of conflicting and problematic claims in the surviving evidence. (shrink)

The paper explores the interrelations between Pindar, Heraclitus and the Hippocratic author with regard to ideas of the body, the soul and dreams. I shall consider Pindar’s fr.131b as an overlooked testimony of the poet’s interest in a non-Homeric conceptualization of the soul. I will suggest reading Heraclitus’ fragments B26 and B21 together and offer a new interpretation of the latter. Furthermore, I will compare Pindar’s fr. 131b with the HippocraticOn Regimen(4. 86, 87) and Pindar’s fr. 133 withOn Regimen(4. 92) (...) respectively, in order to highlight unnoticed similarities. (shrink)

By exploring a competition for authority on health and human nature between Plato and Hippocratic medicine, this paper offers a fresh perspective on an overarching debate today involving health and the role of healthcare in its safeguarding. Economically and politically, healthcare continues to dominate the USA’s handling of health, construed biophysically as the absence of disease. Yet, notoriously, in major health outcomes, the USA fares worse than other countries in the Organisation for Economic Co-operation and Development (OECD). Clearly, in giving (...) pre-eminence to healthcare, the USA is doing far less than it could to protect and improve health. Meanwhile, mounting evidence supports the view that health impacts of social determinants besides healthcare (eg, education) surpass healthcare in heft. Circumscribed shifts in the USA’s current frame will not suffice: what’s needed is a change in its overall template for addressing health. Unless this is widely seen, the sway of biomedicine will likely be reduced slowly, if at all. That biomedicine’s role in relation to health is raised increasingly as a question is a sign that its ongoing supremacy is not a forgone conclusion. But making the most of this opportunity requires appreciating that ’How should health’s relationship to medicine be conceptualised?’ is not the most fundamental query that we need to pose. Through consideration of Hippocratic medicine and Plato, I argue that the most availing answer to this particular question can come only after exploration of three larger questions involving health’s status as a human good and its relationship to human flourishing. Exploration of the Greeks is, thus, valuable methodologically. What’s more, it supports today’s advocacy of ’health promotion’, a perspective tying health closely to well-being that has yet to achieve the overall prominence that it warrants. (shrink)

The aim of this paper is to explore how the cosmic soul works and how it accomplishes its providential and demiurgic tasks in Chrysippus’ system. Drawing on (i) the analogy Chrysippus establishes between the individuum and the cosmos and (ii) biological and medical theories of respiration, digestion, and pulse, I will show that the movements of Chrysippus’ cosmic soul reproduce the processes of digestion, pulse, and respiration at a cosmic level. My claim is that Chrysippus, in addition to adopting Praxagoras’ (...) notion that inhaled air nourishes pneuma—well established in the scholarship—appropriated Aristotle’s complex mechanism of respiration and digestion based on the teleological role of cold air, crucial for preserving vital heat. So understood, Chrysippus’ application of biological notions to cosmology allows him to endow the active principle with effective causation throughout the cosmos. (shrink)

This paper deals with the two notions of aition or aitia and prophasis in the Greek medical texts and asks the question of whether these words are synonymous or not. Therefore, it explores their different meanings in different contexts both in the Hippocratic and in the Galenic corpus. It also investigates how Galen understands these two notions when he reads them in the Hippocratic treatises and how he explains them in his commentaries to Hippocrates, and in particular, if he gives (...) the same meaning to these words in his own treatises or if he uses them in a different way. (shrink)

La série Hippocrate place au cœur de son récit de jeunes internes en médecine qui se découvrent tout aussi vulnérables que compétents. Parmi les séries médicales, Hippocrate développe donc une critique de la faculté de soigner de jeunes médecins, pris au piège d’un hôpital public malade de ses contradictions. Regarder Hippocrate revient ainsi à affronter la question : quelle société pour prendre soin de ceux qui prennent soin de nous?

This book challenges the common assumption that the predominant focus of the history of science should be the achievements of Western scientists since the so-called Scientific Revolution. The conceptual frameworks within which the members of earlier societies and of modern indigenous groups worked admittedly pose severe problems for our understanding. But rather than dismiss them on the grounds that they are incommensurable with our own and to that extent unintelligible, we should see them as offering opportunities for us to revise (...) many of our own preconceptions. We should accept that the realities to be accounted for are multi-dimensional and that all such accounts are to some extent value-laden. In the process insights from current anthropology and the study of ancient Greece and China especially are brought to bear to suggest how the remit of the history of science can be expanded to achieve a cross-cultural perspective on the problems. (shrink)

In what follows, I reply to critical appraisals of my book entitled Hippocrates’ Oath and Asclepius’ Snake: The Birth of the Medical Profession. Professors Tollefsen, McPherson, and Potts separately offer these thoughtful critiques. Professor Tollefsen approaches the work from the standpoint of the physician-patient relationship. Professors McPherson and Potts both address it in terms of virtues. Potts treats the theme of virtue generally while McPherson focuses on the virtue of piety. Since virtues attend relationships, in what follows, I discuss, first, (...) the physician-patient relationship ; second, virtue generally ; and third, and finally, the virtue of piety specifically. (shrink)

This article articulates the Hippocratic medical ethic found in the Oath and the Christian medical ethic as exemplified in the parable of the Good Samaritan. It proposes that the Oath has a natural-law-based deontological character (as understood by Aquinas) that governs friendships of utility (as understood by Aristotle) between student and teacher and physician and patient. The article elaborates on the Samaritan’s conduct as exemplifying Christian agapeic-love. It contrasts agapeic-love with friendship-love, while noting that the Samaritan relies on friendship-love (as (...) found between the Samaritan and the innkeeper) to realize agapeic-love towards the robbers’ victim. It concludes with noting that the grace-based Christian medical ethic perfects the nature-based Hippocratic ethic not by destroying it, but, rather, by employing it. (shrink)

At Plato’s Phaedrus 270c, Socrates asks whether one can know souls without knowing ‘the whole.’ Phaedrus answers that ‘according to Hippocrates’ the same demand on knowing the whole applies to bodies. What parallel is intended between soul-knowledge and body-knowledge and which medical passages illustrate the analogy have been much debated. Three dominant interpretations read ‘the whole’ as respectively (1) environment, (2) kosmos, and (3) individual soul or body; and adduce supporting Hippocratic passages. But none of these interpretations accounts for the (...) Phaedrus’ rhetorical method. A better reading sees the whole as the genos ‘soul,’ as the Phaedrus’ taxonomies divide that genus. (shrink)

This work investigates how ancient philosophers understood productive knowledge or technê and used it to explain ethics, rhetoric, politics and cosmology. In eleven chapters leading scholars set out the ancient debates about technê from the Presocratic and Hippocratic writers, through Plato and Aristotle and the Hellenistic age, ending in the Neoplatonism of Plotinus and Proclus. Amongst the many themes that come into focus are: the model status of ancient medicine in defining the political art, the similarities between the Platonic and (...) Aristotelian conceptions of technê, the use of technê as a paradigm for virtue and practical rationality, technê´s determining role in Platonic conceptions of cosmology, technê´s relationship to experience and theoretical knowledge, virtue as an 'art of living', the adaptability of the criteria of technê to suit different skills, including philosophy itself, the use in productive knowledge of models, deliberation, conjecture and imagination. (shrink)

Hynek Bartos does the field of ancient philosophy a great service by detailing the influence of early Greek thinkers (such as Heraclitus, Empedocles, Anaxagoras, Democritus, and Diogenes of Apollonia) on the Hippocratic work On Regimen, and by demonstrating that work’s innovative engagement with contemporary scientific and philosophical concepts as well as its direct influence on Plato and Aristotle. His study usefully counteracts the lamentable tendency among ancient philosophers to ignore or downplay the influence of medical literature on philosophy in general, (...) and to heap scorn on this text in particular, which Kirk, Raven, and Schofield considered ‘an eclectic and very superficial quasi- philosophical treatise’ and Barnes famously called ‘a silly farrago of ill-digested Presocratic opinions’. (shrink)

In Hippocrates’ Oath and Asclepius’ Snake: The Birth of the Medical Profession, Thomas Cavanaugh focuses on performative aspects of the taking of the oath which bear upon the formation of that community we identify as the medical profession. In this paper, I suggest that we can go further than Cavanaugh does in identifying what the Hippocratic oath makes possible. Given its particular content and what it communicates, the oath makes possible, to a degree few other oaths could, and in a (...) way which might be significantly impaired by the absence of an oath, the form of community we have come to call the physician-patient relationship. In Section I, I will discuss Cavanaugh’s treatment of the oath’s relationship to the community of medical professionals. In Section II, I discuss at a relatively abstract level the relationship between communication and community. In Section III I show how the oath can additionally constitute the primordial moment in the existence of the physician-patient relationship. (shrink)

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T. A. Cavanaugh's Hippocrates' Oath and Asclepius' Snake: The Birth of the Medical Profession articulates the Oath as establishing the medical profession's unique internal medical ethic - in its most basic and least controvertible form, this ethic mandates that physicians help and not harm the sick. Relying on Greek myth, drama, and medical experience (e.g., homeopathy), the book shows how this medical ethic arose from reflection on the most vexing medical-ethical problem -- injury caused by a physician -- and argues (...) that deliberate iatrogenic harm, especially the harm of a doctor choosing to kill (physician assisted suicide, euthanasia, abortion, and involvement in capital punishment), amounts to an abandonment of medicine as an exclusively therapeutic profession. The book argues that medicine as a profession necessarily involves stating before others what one stands for: the good one seeks and the bad one seeks to avoid on behalf of the sick, and rejects the view that medicine is purely a technique lacking its own unique internal ethic. It concludes noting that medical promising (as found in the White Coat Ceremony through which U. S. medical students matriculate) implicates medical autonomy which in turn merits respect, including honoring professional conscientious objections. (shrink)

The main aims of this article are to demonstrate the presence of two physiological conceptions of pleasure in the Hippocratic Corpus, pointing out the differences between them and conjecturing about the reverberation of one of them in Plato’s dialogue Gorgias. We can find in texts of Greek medicine a description of pleasure produced during sexual intercourse and another related to the occurrence of pleasure during nourishment. However, the second account, unlike the first one, is strongly marked by the notion of (...) pleasure as replenishment. Identifying a physiological conception of pleasure featured by a process of filling in the Hippocratic Corpus is relevant because a very similar conception seems to be taken as starting point by Plato in his reflections on pleasure. (shrink)

This chapter contains sections titled: Hippocrates With and Against Philosophy Alexandrian Medicine and the Hellenistic Philosophical Schools The Theoretical Audacity of the Medical Schools Medicine and Skepticism Ethics and Medicine Bibliography.

Hippocrates is a towering figure in Greek medicine. Dubbed the 'father of medicine', he has inspired generations of physicians over millennia in both the East and West. Despite this, little is known about him, and scholars have long debated his relationship to the works attributed to him in the so-called 'Hippocratic Corpus', although it is undisputed that many of the works within it represent milestones in the development of Western medicine. In this Companion, an international team of authors introduces major (...) themes in Hippocratic studies, ranging from textual criticism and the 'Hippocratic question' to problems such as aetiology, physiology and nosology. Emphasis is given to the afterlife of Hippocrates from Late Antiquity to the modern period. Hippocrates had as much relevance in the fifth-century BC Greek world as in the medieval Islamic world, and he remains with us today in both medical and non-medical contexts. (shrink)

The paper provides an innovative interpretation of the treatise De Victu, showing that, though Heraclitean, Anaxagorean and Empedoclean borrowings in the work are certainly pervasive, the author also develops a sophisticated and multi-purpose explanatory framework, which, being based on an original conception of the nature of man, the cosmos and the relationship between the two, provides an effective foundation for the medical enterprise, allowing him to propose his dietetics as a ‘way of life’. At the core of this enterprise is (...) the relationship between microcosm and macrocosm: in virtue of this relationship, I submit, the cosmos becomes both an active factor to be taken into account for the maintenance of individual physical well-being and the normative standard to which a dietician and whoever cares about health must refer in order to live the healthiest possible life. (shrink)

This paper analyses chapter 58 of Theophrastus’ De sensibus, where Democritus’ account of phronein is famously presented. Democritus traces phronein to symmetria of the soul, that is conceived, in turn, as a state of thermic equilibrium, depending on his consideration of psyche as an aggregate of spherical and thin atoms flowing throughout the body and giving it life, movement, and perception. As a consequence, according to him, psychic states go hand in hand with changes in the body. In the following (...) section of this paper, I offer additional evidence in favor of the controversial manuscript reading μετὰ τὴν κίνησιν. As a result, a consistent theory by Democritus can be reconstructed, according to which the balanced state of mobility and temperature of the psychic atoms concentrated in the head that generates a correct thinking necessarily follows the movement of sensible eidola throughout the body. In fact, a number of passages from Hippocratic writings attest that Democritus shared the key features of this explanation with the physiological and medical approach of the time. (shrink)

SUMMARYAmong the elements of the modern scientific ethos, as identified by R.K. Merton and others, is the commitment of individual effort to a long-term inquiry that may not bring substantial results in a lifetime. The challenge this presents was encapsulated in the aphorism of the ancient Greek physician, Hippocrates of Kos: vita brevis, ars longa. This article explores how this complaint was answered in the early modern period by Francis Bacon’s call for the inauguration of the sciences over several generations, (...) thereby imagining a succession of lives added together over time. However, Bacon also explored another response to Hippocrates: the devotion of a ‘whole life’, whether brief or long, to science. The endorsement of long-term inquiry in combination with intensive lifetime involvement was embraced by some leading Fellows of the Royal Society, such as Robert Boyle and Robert Hooke. The problem for individuals, however, was to find satisfaction in science despite concerns, in some fields, that current observations and experiments would not yield material able to be extended by future investigations. (shrink)

Much of western philosophy, especially ancient Greek philosophy, addresses the problems posed by embodiment. This chapter argues that to grasp the early history of embodiment is to see the category of the body itself as historically emergent. Bruno Snell argued that Homer lacked a concept of the body (sōma), but it is the emergence of body in the fifth century BCE rather than the appearance of mind or soul that is most consequential for the shape of ancient dualisms. The body (...) takes shape in Hippocratic medical writing as largely hidden and unconscious interior space governed by impersonal forces. But Plato’s corpus demonstrates that while Plato’s reputation as a somatophobe is well grounded and may arise in part from the way the body takes shape in medical and other physiological writing, the Dialogues represent a more complex position on the relationship between body and soul than Plato’s reputation suggests. (shrink)

The author argues that an analysis ofthe texts ofthe Collection of Hippocrates leads to the conclusion that long before the methodological genius of Aristotle there existed a highly analytical culture among medical professionals. The differences in understanding of the value and objectives of a valid inference in Hippocrates and Aristotle are explained in terms of the characteristics of the discourse that each of them used. Aristotle is argued to have been using a social-dialectical discourse, whereas, in medical practice, a combination (...) of skills and reasoning had the highest value because what was expected from a doctor was the right diagnosis and the right treatment. The author argues that rational medical tradition of antiquity did not reach the logical reflection. According to her, the doctrine of the necessary connection between the logical attribute and the object of inferences had been developed in the Buddhist logic, which, as the author argues, can be considered a rational component of education in Tibetan medicine. (shrink)

Hippocrates, celebrated as the Father of Medicine, emphasized the importance of observation in diagnosis and prognosis. In so doing, he argued that the observant physician could draw on both senses and logic in interpreting clinical findings for the benefit of the patient. Among his many writings is a collection of aphorisms that remain highly relevant to the practice of medicine to this day. The first of these is the best known: which can be translated as: Deceptively simple in structure, this (...) aphorism offers many levels of meaning and interpretation that, as I will show, remain highly relevant to the contemporary practice of medicine. Containing a richness of... (shrink)

The author argues that an analysis ofthe texts ofthe Collection of Hippocrates leads to the conclusion that long before the methodological genius of Aristotle there existed a highly analytical culture among medical professionals. The differences in understanding of the value and objectives of a valid inference in Hippocrates and Aristotle are explained in terms of the characteristics of the discourse that each of them used. Aristotle is argued to have been using a social-dialectical discourse, whereas, in medical practice, a combination (...) of skills and reasoning had the highest value because what was expected from a doctor was the right diagnosis and the right treatment. The author argues that rational medical tradition of antiquity did not reach the logical reflection. According to her, the doctrine of the necessary connection between the logical attribute and the object of inferences had been developed in the Buddhist logic, which, as the author argues, can be considered a rational component of education in Tibetan medicine. (shrink)

The discovery of dietetics -- Philosophy of the nature of man -- Therapy of body and soul -- The philosophical legacy of On regimen.

ArgumentThe sect of ancient Greek physicians who believed that medical knowledge came from personal experience also read the Hippocratic Corpus intensively. While previous scholarship has concentrated on the contributions of individual physicians to ancient scholarship on Hippocrates, this article seeks to identify those characteristics of Empiricist reading methodology that drove an entire medical community to credit Hippocrates with medical authority. To explain why these physicians appealed to Hippocrates’ authority, I deploy surviving testimonia and fragments to describe the skills, practices, and (...) ideologies of the reading community of ancient Empiricist physicians over the one-hundred year period 175 to 75 BCE. The Empiricist conception of testimony taken on trust operative within that reading community elided the modern distinction between personal and institutional targets of trust by treating Hippocratic writings as revelatory of the moral character of Hippocrates as an author. Hippocrates’ moral character as an honest witness who accurately observed empirical phenomena aligned with the epistemic virtues of an empirical medical community who believed that medical knowledge came from personal experience. So I argue that Empiricist reading culture constructed a moral authority of honesty and accuracy from Hippocratic writings, enlarged the personal authority of Hippocrates among medical readers, and contributed to the development of Hippocratism. (shrink)

O conceito de phýsis no Corpus hippocraticum parece ter dois níveis: um mais e outro menos específico. Nas passagens em que o termo phýsis não apresenta qualquer determinante ou adendo, o conceito é menos específico. Ele é mais específico, no entanto, quando o termo leva consigo adjuntos como “do homem”, “da criança”, “da mulher”, etc. Apesar de parecer esta uma questão dicotômica, há razões para crer que ela possui maior complexidade. Isto nos motivou a apresentar algumas questões que expõem um (...) espectro bem mais amplo do conceito de phýsis, em detrimento da mera abordagem binária. Para além da complexidade conceitual que ronda a ideia de phýsis, o artigo leva em conta ainda o nível discursivo (talvez mesmo retórico). Neste âmbito, o conceito de phýsis é problematizado a partir da fricção entre enunciação e enunciado. Abstract The concept of phýsis in the Hippocratic corpus seems to have two levels: one of them more and the other less specific. In the passages in which the term phýsis does not show any determiner or addition, the concept is less specific. It is more specific, however, when the term take complements as “of man”, “of child”, “of women” etc. Though it seems a dichotomic issue, there are reasons to believe that it bears more complexity. It has instigated us to present some issues that expose a much wider spectrum of the concept of phýsis rather than the binary account. Beyond the conceptual complexity which surrounds the idea of phýsis, this article considers the discursive (perhaps even rhetoric) level. In this account, the concept of phýsis is examined out of friction between enunciation and enunciated. (shrink)

The fascinating Journey of the Renaissance Medicine.

Western philosophy and science are responsible for constructing some powerful tools of investigation, aiming at discovering the truth, delivering robust explanations, verifying conjectures, showing that inferences are sound and demonstrating results conclusively. By contrast reasoning that depends on analogies has often been viewed with suspicion. Professor Lloyd first explores the origins of those Western ideals, criticises some of their excesses and redresses the balance in favour of looser, admittedly non-demonstrative analogical reasoning. For this he takes examples both from ancient Greek (...) and Chinese thought and from the materials of recent ethnography to show how different ancient and modern cultures have developed different styles of reasoning. He also develops two original but controversial ideas, that of semantic stretch and the multidimensionality of reality. (shrink)

This book offers a comprehensive study of the views of ancient philosophers on mental disorders. Relying on the original Greek and Latin textual sources, the author describes and analyses how the ancient philosophers explained mental illness and its symptoms, including hallucinations, delusions, strange fears and inappropriate moods and how they accounted for the respective roles of body and mind in such disorders. Also considered are ethical questions relating to mental illness, approaches to treatment and the position of mentally ill people (...) in societies of the times. The volume opens with a historical overview that examines ancient medical accounts of mental illness, from Hippocrates' famous Sacred Disease to late antiquity medical authors. Separate chapters interpret in detail the writings of Plato, Aristotle, Galen and the Stoics and a final chapter summarises the views of various strains of Scepticism, the Epicurean school and the Middle and Neo-Platonists. Offering an important and useful contribution to the study of ancient philosophy, psychology and medicine. This volume sheds new light on the history of mental illness and presents a new angle on ancient philosophical psychology. (shrink)

This article analyses the depiction of mental and physical pain in Sophoclean tragedy, showing how Sophocles uses medical imagery to explore fundamental problems in the personality and behaviour of his protagonists. It argues that the concentration of medical language at certain moments in particular plays not only makes the scenes more graphic and credible, but also articulates the causes and consequences of the characters’ predicament. Particular attention is given to Ajax’s delusions and maddening shame, Heracles’ agony and Deianeira’s mistake, and (...) Philoctetes’ intransigence and resentment. Sophocles’ sustained and detailed engagement with medical language and thought reveals him to be (no less than Aeschylus or Euripides) deeply interested in the wider intellectual and scientific issues of his time. (shrink)

Journal Name: Apeiron Issue: Ahead of print.

First Published in 1998. Routledge is an imprint of Taylor & Francis, an informa company.