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Hippocratic Corpus

The Hippocratic Corpus (Latin: Corpus Hippocraticum), or Hippocratic Collection, is a collection of around 60 early Ancient Greek medical works strongly associated with the physician Hippocrates and his teachings. The Hippocratic Corpus covers many diverse aspects of medicine, from Hippocrates' medical theories to what he devised to be ethical means of medical practice, to addressing various illnesses.[1] Even though it is considered a singular corpus that represents Hippocratic medicine, they vary (sometimes significantly) in content, age, style, methods, and views practiced; therefore, authorship is largely unknown.[2] Hippocrates began Western society's development of medicine, through a delicate blending of the art of healing and scientific observations.[2] What Hippocrates was sharing from within his collection of works was not only how to identify symptoms of disease and proper diagnostic practices, but more essentially, he was alluding to his personable form of art, "The art of true living and the art of fine medicine combined."[3] The Hippocratic Corpus became the foundation upon which Western medical practice was built.[4]

Bust of Hippocrates

Vaticanus graecus 277, 10v-11r: Table of contents in a fourteenth-century Hippocratic Corpus manuscript. Marcus Fabius Calvus owned this manuscript, transcribed it in his own hand, and used it in the preparation of his 1525 Latin translation.

Hippocrates' contribution to medicine edit

Hippocrates was born c. 460 BCE on the Greek island of Kos.[5] The verifiable details of his life are few, despite centuries of hagiographic accounts.[6] According to tradition, Hippocrates was born into a hereditary order of priest-like physicians known as Asclepiads.[6][7] At the time, the practice of medicine involved spiritual and supernatural elements, corresponding to the prevailing belief that health and illness were conferred by the gods.[7] Hippocrates did not share this view. For example, according to works later ascribed to him,[6] he was the first to describe epilepsy as an inheritable brain disease rather than an infliction from the divine.[8] In addition to his rejection of purely divine causes of illness, Hippocrates rejected the idea that medicine could only be practiced by those born into the priestly Asclepiad class like himself.[7] He went on to establish a medical school at Kos and opened it to those born outside of the Asclepiad class.[7][9] Known as the father of medicine, Hippocrates was an admirable physician and teacher during his time. When considered among fellow ancient Greek philosophers and physicians, Hippocrates was considered the most influential in the evolution of medicine as a science.[10] He focused on a natural approach to medicine, expressing that there had to be a comprehensive understanding of the patient's health, as well as harmony between nature and the individual.[11]

Hippocrates' focal point for medicine stemmed from the practice of scientific discipline. To enforce scientific discipline, Hippocrates based his medical principles on natural sciences, diagnosing, treating, and preventing medical diseases.[11] In addition to a focus on natural approaches, he also began to look into anatomical and physiological relationships in the body.[11] He also heavily believed in the study of anatomy and the nervous system. By understanding the anatomy of the human body, Hippocrates was able to recognize symptoms holistically when diagnosing a patient. To align completely with his emphasis on the physical observation of the human body, Hippocrates eliminated any religious element from his account of medicine. In the Hippocratic text On Flesh, On Regimen, On Diseases I, On Winds, relevant works from the Hippocratic Corpus, he firmly established the limited focus he planned to employ with his medical concerns, that is, he had determined that he would only entertain natural phenomena that are relevant to the medical issue at hand.[12]

Another contribution Hippocrates had to medicine was evidence-based knowledge. Hippocrates was the first to ever establish the belief that by simply observing a patient, a physician would recognize symptoms and determine the disease.[11] Hippocrates insisted that he must keep careful notes and follow the patient from the start of the disease to the end no matter what that might have looked like so he could compile different symptoms and treatments.[13] The ideal of evidence-based knowledge is still implemented in the medical field and has set the standards for physicians today. According to Hippocrates, medicine was dependent on detailed observation of symptoms and health, prognosis, treatment of the patient, and reason to establish diagnosis.[11]

While the Hippocratic Corpus was not written by Hippocrates himself, the compiled work of medical professionals all follow the same guidelines imposed by Hippocratic medicine.[5] Hippocrates laid the foundation for modern medicine, as his protocols and guidelines for the classification of diseases are being utilized by physicians today. His principles for the diagnosis, treatment and prevention of diseases have been preserved in the Hippocratic Corpus, and are the standard for medical ethics today.

Authorship, name, origin edit

 
Magni Hippocratis medicorum omnium facile principis, opera omnia quae extant, 1657

Of the texts in the corpus, none is proven to be by Hippocrates himself.[14] The works of the corpus range from Hippocrates' time and school to many centuries later and rival points of view. Franz Zacharias Ermerins identifies the hands of at least nineteen authors in the Hippocratic Corpus.[15] However, the varied works of the corpus have gone under Hippocrates' name since antiquity.

The corpus may be the remains of a library of Cos, or a collection compiled in the third century BC in Alexandria. However, the corpus includes works beyond those of the Coan school of ancient Greek medicine; works from the Cnidian school are included as well.[16][17]

Only a fraction of the Hippocratic writings have survived. The lost medical literature is sometimes referred to in the surviving treatises, as at the beginning of Regimen.[18] Some Hippocratic works are known only in translation from their original Greek to other languages; given that the quality and accuracy of a translation without a surviving original cannot be known, it is difficult to identify the author with certainty. "Hippocratic" texts survive in Arabic, Hebrew, Syriac, and Latin.

Dates and groupings edit

The majority of the works in the Hippocratic Corpus date from the Classical period, the last decades of the 5th century BC and the first half of the 4th century BC. Among the later works, The Law, On the Heart, On the Physician, and On Sevens are all Hellenistic, while Precepts and On Decorum are from the 1st and 2nd centuries AD.[18]

Some of the earliest works of the corpus (mid-fifth century) are connected to the Cnidian school: On Diseases II–III and the early layer within On the Diseases of Women I–II and On Sterile Women.[19] Prorrhetics I is also mid-fifth century.[19] In the second half of the fifth century, a single author likely produced the treatises On Airs, Waters, Places; Prognostics; Prorrhetics II; and On the Sacred Disease.[19] Other fifth-century works include On Fleshes, Epidemics I and III (c. 410 BC), On Ancient Medicine, On Regimen in Acute Diseases, and Polybus' On the Nature of Man/Regimen in Health (410–400 BC).[19]

At the end of the fifth or the beginning of the fourth century, one author likely wrote Epidemics II–IV–VI and On the Humors. The coherent group of surgical treatises (On Fractures, On Joints, On Injuries of the Head, Surgery, Mochlicon) is of similar date.[19]

The gynecological treatises On the Nature of the Woman, On the Diseases of Women, Generation, On the Nature of the Child, and On Sterile Women constitute a closely related group. Hermann Grensemann [de] identified five layers of material in this group, from the mid-fifth century to the mid-fourth century.[20] The oldest stratum is found in On the Nature of the Woman and On the Diseases of Women II.[20] Generation and On the Nature of the Child constitute a single work by a late-fifth-century author,[21] who may also be identified as the author of On Diseases IV and of sections of On the Diseases of Women I.[21] The latest layer is On Sterile Women, which was composed after the other gynecological treatises were in existence.[20]

A single fourth-century author probably wrote On Fistulae and On Hemorrhoids.[19]

Author Susan Wise Bauer writes that, because it explains disease "without blaming or invoking the gods", the Corpus is "the first surviving book of science".[22]

Content edit

The Hippocratic Corpus contains textbooks, lectures, research, notes and philosophical essays on various subjects in medicine, in no particular order.[14][23] These works were written for different audiences, both specialists and laymen, and were sometimes written from opposing view points; significant contradictions can be found between works in the Corpus.[24]

Case histories edit

One significant portion of the corpus is made up of case histories. Books I and III of Epidemics contain forty-two case histories, of which 60% (25) ended in the patient's death.[25] Nearly all of the diseases described in the Corpus are endemic diseases: colds, consumption, pneumonia, etc.[26]

Theoretical and methodological reflections edit

In several texts of the corpus, the ancient physicians develop theories of illness, sometimes grappling with the methodological difficulties that lie in the way of effective and consistent diagnosis and treatment. As scholar Jacques Jouanna writes, "One of the great merits of the physicians of the Hippocratic Corpus is that they are not content to practice medicine and to commit their experience to writing, but that they have reflected on their own activity".[27]

Reason and experience edit

While the approaches range from empiricism to a rationalism reminiscent of the physical theories of the pre-Socratic philosophers, these two tendencies can exist side-by-side: "The close association between knowledge and experience is characteristic of the Hippocratics," despite "the Platonic attempt to drive a wedge between the two".[28]

The author of On Ancient Medicine launches immediately into a critique of opponents who posit a single "cause in all cases" of disease, "having laid down as a hypothesis for their account hot or cold or wet or dry or anything else they want".[29] The method put forward in this treatise "could certainly be characterized as an empirical one", preferring the effects of diet as observed by the senses to cosmological speculations, and it was seized upon by Hellenistic Empiricist doctors for this reason.[30] However, "unlike the Empiricists, the author does not claim that the doctor's knowledge is limited to what can be observed by the senses. On the contrary, he requires the doctor to have quite extensive knowledge of aspects of the human constitution that cannot be observed directly, such as the state of the patient's humors and internal organs".[31]

Epistemology and the scientific status of medicine edit

The author of The Art is at pains to defend the status of medicine as an art (techne), against opponents who (perhaps following Protagoras' critique of expert knowledge[32]) claim it produces no better results against disease than chance (an attack served by the fact that doctors refused to treat the serious and difficult cases they judged to be incurable by their art[33]). The treatise may be considered "the first attempt at general epistemology bequeathed to us by antiquity", although this may only be because we have lost fifth-century rhetorical works that took a similar approach.[34]

For this writer, as for the author of On the Places in Man, the art of medicine has been wholly discovered. While for the author of On the Places in Man "the principles discovered in it clearly have very little need of good luck", the author of The Art acknowledges the practical limitations that arise in the therapeutic application of these principles.[35] Likewise for the author of On Regimen, the "knowledge and discernment of the nature of man in general—knowledge of its primary constituents and discernment of the components by which it is controlled" may be completely worked out, and yet in practice it is difficult to determine and apply the correct and proportionate diet and exercise to the individual patient.[36]

Humours edit

The Hippocratic Corpus explains diseases using the Four Humours in which are described a Phlegm, Yellow Bile, Blood and Black Bile. These medical writings associated each of the humours with a specific organ which goes as follows; blood with the heart, yellow bile with the liver, black bile with the spleen and phlegm with the brain. With each humour, there were specific properties that applied to changes in the fluids such as blood is hot and moist, phlegm is cold and moist, yellow bile is hot and dry and black bile is cold and dry.[37] The authors of the Hippocratic Corpus described that these four humors play a very important role in our health as when there is a little or too much of one of the humours, a disease might occur.[37]

Mental Illness edit

The most controversial elements of health and disease during the BC time was the issue of mental illnesses as it was always related to a higher power punishment or demonic nature. The Hippocratic Corpus employed many new vocabulary words to describe mental ailments that coincided with intensity, duration or severity and used these terms to scale from mildest to the strongest form. [38]

Natural vs. divine causality edit

Whatever their disagreements, the Hippocratic writers agree in rejecting divine and religious causes and remedies of disease in favor of natural mechanisms. Hippocratic medicine had been formulated to hold true to the belief that "medicine should be practiced as a scientific discipline based on the natural sciences, diagnosing and preventing disease as well as treating them."[11] This not only influenced the relevance of heaven in medicine, and the church's influence on the practice of medicine, but also the relevance of astronomy and cosmology in medicine as a science.[12] Greek tragedy encouraged the spread of false knowledge about the divine origin of human diseases. Greek gods were placed on a pedestal, and seen as healers as a result. To combat this view of diseases, Hippocratic physicians restricted their diagnoses to rational causes and rejected anthropomorphic intervention as the cause and solution of medical issues.[13] In addition to Greek poetry and tragedy, magicians, charlatans, and purifiers can also be considered responsible for the widespread of 'sacred' explanations. Doing this allowed them to step in and provide inefficacious remedies that could convince the gods to intervene and fix these sacred issues experienced by individuals.[39] Thus On the Sacred Disease considers that epilepsy (the so-called "sacred" disease) "has a natural cause, and its supposed divine origin is due to men's inexperience and to their wonder at its peculiar character." An exception to this rule is found in Dreams (Regime IV), in which prayers to the gods are prescribed alongside more typically Hippocratic interventions. Though materialistic determinism goes back in Greek thought at least to Leucippus, "One of the greatest virtues of the physicians of the Hippocratic Collection is to have stated, in its most universal form, what was later to be called the principle of determinism. All that occurs has a cause. It is in the treatise of The Art that the most theoretical statement of this principle is to be found: 'Indeed, under a close examination spontaneity disappears; for everything that occurs will be found to do so through something [dia ti].'"[40] In a famous passage of On Ancient Medicine, the author insists on the importance of knowledge of causal explanations: "It is not sufficient to learn simply that cheese is a bad food, as it gives a pain to one who eats a surfeit of it; we must know what the pain is, the reasons for it [dia ti], and which constituent of man is harmfully affected."[40]

Natural approach to health and wellness edit

The writers of the treatises in the Hippocratic Corpus emphasized a natural approach to health and wellness.[41] During the Asclepius paradigm, Hippocrates used a natural way to treat disease.[41] These natural approaches emphasized the importance of the harmony between the human body and the environment in which we live in.[41] Writings in the Hippocratic Corpus also emphasized the importance of realizing how the environment might cause diseases.[41] Treating diseases with a natural approach is also a topic that can be found in the Hippocratic Corpus.[41] Hippocratic tradition also found that it is important to understand the causes of physiological factors and how these physiological factors hold a therapeutic significance.[41] To add to the natural approach of health and wellness, Hippocratic tradition also emphasized that the mind, body, and spirit were all independent of one another.[41]

Health Promotion and the Olympic Games edit

Health promotion was another topic found in the treatises of the Hippocratic Corpus.[41] To promote the well-being of students and their physical and mental health in schools, physical activity was conducted as a necessary activity that allowed the student's physical health to be the best it could be.[41] An example of health promotion being used can be found during the Olympic games.[41] One example of health promotion being used during the Olympic games was olive oil being used to warm up athletes' body temperatures so that they could perform to the best of their abilities.[41] Ancient greeks believed that it was essential to have a harmony between the body and the mind.[41] This led to the idea of a "Healthy mind in a Healthy Body" which is a common phrase that people might hear.[41]

Food was another topic of health promotion in the Hippocratic Corpus. These writings discussed that in order for food to be beneficial to the health of one, the source should be adapted to human nature and food is defined as more forceful or less forceful properties.[42] It was explained in the Hippocratic Corpus that to avoid a diet that was too forceful we must implement cooking and mixing as this was already a type of medicine that can help ease the cause of suffering, illness and death.[42] It has been discovered that during the Olympic games, figs and other fruits were given to the athletes so that the high concentration of glucose in the food would give them the energy they needed to compete to the best of their ability.[41]

Medical ethics and manners edit

The duties of the physician are an object of the Hippocratic writers' attention. The series of texts composing the Corpus educates readers on the practices of identifying symptoms in patients, diagnosis, prognosis, treatments, ethics, and bedside manner.[7] In Ancient Greece, being a man of high morals went hand in hand with being a morally just physician.[3] A famous maxim (Epidemics I.11) advises: "As to diseases, make a habit of two things—to help, or at least to do no harm."

The most famous work in the Hippocratic Corpus is the Hippocratic Oath, a landmark declaration of medical ethics. The Hippocratic Oath is both philosophical and practical; it not only deals with abstract principles but practical matters such as removing stones and aiding one's teacher financially. It is a complex and probably not the work of one man.[43][44] It remains in use, though rarely in its original form.[44]

The preamble of On the Physician offers "a physical and moral portrait of the ideal physician", and the Precepts also concern the physician's conduct.[45] Treatises such as On Joints and Epidemics VI are concerned with the provision of such "courtesies" as providing a patient with cushions during a procedure,[46] and Decorum includes advice on good manners to be observed in the doctor's office or when visiting patients.

Urology edit

With many books incorporating different urology practices and observations and nearly 30 works in the Hippocratic book collection entitled Aphorism seemingly solely dedicated to urology in general, urology was one subject that was thoroughly investigated.[47] Seemingly, the main and most problematic topic covered in urology was that of bladder disease in patients, especially when urinary tract stones (that is, stones within either the kidneys or the bladder) were present.[47][48] Urinary tract stones, in general, have been seen within records all throughout history, even as far back as the ancient days of Egypt.[48] Theorizing how these urinary tract stones formed, how to detect them and other bladder issues, and the controversy on how to treat them were all major investigating points to the authors of the Hippocratic Corpus.

Stone formation theories edit

Throughout the books of the Hippocratic Corpus, there are varying hypotheses as to reasons why and exactly how urinary tract stones actually formed. It is noted that these hypotheses were all based on the use of uroscopy and observation of patients by doctors of the time.[47]

  • Within the work On the Nature of Man, suggest that the bladder stones first form within or attached to the aorta, much like any other tumor-like object would. In this place, the stone will essentially form pus. Afterward, this stone formation is transported by the blood vessels and forced into the bladder where urine will also be transported.[47]
  • In another work, On Airs, Waters, Places, it is suggested that drinking water can attribute to urinary tract stones. If water consumed consists of a mixture of more than one water sources, the water is of impure quality. The different waters are in conflict with one another and therefore produce deposits of sediment. The accumulation of these deposits within the urinary tract due to drinking the waters can then result in urinary tract stones.[47]
  • Additionally in On Airs, Waters, Places, another passage describes that formation of urinary tract stones will occur when urine cannot flow through the system easily and causes the sediment in the urine to collect in one area and meld, forming a stone. This can occur when inflammation occurs within the part of the bladder leading to the urethra. When the stone forms at this point, it can block flow and, therefore, cause pain. In this scenario, it was hypothesized that males are more likely to form stones than females due to the anatomy of the bladder.[47]

Detecting bladder disease/stones edit

The main mechanism of detecting bladder disease's symptoms, including inflammation and urinary tract stone formations, is through the appearance of the urine itself and the changes that occur with the urine over time.[47] In Aphorism, it was simply stated that as the appearance of urine diverges more and more from the appearance of "healthy" urine, the more likely it is to be diseased and the worse the disease becomes.[47]

In Aphorism works, it was noted that urine lacking color could indicate diseases of the brain – some today think that this author who made this statement was meaning to refer to chronic renal failure or even diabetes. It was also suggested that the appearance of blood within urine could indicate vessels of the kidney to have burst, potentially due to necrosis of blood arteries or vessels. Furthermore, doctors noted that if bubbles formed on top of urine, the kidneys were diseased and showed the potential of long-lasting disease.[47]

Treatment of bladder disease/stones edit

When it comes to the treatment of urinary tract stones, many solutions were suggested, including drinking a lot of a water/wine mixture, taking strong medication, or trying different positions when trying to flush them out.[47][48]

Extracting the urinary tract stones was another option; however, this method was not utilized very often due to its serious risks and possible complications of cutting into the bladder.[49] Other than leakage of urine into the body cavity, another common complication was that of the cells of the testes dying due to the spermatic cord inadvertently being cut during the procedure.[47][50]

In fact, due to these and other complications and the lack of antiseptics and pain medicines, the Hippocratic Oath opted for the avoidance of surgery – unless absolutely necessary – especially when concerning surgeries that dealt with the urinary tract and more so when stone removal was the intent.[47][48][49] Although, the urinary tract stone removal was not a necessary surgery and it appeared to be avoided in most cases, some argue that the Hippocratic Oath only wards of these procedures if the doctor holding the knife is inexperienced in that area.[47][50] This idea puts forth the development of medical specialties – that is, doctors focusing on one particular area of medicine versus studying the wide array of material that is medicine.[47][48] The doctors whom have become experts in the urinary tract – whom we would call urologists today – are those that could perform the heightened risk procedure of stone removal.[47][48][50] With this reliance on specialized doctors of the urinary tract, some believe that urology itself was the first definable expertise of medical history.[48][50]

 
Greek ostrakon

Wine edit

References to wine can be found throughout Greek antiquity in both dramas and medical texts.[42] The Hippocratic texts describe wine as a powerful substance, that when consumed in excess can cause physical disorders, today known as, intoxication. Although the negative effects of wine on the human body are documented within the Hippocratic Corpus, the author/authors maintain an objective attitude towards wine. During this time, those studying medicine were interested in the physical effects of wine, therefore no medical text condemned the use of wine in excess. According to the Hippocratic text, the consumption of wine significantly affects two regions of the body: the head and the lower body cavity.[42] Excessive drinking can cause heaviness of the head and pain in the head, in addition to disturbances in thought. In the lower body cavity, excess wine ingestion can have a purging effect; it can be the source of stomach pain, diarrhea, and vomiting.[42] This stomach pain was more common among athletes because of their intense diets composed mainly of meat and wine.[51] An overall effect of wine that all Greek doctors of the time have observed and agree on is its warming property. Therefore, wine's properties are described as "hot and dry."[42] As documented in the Hippocratic texts, extreme use of wine can result in death.

Physicians tried to study the human body with pure objectivity to give the most accurate explanation for the effects of external substances that could be given for the time. During this period, physicians believed not all wines were equally potent in producing a range of perilous symptoms. According to the Hippocratic texts, physicians carefully categorized wine by properties such as color, taste, viscosity, smell, and age. According to Hippocrates, a more concentrated wine leads to a heavy head and difficulty thinking, and a soft wine inflames the spleen and liver and produces wind in the intestine.[42] Other observations of the ingestion of wine included the varying levels of tolerance within the population being observed. This observation led to the belief that the size of one's body and one's environment had an influence on ability to handle wine.[42] Because of this, different people would require different concentrations and dilutions of wine for medicinal use.[51] After observation, men with larger bodies were able to consume more than men with smaller bodies and the same effects could be observed between them.[51] Physician's also hypothesized that gender contributed to the effects of wine on the body. Women were noted to have a cold and wet nature which encouraged Hippocratic doctors to prescribe them undiluted wine. This differed from men, who typically were hotter by nature.[51] It was not common practice between physicians of the time to recommend the consumption of wine for children. Physicians collectively believed that there was no purpose for children to drink wine. However, in rare circumstances, there are records of some doctors recommending wine for children, only if heavily diluted with water, to warm the child or to ease hunger pains.[42] Mostly, doctors prohibited wine consumption for people under eighteen.

Greek physicians were very interested in observing and recording the effects of wine and intoxication, the excessive use of wine was well known to be harmful, however, it was also documented as a useful remedy. Several of the Hippocratic texts list the properties and use of foods consumed during 5th century BC.[42][52] Wine was first defined as a food by all doctors. Directions for consumption varied based on gender, season, and other events in daily life. Men were encouraged to consume dark, undiluted wine before copulation, not to the point of intoxication, however enough to provide power and guarantee strength to the fetus.[42] Because of wine's visual similarity to blood, physicians had assumed a relationship between the two substances. For this reason, men with cardiac illness, lack of strength, or pale complexion were encouraged to consume dark, undiluted wine.[42] Multiple texts within the Hippocratic Corpus advise the use of wine in accordance with the seasons. During the winter, wine must be undiluted, to counter the cold and wet, because wine's properties are dry and hot. During fall and spring, wine should be moderately diluted, and during the summer, wine should be diluted as much as possible with water, because of the hot temperatures. The practice of mixing wine and diluting wine is also seen in prescription form, however, the dosage and quantities are left to the doctor.[42] The prescription of wine as a treatment was prohibited with diseases that affected the head, brain, and those accompanied by a fever.[42] Wine could also be used as an external remedy by mixing it with other substances such as honey, milk, water, or oil to make salves or soaks.[53] Patients with pneumonia like illnesses would soak in a wine mixture and breath in the vapors with the intent to expel the pus from their lungs.[53] Wine was frequently prescribed as a topical remedy for sores because of its drying effect.[52]

Epidemics 1 edit

 
Text from the section Aphorisms in the Hippocratic Corpus

Epidemics 1 begins by describing each season's characteristics. It states that autumn has strong south winds and many rainy days. Winter had south winds with the occasional north wind and droughts. Spring was southerly and cold with slight rain. Summer was cloudy and did not rain.[54]

It then described diseases associated with each season. For example, in spring many people began having mild fevers which, in some cases, caused hemorrhage. The hemorrhage was rarely fatal. Swelling next to both ears was also common. Coughs and sore throats accompanied the other symptoms.[55] Based on modern knowledge, this disease was mumps, which causes salivary glands under the ears to swell. It is remarkable that this ancient work describes symptoms so vividly that modern doctors can diagnose the cause a thousand years later.[56] This section of the Hippocratic Corpus assumes that when looking at human disease and the health of humans, you must look at the seasons, winds and orientation of places, the nature of the water, the nature of the soil and the lifestyle of the inhabitants of a particular city.[57]

Epidemics 1 goes on to describe the climate on two occasions and the diseases associated with them, called constitutions. The symptoms described include more serious, sometimes lethal, fevers, eye infections, and dysentery.[54]

On Diseases edit

Jaundice is a disease that is mentioned numerous times throughout and is described as occurring in five ways. Jaundice is when the skin or eyes turn yellow.[58] The Greek physicians thought of Jaundice to be a disease itself rather than what medical professionals know now to be a symptom of various other diseases. The Greeks also believed that there were five kinds of jaundice that can occur and report the differences between them.[59]

The first kind can quickly turn fatal. The skin appears to be green. The analogy made in the text is that the skin is greener than a green lizard.[59] The patient will have fevers, shiver, and the skin becomes very sensitive. In the mornings, sharp pains occur in the abdominal region. If the patient survives more than two weeks, they have a chance of recovery. The treatments suggest drinking a mixture of milk and other nuts and plants in the morning and at night.[59] The second form develops only during the summer because it was believed the heat of the sun causes bile, a dark green fluid produced by the liver, to rest underneath the skin. This causes a yellowish color to the skin, and pale eyes and urine. The scalp also develops a crusty substance. The treatment calls for several baths a day on top of the mixture mentioned in the first remedy. Surviving past two weeks with this form of jaundice was rare.[59] In two other forms of this disease, occurring during the winter, set in due to drunkenness, chills, and the excess production of phlegm. The last form is the least fatal and most common. It is associated with eating and drinking too much. The symptoms include yellow eyes and skin, fever, headache, and weakness.[59] The treatment however, it very different from the rest. The physician will draw blood from the elbows, and advise to take hot baths, drink cucumber juice, and induce vomiting to clear the bowels. If the treatment is followed, a full recovery is possible.[60] The several forms of jaundice that the Greek physicians proclaimed might be because jaundice occurs due to varying sicknesses like hepatitis, gallstones and tumors. The diverse set of symptoms were probably the effects of the sicknesses rather than the jaundice itself.

Empyemas edit

An empyema is a Greek word derived from the word empyein which means "pus-producing".[61] According to the Hippocratic Corpus, they can occur in the thorax, the uterus, the bladder, the ear, and other parts of the body.[53] However, the writings indicate that the thorax was the most common and provided more description. Physicians at the time thought that the cause of an empyema was by orally ingesting some form of foreign body where it will enter the lungs. This could be done by inhaling or drinking the foreign body. The physicians also thought that empyemas could occur after parapneumonic infections or pleurisy because the chest has not recovered from those illnesses.[53] Parapneumonic infections can be tied to modern pneumonia which can still be fatal.

There are many symptoms associated with an empyema ranging from mild to severe. The most common ones are fever, thoracic pain, sweating, heaviness in the chest, and a cough.[53] Treating an empyema was primarily done using herbal remedies or non-invasive treatments. Mostly mixtures of plants and organic matter were drunk or bathed in. There are a few extreme cases in which invasive procedures were performed and mentioned in detail. One of these treatments included the patient behind held down in a chair while the physician cut between the ribs with a scalpel and inserted a drainage tube which would remove all of the pus.[53] The research and descriptions that the Greek physicians performed were so accurate that they were the foundation of what we know about empyemas today.

Dermatology edit

The Hippocratic Corpus provides valuable guidance for dermatology and the diagnosis of skin diseases or infections. Hippocrates described multiple dermatologic diseases, specifically in neonatal and pediatrics. These diseases included intertrigo, lichenoid eruptions, vitiligo, furuncle, leprosy, papulosquamous disease, skin reactions to specific medications, skin reactions to mosquito bites, warts, scabies, and impetigo.[62] Along with the variety of skin diseases described in the Hippocratic Corpus is the suggest treatment. These treatments stem from the belief that dermatologic diseases were a result of imbalance in body humors.

For relief from various dermatologic conditions, the Hippocratic text recommends spring water or seawater baths and topical application of a fatty substance as a form of treatment.[62] For intertrigo, or infant chafing, myrrh oil and litharge were powerful astringent compounds that were recommended as a form of treatment.[62] For lichenoid skin conditions, vinegar, steam baths, pumice stones, and manna (sugar substance derived from mica thuris plant) were recommended to treat this skin disease. The Hippocratic text also offers sulfur as a treatment for lichenoid, which has a strong antibacterial effect that is still prescribed in dermatologic medications today.[62] For leprosy and vitiligo, lime water and concentrated vinegar are recommended by the Hippocratic Corpus to treat these conditions.[62]

Many of these forms of treatment proposed in the Hippocratic Corpus are utilized today for dermatologic infections. Modern medicine makes use of sulfur as an antibacterial compound, spring water has shown effective benefits when treating skin diseases, and oil-based products such as myrrh oil and litharge are used as ointments to treat intertrigo, eczemas, and skin lesions.[62] When reflecting on the treatments of skin diseases and infections in the Hippocratic Corpus, it is evident that some of the approaches when applied to modern dermatology are still valid.

Conception edit

The Hippocratic Corpus contains many contributions from across the medical field including notes on conception. Some of these contributions were put into two sections of the corpus called Diseases of Women I and Diseases of Women II. The sections go into detail on concepts such as abortion, obstetrical notes, and early forms of gynecology.

Lack of fertility edit

The Diseases of Women details that an infertile woman with a low menstruation rate may have a bent cervix that essentially blocks the pathway. It offers a few treatments in the way of treating a bent cervix depending on how the generating seed is washed down and the length of time it takes for that to happen. Options are offered for treating the uterus, head, and body depending on the observation of the seed.[63]

Menses edit

Menses is another way of wording menstruation or blood flow discharge from the uterus. There are multiple sections within the works dedicated to different types of menses along with their understood meanings of the time. There is a large portion dedicated to what a doctor should expect of standard menses along with some slight variations.

Within the Diseases of Women I, the average amount of menses for healthy women should be somewhere around a half pint for around two-three days.[64]

The flow itself is considered to require the viewers judgment but does go on to say that it should flow like a blood from a sacrificial lamb, indicating the timeframe of the work, and that the blood should coagulate readily.[64] The health of an individual or even their likelihood of pregnancy was remarked upon by evaluating the length of the menstruation. A menstruation period longer than four days was thought to be an indicator of more delicate embryos. Less than three days is said to indicate robust and healthy individuals but would lead to likely infertility.[64]

Complications of childbirth edit

The lochia and its presence is noted along with other possible complications after childbirth. Uterus sensitivity, lower back pain, aches across the body, swelling, and chills are all noted to be expected.[65] Fever is the outlier that have different treatments based on the treaty.

Bathing with oils along with lily oil rubbed on the woman's head is recommended. Oil should also be applied to her uterus. Vapor baths in general are the main focus for treatment after childbirth.

The change with a fever is to avoid bathing. Vapor treatment with an application using a hot towel is recommended on her lower stomach and back. A diet of boiled meal with rue or barley gruel is recommended seemingly for with or without a fever.[65]

A paragraph is dedicated to the experience in childbirth of the woman in question affecting the post childbirth reactions. Women are noted to not have an understanding of what sickness they may have or the pride of the woman causing her to not discuss their symptoms. The paragraph pleads for doctors themselves to be well-versed in the possible post-birth diseases that women may have and know how to spot it themselves.

Style edit

The writing style of the Corpus has been remarked upon for centuries, being described by some as, "clear, precise, and simple".[66] It is often praised for its objectivity and conciseness, yet some have criticized it as being "grave and austere".[67] Francis Adams, a translator of the Corpus, goes further and calls it sometimes "obscure". Of course, not all of the Corpus is of this "laconic" style, though most of it is. It was Hippocratic practice to write in this style.[68]

The whole corpus is written in Ionic Greek, though the island of Cos was in a region that spoke Doric Greek.

The Art and On Breaths show the influence of Sophistic rhetoric; they "are characterized by long introductions and conclusions, antitheses, anaphoras, and sound effects typical of Gorgianic style". Other works also have rhetorical elements.[69] In general, it can be said that "the Hippocratic physician was also an orator", with his role including public speeches and "verbal wrestling matches".[70]

Printed editions edit

The entire Hippocratic Corpus was first printed as a unit in 1525. This edition was in Latin and was edited by Marcus Fabius Calvus in Rome. The first complete Greek edition followed the next year from the Aldine Press in Venice. A significant edition was that of Émile Littré who spent twenty-two years (1839–1861) working diligently on a complete Greek edition and French translation of the Hippocratic Corpus. This was scholarly, yet sometimes inaccurate and awkward.[71] Another edition of note was that of Franz Zacharias Ermerins, published in Utrecht between 1859 and 1864.[71] Kühlewein's Teubner edition (1894–1902) "mark[ed] a distinct advance".[71]

Beginning in 1967, an important modern edition by Jacques Jouanna [de; fr] and others began to appear (with Greek text, French translation, and commentary) in the Collection Budé. Other important bilingual annotated editions (with translation in German or French) continue to appear in the Corpus medicorum graecorum published by the Berlin-Brandenburgische Akademie der Wissenschaften.

English translations edit

The first English translation from the Hippocratic Corpus, Peter Lowe's Chirurgerie ("Surgery"), was published in 1597, but a complete English translation of a dozen and a half "genuine" works was not offered in English until Francis Adams' publication of 1849. Other works of the corpus remained untranslated into English until the resumed publication of the Loeb Classical Library edition beginning in 1988.[72] The first four Loeb volumes were published in 1923–1931, and seven further volumes between 1988 and 2012.

List of works of the Corpus edit

(Ordering from Adams 1891, pp. 40–105; LCL = vols. of the Loeb Classical Library edition)

See also edit

Notes edit

  1. ^ Iniesta, Ivan (2011). "Hippocratic Corpus". British Medical Journal. 342: d688. doi:10.1136/bmj.d688. S2CID 220115185.
  2. ^ a b Cantor, David, ed. (2002). Reinventing Hippocrates. Aldershot, England: Ashgate. ISBN 978-0754605287. OCLC 46732640.
  3. ^ a b Ventegodt, Sø; Merrick, Joav (2012). The Purpose of the Medical Ethic of Hippocrates was Efficient Healing of the Patient. Hauppauge, NY: Nova Biomedical Books. pp. 155–162.
  4. ^ Pavlidis, N.; Karpozilos, A. (2004-09-01). "The treatment of cancer in Greek antiquity". European Journal of Cancer. 40 (14): 2033–2040. doi:10.1016/j.ejca.2004.04.036. ISSN 1879-0852. PMID 15341975.
  5. ^ a b Yapijakis, Christos (2009-07-01). "Hippocrates of Kos, the Father of Clinical Medicine, and Asclepiades of Bithynia, the Father of Molecular Medicine". In Vivo. 23 (4): 507–514. ISSN 0258-851X. PMID 19567383.
  6. ^ a b c King, Helen (2020). Totelin, Laurence; Hickman, Miranda; Bär, Silvio; Rogers, Brett M.; Stead, Henry; Weiner, Jesse; Richardson, Edmund; Johnson, Marguerite; McConnell, Justine; Carlà, Filippo; Berti, Irene; Hall, Edith; Stevens, Benjamin Eldon; Rogers, Brett M.; Hall, Edith; Stevens, Benjamin Eldon (eds.). Hippocrates Now: The 'Father of Medicine' in the Internet Age. London: Bloomsbury Academic. doi:10.5040/9781350005921. ISBN 978-1-3500-0592-1. S2CID 241891348. Retrieved 2023-10-09.
  7. ^ a b c d e Tsiompanou, Eleni; Marketos, Spyros G (July 2013). "Hippocrates: timeless still". Journal of the Royal Society of Medicine. 106 (7): 288–292. doi:10.1177/0141076813492945. ISSN 0141-0768. PMC 3704070. PMID 23821709.
  8. ^ Grammaticos, Philip C; Diamantis, Aristidis (2008). "Useful known and unknown views of the father of modern medicine, Hippocrates and his teacher Democritus". Hellenic Journal of Nuclear Medicine. 11 (1): 2–4. PMID 18392218.
  9. ^ "The medical School of Cos, Hippocratic Medicine".
  10. ^ Parasidis, Efthimios (2013). "Commentary". Academic Medicine. 88 (1): 81. doi:10.1097/ACM.0b013e318276bb34. ISSN 1040-2446.
  11. ^ a b c d e f Kleisiaris, Christos F.; Sfakianakis, Chrisanthos; Papathanasiou, Ioanna V. (2014-03-15). "Health care practices in ancient Greece: The Hippocratic ideal". Journal of Medical Ethics and History of Medicine. 7: 6. ISSN 2008-0387. PMC 4263393. PMID 25512827.
  12. ^ a b Bartoš, Hynek (2018). "Soul, perception and thought in the Hippocratic Corpus". Philosophy of Mind in Antiquity. Routledge. pp. 64–83. ISBN 9780429508219.
  13. ^ a b Jacques Jouanna; Neil Allies (2012). "Disease as Aggression in the Hippocratic Corpus and Greek Tragedy: Wild and Devouring Disease". In Van der Eijk, Philip (ed.). Greek Medicine from Hippocrates to Galen: Selected Papers. Leiden; Boston: Brill. pp. 81–96. JSTOR 10.1163/j.ctt1w76vxr.10.
  14. ^ a b Singer & Underwood 1962, p. 27.
  15. ^ Tuke 1911, p. 518.
  16. ^ Margotta 1968, p. 64.
  17. ^ Martí-Ibáñez 1961, pp. 86–87.
  18. ^ a b Gillispie 1972, p. 420.
  19. ^ a b c d e f Jouanna 1999, pp. 373–416 (Appendix 3: The Treatises of the Hippocratic Collection).
  20. ^ a b c Hanson 1991, p. 77.
  21. ^ a b Lonie 1981, p. 71.
  22. ^ Bauer, Susan Wise (2015). The Story of Science: From the Writings of Aristotle to the Big Bang Theory (1st ed.). New York: W. W. Norton. p. 5. ISBN 978-0-393-24326-0. OCLC 891611100.
  23. ^ Rutkow 1993, p. 23.
  24. ^ Singer & Underwood 1962, p. 28.
  25. ^ Garrison 1966, p. 95.
  26. ^ Jones 1923, p. lvi.
  27. ^ Jouanna 1988, p. 83.
  28. ^ Schiefsky 2005, p. 117.
  29. ^ On Ancient Medicine 1.1, trans. Schiefsky 2005, p. 75
  30. ^ Schiefsky 2005, pp. 65–66.
  31. ^ Schiefsky 2005, p. 345.
  32. ^ Jouanna 1999, p. 244.
  33. ^ Jouanna 1999, p. 108.
  34. ^ Jouanna 1999, pp. 246–248, 255–256.
  35. ^ Jouanna 1999, p. 238.
  36. ^ Jones 1959, pp. 227–229, Regimen 1.2.
  37. ^ a b Bynum, William (2012). A Little History of Science. Yale University Press.
  38. ^ Thumiger, Chiara (2015). "Mental Insanity in the Hippocratic texts: A Pragmatic Perspective". Mnemosyn. 68 (2): 210–233. doi:10.1163/1568525X-12301565.
  39. ^ Hankinson, R.J. (1998). "Magic, Religion and Science: Divine and Human in the Hippocratic Corpus". Apeiron: A Journal for Ancient Philosophy and Science. 31 (1): 1–34. JSTOR 40913832.
  40. ^ a b Jouanna 1999, pp. 254–255.
  41. ^ a b c d e f g h i j k l m n Kleisiaris, Christos F.; Sfakianakis, Chrisanthos; Papathanasiou, Ioanna V. (2014-03-15). "Health care practices in ancient Greece: The Hippocratic ideal". Journal of Medical Ethics and History of Medicine. 7: 6. ISSN 2008-0387. PMC 4263393. PMID 25512827.
  42. ^ a b c d e f g h i j k l m n Jacques, Jouanna; Allies, Neil (2012). van der Eijk, Ph. J. (ed.). Greek medicine from Hippocrates to Galen: selected papers. Leiden. ISBN 9789004232549. OCLC 808366430.{{cite book}}: CS1 maint: location missing publisher (link)
  43. ^ Jones 1923, p. 291.
  44. ^ a b Garrison 1966, p. 96.
  45. ^ Jouanna 1999, pp. 404–405.
  46. ^ Jouanna 1999, p. 133.
  47. ^ a b c d e f g h i j k l m n o Poulakou-Rebelakou E, Rempelakos A, Tsiamis C, Dimopoulos C (February 2015). ""I will not cut, even for the stone": origins of urology in the Hippocratic Collection". International Brazilian Journal of Urology. 41 (1): 26–9. doi:10.1590/S1677-5538.IBJU.2015.01.05. PMC 4752053. PMID 25928507.
  48. ^ a b c d e f g Bloom DA (July 1997). "Hippocrates and urology: the first surgical subspecialty". Urology. 50 (1): 157–9. doi:10.1016/s0090-4295(97)00114-3. PMID 9218041.
  49. ^ a b Tung T, Organ CH (January 2000). "Ethics in surgery: historical perspective". Archives of Surgery. 135 (1): 10–3. doi:10.1001/archsurg.135.1.10. PMID 10636339.
  50. ^ a b c d Herr HW (September 2008). "'I will not cut . . . ': the oath that defined urology". BJU International. 102 (7): 769–71. doi:10.1111/j.1464-410x.2008.07796.x. PMID 18647301. S2CID 205539272.
  51. ^ a b c d Jacques Jouanna; Neil Allies (2012). "Wine and Medicine in Ancient Greece". In Van der Eijk, Philip (ed.). Greek Medicine from Hippocrates to Galen: Selected Papers. Leiden; Boston: Brill. pp. 173–194. JSTOR 10.1163/j.ctt1w76vxr.15.
  52. ^ a b Craik, Elizabeth M. (2014). The 'Hippocratic' corpus: content and context. Milton Park, Abingdon, Oxon. ISBN 9781138021693. OCLC 883647666.{{cite book}}: CS1 maint: location missing publisher (link)
  53. ^ a b c d e f Christopoulou-Aletra, Helen; Papavramidou, Niki (March 2008). ""Empyemas" of the Thoracic Cavity in the Hippocratic Corpus". The Annals of Thoracic Surgery. 85 (3): 1132–1134. doi:10.1016/j.athoracsur.2007.11.031. ISSN 0003-4975. PMID 18291225.
  54. ^ a b Jones 1959, pp. 147–150, 472–473.
  55. ^ Craik, Elizabeth M. (2015). The 'Hippocratic' corpus : content and context. Milton Park, Abingdon, Oxon. ISBN 978-1-138-02169-3. OCLC 883647666.{{cite book}}: CS1 maint: location missing publisher (link)
  56. ^ "Mumps | Home | CDC". www.cdc.gov. 2019-11-14. Retrieved 2019-11-13.
  57. ^ Jouanna, Jacques (2012). "Greek Medicine from Hippocrates to Galen". Studies in Ancient Medicine. 40.
  58. ^ "Jaundice". medlineplus.gov. Retrieved 2019-11-13.
  59. ^ a b c d e Papavramidou, Niki; Fee, Elizabeth; Christopoulou-Aletra, Helen (2007-11-13). "Jaundice in the Hippocratic Corpus". Journal of Gastrointestinal Surgery. 11 (12): 1728–1731. doi:10.1007/s11605-007-0281-1. ISSN 1091-255X. PMID 17896166. S2CID 9253867.
  60. ^ Nutton, Vivian. (2004). Ancient medicine. London: Routledge. ISBN 0-415-08611-6. OCLC 53038721.
  61. ^ "Definition of Empyema". MedicineNet. Retrieved 2019-11-13.
  62. ^ a b c d e f Sgantzos, Markos; Tsoucalas, Gregory; Karamanou, Marianna; Giatsiou, Styliani; Tsoukalas, Ioannis; Androutsos, George (2015-06-08). "Hippocrates on Pediatric Dermatology". Pediatric Dermatology. 32 (5): 600–603. doi:10.1111/pde.12626. ISSN 0736-8046. PMID 26058689. S2CID 206258922.
  63. ^ Hanson, Ann Ellis (December 1975). "Hippocrates: "Diseases of Women 1"". Signs: Journal of Women in Culture and Society. 1 (2): 571. doi:10.1086/493243. ISSN 0097-9740. PMID 21213645. S2CID 144497441.
  64. ^ a b c Hanson, Ann Ellis (December 1975). "Hippocrates: "Diseases of Women 1"". Signs: Journal of Women in Culture and Society. 1 (2): 575. doi:10.1086/493243. ISSN 0097-9740. PMID 21213645. S2CID 144497441.
  65. ^ a b Hanson, Ann Ellis (December 1975). "Hippocrates: "Diseases of Women 1"". Signs: Journal of Women in Culture and Society. 1 (2): 581. doi:10.1086/493243. ISSN 0097-9740. PMID 21213645. S2CID 144497441.
  66. ^ Garrison 1966, p. 99.
  67. ^ Jones 1923, p. xv.
  68. ^ Adams 1891, p. 18.
  69. ^ Schironi 2010, p. 350.
  70. ^ Jouanna 1999, p. 79–85.
  71. ^ a b c Jones 1923, pp. lxviii–lxix.
  72. ^ Vivian Nutton, review of Loeb vols. 5–6 (1988).
  73. ^ The Coan Prenotions, once thought by Littré and others to be the ancient source of Prognostics, is now universally agreed to be a compilation derivative of Prognostics and other Hippocratic works.(Jouanna 1999, p. 379)

References edit

  • Adams, Francis (1891). The Genuine Works of Hippocrates. New York: William Wood and Company.
  • Camden, David H. (2023-05-11). The Cosmological Doctors of Classical Greece. Cambridge University Press. ISBN 978-1-009-20299-2.
  • Gillispie, Charles Coulston (1972). Dictionary of Scientific Biography. Vol. VI. New York: Charles Scribner's Sons. pp. 419–427.
  • Garrison, Fielding H. (1966). History of Medicine. Philadelphia: W.B. Saunders Company.
  • Hanson, Ann Ellis (1991). "Continuity and Change: Three Case Studies in Hippocratic Gynecological Therapy and Theory". In Pomeroy, Sarah B. (ed.). Women's History and Ancient History. University of North Carolina Press. ISBN 978-0-8078-4310-9.
  • Hanson, Ann Ellis (1975). "Hippocrates: "Diseases of Women 1"". Signs. 1 (2): 567–584. ISSN 0097–9740.
  • Lonie, Iain M. (1981). The Hippocratic Treatises "On Generation," "On the Nature of the Child," "Diseases IV". Berlin: Walter de Gruyter.
  • Jones, W.H.S (1923). General Introduction to Hippocrates. Loeb Classical Library. Vol. 1. Harvard University Press.
  • Jones, W.H.S (1959) [1923]. Hippocrates with an English translation by W. H. S. Jones. Loeb Classical Library. Vol. 4. London: William Heinemann; Cambridge, MA: Harvard University Press.
  • Jouanna, Jacques (1988). Hippocrate: Oeuvres complètes. Collection Budé. Vol. 5. p. 83. ISBN 978-2-251-00396-2.
  • Jouanna, Jacques (1999). Hippocrates. Translated by DeBevoise, M.B. Baltimore: Johns Hopkins UP. ISBN 978-0-8018-5907-6.
  • Margotta, Roberto (1968). The Story of Medicine. New York: Golden Press.
  • Martí-Ibáñez, Félix (1961). A Prelude to Medical History. New York: MD Publications, Inc. Library of Congress ID: 61–11617.
  • Rutkow, Ira M. (1993). Surgery: An Illustrated History. London and Southampton: Elsevier Science Health Science div. ISBN 978-0-801-6-6078-8.
  • Schiefsky, Mark J (2005). Hippocrates: On Ancient Medicine. Leiden: Brill. ISBN 978-90-04-13758-5.
  • Schironi, Francesca (2010). "Technical Languages: Science and Medicine". In Bakker, Egbert J. (ed.). A Companion to the Ancient Greek Language. Wiley-Blackwell. p. 350. ISBN 978-1-4051-5326-3.
  • Singer, Charles; Underwood, E. Ashworth (1962). Short History of Medicine. New York and Oxford: Oxford University Press. Library of Congress ID: 62–21080.
  • Tuke, John Batty (1911). "Hippocrates" . In Chisholm, Hugh (ed.). Encyclopædia Britannica. Vol. 13 (11th ed.). Cambridge University Press. pp. 517–519.

External links edit

English translations and Greek/English bilingual editions edit

  • Loeb edition (1923–1931): vol. 1, vol. 2, vol. 3, vol. 4
  • Hippocrates: Greek texts and English translations from the Perseus Project
  • English translations by Francis Adams: HTML anthology; 1891 edition via Harvard; earlier editions

Other Greek texts edit

  • Corpus Medicorum Graecorum edition online (1927–2014)
  • Littré edition (1839–1861) via (Greek text and French translation): vols. 1, 2, 3, 4, 5, 6, 7, 8, 9, 10
  • Kühlewein edition (1894–1902): Hathi Trust c. 1, c. 2; archive.org vol. 1, vol. 2

Bibliography edit

  • Gerhard Fichtner, Hippocratic bibliography (2011) 2012-07-12 at the Wayback Machine (Berlin Academy)
  • List of works by Hippocrates, with digitized editions, manuscripts and translations

hippocratic, corpus, latin, corpus, hippocraticum, hippocratic, collection, collection, around, early, ancient, greek, medical, works, strongly, associated, with, physician, hippocrates, teachings, covers, many, diverse, aspects, medicine, from, hippocrates, m. The Hippocratic Corpus Latin Corpus Hippocraticum or Hippocratic Collection is a collection of around 60 early Ancient Greek medical works strongly associated with the physician Hippocrates and his teachings The Hippocratic Corpus covers many diverse aspects of medicine from Hippocrates medical theories to what he devised to be ethical means of medical practice to addressing various illnesses 1 Even though it is considered a singular corpus that represents Hippocratic medicine they vary sometimes significantly in content age style methods and views practiced therefore authorship is largely unknown 2 Hippocrates began Western society s development of medicine through a delicate blending of the art of healing and scientific observations 2 What Hippocrates was sharing from within his collection of works was not only how to identify symptoms of disease and proper diagnostic practices but more essentially he was alluding to his personable form of art The art of true living and the art of fine medicine combined 3 The Hippocratic Corpus became the foundation upon which Western medical practice was built 4 Bust of Hippocrates Vaticanus graecus 277 10v 11r Table of contents in a fourteenth century Hippocratic Corpus manuscript Marcus Fabius Calvus owned this manuscript transcribed it in his own hand and used it in the preparation of his 1525 Latin translation Contents 1 Hippocrates contribution to medicine 2 Authorship name origin 3 Dates and groupings 4 Content 4 1 Case histories 4 2 Theoretical and methodological reflections 4 2 1 Reason and experience 4 2 2 Epistemology and the scientific status of medicine 4 2 3 Humours 4 2 4 Mental Illness 4 2 5 Natural vs divine causality 4 3 Natural approach to health and wellness 4 4 Health Promotion and the Olympic Games 4 5 Medical ethics and manners 4 6 Urology 4 6 1 Stone formation theories 4 6 2 Detecting bladder disease stones 4 6 3 Treatment of bladder disease stones 4 7 Wine 4 8 Epidemics 1 4 9 On Diseases 4 10 Empyemas 4 11 Dermatology 4 12 Conception 4 12 1 Lack of fertility 4 12 2 Menses 4 12 3 Complications of childbirth 5 Style 6 Printed editions 6 1 English translations 7 List of works of the Corpus 8 See also 9 Notes 10 References 11 External links 11 1 English translations and Greek English bilingual editions 11 2 Other Greek texts 11 3 BibliographyHippocrates contribution to medicine editHippocrates was born c 460 BCE on the Greek island of Kos 5 The verifiable details of his life are few despite centuries of hagiographic accounts 6 According to tradition Hippocrates was born into a hereditary order of priest like physicians known as Asclepiads 6 7 At the time the practice of medicine involved spiritual and supernatural elements corresponding to the prevailing belief that health and illness were conferred by the gods 7 Hippocrates did not share this view For example according to works later ascribed to him 6 he was the first to describe epilepsy as an inheritable brain disease rather than an infliction from the divine 8 In addition to his rejection of purely divine causes of illness Hippocrates rejected the idea that medicine could only be practiced by those born into the priestly Asclepiad class like himself 7 He went on to establish a medical school at Kos and opened it to those born outside of the Asclepiad class 7 9 Known as the father of medicine Hippocrates was an admirable physician and teacher during his time When considered among fellow ancient Greek philosophers and physicians Hippocrates was considered the most influential in the evolution of medicine as a science 10 He focused on a natural approach to medicine expressing that there had to be a comprehensive understanding of the patient s health as well as harmony between nature and the individual 11 Hippocrates focal point for medicine stemmed from the practice of scientific discipline To enforce scientific discipline Hippocrates based his medical principles on natural sciences diagnosing treating and preventing medical diseases 11 In addition to a focus on natural approaches he also began to look into anatomical and physiological relationships in the body 11 He also heavily believed in the study of anatomy and the nervous system By understanding the anatomy of the human body Hippocrates was able to recognize symptoms holistically when diagnosing a patient To align completely with his emphasis on the physical observation of the human body Hippocrates eliminated any religious element from his account of medicine In the Hippocratic text On Flesh On Regimen On Diseases I On Winds relevant works from the Hippocratic Corpus he firmly established the limited focus he planned to employ with his medical concerns that is he had determined that he would only entertain natural phenomena that are relevant to the medical issue at hand 12 Another contribution Hippocrates had to medicine was evidence based knowledge Hippocrates was the first to ever establish the belief that by simply observing a patient a physician would recognize symptoms and determine the disease 11 Hippocrates insisted that he must keep careful notes and follow the patient from the start of the disease to the end no matter what that might have looked like so he could compile different symptoms and treatments 13 The ideal of evidence based knowledge is still implemented in the medical field and has set the standards for physicians today According to Hippocrates medicine was dependent on detailed observation of symptoms and health prognosis treatment of the patient and reason to establish diagnosis 11 While the Hippocratic Corpus was not written by Hippocrates himself the compiled work of medical professionals all follow the same guidelines imposed by Hippocratic medicine 5 Hippocrates laid the foundation for modern medicine as his protocols and guidelines for the classification of diseases are being utilized by physicians today His principles for the diagnosis treatment and prevention of diseases have been preserved in the Hippocratic Corpus and are the standard for medical ethics today Authorship name origin edit nbsp Magni Hippocratis medicorum omnium facile principis opera omnia quae extant 1657Of the texts in the corpus none is proven to be by Hippocrates himself 14 The works of the corpus range from Hippocrates time and school to many centuries later and rival points of view Franz Zacharias Ermerins identifies the hands of at least nineteen authors in the Hippocratic Corpus 15 However the varied works of the corpus have gone under Hippocrates name since antiquity The corpus may be the remains of a library of Cos or a collection compiled in the third century BC in Alexandria However the corpus includes works beyond those of the Coan school of ancient Greek medicine works from the Cnidian school are included as well 16 17 Only a fraction of the Hippocratic writings have survived The lost medical literature is sometimes referred to in the surviving treatises as at the beginning of Regimen 18 Some Hippocratic works are known only in translation from their original Greek to other languages given that the quality and accuracy of a translation without a surviving original cannot be known it is difficult to identify the author with certainty Hippocratic texts survive in Arabic Hebrew Syriac and Latin Dates and groupings editThe majority of the works in the Hippocratic Corpus date from the Classical period the last decades of the 5th century BC and the first half of the 4th century BC Among the later works The Law On the Heart On the Physician and On Sevens are all Hellenistic while Precepts and On Decorum are from the 1st and 2nd centuries AD 18 Some of the earliest works of the corpus mid fifth century are connected to the Cnidian school On Diseases II III and the early layer within On the Diseases of Women I II and On Sterile Women 19 Prorrhetics I is also mid fifth century 19 In the second half of the fifth century a single author likely produced the treatises On Airs Waters Places Prognostics Prorrhetics II and On the Sacred Disease 19 Other fifth century works include On Fleshes Epidemics I and III c 410 BC On Ancient Medicine On Regimen in Acute Diseases and Polybus On the Nature of Man Regimen in Health 410 400 BC 19 At the end of the fifth or the beginning of the fourth century one author likely wrote Epidemics II IV VI and On the Humors The coherent group of surgical treatises On Fractures On Joints On Injuries of the Head Surgery Mochlicon is of similar date 19 The gynecological treatises On the Nature of the Woman On the Diseases of Women Generation On the Nature of the Child and On Sterile Women constitute a closely related group Hermann Grensemann de identified five layers of material in this group from the mid fifth century to the mid fourth century 20 The oldest stratum is found in On the Nature of the Woman and On the Diseases of Women II 20 Generation and On the Nature of the Child constitute a single work by a late fifth century author 21 who may also be identified as the author of On Diseases IV and of sections of On the Diseases of Women I 21 The latest layer is On Sterile Women which was composed after the other gynecological treatises were in existence 20 A single fourth century author probably wrote On Fistulae and On Hemorrhoids 19 Author Susan Wise Bauer writes that because it explains disease without blaming or invoking the gods the Corpus is the first surviving book of science 22 Content editThe Hippocratic Corpus contains textbooks lectures research notes and philosophical essays on various subjects in medicine in no particular order 14 23 These works were written for different audiences both specialists and laymen and were sometimes written from opposing view points significant contradictions can be found between works in the Corpus 24 Case histories edit One significant portion of the corpus is made up of case histories Books I and III of Epidemics contain forty two case histories of which 60 25 ended in the patient s death 25 Nearly all of the diseases described in the Corpus are endemic diseases colds consumption pneumonia etc 26 Theoretical and methodological reflections edit In several texts of the corpus the ancient physicians develop theories of illness sometimes grappling with the methodological difficulties that lie in the way of effective and consistent diagnosis and treatment As scholar Jacques Jouanna writes One of the great merits of the physicians of the Hippocratic Corpus is that they are not content to practice medicine and to commit their experience to writing but that they have reflected on their own activity 27 Reason and experience edit While the approaches range from empiricism to a rationalism reminiscent of the physical theories of the pre Socratic philosophers these two tendencies can exist side by side The close association between knowledge and experience is characteristic of the Hippocratics despite the Platonic attempt to drive a wedge between the two 28 The author of On Ancient Medicine launches immediately into a critique of opponents who posit a single cause in all cases of disease having laid down as a hypothesis for their account hot or cold or wet or dry or anything else they want 29 The method put forward in this treatise could certainly be characterized as an empirical one preferring the effects of diet as observed by the senses to cosmological speculations and it was seized upon by Hellenistic Empiricist doctors for this reason 30 However unlike the Empiricists the author does not claim that the doctor s knowledge is limited to what can be observed by the senses On the contrary he requires the doctor to have quite extensive knowledge of aspects of the human constitution that cannot be observed directly such as the state of the patient s humors and internal organs 31 Epistemology and the scientific status of medicine edit The author of The Art is at pains to defend the status of medicine as an art techne against opponents who perhaps following Protagoras critique of expert knowledge 32 claim it produces no better results against disease than chance an attack served by the fact that doctors refused to treat the serious and difficult cases they judged to be incurable by their art 33 The treatise may be considered the first attempt at general epistemology bequeathed to us by antiquity although this may only be because we have lost fifth century rhetorical works that took a similar approach 34 For this writer as for the author of On the Places in Man the art of medicine has been wholly discovered While for the author of On the Places in Man the principles discovered in it clearly have very little need of good luck the author of The Art acknowledges the practical limitations that arise in the therapeutic application of these principles 35 Likewise for the author of On Regimen the knowledge and discernment of the nature of man in general knowledge of its primary constituents and discernment of the components by which it is controlled may be completely worked out and yet in practice it is difficult to determine and apply the correct and proportionate diet and exercise to the individual patient 36 Humours edit The Hippocratic Corpus explains diseases using the Four Humours in which are described a Phlegm Yellow Bile Blood and Black Bile These medical writings associated each of the humours with a specific organ which goes as follows blood with the heart yellow bile with the liver black bile with the spleen and phlegm with the brain With each humour there were specific properties that applied to changes in the fluids such as blood is hot and moist phlegm is cold and moist yellow bile is hot and dry and black bile is cold and dry 37 The authors of the Hippocratic Corpus described that these four humors play a very important role in our health as when there is a little or too much of one of the humours a disease might occur 37 Mental Illness edit The most controversial elements of health and disease during the BC time was the issue of mental illnesses as it was always related to a higher power punishment or demonic nature The Hippocratic Corpus employed many new vocabulary words to describe mental ailments that coincided with intensity duration or severity and used these terms to scale from mildest to the strongest form 38 Natural vs divine causality edit Whatever their disagreements the Hippocratic writers agree in rejecting divine and religious causes and remedies of disease in favor of natural mechanisms Hippocratic medicine had been formulated to hold true to the belief that medicine should be practiced as a scientific discipline based on the natural sciences diagnosing and preventing disease as well as treating them 11 This not only influenced the relevance of heaven in medicine and the church s influence on the practice of medicine but also the relevance of astronomy and cosmology in medicine as a science 12 Greek tragedy encouraged the spread of false knowledge about the divine origin of human diseases Greek gods were placed on a pedestal and seen as healers as a result To combat this view of diseases Hippocratic physicians restricted their diagnoses to rational causes and rejected anthropomorphic intervention as the cause and solution of medical issues 13 In addition to Greek poetry and tragedy magicians charlatans and purifiers can also be considered responsible for the widespread of sacred explanations Doing this allowed them to step in and provide inefficacious remedies that could convince the gods to intervene and fix these sacred issues experienced by individuals 39 Thus On the Sacred Disease considers that epilepsy the so called sacred disease has a natural cause and its supposed divine origin is due to men s inexperience and to their wonder at its peculiar character An exception to this rule is found in Dreams Regime IV in which prayers to the gods are prescribed alongside more typically Hippocratic interventions Though materialistic determinism goes back in Greek thought at least to Leucippus One of the greatest virtues of the physicians of the Hippocratic Collection is to have stated in its most universal form what was later to be called the principle of determinism All that occurs has a cause It is in the treatise of The Art that the most theoretical statement of this principle is to be found Indeed under a close examination spontaneity disappears for everything that occurs will be found to do so through something dia ti 40 In a famous passage of On Ancient Medicine the author insists on the importance of knowledge of causal explanations It is not sufficient to learn simply that cheese is a bad food as it gives a pain to one who eats a surfeit of it we must know what the pain is the reasons for it dia ti and which constituent of man is harmfully affected 40 Natural approach to health and wellness edit The writers of the treatises in the Hippocratic Corpus emphasized a natural approach to health and wellness 41 During the Asclepius paradigm Hippocrates used a natural way to treat disease 41 These natural approaches emphasized the importance of the harmony between the human body and the environment in which we live in 41 Writings in the Hippocratic Corpus also emphasized the importance of realizing how the environment might cause diseases 41 Treating diseases with a natural approach is also a topic that can be found in the Hippocratic Corpus 41 Hippocratic tradition also found that it is important to understand the causes of physiological factors and how these physiological factors hold a therapeutic significance 41 To add to the natural approach of health and wellness Hippocratic tradition also emphasized that the mind body and spirit were all independent of one another 41 Health Promotion and the Olympic Games edit Health promotion was another topic found in the treatises of the Hippocratic Corpus 41 To promote the well being of students and their physical and mental health in schools physical activity was conducted as a necessary activity that allowed the student s physical health to be the best it could be 41 An example of health promotion being used can be found during the Olympic games 41 One example of health promotion being used during the Olympic games was olive oil being used to warm up athletes body temperatures so that they could perform to the best of their abilities 41 Ancient greeks believed that it was essential to have a harmony between the body and the mind 41 This led to the idea of a Healthy mind in a Healthy Body which is a common phrase that people might hear 41 Food was another topic of health promotion in the Hippocratic Corpus These writings discussed that in order for food to be beneficial to the health of one the source should be adapted to human nature and food is defined as more forceful or less forceful properties 42 It was explained in the Hippocratic Corpus that to avoid a diet that was too forceful we must implement cooking and mixing as this was already a type of medicine that can help ease the cause of suffering illness and death 42 It has been discovered that during the Olympic games figs and other fruits were given to the athletes so that the high concentration of glucose in the food would give them the energy they needed to compete to the best of their ability 41 Medical ethics and manners edit The duties of the physician are an object of the Hippocratic writers attention The series of texts composing the Corpus educates readers on the practices of identifying symptoms in patients diagnosis prognosis treatments ethics and bedside manner 7 In Ancient Greece being a man of high morals went hand in hand with being a morally just physician 3 A famous maxim Epidemics I 11 advises As to diseases make a habit of two things to help or at least to do no harm The most famous work in the Hippocratic Corpus is the Hippocratic Oath a landmark declaration of medical ethics The Hippocratic Oath is both philosophical and practical it not only deals with abstract principles but practical matters such as removing stones and aiding one s teacher financially It is a complex and probably not the work of one man 43 44 It remains in use though rarely in its original form 44 The preamble of On the Physician offers a physical and moral portrait of the ideal physician and the Precepts also concern the physician s conduct 45 Treatises such as On Joints and Epidemics VI are concerned with the provision of such courtesies as providing a patient with cushions during a procedure 46 and Decorum includes advice on good manners to be observed in the doctor s office or when visiting patients Urology edit With many books incorporating different urology practices and observations and nearly 30 works in the Hippocratic book collection entitled Aphorism seemingly solely dedicated to urology in general urology was one subject that was thoroughly investigated 47 Seemingly the main and most problematic topic covered in urology was that of bladder disease in patients especially when urinary tract stones that is stones within either the kidneys or the bladder were present 47 48 Urinary tract stones in general have been seen within records all throughout history even as far back as the ancient days of Egypt 48 Theorizing how these urinary tract stones formed how to detect them and other bladder issues and the controversy on how to treat them were all major investigating points to the authors of the Hippocratic Corpus Stone formation theories edit Throughout the books of the Hippocratic Corpus there are varying hypotheses as to reasons why and exactly how urinary tract stones actually formed It is noted that these hypotheses were all based on the use of uroscopy and observation of patients by doctors of the time 47 Within the work On the Nature of Man suggest that the bladder stones first form within or attached to the aorta much like any other tumor like object would In this place the stone will essentially form pus Afterward this stone formation is transported by the blood vessels and forced into the bladder where urine will also be transported 47 In another work On Airs Waters Places it is suggested that drinking water can attribute to urinary tract stones If water consumed consists of a mixture of more than one water sources the water is of impure quality The different waters are in conflict with one another and therefore produce deposits of sediment The accumulation of these deposits within the urinary tract due to drinking the waters can then result in urinary tract stones 47 Additionally in On Airs Waters Places another passage describes that formation of urinary tract stones will occur when urine cannot flow through the system easily and causes the sediment in the urine to collect in one area and meld forming a stone This can occur when inflammation occurs within the part of the bladder leading to the urethra When the stone forms at this point it can block flow and therefore cause pain In this scenario it was hypothesized that males are more likely to form stones than females due to the anatomy of the bladder 47 Detecting bladder disease stones edit The main mechanism of detecting bladder disease s symptoms including inflammation and urinary tract stone formations is through the appearance of the urine itself and the changes that occur with the urine over time 47 In Aphorism it was simply stated that as the appearance of urine diverges more and more from the appearance of healthy urine the more likely it is to be diseased and the worse the disease becomes 47 In Aphorism works it was noted that urine lacking color could indicate diseases of the brain some today think that this author who made this statement was meaning to refer to chronic renal failure or even diabetes It was also suggested that the appearance of blood within urine could indicate vessels of the kidney to have burst potentially due to necrosis of blood arteries or vessels Furthermore doctors noted that if bubbles formed on top of urine the kidneys were diseased and showed the potential of long lasting disease 47 Treatment of bladder disease stones edit When it comes to the treatment of urinary tract stones many solutions were suggested including drinking a lot of a water wine mixture taking strong medication or trying different positions when trying to flush them out 47 48 Extracting the urinary tract stones was another option however this method was not utilized very often due to its serious risks and possible complications of cutting into the bladder 49 Other than leakage of urine into the body cavity another common complication was that of the cells of the testes dying due to the spermatic cord inadvertently being cut during the procedure 47 50 In fact due to these and other complications and the lack of antiseptics and pain medicines the Hippocratic Oath opted for the avoidance of surgery unless absolutely necessary especially when concerning surgeries that dealt with the urinary tract and more so when stone removal was the intent 47 48 49 Although the urinary tract stone removal was not a necessary surgery and it appeared to be avoided in most cases some argue that the Hippocratic Oath only wards of these procedures if the doctor holding the knife is inexperienced in that area 47 50 This idea puts forth the development of medical specialties that is doctors focusing on one particular area of medicine versus studying the wide array of material that is medicine 47 48 The doctors whom have become experts in the urinary tract whom we would call urologists today are those that could perform the heightened risk procedure of stone removal 47 48 50 With this reliance on specialized doctors of the urinary tract some believe that urology itself was the first definable expertise of medical history 48 50 nbsp Greek ostrakonWine edit References to wine can be found throughout Greek antiquity in both dramas and medical texts 42 The Hippocratic texts describe wine as a powerful substance that when consumed in excess can cause physical disorders today known as intoxication Although the negative effects of wine on the human body are documented within the Hippocratic Corpus the author authors maintain an objective attitude towards wine During this time those studying medicine were interested in the physical effects of wine therefore no medical text condemned the use of wine in excess According to the Hippocratic text the consumption of wine significantly affects two regions of the body the head and the lower body cavity 42 Excessive drinking can cause heaviness of the head and pain in the head in addition to disturbances in thought In the lower body cavity excess wine ingestion can have a purging effect it can be the source of stomach pain diarrhea and vomiting 42 This stomach pain was more common among athletes because of their intense diets composed mainly of meat and wine 51 An overall effect of wine that all Greek doctors of the time have observed and agree on is its warming property Therefore wine s properties are described as hot and dry 42 As documented in the Hippocratic texts extreme use of wine can result in death Physicians tried to study the human body with pure objectivity to give the most accurate explanation for the effects of external substances that could be given for the time During this period physicians believed not all wines were equally potent in producing a range of perilous symptoms According to the Hippocratic texts physicians carefully categorized wine by properties such as color taste viscosity smell and age According to Hippocrates a more concentrated wine leads to a heavy head and difficulty thinking and a soft wine inflames the spleen and liver and produces wind in the intestine 42 Other observations of the ingestion of wine included the varying levels of tolerance within the population being observed This observation led to the belief that the size of one s body and one s environment had an influence on ability to handle wine 42 Because of this different people would require different concentrations and dilutions of wine for medicinal use 51 After observation men with larger bodies were able to consume more than men with smaller bodies and the same effects could be observed between them 51 Physician s also hypothesized that gender contributed to the effects of wine on the body Women were noted to have a cold and wet nature which encouraged Hippocratic doctors to prescribe them undiluted wine This differed from men who typically were hotter by nature 51 It was not common practice between physicians of the time to recommend the consumption of wine for children Physicians collectively believed that there was no purpose for children to drink wine However in rare circumstances there are records of some doctors recommending wine for children only if heavily diluted with water to warm the child or to ease hunger pains 42 Mostly doctors prohibited wine consumption for people under eighteen Greek physicians were very interested in observing and recording the effects of wine and intoxication the excessive use of wine was well known to be harmful however it was also documented as a useful remedy Several of the Hippocratic texts list the properties and use of foods consumed during 5th century BC 42 52 Wine was first defined as a food by all doctors Directions for consumption varied based on gender season and other events in daily life Men were encouraged to consume dark undiluted wine before copulation not to the point of intoxication however enough to provide power and guarantee strength to the fetus 42 Because of wine s visual similarity to blood physicians had assumed a relationship between the two substances For this reason men with cardiac illness lack of strength or pale complexion were encouraged to consume dark undiluted wine 42 Multiple texts within the Hippocratic Corpus advise the use of wine in accordance with the seasons During the winter wine must be undiluted to counter the cold and wet because wine s properties are dry and hot During fall and spring wine should be moderately diluted and during the summer wine should be diluted as much as possible with water because of the hot temperatures The practice of mixing wine and diluting wine is also seen in prescription form however the dosage and quantities are left to the doctor 42 The prescription of wine as a treatment was prohibited with diseases that affected the head brain and those accompanied by a fever 42 Wine could also be used as an external remedy by mixing it with other substances such as honey milk water or oil to make salves or soaks 53 Patients with pneumonia like illnesses would soak in a wine mixture and breath in the vapors with the intent to expel the pus from their lungs 53 Wine was frequently prescribed as a topical remedy for sores because of its drying effect 52 Epidemics 1 edit nbsp Text from the section Aphorisms in the Hippocratic CorpusEpidemics 1 begins by describing each season s characteristics It states that autumn has strong south winds and many rainy days Winter had south winds with the occasional north wind and droughts Spring was southerly and cold with slight rain Summer was cloudy and did not rain 54 It then described diseases associated with each season For example in spring many people began having mild fevers which in some cases caused hemorrhage The hemorrhage was rarely fatal Swelling next to both ears was also common Coughs and sore throats accompanied the other symptoms 55 Based on modern knowledge this disease was mumps which causes salivary glands under the ears to swell It is remarkable that this ancient work describes symptoms so vividly that modern doctors can diagnose the cause a thousand years later 56 This section of the Hippocratic Corpus assumes that when looking at human disease and the health of humans you must look at the seasons winds and orientation of places the nature of the water the nature of the soil and the lifestyle of the inhabitants of a particular city 57 Epidemics 1 goes on to describe the climate on two occasions and the diseases associated with them called constitutions The symptoms described include more serious sometimes lethal fevers eye infections and dysentery 54 On Diseases edit Jaundice is a disease that is mentioned numerous times throughout and is described as occurring in five ways Jaundice is when the skin or eyes turn yellow 58 The Greek physicians thought of Jaundice to be a disease itself rather than what medical professionals know now to be a symptom of various other diseases The Greeks also believed that there were five kinds of jaundice that can occur and report the differences between them 59 The first kind can quickly turn fatal The skin appears to be green The analogy made in the text is that the skin is greener than a green lizard 59 The patient will have fevers shiver and the skin becomes very sensitive In the mornings sharp pains occur in the abdominal region If the patient survives more than two weeks they have a chance of recovery The treatments suggest drinking a mixture of milk and other nuts and plants in the morning and at night 59 The second form develops only during the summer because it was believed the heat of the sun causes bile a dark green fluid produced by the liver to rest underneath the skin This causes a yellowish color to the skin and pale eyes and urine The scalp also develops a crusty substance The treatment calls for several baths a day on top of the mixture mentioned in the first remedy Surviving past two weeks with this form of jaundice was rare 59 In two other forms of this disease occurring during the winter set in due to drunkenness chills and the excess production of phlegm The last form is the least fatal and most common It is associated with eating and drinking too much The symptoms include yellow eyes and skin fever headache and weakness 59 The treatment however it very different from the rest The physician will draw blood from the elbows and advise to take hot baths drink cucumber juice and induce vomiting to clear the bowels If the treatment is followed a full recovery is possible 60 The several forms of jaundice that the Greek physicians proclaimed might be because jaundice occurs due to varying sicknesses like hepatitis gallstones and tumors The diverse set of symptoms were probably the effects of the sicknesses rather than the jaundice itself Empyemas edit An empyema is a Greek word derived from the word empyein which means pus producing 61 According to the Hippocratic Corpus they can occur in the thorax the uterus the bladder the ear and other parts of the body 53 However the writings indicate that the thorax was the most common and provided more description Physicians at the time thought that the cause of an empyema was by orally ingesting some form of foreign body where it will enter the lungs This could be done by inhaling or drinking the foreign body The physicians also thought that empyemas could occur after parapneumonic infections or pleurisy because the chest has not recovered from those illnesses 53 Parapneumonic infections can be tied to modern pneumonia which can still be fatal There are many symptoms associated with an empyema ranging from mild to severe The most common ones are fever thoracic pain sweating heaviness in the chest and a cough 53 Treating an empyema was primarily done using herbal remedies or non invasive treatments Mostly mixtures of plants and organic matter were drunk or bathed in There are a few extreme cases in which invasive procedures were performed and mentioned in detail One of these treatments included the patient behind held down in a chair while the physician cut between the ribs with a scalpel and inserted a drainage tube which would remove all of the pus 53 The research and descriptions that the Greek physicians performed were so accurate that they were the foundation of what we know about empyemas today Dermatology edit The Hippocratic Corpus provides valuable guidance for dermatology and the diagnosis of skin diseases or infections Hippocrates described multiple dermatologic diseases specifically in neonatal and pediatrics These diseases included intertrigo lichenoid eruptions vitiligo furuncle leprosy papulosquamous disease skin reactions to specific medications skin reactions to mosquito bites warts scabies and impetigo 62 Along with the variety of skin diseases described in the Hippocratic Corpus is the suggest treatment These treatments stem from the belief that dermatologic diseases were a result of imbalance in body humors For relief from various dermatologic conditions the Hippocratic text recommends spring water or seawater baths and topical application of a fatty substance as a form of treatment 62 For intertrigo or infant chafing myrrh oil and litharge were powerful astringent compounds that were recommended as a form of treatment 62 For lichenoid skin conditions vinegar steam baths pumice stones and manna sugar substance derived from mica thuris plant were recommended to treat this skin disease The Hippocratic text also offers sulfur as a treatment for lichenoid which has a strong antibacterial effect that is still prescribed in dermatologic medications today 62 For leprosy and vitiligo lime water and concentrated vinegar are recommended by the Hippocratic Corpus to treat these conditions 62 Many of these forms of treatment proposed in the Hippocratic Corpus are utilized today for dermatologic infections Modern medicine makes use of sulfur as an antibacterial compound spring water has shown effective benefits when treating skin diseases and oil based products such as myrrh oil and litharge are used as ointments to treat intertrigo eczemas and skin lesions 62 When reflecting on the treatments of skin diseases and infections in the Hippocratic Corpus it is evident that some of the approaches when applied to modern dermatology are still valid Conception edit The Hippocratic Corpus contains many contributions from across the medical field including notes on conception Some of these contributions were put into two sections of the corpus called Diseases of Women I and Diseases of Women II The sections go into detail on concepts such as abortion obstetrical notes and early forms of gynecology Lack of fertility edit The Diseases of Women details that an infertile woman with a low menstruation rate may have a bent cervix that essentially blocks the pathway It offers a few treatments in the way of treating a bent cervix depending on how the generating seed is washed down and the length of time it takes for that to happen Options are offered for treating the uterus head and body depending on the observation of the seed 63 Menses edit Menses is another way of wording menstruation or blood flow discharge from the uterus There are multiple sections within the works dedicated to different types of menses along with their understood meanings of the time There is a large portion dedicated to what a doctor should expect of standard menses along with some slight variations Within the Diseases of Women I the average amount of menses for healthy women should be somewhere around a half pint for around two three days 64 The flow itself is considered to require the viewers judgment but does go on to say that it should flow like a blood from a sacrificial lamb indicating the timeframe of the work and that the blood should coagulate readily 64 The health of an individual or even their likelihood of pregnancy was remarked upon by evaluating the length of the menstruation A menstruation period longer than four days was thought to be an indicator of more delicate embryos Less than three days is said to indicate robust and healthy individuals but would lead to likely infertility 64 Complications of childbirth edit The lochia and its presence is noted along with other possible complications after childbirth Uterus sensitivity lower back pain aches across the body swelling and chills are all noted to be expected 65 Fever is the outlier that have different treatments based on the treaty Bathing with oils along with lily oil rubbed on the woman s head is recommended Oil should also be applied to her uterus Vapor baths in general are the main focus for treatment after childbirth The change with a fever is to avoid bathing Vapor treatment with an application using a hot towel is recommended on her lower stomach and back A diet of boiled meal with rue or barley gruel is recommended seemingly for with or without a fever 65 A paragraph is dedicated to the experience in childbirth of the woman in question affecting the post childbirth reactions Women are noted to not have an understanding of what sickness they may have or the pride of the woman causing her to not discuss their symptoms The paragraph pleads for doctors themselves to be well versed in the possible post birth diseases that women may have and know how to spot it themselves Style editThe writing style of the Corpus has been remarked upon for centuries being described by some as clear precise and simple 66 It is often praised for its objectivity and conciseness yet some have criticized it as being grave and austere 67 Francis Adams a translator of the Corpus goes further and calls it sometimes obscure Of course not all of the Corpus is of this laconic style though most of it is It was Hippocratic practice to write in this style 68 The whole corpus is written in Ionic Greek though the island of Cos was in a region that spoke Doric Greek The Art and On Breaths show the influence of Sophistic rhetoric they are characterized by long introductions and conclusions antitheses anaphoras and sound effects typical of Gorgianic style Other works also have rhetorical elements 69 In general it can be said that the Hippocratic physician was also an orator with his role including public speeches and verbal wrestling matches 70 Printed editions editThe entire Hippocratic Corpus was first printed as a unit in 1525 This edition was in Latin and was edited by Marcus Fabius Calvus in Rome The first complete Greek edition followed the next year from the Aldine Press in Venice A significant edition was that of Emile Littre who spent twenty two years 1839 1861 working diligently on a complete Greek edition and French translation of the Hippocratic Corpus This was scholarly yet sometimes inaccurate and awkward 71 Another edition of note was that of Franz Zacharias Ermerins published in Utrecht between 1859 and 1864 71 Kuhlewein s Teubner edition 1894 1902 mark ed a distinct advance 71 Beginning in 1967 an important modern edition by Jacques Jouanna de fr and others began to appear with Greek text French translation and commentary in the Collection Bude Other important bilingual annotated editions with translation in German or French continue to appear in the Corpus medicorum graecorum published by the Berlin Brandenburgische Akademie der Wissenschaften English translations edit The first English translation from the Hippocratic Corpus Peter Lowe s Chirurgerie Surgery was published in 1597 but a complete English translation of a dozen and a half genuine works was not offered in English until Francis Adams publication of 1849 Other works of the corpus remained untranslated into English until the resumed publication of the Loeb Classical Library edition beginning in 1988 72 The first four Loeb volumes were published in 1923 1931 and seven further volumes between 1988 and 2012 List of works of the Corpus edit Ordering from Adams 1891 pp 40 105 LCL vols of the Loeb Classical Library edition Possibly genuine works of HippocratesOn Ancient Medicine or Tradition in Medicine LCL 1 Prognostics LCL 2 Aphorisms LCL 4 Epidemics I and III LCL 1 On Regimen in Acute Diseases LCL 2 6 On Airs Waters and Places LCL 1 On the Sacred Disease LCL 2 On the Articulations or On Joints LCL 3 On Fractures LCL 3 On the Instruments of Reduction or Mochlicon LCL 3 On Injuries of the Head LCL 3 The Hippocratic Oath LCL 1 The Law or The Canon LCL 2 The Physician s Establishment or Surgery LCL 3 Works of PolybusOn the Nature of Man LCL 4 Regimen in Health LCL 4 Works predating HippocratesProrrhetics I LCL 8 The Coan Praenotions 73 LCL 9 Works of the age or spirit of HippocratesProrrhetics II LCL 8 On Ulcers LCL 8 On Fistulae LCL 8 On Hemorrhoids LCL 8 On Airs or Breaths or Of the Pneuma LCL 2 On the Places in Man LCL 8 The Art or The Science of Medicine LCL 2 On Regimen LCL 4 On Dreams LCL 4 On Affections LCL 5 On Internal Affections LCL 6 On Diseases LCL 5 6 10 On the Seventh Month s Foetus LCL 9 On the Eighth Month s Foetus LCL 9 Epidemics II IV VII LCL 7 On the Humors LCL 4 On the Use of Liquids LCL 8 Gynecological worksOn Semen or Generation or On Intercourse LCL 10 On the Nature of the Child or Pregnancy LCL 10 On the Diseases of Women LCL 11 On Sterile Women or Barrenness LCL 10 On the Diseases of Young Women or Girls LCL 9 On Superfoetation LCL 9 On the Nature of the Woman LCL 10 Post Hippocratic works age of Aristotle and Praxagoras On the Heart LCL 9 On Aliment or Nutriment LCL 1 On Fleshes LCL 8 On the Weeks or On Hebdomads or On Sevens survives completely only in Latin translations text Roscher 1913 On the Glands LCL 8 On the Veins an excerpt from On the Nature of the Bones LCL 9 Late and dubious worksOn the Physician LCL 2 8 On Decorum or On Honorable Conduct LCL 2 Precepts LCL 1 On Anatomy or On Dissection LCL 9 On Dentition LCL 2 On the Excision of the Foetus LCL 9 On Vision LCL 9 On the Nature of the Bones LCL 9 On the Crises LCL 9 On Critical Days LCL 9 On Purgative Medicines or Remedies not in Littre or LCL editions text Schone 1920 1924 Letters and Speeches Hippocrates Pseudepigraphic Writings Leiden Brill 1990 See also editHuangdi Neijing a work of comparable importance in Chinese medicine published during the same time periodNotes edit Iniesta Ivan 2011 Hippocratic Corpus British Medical Journal 342 d688 doi 10 1136 bmj d688 S2CID 220115185 a b Cantor David ed 2002 Reinventing Hippocrates Aldershot England Ashgate ISBN 978 0754605287 OCLC 46732640 a b Ventegodt So Merrick Joav 2012 The Purpose of the Medical Ethic of Hippocrates was Efficient Healing of the Patient Hauppauge NY Nova Biomedical Books pp 155 162 Pavlidis N Karpozilos A 2004 09 01 The treatment of cancer in Greek antiquity European Journal of Cancer 40 14 2033 2040 doi 10 1016 j ejca 2004 04 036 ISSN 1879 0852 PMID 15341975 a b Yapijakis Christos 2009 07 01 Hippocrates of Kos the Father of Clinical Medicine and Asclepiades of Bithynia the Father of Molecular Medicine In Vivo 23 4 507 514 ISSN 0258 851X PMID 19567383 a b c King Helen 2020 Totelin Laurence Hickman Miranda Bar Silvio Rogers Brett M Stead Henry Weiner Jesse Richardson Edmund Johnson Marguerite McConnell Justine Carla Filippo Berti Irene Hall Edith Stevens Benjamin Eldon Rogers Brett M Hall Edith Stevens Benjamin Eldon eds Hippocrates Now The Father of Medicine in the Internet Age London Bloomsbury Academic doi 10 5040 9781350005921 ISBN 978 1 3500 0592 1 S2CID 241891348 Retrieved 2023 10 09 a b c d e Tsiompanou Eleni Marketos Spyros G July 2013 Hippocrates timeless still Journal of the Royal Society of Medicine 106 7 288 292 doi 10 1177 0141076813492945 ISSN 0141 0768 PMC 3704070 PMID 23821709 Grammaticos Philip C Diamantis Aristidis 2008 Useful known and unknown views of the father of modern medicine Hippocrates and his teacher Democritus Hellenic Journal of Nuclear Medicine 11 1 2 4 PMID 18392218 The medical School of Cos Hippocratic Medicine Parasidis Efthimios 2013 Commentary Academic Medicine 88 1 81 doi 10 1097 ACM 0b013e318276bb34 ISSN 1040 2446 a b c d e f Kleisiaris Christos F Sfakianakis Chrisanthos Papathanasiou Ioanna V 2014 03 15 Health care practices in ancient Greece The Hippocratic ideal Journal of Medical Ethics and History of Medicine 7 6 ISSN 2008 0387 PMC 4263393 PMID 25512827 a b Bartos Hynek 2018 Soul perception and thought in the Hippocratic Corpus Philosophy of Mind in Antiquity Routledge pp 64 83 ISBN 9780429508219 a b Jacques Jouanna Neil Allies 2012 Disease as Aggression in the Hippocratic Corpus and Greek Tragedy Wild and Devouring Disease In Van der Eijk Philip ed Greek Medicine from Hippocrates to Galen Selected Papers Leiden Boston Brill pp 81 96 JSTOR 10 1163 j ctt1w76vxr 10 a b Singer amp Underwood 1962 p 27 Tuke 1911 p 518 Margotta 1968 p 64 Marti Ibanez 1961 pp 86 87 a b Gillispie 1972 p 420 a b c d e f Jouanna 1999 pp 373 416 Appendix 3 The Treatises of the Hippocratic Collection a b c Hanson 1991 p 77 a b Lonie 1981 p 71 Bauer Susan Wise 2015 The Story of Science From the Writings of Aristotle to the Big Bang Theory 1st ed New York W W Norton p 5 ISBN 978 0 393 24326 0 OCLC 891611100 Rutkow 1993 p 23 Singer amp Underwood 1962 p 28 Garrison 1966 p 95 Jones 1923 p lvi Jouanna 1988 p 83 Schiefsky 2005 p 117 On Ancient Medicine 1 1 trans Schiefsky 2005 p 75 Schiefsky 2005 pp 65 66 Schiefsky 2005 p 345 Jouanna 1999 p 244 Jouanna 1999 p 108 Jouanna 1999 pp 246 248 255 256 Jouanna 1999 p 238 Jones 1959 pp 227 229 Regimen 1 2 a b Bynum William 2012 A Little History of Science Yale University Press Thumiger Chiara 2015 Mental Insanity in the Hippocratic texts A Pragmatic Perspective Mnemosyn 68 2 210 233 doi 10 1163 1568525X 12301565 Hankinson R J 1998 Magic Religion and Science Divine and Human in the Hippocratic Corpus Apeiron A Journal for Ancient Philosophy and Science 31 1 1 34 JSTOR 40913832 a b Jouanna 1999 pp 254 255 a b c d e f g h i j k l m n Kleisiaris Christos F Sfakianakis Chrisanthos Papathanasiou Ioanna V 2014 03 15 Health care practices in ancient Greece The Hippocratic ideal Journal of Medical Ethics and History of Medicine 7 6 ISSN 2008 0387 PMC 4263393 PMID 25512827 a b c d e f g h i j k l m n Jacques Jouanna Allies Neil 2012 van der Eijk Ph J ed Greek medicine from Hippocrates to Galen selected papers Leiden ISBN 9789004232549 OCLC 808366430 a href Template Cite book html title Template Cite book cite book a CS1 maint location missing publisher link Jones 1923 p 291 a b Garrison 1966 p 96 Jouanna 1999 pp 404 405 Jouanna 1999 p 133 a b c d e f g h i j k l m n o Poulakou Rebelakou E Rempelakos A Tsiamis C Dimopoulos C February 2015 I will not cut even for the stone origins of urology in the Hippocratic Collection International Brazilian Journal of Urology 41 1 26 9 doi 10 1590 S1677 5538 IBJU 2015 01 05 PMC 4752053 PMID 25928507 a b c d e f g Bloom DA July 1997 Hippocrates and urology the first surgical subspecialty Urology 50 1 157 9 doi 10 1016 s0090 4295 97 00114 3 PMID 9218041 a b Tung T Organ CH January 2000 Ethics in surgery historical perspective Archives of Surgery 135 1 10 3 doi 10 1001 archsurg 135 1 10 PMID 10636339 a b c d Herr HW September 2008 I will not cut the oath that defined urology BJU International 102 7 769 71 doi 10 1111 j 1464 410x 2008 07796 x PMID 18647301 S2CID 205539272 a b c d Jacques Jouanna Neil Allies 2012 Wine and Medicine in Ancient Greece In Van der Eijk Philip ed Greek Medicine from Hippocrates to Galen Selected Papers Leiden Boston Brill pp 173 194 JSTOR 10 1163 j ctt1w76vxr 15 a b Craik Elizabeth M 2014 The Hippocratic corpus content and context Milton Park Abingdon Oxon ISBN 9781138021693 OCLC 883647666 a href Template Cite book html title Template Cite book cite book a CS1 maint location missing publisher link a b c d e f Christopoulou Aletra Helen Papavramidou Niki March 2008 Empyemas of the Thoracic Cavity in the Hippocratic Corpus The Annals of Thoracic Surgery 85 3 1132 1134 doi 10 1016 j athoracsur 2007 11 031 ISSN 0003 4975 PMID 18291225 a b Jones 1959 pp 147 150 472 473 Craik Elizabeth M 2015 The Hippocratic corpus content and context Milton Park Abingdon Oxon ISBN 978 1 138 02169 3 OCLC 883647666 a href Template Cite book html title Template Cite book cite book a CS1 maint location missing publisher link Mumps Home CDC www cdc gov 2019 11 14 Retrieved 2019 11 13 Jouanna Jacques 2012 Greek Medicine from Hippocrates to Galen Studies in Ancient Medicine 40 Jaundice medlineplus gov Retrieved 2019 11 13 a b c d e Papavramidou Niki Fee Elizabeth Christopoulou Aletra Helen 2007 11 13 Jaundice in the Hippocratic Corpus Journal of Gastrointestinal Surgery 11 12 1728 1731 doi 10 1007 s11605 007 0281 1 ISSN 1091 255X PMID 17896166 S2CID 9253867 Nutton Vivian 2004 Ancient medicine London Routledge ISBN 0 415 08611 6 OCLC 53038721 Definition of Empyema MedicineNet Retrieved 2019 11 13 a b c d e f Sgantzos Markos Tsoucalas Gregory Karamanou Marianna Giatsiou Styliani Tsoukalas Ioannis Androutsos George 2015 06 08 Hippocrates on Pediatric Dermatology Pediatric Dermatology 32 5 600 603 doi 10 1111 pde 12626 ISSN 0736 8046 PMID 26058689 S2CID 206258922 Hanson Ann Ellis December 1975 Hippocrates Diseases of Women 1 Signs Journal of Women in Culture and Society 1 2 571 doi 10 1086 493243 ISSN 0097 9740 PMID 21213645 S2CID 144497441 a b c Hanson Ann Ellis December 1975 Hippocrates Diseases of Women 1 Signs Journal of Women in Culture and Society 1 2 575 doi 10 1086 493243 ISSN 0097 9740 PMID 21213645 S2CID 144497441 a b Hanson Ann Ellis December 1975 Hippocrates Diseases of Women 1 Signs Journal of Women in Culture and Society 1 2 581 doi 10 1086 493243 ISSN 0097 9740 PMID 21213645 S2CID 144497441 Garrison 1966 p 99 Jones 1923 p xv Adams 1891 p 18 Schironi 2010 p 350 Jouanna 1999 p 79 85 a b c Jones 1923 pp lxviii lxix Vivian Nutton review of Loeb vols 5 6 1988 The Coan Prenotions once thought by Littre and others to be the ancient source of Prognostics is now universally agreed to be a compilation derivative of Prognostics and other Hippocratic works Jouanna 1999 p 379 References editAdams Francis 1891 The Genuine Works of Hippocrates New York William Wood and Company Camden David H 2023 05 11 The Cosmological Doctors of Classical Greece Cambridge University Press ISBN 978 1 009 20299 2 Gillispie Charles Coulston 1972 Dictionary of Scientific Biography Vol VI New York Charles Scribner s Sons pp 419 427 Garrison Fielding H 1966 History of Medicine Philadelphia W B Saunders Company Hanson Ann Ellis 1991 Continuity and Change Three Case Studies in Hippocratic Gynecological Therapy and Theory In Pomeroy Sarah B ed Women s History and Ancient History University of North Carolina Press ISBN 978 0 8078 4310 9 Hanson Ann Ellis 1975 Hippocrates Diseases of Women 1 Signs 1 2 567 584 ISSN 0097 9740 Lonie Iain M 1981 The Hippocratic Treatises On Generation On the Nature of the Child Diseases IV Berlin Walter de Gruyter Jones W H S 1923 General Introduction to Hippocrates Loeb Classical Library Vol 1 Harvard University Press Jones W H S 1959 1923 Hippocrates with an English translation by W H S Jones Loeb Classical Library Vol 4 London William Heinemann Cambridge MA Harvard University Press Jouanna Jacques 1988 Hippocrate Oeuvres completes Collection Bude Vol 5 p 83 ISBN 978 2 251 00396 2 Jouanna Jacques 1999 Hippocrates Translated by DeBevoise M B Baltimore Johns Hopkins UP ISBN 978 0 8018 5907 6 Margotta Roberto 1968 The Story of Medicine New York Golden Press Marti Ibanez Felix 1961 A Prelude to Medical History New York MD Publications Inc Library of Congress ID 61 11617 Rutkow Ira M 1993 Surgery An Illustrated History London and Southampton Elsevier Science Health Science div ISBN 978 0 801 6 6078 8 Schiefsky Mark J 2005 Hippocrates On Ancient Medicine Leiden Brill ISBN 978 90 04 13758 5 Schironi Francesca 2010 Technical Languages Science and Medicine In Bakker Egbert J ed A Companion to the Ancient Greek Language Wiley Blackwell p 350 ISBN 978 1 4051 5326 3 Singer Charles Underwood E Ashworth 1962 Short History of Medicine New York and Oxford Oxford University Press Library of Congress ID 62 21080 Tuke John Batty 1911 Hippocrates In Chisholm Hugh ed Encyclopaedia Britannica Vol 13 11th ed Cambridge University Press pp 517 519 External links edit nbsp Wikimedia Commons has media related to Hippocrates nbsp Wikiquote has quotations related to Hippocratic Corpus nbsp Wikisource has original works by or about Hippocrates English translations and Greek English bilingual editions edit Loeb edition 1923 1931 vol 1 vol 2 vol 3 vol 4 Hippocrates Greek texts and English translations from the Perseus Project English translations by Francis Adams HTML anthology 1891 edition via Harvard earlier editionsOther Greek texts edit Corpus Medicorum Graecorum edition online 1927 2014 Littre edition 1839 1861 via Collection Medic Greek text and French translation vols 1 2 3 4 5 6 7 8 9 10 Kuhlewein edition 1894 1902 Hathi Trust c 1 c 2 archive org vol 1 vol 2Bibliography edit Gerhard Fichtner Hippocratic bibliography 2011 Archived 2012 07 12 at the Wayback Machine Berlin Academy List of works by Hippocrates with digitized editions manuscripts and translations Retrieved from https en wikipedia org w index php title Hippocratic Corpus amp oldid 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