Hippocrates of Kos ( / h ɪ ˈ p ɒ k r ə t iː z / , ‹See Tfd› Greek : Ἱπποκράτης ὁ Κῷος , translit. Hippokrátēs ho Kôios ; c. 460 – c. 370 BC ), also known as Hippocrates II , was a Greek physician and philosopher of the classical period who is considered one of the most outstanding figures in the history of medicine . He is traditionally referred to as the "Father of Medicine" in recognition of his lasting contributions to the field, such as the use of prognosis and clinical observation, the systematic categorization of diseases, and the (however misguided) formulation of humoral theory . The Hippocratic school of medicine revolutionized ancient Greek medicine , establishing it as a discipline distinct from other fields with which it had traditionally been associated ( theurgy and philosophy ), thus establishing medicine as a profession.
133-561: However, the achievements of the writers of the Hippocratic Corpus , the practitioners of Hippocratic medicine, and the actions of Hippocrates himself were often conflated; thus very little is known about what Hippocrates actually thought, wrote, and did. Hippocrates is commonly portrayed as the paragon of the ancient physician and credited with coining the Hippocratic Oath , which is still relevant and in use today. He
266-473: A hypothesis for their account hot or cold or wet or dry or anything else they want". 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. However, "unlike the Empiricists, the author does not claim that
399-605: A 2nd-century Greek physician , was Hippocrates's first biographer and is the source of most personal information about him. Later biographies are in the Suda of the 10th century AD, and in the works of John Tzetzes , which date from the 12th century AD. Hippocrates is mentioned in passing in the writings of two contemporaries: in Plato 's dialogues Protagoras and Phaedrus , and in Aristotle 's Politics , all of which date from
532-458: A French physician, said that these revivals make up "the whole history of internal medicine." According to Aristotle 's testimony, Hippocrates was known as "The Great Hippocrates". Concerning his disposition, Hippocrates was first portrayed as a "kind, dignified, old country doctor" and later as "stern and forbidding". He is certainly considered wise, of very great intellect and especially as very practical. Francis Adams describes him as "strictly
665-662: 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. The oldest stratum is found in On the Nature of the Woman and On the Diseases of Women II. Generation and On the Nature of the Child constitute a single work by a late-fifth-century author, who may also be identified as
798-486: 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." The writers of the treatises in the Hippocratic Corpus emphasized
931-421: A fixed time after the contraction of a disease. If a crisis occurred on a day far from a critical day , a relapse might be expected. Galen believed that this idea originated with Hippocrates, though it is possible that it predated him. Hippocratic medicine was humble and passive. The therapeutic approach was based on "the healing power of nature" ( Latin : vis medicatrix naturae ). According to this doctrine,
1064-481: A focus on natural approaches, he also began to look into anatomical and physiological relationships in the body. 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
1197-445: A form of treatment. 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. For leprosy and vitiligo, lime water and concentrated vinegar are recommended by
1330-523: A great development in clinical practice. Hippocratic medicine and its philosophy are far removed from modern medicine, in which the physician focuses on specific diagnosis and specialized treatment, both of which were espoused by the Knidian school. This shift in medical thought since Hippocrates's day has generated serious criticism of their denunciations; for example, the French doctor M. S. Houdart called
1463-589: A heavy head and difficulty thinking, and a soft wine inflames the spleen and liver and produces wind in the intestine. 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. Because of this, different people would require different concentrations and dilutions of wine for medicinal use. After observation, men with larger bodies were able to consume more than men with smaller bodies and
SECTION 10
#17327657455711596-619: A hot iron. Other treatments such as applying various salves are suggested as well. Today, "treatment [for hemorrhoids] still includes burning, strangling, and excising." Also, some of the fundamental concepts of proctoscopy outlined in the Corpus are still in use. For example, the uses of the rectal speculum , a common medical device, are discussed in the Hippocratic Corpus. This constitutes the earliest recorded reference to endoscopy . Hippocrates often used lifestyle modifications such as diet and exercise to treat diseases such as diabetes , what
1729-494: A librarian in Alexandria . The volumes were probably produced by his students and followers. The Hippocratic Corpus contains textbooks, lectures, research, notes and philosophical essays on various subjects in medicine, in no particular order. These works were written for different audiences, both specialists and laymen, and were sometimes written from opposing viewpoints; significant contradictions can be found between works in
1862-539: A long time. The centuries after Hippocrates's death were marked as much by retrograde movement as by further advancement. For instance, "after the Hippocratic period, the practice of taking clinical case-histories died out," according to Fielding Garrison . After Hippocrates, another significant physician was Galen , a Greek who lived from AD 129 to AD 200. Galen perpetuated the tradition of Hippocratic medicine, making some advancements, but also some regressions. In
1995-511: A man of high morals went hand in hand with being a morally just physician. 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
2128-542: A manuscript which contains a medical recipe of Hippocrates. The manuscript also contains three recipes with pictures of herbs that were created by an anonymous scribe. The Hippocratic Corpus (Latin: Corpus Hippocraticum ) is a collection of around seventy early medical works collected in Alexandrian Greece . It is written in Ionic Greek . The question of whether Hippocrates himself was the author of any of
2261-436: A natural approach is also a topic that can be found in the Hippocratic Corpus. Hippocratic tradition also found that it is important to understand the causes of physiological factors and how these physiological factors hold a therapeutic significance. 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. Health promotion
2394-457: A natural approach to health and wellness. During the Asclepius paradigm, Hippocrates used a natural way to treat disease. These natural approaches emphasized the importance of the harmony between the human body and the environment in which we live in. Writings in the Hippocratic Corpus also emphasized the importance of realizing how the environment might cause diseases. Treating diseases with
2527-507: 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
2660-403: 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
2793-453: A procedure, and Decorum includes advice on good manners to be observed in the doctor's office or when visiting patients. 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. Seemingly, the main and most problematic topic covered in urology
SECTION 20
#17327657455712926-676: A scalpel and inserted a drainage tube which would remove all of the pus. The research and descriptions that the Greek physicians performed were so accurate that they were the foundation of what we know about empyemas today. 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 . Along with
3059-424: 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. The authors of the Hippocratic Corpus described that these four humors play
3192-559: A temple enclosure Newton discovered the fine seated statue of Demeter of Knidos , which he sent back to the British Museum , and about three miles south-east of the city he came upon the ruins of a splendid tomb, and a colossal figure of a lion carved out of one block of Pentelic marble , ten feet in length and six in height, which has been supposed to commemorate the great naval victory, the Battle of Cnidus in which Conon defeated
3325-571: 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 . 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
3458-534: 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. 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
3591-429: Is "the first surviving book of science". The Hippocratic Corpus contains textbooks, lectures, research, notes and philosophical essays on various subjects in medicine, in no particular order. 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. One significant portion of
3724-526: 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. 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
3857-525: Is a complex and probably not the work of one man. It remains in use, though rarely in its original form. 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. Treatises such as On Joints and Epidemics VI are concerned with the provision of such "courtesies" as providing a patient with cushions during
3990-515: 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. 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. The first kind can quickly turn fatal. The skin appears to be green. The analogy made in
4123-414: Is also credited with greatly advancing the systematic study of clinical medicine , summing up the medical knowledge of previous schools, and prescribing practices for physicians through the Hippocratic Corpus and other works. Historians agree that Hippocrates was born around the year 460 BC on the Greek island of Kos ; other biographical information, however, is likely to be untrue. Soranus of Ephesus ,
Hippocrates - Misplaced Pages Continue
4256-403: Is also known as Hippocratic fingers. Hippocratic succussion is the internal splashing noise of hydropneumothorax or pyopneumothorax . Hippocratic bench (a device which uses tension to aid in setting bones) and Hippocratic cap-shaped bandage are two devices named after Hippocrates. Hippocratic Corpus and Hippocratic Oath are also his namesakes. Risus sardonicus , a sustained spasming of
4389-766: Is an effort of the Carnegie Mellon School of Computer Science and Shadyside Medical Center , "to develop advanced planning, simulation, and execution technologies for the next generation of computer-assisted surgical robots." Both the Canadian Hippocratic Registry and American Hippocratic Registry are organizations of physicians who uphold the principles of the original Hippocratic Oath as inviolable through changing social times. Hippocrates's legendary genealogy traces his paternal heritage directly to Asklepius and his maternal ancestry to Heracles . According to Tzetzes's Chiliades ,
4522-401: Is caused by the fact that in ancient times it was connected to the mainland by a causeway and bridge. Today the connection is formed by a narrow sandy isthmus . By means of the causeway the channel between island and mainland was formed into two harbours, of which the larger, or southern, was further enclosed by two strongly built moles that are still in good part entire. The extreme length of
4655-424: Is credited as the first person to believe that diseases were caused naturally, not because of superstition and gods. He was acknowledged by the disciples of Pythagoras for allying philosophy and medicine. He separated the discipline of medicine from religion, believing and arguing that disease was not a punishment inflicted by the gods but rather the product of environmental factors , diet, and living habits. There
4788-405: Is largely unknown. Hippocrates began Western society's development of medicine, through a delicate blending of the art of healing and scientific observations. 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
4921-526: Is not a single mention of a mystical illness in the entirety of the Hippocratic Corpus. However, Hippocrates did hold many convictions that were based on incorrect anatomy and physiology , such as Humorism . Ancient Greek schools of medicine were split into the Knidian and Koan on how to deal with disease. The Knidian school of medicine focused on diagnosis. Medicine at the time of Hippocrates knew almost nothing of human anatomy and physiology because of
5054-494: Is probably the most famous document of the Hippocratic Corpus. Recently, the authenticity of the document's author has come under scrutiny. While the Oath is rarely used in its original form today, it serves as a foundation for other, similar oaths and laws that define good medical practice and morals. Such derivatives are regularly taken by modern medical graduates about to enter medical practice. Although Hippocrates neither founded
5187-422: Is said to have measured a patient's pulse when taking a case history to discover whether the patient was lying. Hippocrates extended clinical observations into family history and environment. "To him medicine owes the art of clinical inspection and observation." Hippocrates and his followers were the first to describe many diseases and medical conditions. He is given credit for the first description of clubbing of
5320-461: Is through the appearance of the urine itself and the changes that occur with the urine over time. 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. 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
5453-398: Is to feed your sickness". However, potent drugs were used on certain occasions. This passive approach was very successful in treating relatively simple ailments such as broken bones, which required traction to stretch the skeletal system and relieve pressure on the injured area. The Hippocratic bench and other devices were used to this end. In Hippocrates's time it was thought that fever
Hippocrates - Misplaced Pages Continue
5586-526: Is today called lifestyle medicine . Two popular but likely misquoted attributions to Hippocrates are "Let food be your medicine, and medicine be your food" and "Walking is man's best medicine". Both appear to be misquotations, and their exact origins remain unknown. In 2017, researchers claimed that, while conducting restorations on the Saint Catherine's Monastery in South Sinai , they found
5719-521: The Coan school of ancient Greek medicine ; works from the Cnidian school are included as well. 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 . Some Hippocratic works are known only in translation from their original Greek to other languages; given that the quality and accuracy of
5852-573: The Dorian Hexapolis , which held its confederate assemblies on the Triopian headland, and there celebrated games in honour of Apollo , Poseidon and the nymphs . This was also the site of the Temple of Aphrodite, Knidos . The city was at first governed by an oligarchic senate , composed of sixty members, and presided over by a magistrate; but, though it is proved by inscriptions that
5985-656: The Middle Ages , the Islamic world adopted Hippocratic methods and developed new medical technologies. After the European Renaissance , Hippocratic methods were revived in western Europe and even further expanded in the 19th century. Notable among those who employed Hippocrates's rigorous clinical techniques were Thomas Sydenham , William Heberden , Jean-Martin Charcot and William Osler . Henri Huchard ,
6118-655: The Peloponnesian War they were subject to Athens . During the Hellenistic age , Knidos boasted a medical school ; however, the theory that this school already existed at the beginning of the classical age is an unwarranted extrapolation. In their expansion into the region, the Romans easily obtained the allegiance of Knidians, and rewarded them for help given against Antiochus III the Great by leaving them
6251-563: The Sea of Marmara . Several different accounts of his death exist. He died, probably in Larissa , at the age of 83, 85 or 90, though some say he lived to be well over 100. It is thus with regard to the disease called Sacred : it appears to me to be nowise more divine nor more sacred than other diseases, but has a natural cause from the originates like other affections. Men regard its nature and cause as divine from ignorance and wonder... Hippocrates
6384-463: The ahnentafel of Hippocrates II is: 1. Hippocrates II. 2. Heraclides 4. Hippocrates I. 8. Gnosidicus 16. Nebrus 32. Sostratus III. 64. Theodorus II. 128. Sostratus, II. 256. Thedorus 512. Cleomyttades 1024. Crisamis 2048. Dardanus 4096. Sostratus 8192. Hippolochus 16384. Podalirius 32768. Asklepius Hippocratic Corpus The Hippocratic Corpus ( Latin : Corpus Hippocraticum ), or Hippocratic Collection ,
6517-520: 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". 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
6650-429: 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
6783-588: The 4th century BC. Soranus wrote that Hippocrates's father was Heraclides , a physician, and his mother was Praxitela, daughter of Tizane. The two sons of Hippocrates, Thessalus and Draco , and his son-in-law, Polybus , were his students. According to Galen , a later physician, Polybus was Hippocrates's true successor, while Thessalus and Draco each had a son named Hippocrates (Hippocrates III and IV). Soranus said that Hippocrates learned medicine from his father and grandfather ( Hippocrates I ), and studied other subjects with Democritus and Gorgias . Hippocrates
SECTION 50
#17327657455716916-542: The Cnidians were Lacedaemonian colonists; however, the presence of demiurges there argues for foundation or later influence by other Doric Greeks , possibly Argives . Diodorus Siculus ( Bibliotheca Historica 5.53) claimed that Cnidus was founded by both Lacedaemonians and Argives. Along with Halicarnassus (present day Bodrum , Turkey) and Kos, and the Rhodian cities of Lindos , Kamiros and Ialyssos it formed
7049-502: The Corpus. Among the treatises of the Corpus are The Hippocratic Oath ; The Book of Prognostics ; On Regimen in Acute Diseases ; Aphorisms ; On Airs, Waters and Places ; Instruments of Reduction ; On The Sacred Disease ; etc. The Hippocratic Oath, a seminal document on the ethics of medical practice, was attributed to Hippocrates in antiquity although new information shows it may have been written after his death. This
7182-399: The Greek taboo forbidding the dissection of humans. The Knidian school consequently failed to distinguish when one disease caused many possible series of symptoms. The Hippocratic school or Koan school achieved greater success by applying general diagnoses and passive treatments. Its focus was on patient care and prognosis , not diagnosis. It could effectively treat diseases and allowed for
7315-463: The Hippocratic Corpus to treat these conditions. Knidos Knidos or Cnidus ( / ˈ n aɪ d ə s / ; ‹See Tfd› Greek : Κνίδος , Ancient: [knídos] , Modern: [ˈkniðos] , Knídos ) was a Greek city in ancient Caria and part of the Dorian Hexapolis , in south-western Asia Minor , modern-day Turkey. It was situated on the Datça peninsula , which forms
7448-417: 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. Another contribution Hippocrates had to medicine was evidence-based knowledge. Hippocrates
7581-482: The Hippocratic treatment a "meditation upon death". If you want to learn about the health of a population, look at the air they breathe, the water they drink, and the places where they live. Analogies have been drawn between Thucydides' historical method and the Hippocratic method, in particular the notion of "human nature" as a way of explaining foreseeable repetitions for future usefulness, for other times or for other cases. An important concept in Hippocratic medicine
7714-541: 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. Ancient greeks believed that it was essential to have a harmony between the body and the mind. This led to the idea of a "Healthy mind in a Healthy Body" which is a common phrase that people might hear. Food was another topic of health promotion in the Hippocratic Corpus. These writings discussed that in order for food to be beneficial to
7847-454: The Physician , and On Sevens are all Hellenistic , while Precepts and On Decorum are from the 1st and 2nd centuries AD. 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 . Prorrhetics I is also mid-fifth century. In the second half of
7980-418: The ailments of the human rectum and the treatment thereof, despite the school's poor theory of medicine. Hemorrhoids , for instance, though believed to be caused by an excess of bile and phlegm, were treated by Hippocratic physicians in relatively advanced ways. Cautery and excision are described in the Hippocratic Corpus, in addition to the preferred methods: ligating the hemorrhoids and drying them with
8113-475: The art of fine medicine combined." The Hippocratic Corpus became the foundation upon which Western medical practice was built. Hippocrates was born c. 460 BCE on the Greek island of Kos . The verifiable details of his life are few, despite centuries of hagiographic accounts. According to tradition, Hippocrates was born into a hereditary order of priest-like physicians known as Asclepiads . At
SECTION 60
#17327657455718246-430: 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. 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. In Ancient Greece, being
8379-404: The author of On Diseases IV and of sections of On the Diseases of Women I. The latest layer is On Sterile Women , which was composed after the other gynecological treatises were in existence. A single fourth-century author probably wrote On Fistulae and On Hemorrhoids . Author Susan Wise Bauer writes that, because it explains disease "without blaming or invoking the gods", the Corpus
8512-504: 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. 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
8645-435: The authors of the Hippocratic Corpus. 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. The main mechanism of detecting bladder disease's symptoms, including inflammation and urinary tract stone formations,
8778-515: 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. 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
8911-559: The best thing that physicians could do was to evaluate an illness and predict its likely progression based upon data collected in detailed case histories. Hippocratic medicine was notable for its strict professionalism, discipline, and rigorous practice. The Hippocratic work On the Physician recommends that physicians always be well-kempt, honest, calm, understanding, and serious. The Hippocratic physician paid careful attention to all aspects of his practice: he followed detailed specifications for "lighting, personnel, instruments, positioning of
9044-513: 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. 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
9177-492: The body contains within itself the power to re-balance the four humours and heal itself ( physis ). Hippocratic therapy focused on simply easing this natural process. To this end, Hippocrates believed "rest and immobilization [were] of capital importance". In general, the Hippocratic medicine was very kind to the patient; treatment was gentle, and emphasized keeping the patient clean and sterile. For example, only clean water or wine were ever used on wounds, though "dry" treatment
9310-528: The cause and solution of medical issues. 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. Thus On the Sacred Disease considers that epilepsy (the so-called "sacred" disease) "has
9443-401: The chest, and a cough. 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
9576-433: The city was little less than a mile, and the whole intramural area is still thickly strewn with architectural remains. The walls, both of the island and on the mainland, can be traced throughout their whole circuit; and in many places, especially round the acropolis, at the northeast corner of the city, they are remarkably perfect. Knidos was a Hellenic city of high antiquity. According to Herodotus ' Histories) (I.174),
9709-460: 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. 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
9842-423: 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. Nearly all of the diseases described in the Corpus are endemic diseases : colds, consumption, pneumonia, etc. In several texts of the corpus, the ancient physicians develop theories of illness, sometimes grappling with the methodological difficulties that lie in
9975-550: 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". 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 ) claim it produces no better results against disease than chance (an attack served by
10108-415: The doctor. The prescription of wine as a treatment was prohibited with diseases that affected the head, brain, and those accompanied by a fever. 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. Patients with pneumonia like illnesses would soak in a wine mixture and breath in the vapors with the intent to expel
10241-413: 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. 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
10374-407: The exemplar of that flexible, critical, well-poised attitude of mind, ever on the lookout for sources of error, which is the very essence of the scientific spirit." "His figure... stands for all time as that of the ideal physician," according to A Short History of Medicine , inspiring the medical profession since his death. The Travels of Sir John Mandeville reports (incorrectly) that Hippocrates
10507-671: The face muscles may also be termed the Hippocratic Smile. The most severe form of hair loss and baldness is called the Hippocratic form. In the modern age, a lunar crater has been named Hippocrates . The Hippocratic Museum , a museum on the Greek island of Kos is dedicated to him. The Hippocrates Project is a program of the New York University Medical Center to enhance education through use of technology. Project Hippocrates (an acronym of "High Performance Computing for Robot-Assisted Surgery")
10640-455: The fact that doctors refused to treat the serious and difficult cases they judged to be incurable by their art ). 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. For this writer, as for the author of On the Places in Man , the art of medicine has been wholly discovered. While for
10773-457: The fifth century, a single author likely produced the treatises On Airs, Waters, Places ; Prognostics ; Prorrhetics II; and On the Sacred Disease . 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). At the end of the fifth or
10906-799: The fingers, an important diagnostic sign in chronic lung disease, lung cancer and cyanotic heart disease . For this reason, clubbed fingers are sometimes referred to as "Hippocratic fingers". Hippocrates was also the first physician to describe Hippocratic face in Prognosis . Shakespeare famously alludes to this description when writing of Falstaff 's death in Act II, Scene iii. of Henry V . Hippocrates began to categorize illnesses as acute , chronic , endemic and epidemic , and use terms such as, "exacerbation, relapse , resolution, crisis, paroxysm , peak, and convalescence ." Another of Hippocrates's major contributions may be found in his descriptions of
11039-535: 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. Of the texts in the corpus, none is proven to be by Hippocrates himself, The works of the corpus range from Hippocrates' time and school to many centuries later and rival points of view. Franz Zacharias Ermerins identifies
11172-597: The freedom of their city. Eudoxus , the astronomer , Ctesias , the writer on Persian history , and Sostratus , the builder of the celebrated Pharos at Alexandria , are the most remarkable of the Knidians mentioned in history. Artemidorus , a minor character in the Shakespeare play “ Julius Caesar ", was also from Knidos. During the Byzantine period there must still have been a considerable population: for
11305-412: The hands of at least nineteen authors in the Hippocratic Corpus. However, the varied works of the corpus have gone under Hippocrates' name since antiquity. According to Howard Clark Kee , its a haphazard collection of anonymous authors. 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
11438-436: 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. 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. Jaundice
11571-445: The health of one, the source should be adapted to human nature and food is defined as more forceful or less forceful properties. 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. It has been discovered that during the Olympic games, figs and other fruits were given to
11704-420: The hideous dragon; they die soon thereafter. This is a version of the legend of Melusine . Some clinical symptoms and signs have been named after Hippocrates as he is believed to be the first person to describe them. Hippocratic face is the change produced in the countenance by death, or long sickness, excessive evacuations, excessive hunger, and the like. Clubbing , a deformity of the fingers and fingernails,
11837-461: The idea that medicine could only be practiced by those born into the priestly Asclepiad class like himself. He went on to establish a medical school at Kos and opened it to those born outside of the Asclepiad class. 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
11970-405: The jaundice itself. An empyema is a Greek word derived from the word empyein which means "pus-producing". According to the Hippocratic Corpus, they can occur in the thorax, the uterus, the bladder, the ear, and other parts of the body. 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
12103-431: 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. 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. Hippocrates laid
12236-416: 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
12369-659: The murder of Proterius of Alexandria . Bishop Evander was at the Second Council of Constantinople in 553 and Bishop Stauratius at the Second Council of Nicaea in 787. No longer a residential bishopric, Cnidus is today listed by the Catholic Church as a titular see . The first Western knowledge of the modern site was due to the mission of the Dilettante Society in 1812, and the excavations executed by C. T. Newton in 1857–1858. The agora ,
12502-458: The old names continued to a very late period, the constitution underwent a popular transformation. The situation of the city was favourable for commerce, and the Knidians acquired considerable wealth, and were able to colonize the island of Lipara , and founded a city on Corcyra Nigra in the Adriatic . They ultimately submitted to Cyrus , and from the battle of Eurymedon to the latter part of
12635-572: The patient, and techniques of bandaging and splinting" in the ancient operating room . He even kept his fingernails to a precise length. The Hippocratic school gave importance to the clinical doctrines of observation and documentation. These doctrines dictate that physicians record their findings and their medicinal methods in a very clear and objective manner, so that these records may be passed down and employed by other physicians. Hippocrates made careful, regular note of many symptoms including complexion, pulse, fever, pains, movement, and excretions. He
12768-519: The physician of experience and common sense." His image as the wise, old doctor is reinforced by busts of him, which wear large beards on a wrinkled face. Many physicians of the time wore their hair in the style of Jove and Asklepius . Accordingly, the busts of Hippocrates that have been found could be only altered versions of portraits of these deities. Hippocrates and the beliefs that he embodied are considered medical ideals. Fielding Garrison , an authority on medical history, stated, "He is, above all,
12901-503: 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 ].'" In
13034-429: The point of intoxication, however enough to provide power and guarantee strength to the fetus. 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. Multiple texts within the Hippocratic Corpus advise the use of wine in accordance with
13167-585: The pus from their lungs. Wine was frequently prescribed as a topical remedy for sores because of its drying effect. 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. 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
13300-485: 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. 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
13433-620: The ruins contain a large number of buildings belonging to the Byzantine style, and Christian sepulchres are common in the neighbourhood. Bishop Ioannes of Cnidus took part in the Council of Chalcedon in 451 CE and was one of the signatories of the letter that in 458 the bishops of the Roman province of Caria , to which Cnidus belonged, wrote to Byzantine Emperor Leo I the Thracian after
13566-477: The same effects could be observed between them. 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. It was not common practice between physicians of the time to recommend the consumption of wine for children. Physicians collectively believed that there
13699-411: The school of medicine named after him, nor wrote most of the treatises attributed to him, he is traditionally regarded as the "Father of Medicine". His contributions revolutionized the practice of medicine; but after his death the advancement stalled. So revered was Hippocrates that his teachings were largely taken as too great to be improved upon and no significant advancements of his methods were made for
13832-525: The southern side of the Sinus Ceramicus , now known as Gulf of Gökova . By the 4th century BC, Knidos was located at the site of modern Tekir , opposite Triopion Island. But earlier, it was probably at the site of modern Datça (at the half-way point of the peninsula). It was built partly on the mainland and partly on the Island of Triopion or Cape Krio. The debate about it being an island or cape
13965-428: The strongest form. 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." This not only influenced
14098-399: 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
14231-466: The symptomatology, physical findings, surgical treatment and prognosis of thoracic empyema , i.e. suppuration of the lining of the chest cavity. His teachings remain relevant to present-day students of pulmonary medicine and surgery. Hippocrates was the first documented chest surgeon and his findings and techniques, while crude, such as the use of lead pipes to drain chest wall abscess, are still valid. The Hippocratic school of medicine described well
14364-413: The text is that the skin is greener than a green lizard. 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. The second form develops only during
14497-583: The theatre, an odeum , a temple of Dionysus , a temple of the Muses, a temple of Aphrodite and a great number of minor buildings have been identified, and the general plan of the city has been very clearly made out. The most famous statue by Praxiteles , the Aphrodite of Knidos , was made for Cnidus. It has perished, but late copies exist, of which the most faithful is in the Vatican Museums . In
14630-465: 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. Hippocrates did not share this view. For example, according to works later ascribed to him, he was the first to describe epilepsy as an inheritable brain disease rather than an infliction from the divine. In addition to his rejection of purely divine causes of illness, Hippocrates rejected
14763-484: The treatises in the corpus has not been conclusively answered, but modern debate revolves around only a few of the treatises seen as potentially authored by him. Because of the variety of subjects, writing styles and apparent date of construction, the Hippocratic Corpus could not have been written by one person (Ermerins numbers the authors at nineteen). The corpus came to be known by his name because of his fame; possibly all medical works were classified under 'Hippocrates' by
14896-430: 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. 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. Other than leakage of urine into
15029-438: 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. 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. This stomach pain
15162-500: 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. For intertrigo, or infant chafing, myrrh oil and litharge were powerful astringent compounds that were recommended as
15295-417: 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". While the approaches range from empiricism to a rationalism reminiscent of the physical theories of
15428-514: The wide array of material that is medicine. 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. With this reliance on specialized doctors of the urinary tract, some believe that urology itself was the first definable expertise of medical history. References to wine can be found throughout Greek antiquity in both dramas and medical texts. The Hippocratic texts describe wine as
15561-406: Was a disease in and of itself. Hippocrates treated patients with fever by starving them out, believing that 'starving' the fever was a way to neutralize the disease. He may therefore have been the originator of the idea " Feed a cold, starve a fever ". One of the strengths of Hippocratic medicine was its emphasis on prognosis . At Hippocrates's time, medicinal therapy was quite immature, and often
15694-415: Was another topic found in the treatises of the Hippocratic Corpus. 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. An example of health promotion being used can be found during the Olympic games. One example of health promotion being used during
15827-532: 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. 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
15960-526: Was considered the most influential in the evolution of medicine as a science. 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. 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. In addition to
16093-400: 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. When it comes to
16226-427: Was more common among athletes because of their intense diets composed mainly of meat and wine. 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." 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
16359-422: 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. 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
16492-400: Was preferable. Soothing balms were sometimes employed. Hippocrates was reluctant to administer drugs and engage in specialized treatment that might prove to be wrongly chosen; generalized therapy followed a generalized diagnosis. Some of the generalized treatments he prescribed are fasting and the consumption of a mix of honey and vinegar. Hippocrates once said that "to eat when you are sick,
16625-762: Was probably trained at the asklepieion of Kos, and took lessons from the Thracian physician Herodicus of Selymbria . Plato mentions Hippocrates in two of his dialogues: in Protagoras , Plato describes Hippocrates as "Hippocrates of Kos, the Asclepiad "; while in Phaedrus , Plato suggests that "Hippocrates the Asclepiad" thought that a complete knowledge of the nature of the body was necessary for medicine. Hippocrates taught and practiced medicine throughout his life, traveling at least as far as Thessaly , Thrace , and
16758-415: Was rare. 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. The treatment however, it very different from the rest. The physician will draw blood from
16891-451: Was rarely fatal. Swelling next to both ears was also common. Coughs and sore throats accompanied the other symptoms. 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. This section of the Hippocratic Corpus assumes that when looking at human disease and
17024-403: Was that of a crisis , a point in the progression of disease at which either the illness would begin to triumph and the patient would succumb to death, or the opposite would occur and natural processes would make the patient recover. After a crisis, a relapse might follow, and then another deciding crisis. According to this doctrine, crises tend to occur on critical days , which were supposed to be
17157-463: Was that of bladder disease in patients, especially when urinary tract stones (that is, stones within either the kidneys or the bladder) were present. Urinary tract stones, in general, have been seen within records all throughout history, even as far back as the ancient days of Egypt. 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
17290-421: Was the first to ever establish the belief that by simply observing a patient, a physician would recognize symptoms and determine the disease. 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. The ideal of evidence-based knowledge is still implemented in
17423-405: Was the intent. 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. This idea puts forth the development of medical specialties – that is, doctors focusing on one particular area of medicine versus studying
17556-431: Was the ruler of the islands of "Kos and Lango" [sic], and recounts a legend about Hippocrates's daughter. She was transformed into a hundred-foot long dragon by the goddess Diana , and is the "lady of the manor" of an old castle. She emerges three times a year, and will be turned back into a woman if a knight kisses her, making the knight into her consort and ruler of the islands. Various knights try, but flee when they see
17689-403: 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. 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
#570429