Hippocratic Precept: Don’t Blackmail Sick People for Money

Corpus Hippocratica, Precepts 4.10

“The way you address a patient requires some kind of a theory too. For, if you begin talking about payment, then something else occurs in every situation. You will leave the sick person with the kind of impression that you will abandon him and leave if there is no agreement and that you don’t care and you will not apply any relief in the present.

Therefore, you should not make an issue about payment. For we believe that this kind of thought is harmful when someone is sick, and even more so if the sickness is intense. For the swiftness of a sickness which does not provide ample time for changing your mind urges the one who practices medicine well not to seek profit but to think more of reputation. It is, therefore, better to rebuke patients who have been saved rather than to blackmail those who are facing ruin.”

παραινέσιος δ’ ἂν καὶ τοῦτ’ ἐπιδεηθείη τῆς θεωρίης· εἰ γὰρ ἄρξαιο περὶ μισθαρίων· ξυμβάλλει γάρ τι καὶ τῷ ξύμπαντι· τῷ μὲν ἀλγέοντι τοιαύτην διανόησιν ἐμποιήσεις τὴν, ὅτι [οὐκ] ἀπολιπὼν αὐτὸν πορεύσῃ μὴ ξυνθέμενος, καὶ ὅτι ἀμελήσεις, καὶ οὐχ ὑποθήσῃ τινὰ τῷ παρεόντι. ἐπιμελεῖσθαι οὖν οὐ δεῖ περὶ στάσιος μισθοῦ· ἄχρηστον γὰρ ἡγεύμεθα ἐνθύμησιν ὀχλεομένου τὴν τοιαύτην, πουλὺ δὲ μᾶλλον, ἢν ὀξὺ νόσημά τι· νούσου γὰρ ταχυτὴς καιρὸν μὴ διδοῦσα ἐς ἀναστροφὴν οὐκ ἐποτρύνει τὸν καλῶς ἰητρεύοντα ζητεῖν τὸ λυσιτελές, ἔχεσθαι δὲ δόξης μᾶλλον· κρέσσον οὖν σωζομένοισιν ὀνειδίζειν ἢ ὀλεθρίως ἔχοντας προμύσσειν.

Image result for medieval manuscript doctor seeing patient

Diagnose Thyself: Why Be a Doctor?

Galen, On the Opinions of Hippocrates and Plato 9.5.5-7

“For some  practice the art of medicine for the money, and some do it for exemption from taxes. But some pursue medicine because of their love for humanity [philanthrôpia] just as there are those who do it for the fame or honor medicine attracts. Therefore doctors are named by the fact that they are all craftsmen of health in common, inasmuch as they perform their craft for different reasons—one will be called a lover of humanity [philanthrôpos], another titled a lover of honor [philotimos], while another is considered a lover of reputation [philodoxos] and another is a money maker.

The aim of a doctor for doctors, then, is not fame or wealth, as Mênodotos the Empiricist wrote. This is a goal for Mênodotus but not for Diocles or Hippocrates or Empedocles nor even a few others of those ancient doctors—however so many ministered to people because of their love of humanity [philanthrôpia]. Left bare among these kind of examples—and they are abundant in Hippocrates and Plato—the particular features and the common traits of each craft may be examined.”

τινὲς μὲν γὰρ ἕνεκα χρηματισμοῦ τὴν ἰατρικὴν τέχνην ἐργάζονται, τινὲς δὲ διὰ τὴν ἐκ τῶν νόμων αὐτοῖς διδομένην ἀλειτουργησίαν, ἔνιοι δὲ διὰ φιλανθρωπίαν, ὥσπερ ἄλλοι διὰ τὴν ἐπὶ ταύτῃ δόξαν ἢ τιμήν.  ὀνομασθήσονται τοιγαροῦν ᾗ μὲν ὑγιείας εἰσὶ δημιουργοὶ κοινῇ πάντες ἰατροί, καθόσον δὲ τὰς πράξεις ἐπὶ διαφόροις ποιοῦνται σκοποῖς, ὁ μέν τις φιλάνθρωπος, ὁ δὲ φιλότιμος, ὁ δὲ φιλόδοξος, ὁ δὲ χρηματιστής.

οὔκουν τοῖς ἰατροῖς τὸ τέλος ἐστὶν ὡς ἰατροῖς ἔνδοξον ἢ πόριμον, ὡς Μηνόδοτος <ὁ> ἐμπειρικὸς ἔγραψεν, ἀλλὰ Μηνοδότῳ μὲν τοῦτο, Διοκλεῖ δ’ οὐ τοῦτο, καθάπερ οὐδὲ ῾Ιπποκράτει καὶ ᾿Εμπεδοκλεῖ οὐδ’ ἄλλοις τῶν παλαιῶν οὐκ ὀλίγοις ὅσοι διὰ φιλανθρωπίαν ἐθεράπευον τοὺς ἀνθρώπους. γυμνασάμενος οὖν ἐν τοῖς τοιούτοις τις παραδείγμασι, πάμπολλα δ’ ἐστὶ παρ’ ῾Ιπποκράτει καὶ Πλάτωνι, ῥᾳδίως κατόψεται τά τε ἴδια τέχνης ἑκάστης καὶ τὰ κοινά.

 

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From medievalists.net

A New Year’s Day Tradition — Hangovers: Words for Them and Some Dubious Cures

Crapulous: def. 2: Sick from excessive indulgence in liquor.

kraipale

 Latin: crapula, from Grk. Kraipalê

Apuleius, Apologia 59

“Where in the world is Crassus? Did he slink back to Alexandria because he was tired of his home? Is he cleaning his walls? Or, more likely, is the drunk suffering from a hangover?”

Crassus ipse ubi gentium est? An Alexandriam taedio domus remeavit? An parietes suos detergit? An, quod verius est, ex crapula helluo attemptatur?

From the Suda:

Kraipalê: The pounding that comes from drinking too much wine. We also have the participle “carousing” which is when someone acts poorly because of drinking, or just being drunk. It derives from the word “head” (kara) and “pound” (pallein). Or, it could also come from screwing up (sphallesthai) timely matters (kairiôn)

Κραιπάλη: ὁ ἐκ πολλῆς οἰνώσεως παλμός. καὶ Κραιπαλῶν, ἀντὶ τοῦ ἐκ μέθης ἀτακτοῦντα, μεθύοντα. ἀπὸ τοῦ κάρα πάλλειν τοὺς μεθύοντας. ἢ ἀπὸ τοῦ σφάλλεσθαι τῶν καιρίων.

Kraipalôdês: “Prone to drunkenness”: The ancients knew well the weaknesses of the spirit, weather it was a person who was prone to excessive drinking or a love-seeker who has his brain in his genitals.”

Κραιπαλώδης· τῆς ψυχῆς τὰ ἐλαττώματα κατηπίσταντο, εἴτε κραιπαλώδης τις εἴη καὶ μέθυσος εἴτε φιλήδονος καὶ ἐν τοῖς αἰδοίοις ἔχων τὸν ἐγκέφαλον.

Kraipalaikômos“Hangover-revel”: Metonymically, this a song that happens while drunk

Κραιπαλαίκωμος: μετωνυμικῶς ὁ κατὰ μέθην γινόμενος ὕμνος.

Image result for Ancient Greek puking vase

Hippocrates of Cos, Epidemics 2.30

“If someone has head pain from a hangover, have him drink a cup of unmixed wine. For different head pains, have the patient eat bread warm from unmixed wine.”

Ἢν ἐκ κραιπάλης κεφαλὴν ἀλγέῃ, οἴνου ἀκρήτου κοτύλην πιεῖν· ἢν δὲ ἄλλως κεφαλὴν ἀλγέῃ, ἄρτον ὡς θερμότατον ἐξ οἴνου ἀκρήτου ἐσθίειν.

Plutarch, Table-Talk 3 (652F)

“Those who are suffering bodily from drinking and being hungover can find relief from sleeping immediately, warmed with a cover. On the next day, they can be restored with a bath, a massage, and whatever food does not cause agitation but restores the warmth dispelled and lost from the body by wine.”

 ἰῶνταί γε μὴν τὰς περὶ τὸ σῶμα τῶν μεθυσκομένων καὶ κραιπαλώντων κακώσεις εὐθὺς μὲν ὡς ἔοικε περιστολῇ καὶ κατακλίσει συνθάλποντες, μεθ᾿ ἡμέραν δὲ λουτρῷ καὶ ἀλείμματι καὶ σιτίοις, ὅσα μὴ ταράττοντα τὸν ὄγχον ἅμα πράως ἀνακαλεῖται τὸ θερμὸν ὑπὸ τοῦ οἴνου διεσπασμένον καὶ πεφυγαδευμένον ἐκ τοῦ σώματος.

Aristotle, Problemata 873a-b

“Wine (being of a wet nature) stretches those who are slow and makes them quick, but it tends to restrain those who are quick already. On that account, some who are melancholic by nature become entirely dissipated in drunken stupors (kraipalais). Just as a bath can make those who are all bound up and stiff more readily able to move, so does it check those who are already movable and loose, so too does wine, which is like a bath for your innards, accomplish this same thing.

Why then does cabbage prevent drunkenness (kraipale)? Either because it has a sweet and purgative juice (and for this reason doctors use it to clean out the intestines), even though it is itself of a cold nature. Here is a proof: doctors use it against exceptionally bad cases of diarrhea, after preparing it by cooking it, removing the fiber, and freezing it. It happens in the case of those suffering from the effects of drunkenness (kraipalonton) that the cabbage juice draws the wet elements, which are full of wine and still undigested, down to their stomachs, while the body chills the rest which remains in the upper part of the stomach. Once it has been chilled, the rest of the moist element can be drawn into the bladder. Thus, when each of the wet elements has been separated through the body and chilled, people are likely to be relieved of their drunkenness (akraipaloi). For wine is wet and warm.”

καὶ ὁ οἶνος (ὑγρὸς γάρ ἐστι τὴν φύσιν) τοὺς μὲν βραδυτέρους ἐπιτείνει καὶ θάττους ποιεῖ, τοὺς δὲ θάττους ἐκλύει. διὸ ἔνιοι τῶν μελαγχολικῶν τῇ φύσει ἐν ταῖς κραιπάλαις ἐκλελυμένοι γίνονται πάμπαν. ὥσπερ γὰρ τὸ λουτρὸν τοὺς μὲν συνδεδεμένους τὸ σῶμα καὶ σκληροὺς εὐκινήτους ποιεῖ, τοὺς δὲ εὐκινήτους καὶ ὑγροὺς ἐκλύει, οὕτως ὁ οἶνος, ὥσπερ λούων τὰ ἐντός, ἀπεργάζεται τοῦτο.

Διὰ τί ἡ κράμβη παύει τὴν κραιπάλην; ἢ ὅτι τὸν  μὲν χυλὸν γλυκὺν καὶ ῥυπτικὸν ἔχει (διὸ καὶ κλύζουσιν αὐτῷ τὴν κοιλίαν οἱ ἰατροί), αὐτὴ δ’ ἐστὶ ψυχρά. σημεῖον δέ· πρὸς γὰρ τὰς σφοδρὰς διαρροίας χρῶνται αὐτῇ οἱ ἰατροί, ἕψοντες σφόδρα καὶ ἀποξυλίζοντες καὶ ψύχοντες. συμβαίνει δὴ τῶν κραιπαλώντων τὸν μὲν χυλὸν αὐτῆς εἰς τὴν κοιλίαν κατασπᾶν τὰ ἐν αὐτοῖς ὑγρά, οἰνηρὰ καὶ ἄπεπτα ὄντα, αὐτὴν δὲ ὑπολειπομένην ἐν τῇ ἄνω κοιλίᾳ ψύχειν τὸ σῶμα. ψυχομένου δὲ ὑγρὰ λεπτὰ συμβαίνει εἰς τὴν κύστιν φέρεσθαι. ὥστε κατ’ ἀμφότερα τῶν ὑγρῶν ἐκκρινομένων διὰ τοῦ σώματος, καὶ καταψυχομένου, εἰκότως ἀκραίπαλοι γίνονται· ὁ γὰρ οἶνος ὑγρὸς καὶ θερμός ἐστιν.

Livy, Ab Urbe Condita 11.14          

“This misery and fear have easily relieved me of my hangover.”

miseria haec et metus crapulam facile excusserunt

If you have read this far, you’re probably not that hungover

Plautus, Rudens 585-590

“But why am I standing here, a sweating fool?
Maybe I should leave here for Venus’ temple to sleep off this hangover
I got because I drank more than I intended?
Neptune soaked us with the sea as if we were Greek wines
And he hoped to relieve us with salty-beverages.
Shit. What good are words?”

sed quid ego hic asto infelix uuidus?
quin abeo huc in Veneris fanum, ut edormiscam hanc crapulam,
quam potaui praeter animi quam lubuit sententiam?
quasi uinis Graecis Neptunus nobis suffudit mare,
itaque aluom prodi sperauit nobis salsis poculis;
quid opust uerbis?

Plautus, Stichus 226-230

“I am selling Greek moisturizers
And other ointments, hangover-cures
Little jokes, blandishments
And a sycophant’s confabulations.
I’ve got a rusting strigil, a reddish flask,
And a hollowed out follower to hide your trash in.”

uel unctiones Graecas sudatorias
uendo uel alias malacas, crapularias;
cauillationes, assentatiunculas,
ac periuratiunculas parasiticas;
robiginosam strigilim, ampullam rubidam,
parasitum inanem quo recondas reliquias.

This is a topic we have covered at great length before

Alexis, fr. 287

“Yesterday you drank too much and now you’re hungover.
Take a nap—this will help it. Then let someone give you
Cabbage, boiled.”

ἐχθὲς ὑπέπινες, εἶτα νυνὶ κραιπαλᾷς.
κατανύστασον· παύσῃ γάρ. εἶτά σοι δότω
ῥάφανόν τις ἑφθήν.

Nikokharês

“Tomorrow we will boil acorns instead of cabbage
To treat our hangover.”

εἰσαύριον .. ἀντὶ ῥαφάνων ἑψήσομεν
βαλάνιον, ἵνα νῷν ἐξάγῃ τὴν κραιπάλην.

Alexis, fr. 390

“If only we got hangovers before we drank
Then no one would ever drink more
Than is good for them. But now, because
We do not expect to escape drinking’s penalty,
We too eagerly drink unmixed wines”

εἰ τοῦ μεθύσκεσθαι πρότερον τὸ κραιπαλᾶν
παρεγίνεθ’ ἡμῖν, οὐδ’ ἂν εἷς οἶνόν ποτε
προσίετο πλείω τοῦ μετρίου. νυνὶ δὲ τὴν
τιμωρίαν οὐ προσδοκῶντες τῆς μέθης
ἥξειν προχείρως τοὺς ἀκράτους πίνομεν.

Sopater

“It is sweet for people to drink at dawn
Streams of honey when they are struck by thirst
Driven by the last night’s hangover”

νᾶμα μελισσῶν ἡδὺ μὲν ὄρθρου
καταβαυκαλίσαι τοῖς ὑπὸ πολλῆς
κραιπαλοβόσκου δίψης κατόχοις.

Related image
Illumination from a copy of Li livres dou santé by Aldobrandino of Siena. British Library manuscript Sloane 2435, f. 44v.

Sleep, Pregnancy, and Head Wounds: Some Hippocratic Aphorisms

Hippocrates of Cos, Aphorisms

The aphorisms attributed to Hippocrates of Cos contain a range of medical ‘wisdom’. There are hundreds. Here are a handful.

2.3 “Sleep, or sleeplessness, should either come beyond moderation, can be bad.”

III. Ὕπνος, ἀγρυπνίη, ἀμφότερα μᾶλλον τοῦ μετρίου γινόμενα, κακόν.

2.7 “Bodies that have wasted away over a long amount of time should be healed slowly. Those that have declined quickly, should be healed quickly.”

VII. Τὰ ἐν πολλῷ χρόνῳ λεπτυνόμενα σώματα νωθρῶς ἐπανατρέφειν, τὰ δὲ ἐν ὀλίγῳ, ὀλίγως.

2.44 “People who are naturally rather fat die more quickly than the thin.”

XLIV. Οἱ παχέες σφόδρα κατὰ φύσιν, ταχυθάνατοιγίνονται μᾶλλον τῶν ἰσχνῶν.

5.38 “When a woman is pregnant and carrying twins, should either breast become thin, she loses one child. If the right breast thins, she loses the male child; if the left one does, the female.”

XXXVIII. Γυναικὶ ἐν γαστρὶ ἐχούσῃ ἢν ὁ ἕτερος μασθὸς ἰσχνὸς γένηται, δίδυμα ἐχούσῃ, θάτερον ἐκτιτρώσκει· καὶ ἢν μὲν ὁ δεξιὸς ἰσχνὸς γένηται, τὸ ἄρσεν· ἢν δὲ ὁ ἀριστερός, τὸ θῆλυ.

6.18 “A serious wound striking either the bladder, the head, the heard, the brain, some part of the smaller intestine, the stomach or the liver, is mortal.”

XVIII. Κυστιν διακοπέντι, ἢ ἐγκέφαλον, ἢ καρδίην, ἢ φρένας, ἢ τῶν ἐντέρων τι τῶν λεπτῶν, ἢ κοιλίην, ἢ ἧπαρ, θανατῶδες.

7.58 “Whenever the brain is concussed for any reason, people immediately become speechless.”

LVIII. Ὁκόσοισιν ἂν ὁ ἐγκέφαλος σεισθῇ ὑπό τινος προφάσιος, ἀνάγκη ἀφώνους γενέσθαι παραχρῆμα.

Image result for ancient greek medical practice
Physician treating a patient (Attic red-figurearyballos, 480–470 BC). Image taken from Wikipedia.

Testicular Tuesday

Aristotle, Historia Animaliam 1.15

“Below the penis there are two testicles. There is skin around them called a scrotum. The testicles are not the same as flesh nor are they far from it. Later, will will speak more precisely about what their nature is and generally about all these kinds of parts.”

τοῦ δ᾿ αἰδοίου ὑποκάτω ὄρχεις δύο. τὸ δὲ πέριξ δέρμα, ὃ καλεῖται ὄσχεος. οἱ δ᾿ ὄρχεις οὔτε ταὐτὸ σαρκὶ οὔτε πόρρω σαρκός· ὃν τρόπον δ᾿ ἔχουσιν, ὕστερον δι᾿ ἀκριβείας λεχθήσεται καθόλου περὶ πάντων τῶν τοιούτων μορίων.

 

Plutarch, Natural Phenomena 917D

“Or is Aristotle’s claim true too, that Homer calls khlounês the boar who only has one testicle? For he claims that the testicles of most of the boars get crushed when they scratch themselves on trees.”

Ἢ καὶ τὸ λεγόμενον ὑπ᾿ Ἀριστοτέλους ἀληθές ἐστιν, ὅτι “χλούνην” Ὅμηρος ὠνόμασε σῦν τὸν μόνορχιν; τῶν γὰρ πλείστων φησὶ προσκνωμένων τοῖς στελέχεσι θρύπτεσθαι τοὺς ὄρχεις.

173 Etym. Gen. lambda 34

“Long-balls”: this means having big testicles. Aristokrates was mocked thus.”

λαπιδόρχας· ὁ μεγάλους ὄρχεις ἔχων. Ἀριστοκράτης δὲ οὕτω διεβάλλετο.

Aristotle, Problems 879a-b

4.23 “Why does rigidity and increase happen to the penis? Is it for two reasons? First, is it because that weight develops on the bottom of the testicles, raising it—for the testicles are like a fulcrum? And is it because the veins become full of breath [pneuma]? Or does the mass become bigger because of an increase in moisture or some change in position or from the development of moisture itself? Extremely large things are raised less when the wight of the fulcrum is far away.”

Διὰ τί ἡ σύντασις γίνεται τοῦ αἰδοίου καὶ ἡ αὔξησις; ἢ διὰ δύο, διά τε τὸ βάρος ἐπιγίνεσθαι ἐν τῷ ὄπισθεν τῶν ὄρχεων αἴρεσθαι (ὑπομόχλιον γὰρ οἱ ὄρχεις γίνονται) καὶ διὰ τὸ πνεύματος πληροῦσθαι τοὺς πόρους; ἢ τοῦ ὑγροῦ αὐξανομένου καὶ μεθισταμένου ἢ ἐξ ὑγροῦ γινομένου ὁ ὄγκος | μείζων γίνεται; τὰ λίαν δὲ μεγάλα ἧττον αἴρεται διὰ τὸ πορρωτέρω τὸ βάρος τοῦ ὑπομοχλίου γίνεσθαι.

Pliny the Elder, Natural History 28.215

“They say that a goat’s dung is good for you with honey or vinegar, or just butter by itself. Testicular swelling can be treated  with veal suet mixed with soda, or by the calf’s dung reduced in vinegar.”

fimum etiam prodesse cum melle dicunt aut cum aceto et per se butyrum. testium tumor sebo vituli addito nitro cohibetur vel fimo eiusdem ex aceto decocto.

Huntington Library, HM 27523, Folio 228r (from Medieval Bestiary)

Tawdry Tuesday: Priapic Ponds and Neuter Roots

The following two passages are from the Mirabilia of Apollonius the Paradoxographer (usually dated to the 2nd Century BCE, making him one of the earliest extant paradoxographers).

This plant makes you bigger [=BNJ 81 F17]

“Phularkhos writes in the eighth book of his Histories that near the Arabian Gulf there is a spring of water from which if anyone ever anoints their feet what transpires miraculously is that their penis becomes enormously erect.  For some it never contracts completely, while others are put back in shape with great suffering and medical attention.”

14 Φύλαρχος ἐν τῇ η′ τῶν ἱστοριῶν [καὶ] κατὰ τὸν ᾿Αράβιόν φησι κόλπον πηγὴν εἶναι ὕδατος, ἐξ οὗ εἴ τις τοὺς πόδας χρίσειεν, συμβαίνειν εὐθέως ἐντείνεσθαι ἐπὶ πολὺ τὸ αἰδοῖον, καί τινων μὲν μηδ’ ὅλως συστέλλεσθαι, τινῶν δὲ μετὰ μεγάλης κακοπαθείας καὶ θεραπείας ἀποκαθίστασθαι.

This plant makes you smaller [=BNJ 81 F35a]

“Phularkhos in book 20 of the Histories says that there is a white root imported from India which when [people] cut it and smear it over their feet with water, those who are smeared with it experience forgetfulness of sex and become similar to eunuchs. For this reason still some apply it before they are fully adults and are not aroused for the rest of their life.”

18 Φύλαρχος ἐν <τῇ> κ′ τῶν ἱστοριῶν ἐκ τῆς ᾿Ινδικῆς φησιν ἐνεχθῆναι λευκὴν ῥίζαν, ἣν κόπτοντας μεθ’ ὕδατος καταπλάττειν τοὺς πόδας, τοὺς δὲ καταπλασθέντας ἄνδρας τῆς συνουσίας λήθην ἴσχειν καὶ γίγνεσθαι ὁμοίους εὐνούχοις. διὸ καὶ ἔτι ἀνήβων ὄντων καταχρίουσι καὶ μέχρι θανάτου οὐκ ἐπαίρουσιν.

This anecdote has a later parallel from Athenaeus

Athenaeus, Deipn. 1.32 [=BNJ8135b]

“Phularkhos says that Sandrokottos, the king of the Indians, sent along with other gifts to Seleukos some drugs with erectile powers, the kind of which, when they are applied beneath feet of those who are going to have sex, give the urge like birds, while some people lose their ability [for sex].”

Φύλαρχος δὲ Σανδρόκοττόν φησι τὸν ᾽Ινδῶν βασιλέα Σελεύκωι μεθ᾽ ὧν ἔπεμψε δώρων ἀποστεῖλαί τινας δυνάμεις στυτικὰς τοιαύτας ὡς ὑπὸ τοὺς πόδας τιθεμένας τῶν συνουσιαζόντων οἷς μὲν ὁρμὰς ἐμποιεῖν ὀρνίθων δίκην, οὓς δὲ καταπαύειν.

Phularkhos (Phylarchus) is an Athenian historian from the 3rd century BCE known for his love of anecdote and miraculous detail

Here is an ancient spell for erectile dysfunction (go here for translation note):

Magical Papyri, 7.185

“To be able to fuck a lot: mix fifty [pine nuts] with two measures of honey and seeds of pepper and drink it. To have an erection whenever you want: mix pepper with honey and rub it on your thing.”

Πολλὰ βι[ν]εῖν δύνασθαι· στροβίλια πεντήκοντα μετὰ δύο κυά[θ]ων γλυκέος καὶ κόκκους πεπέρεως τρίψας πίε. Στ[ύ]ειν, ὅτε θέλεις· πέπερι μετὰ μέλιτος τρίψας χρῖέ σου τὸ πρᾶ̣γ̣μ̣α.

Kyrie initial, Jean Courtois, Missa Domine quis habitabit, Bruges 1542 (Cambrai, BM, ms. 125B fol. 110r)
Kyrie initial, Jean Courtois, Missa Domine quis habitabit, Bruges 1542 (Cambrai, BM, ms. 125B fol. 110r)

Night Terrors and Anxiety Attacks in Hippocrates

Hippocrates of Cos, Critical Days  302

“And whenever the liver swells more against his lungs, someone goes mad. He thinks he sees before his eyes creeping things and all kinds of beasts, fighting soldiers even as he believes that he is fighting with them. He speaks as if he is seeing these things and lashes out and threatens if someone forbids him from going out. If he stands, he may not be able to raise his legs and falls. His feet are always cold and whenever he sleeps, he jumps up from slumber and has witnessed frightening dreams.

We know that this fitfulness and fearing comes from dreams: whenever he calms down, he describes the kinds of dreams that he shaped out with his body and was describing with his tongue. He suffers these things in this way. And there are times when he is speechless for a whole day and night, gasping deeply for breath. When he stops this mad episode, he is immediately sensible again and if someone asks him a question, he responds right away and understands everything which was said. But, then later again, he falls under the same symptoms. This malady strikes most often when someone is abroad, especially if someone is walking on a deserted road. But it does happen other times too.’

καὶ ὁκόταν τὸ ἧπαρ μᾶλλον ἀναπτυχθῇ πρὸς τὰς φρένας, παραφρονέει· καὶ προφαίνεσθαί οἱ δοκέει πρὸ τῶν ὀφθαλμῶν ἑρπετὰ καὶ ἄλλα παντοδαπὰ θηρία, καὶ ὁπλίτας μαχομένους, καὶ αὐτὸς αὐτοῖς δοκέει μάχεσθαι· καὶ τοιαῦτα λέγει ὡς ὁρέων, καὶ ἐξέρχεται, καὶ ἀπειλεῖ, ἢν μή τις αὐτὸν ἐῴη διεξιέναι· καὶ ἢν ἀναστῇ, οὐ δύναται αἴρειν τὰ σκέλεα, ἀλλὰ πίπτει. οἱ δὲ πόδες αἰεὶ ψυχροί γίνονται· καὶ ὁκόταν καθεύδῃ, ἀναΐσσει ἐκ τοῦ ὕπνου, καὶ ἐνύπνια ὁρῇ φοβερά. τῷδε δὲ γινώσκομεν ὅτι ἀπὸ ἐνυπνίων ἀναΐσσει καὶ φοβέεται· ὅταν ἔννοος γένηται, ἀφηγεῖται τὰ ἐνύπνια τοιαῦτα ὁκοῖα καὶ τῷ σώματι ἐποίεέ τε καὶ τῇ γλώσσῃ ἔλεγε. ταῦτα μὲν οὖν ὧδε πάσχει. ἔστι δ᾿ ὅτε καὶ ἄφωνος γίνεται ὅλην τὴν ἡμέρην καὶ τὴν νύκτα, ἀναπνέων πολὺ ἀθρόον πνεῦμα. ὅταν δὲ παύσηται παραφρονέων, εὐθὺς ἔννοος γίνεται, καὶ ἢν ἐρωτᾷ τις αὐτόν, ὀρθῶς ἀποκρίνεται, καὶ γινώσκει πάντα τὰ λεγόμενα· εἶτ᾿ αὖθις ὀλίγῳ ὕστερον ἐν τοῖσιν αὐτοῖσιν ἄλγεσι κεῖται. αὕτη ἡ νοῦσος προσπίπτει μάλιστα ἐν ἀποδημίῃ, καὶ ἤν πῃ ἐρήμην ὁδὸν βαδίσῃ· λαμβάνει δὲ καὶ ἄλλως.

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Image from the British Library