Tag: Ancient Medicine

The (Ancient) Science of Snow

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Seneca, Natural Questions IVB 13.2

“You want more? Do you imagine that this exploration of nature offers nothing to what you want? When we examine how snow develops and claim that it has characteristics like frost, that it contains more air than water, don’t you consider it a criticism of those people who–even though it is shameful to purchase water–buy less water when they do than air?”

Quid porro? Hanc ipsam inspectionem naturae nihil iudicas ad id quod vis conferre? Cum quaerimus quomodo nix fiat et dicimus illam pruinae similem habere naturam, plus illi spiritus quam aquae inesse, non putas exprobrari illis, cum emere aquam turpe sit, si ne aquam quidem emunt?

Sextus Empicirus, Outlines of Pyrrhonism 1.33

“Anaxagoras argued against snow’s whiteness because snow is frozen water and water is black therefore snow is black.”

 ὁ Ἀναξαγόρας τῷ λευκὴν εἶναι τὴν χιόνα ἀντετίθει, ὅτι ἡ χιὼν ὕδωρ ἐστὶ πεπηγός, τὸ δὲ ὕδωρ ἐστὶ μέλαν, καὶ ἡ χιὼν ἄρα μέλαινά ἐστιν.

Aetius, 3.4.1

“Anaximenes says that clouds develop when air is super condensed and if it is compressed even more, rain happens. Snow, too, [happens] if this water freezes as it falls. Hail is when some air is trapped up in the moisture.”

Ἀναξιμένης νέφη μὲν γίνεσθαι παχυνθέντος ἐπὶ πλεῖστον τοῦ ἀέρος, μᾶλλον δ’ ἐπισυναχθέντος ἐκθλίβεσθαι τοὺς ὄμβρους, χιόνα δέ, ἐπειδὰν τὸ καταφερόμενον ὕδωρ παγῇ, χάλαζαν1 δ’ ὅταν συμπεριληφθῇ τῷ ὑγρῷ πνεῦμά τι

Ps. Aristotle, On the Cosmos 394a

“Snow develops when super condensed clouds break apart and separate before changing to water. The breaking is what makes the white foaminess of the snow. The coldness comes from structure of the moisture inside it which did not get to fully develop or purify. When there is a lot of snow falling together, it is called a snowstorm.”

χιὼν δὲ γίνεται κατὰ νεφῶν πεπυκνωμένων ἀπόθραυσιν πρὸ τῆς εἰς ὕδωρ μεταβολῆς 35ἀνακοπέντων· ἐργάζεται δὲ ἡ μὲν κοπὴ τὸ ἀφρῶδες καὶ ἔκλευκον, ἡ δὲ σύμπηξις τοῦ ἐνόντος ὑγροῦ τὴν ψυχρότητα οὔπω χυθέντος οὐδὲ ἠραιωμένου. σφοδρὰ δὲ αὕτη καὶ ἀθρόα καταφερομένη νιφετὸς ὠνόμασται.

Galen, Constitution of the Art of Medicine 253K

“If you separate snow into the smallest pieces, you still have snow. But if you heat it, you put an end to the snow.”

τὴν γοῦν χιόνα διαιρῶν μὲν εἰς ἐλάχιστα μόρια φυλάξεις χιόνα, θερμήνας δὲ παύσεις χιόνα

Cross eyed Stereo image of snow crystals. https://commons.wikimedia.org/wiki/File:Stereo_snow_crystals.jpg

Sleep, Pregnancy, and Head Wounds: Some Hippocratic Aphorisms

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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.

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Physician treating a patient (Attic red-figurearyballos, 480–470 BC). Image taken from Wikipedia.

Hard to Diagnose, Like Rabies

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Galen, Constitution of the art of medicine 297k

“Certainly, whenever there is some mass or malignancy of humors or a blockage or some wasting force invades the body, there is a danger previously absent that a person will get sick and there are times when this risk is severe. These types of causes are hard to diagnose because the person doesn’t feel any pain yet.

This is like the infection from a rabid dog: there’s no particular sign in the body before the person afflicted comes near madness. These kinds of causes make it necessary, therefore, that the doctor inquire from patients about everything that happened to them.”

ὅταν γὰρ ἤτοι πλῆθός τι χυμῶν ἢ φαυλότης ἢ ἔμφραξις ἢ φθαρτικὴ δύναμις ἐγγίνηται τῷ σώματι, κίνδυνός ἐστιν ὅσον οὔπω νοσῆσαι τὸν ἄνθρωπον, ἔσθ’ ὅτε δὲ καὶ κινδυνεῦσαι τὰ ἔσχατα. δυσδιάγνωστα δ’ ἐστὶ τὰ τοιαῦτα τῶν αἰτίων ὡς ἂν μηδέπω λυποῦντα τὸν ἄνθρωπον. ὥσπερ ἀμέλει καὶ ὁ τοῦ λυττῶντος κυνὸς ἰός, οὗ σημεῖον ἴδιον οὐδέν ἐστιν ἐν τῷ σώματι περιεχόμενον πρὶν ἐγγὺς ἥκειν λύττης τὸν δηχθέντα· καὶ δὴ καὶ πυνθάνεσθαι τῶν τοιούτων αἰτιῶν ἀναγκαῖόν ἐστιν τὸν ἰατρὸν αὐτῶν τῶν πασχόντων ὑπὲρ τῶν | συμπεσόντων αὐτοῖς ἀπάντων.

Bibliothèque Nationale de France, lat. 3630, Folio 81v

Testicular Tuesday

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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 weight 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)

Searching For the Land of Truth Inside Oneself

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Earlier posts examine Hippocratic and Galenic takes on different signs of ‘melancholy’, which is generally the ancient diagnosis that best corresponds to madness or depression. In this letter, Hippocrates seems to describe a manic dedication to one thing paired with other antisocial symptoms.

Hippocrates, Epistles 12

“We might encounter good fortune and then we will arrive, as we imagine, with better hopes as was made clear in the letter, if the case is that the man is not displaying madness but instead some overwhelming strength of spirit—this despite the fact that he is considering neither children nor wife nor relatives nor any other thing at all—and he has spent day and night by himself, staying alone for the most part in caves or deserted places or under the shadow of trees or in soft grasses or alongside the quiet flows of water.

It is many times the case for those suffering from melancholy to exhibit these kinds of behaviors. Such people are sometimes quiet and solitary and love isolation too. They keep themselves apart from people and consider their own tribe to be a foreign sight.

But it is not unreasonable for those who have been dedicated to education to shake off other thoughts because of a single category in wisdom. For, just as slaves and slavewomen who are yelling and fighting in their homes, when their mistress suddenly appears, step apart in quiet because they are afraid, in the same way too the rest of the thoughts in human minds are servants of evils; but when the sight of wisdom made itself seen, the rest of the sufferings have retreated like slaves.

It is not only the insane who desire caves and peace at all, but many people who have contempt for human affairs do too because of a desire not to be troubled. For whenever the mind, struck by external thoughts, longs to rest the body, then it returns to peace as soon as possible and, standing straight up, searches in a circle in himself for the land of truth in which there is no father, mother, wife, child, brother, relative, slaves, nor chance, nor at all any of those things which create a disturbance.”

῎Ελθοιμεν δ’ ἂν αἰσίῃ τύχῃ, καὶ ἀφιξόμεθα ὡς ὑπολαμβάνομεν χρηστοτέρῃσιν ἐλπίσιν [ἢ] ὡς ἐν τῇ γραφῇ παραδεδήλωται, οὐ μανίην ἀλλὰ ψυχῆς τινὰ ῥῶσιν ὑπερβάλλουσαν διασαφηνέοντος τοῦ ἀνδρὸς, μήτε παίδων μήτε γυναικὸς μήτε ξυγγενέων μήτε οὐσίης μήτε τινὸς ὅλως ἐν φροντίδι ἐόντος, ἡμέρην δὲ καὶ εὐφρόνην πρὸς ἑωυτῷ καθεστεῶτος καὶ ἰδιάζοντος, τὰ μὲν πολλὰ ἐν

ἄντροισι καὶ ἐρημίῃσιν ἢ ἐν ὑποσκιάσεσι δενδρέων, ἢ ἐν μαλθακῇσι ποίῃσιν, ἢ παρὰ συχνοῖσιν ὑδάτων ῥείθροισιν. Συμβαίνει μὲν οὖν τὰ πολλὰ τοῖσι μελαγχολῶσι τὰ τοιαῦτα· σιγηροί τε γὰρ ἐνίοτε εἰσὶ καὶ μονήρεες, καὶ φιλέρημοι τυγχάνουσιν· ἀπανθρωπέονταί τε ξύμφυλον ὄψιν ἀλλοτρίην νομίζοντες· οὐκ ἀπεοικὸς δὲ καὶ τοῖσι περὶ παιδείην ἐσπουδακόσι τὰς ἄλλας φροντίδας ὑπὸ μιῆς τῆς ἐν σοφίῃ διαθέσιος σεσοβῆσθαι.

῞Ωσπερ γὰρ δμῶές τε καὶ δμωΐδες ἐν τῇσιν οἰκίῃσι θορυβέοντες καὶ στασιάζοντες, ὁκόταν ἐξαπιναίως αὐτοῖσιν ἡ δέσποινα ἐπιστῇ, πτοηθέντες ἀφησυχάζουσι, παραπλησίως καὶ αἱ λοιπαὶ κατὰ ψυχὴν ἐπιθυμίαι ἀνθρώποισι κακῶν ὑπηρέτιδες· ἐπὴν δὲ σοφίης ὄψις ἑωυτέην ἐπιστήσῃ, ὡς δοῦλα τὰ λοιπὰ πάθεα ἐκκεχώρηκεν.

Ποθέουσι δ’ ἄντρα καὶ ἡσυχίην οὐ πάν- τως οἱ μανέντες, ἀλλὰ καὶ οἱ τῶν ἀνθρωπίνων πρηγμάτων ὑπερφρονήσαντες ἀταραξίης ἐπιθυμίῃ· ὁκόταν γὰρ ὁ νοῦς ὑπὸ τῶν ἔξω φροντίδων κοπτόμενος ἀναπαῦσαι θελήσῃ τὸ σῶμα, τότε ταχέως ἐς ἡσυχίην μετήλλαξεν, εἶτα ἀναστὰς ὄρθριος ἐν ἑωυτῷ περιεσκόπει κύκλῳ χωρίον ἀληθείης, ἐν ᾧ οὐ πατὴρ, οὐ μήτηρ, οὐ γυνὴ, οὐ τέκνα, οὐ κασίγνητος, οὐ ξυγγενέες, οὐ δμῶες, οὐ τύχη, οὐχ ὅλως οὐδὲν τῶν θόρυβον ἐμποιησάντων·

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Medieval Manuscript Images, Pierpont Morgan Library, Hours of Anne of France. MS M.677 fol. 211r

Have You Tried Stabbing the Coronavirus?

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Pliny the Elder, Natural History 34.151

“There are other medicinal applications of iron beyond surgery. For when a circle is drawn around both adults and infants—or of they carry a sharp iron weapon with them—it is useful against poisonous drugs. Iron nails which have been taken out of tombs are useful protections against nightmares if they are hammered down before a threshold.

A small penetration with an iron weapon which has wounded a man is effective against sudden side and chest pains. Some afflictions are treated by cauterization, especially true for the bite of a rabid dog, since even when the disease has advanced and those afflicted are starting to exhibit fear of water, they experience relief at cauterization. The drinking of water which has been heated with burning iron is good for many symptoms, but especially for dysentery.”

XLIV. Medicina e ferro est et alia quam secandi. namque et circumscribi circulo terve circumlato mucrone et adultis et infantibus prodest contra noxia medicamenta, et praefixisse in limine evulsos sepulchris clavos adversus nocturnas lymphationes, pungique leviter mucrone, quo percussus homo sit, contra dolores laterum pectorumque subitos, qui punctionem adferant. quaedam ustione sanantur, privatim vero canis rabidi morsus, quippe etiam praevalente morbo expaventesque potum usta plaga ilico liberantur. calfit etiam ferro candente potus in multis vitiis, privatim vero dysentericis.

Bodleian Library, MS. Ashmole 1462, Folio 16r

Hippocrates on the Problems and Solution to Menstruation

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Hippocrates, On Girls

“Blood returns only slowly from the heart and mind because the veins there are transverse and the place is really important and is inclined toward madness and anger. Whenever these parts are filled, a wandering shiver moves about with a fever. When the situation is like this, a woman goes into a rage because of the inflammation. She wants to murder because of the rotting. And because of the depression, she is frightened and afraid. The compression around the heart cause them to want to self-harm and because of the evil state of the blood, her mind is sad and sorrowful and longs for evil.

She also names weird and frightening things that push women to leap or to throw themselves in wells or hang themselves. Even when there are no visions, there’s some strange pleasure that makes her long for death as if it is a kind of good thing. When a woman is sensible again, women will dedicate many different things to Artemis, including really expensive women’s cloaks all because they are tricked by prophets.

Relief from this disease comes whenever there is nothing impeding the flow of blood. I tell young women who are suffering this kind of thing to live with a man as soon as possible, since, if they are pregnant, they become healthy. Otherwise, a girl will be overtaken by this disease or another in puberty or a little latter on.  Barren married women sometimes suffer these things.”

ἐκ δὲ τῆς καρδίης καὶ τῶν φρενῶν βραδέως παλιρροεῖ· ἐπικάρσιαι γὰρ αἱ φλέβες καὶ ὁ τόπος ἐπίκαιρος ἔς τε παραφροσύνην καὶ μανίην ἕτοιμος. ὁπόταν γὰρ πληρωθέωσι ταῦτα τὰ μέρεα, καὶ φρίκη ξὺν πυρετῷ ἀναΐσσει πλανήτης. ἐχόντων δὲ τούτων ὧδε, ὑπὸ μὲν τῆς ὀξυφλεγμασίης μαίνεται, ὑπὸ δὲ τῆς σηπεδόνος φονᾷ, ὑπὸ δὲ τοῦ ζοφεροῦ φοβέεται καὶ δέδοικεν, ὑπὸ δὲ τῆς περὶ τὴν καρδίην πιέξιος ἀγχόνας κραίνουσιν, ὑπὸ δὲ τῆς κακίης τοῦ αἵματος ἀλύων καὶ ἀδημονέων ὁ θυμὸς κακὸν ἐφέλκεται.

ἕτερον δὲ καὶ φοβερὰ ὀνομάζει· καὶ κελεύουσιν ἅλλεσθαι καὶ καταπίπτειν ἐς φρέατα ἢ ἄγχεσθαι, ἅτε ἀμείνονά τε ἐόντα καὶ χρείην ἔχοντα παντοίην. ὁκότε δὲ ἄνευ φαντασμάτων, ἡδονή τις ἀφ᾿ ἧς ἐρᾷ τοῦ θανάτου ὥσπερ τινὸς ἀγαθοῦ. φρονεούσης δὲ τῆς ἀνθρώπου, τῇ Ἀρτέμιδι αἱ γυναῖκες ἄλλα τε πολλὰ καὶ τὰ ἱμάτια τὰ πολυτελέστατα καθιεροῦσι τῶν γυναικείων, κελευόντων τῶν μάντεων ἐξαπατεώμεναι. ἡ δὲ τῆσδε ἀπαλλαγή, ὁκόταν μὴ ἐμποδίζῃ τι τοῦ αἵματος τὴν ἀπόρρυσιν. κελεύω δὴ τὰς παρθένους, ὁκόταν τι τοιοῦτο πάσχωσιν, ὡς τάχιστα ξυνοικῆσαι ἀνδράσιν· ἢν γὰρ κυήσωσιν, ὑγιέες γίνονται.  εἰ δὲ μή, ἢ εὐθέως ἅμα τῇ ἥβῃ ἢ ὀλίγον ὕστερον ἁλώσεται, εἴπερ μὴ ἑτέρῃ νούσῳ. τῶν δὲ ἠνδρωμένων γυναικῶν στεῖραι ταῦτα πάσχουσιν.

Hippocrates sticks to this logic elsewhere too.

Joseph Mallord William Turner – Vision of Medea, 1828

Fertility Troubles? Have You Tried a Puppy?

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Hippocrates of Cos, On Barrenness 3

The following is a penultimate step in a treatment for female infertility

“During the final vapor bath, at that moment when she is about to stop the treatment, cut open the youngest puppy you can find, pound down every kind of fragrant and dry aromatic spices. After you have removed the puppy’s innards, fill it as much as you can with the aromatics and pack them in. Put wood underneath, put the puppy in the pot and add in some extremely fragrant wine before you raise the temperature through the pipe.

As much as her strength will allow, have the woman stay in the vapor bath the entire day, continuing the heating and asking her whether she thinks that the smell of the herbs is coming through her mouth. For this is no small sign that the woman being treated has conceived.”

(3) Τὴν τελευταῖαν δὲ πυρίην, ὅταν μέλλῃς ἀφιέναι τῆς θεραπείης, σκυλάκιον ὅτι νεώτατον ἀνασχίσας, ἀρωμάτων παντοδαπῶν ὅτι εὐωδεστάτων καὶ ξηροτάτων κόψας, τὰ ἐντοσθίδια ἐξελὼν τοῦ σκυλακίου ἐμπλῆσαι καὶ σάξαι ὅτι μάλιστα τῶν ἀρωμάτων, ξυλήφια δὲ ὑποθείς, ἐς τὸν ἐχῖνον ἐνθεὶς τὸ σκυλάκιον, οἴνου ὡς εὐωδεστάτου ἐπιχέαι, καὶ πυριῆν διὰ τοῦ αὐλοῦ· καὶ ὅπως κατὰ δύναμιν εἶναι ὅλην τὴν ἡμέρην ἐπὶ ταύτης τῆς πυρίης, πυριῆσαί τε καὶ ἐρωτᾶν αὐτήν, εἰ ὀδμὴ διὰ τοῦ στόματος δοκέει ὄζειν τῶν ἀρωμάτων· σημεῖον γὰρ οὐ σμικρὸν ἐς ξύλληψιν τῇ θεραπευομένῃ.

Image result for medieval manuscript puppies
Paris, Bibliothèque Sainte-Geneviève, ms. 143, fol. 174r

Forget Plagues, Running Can Kill You!

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Hippocrates of Cos, Epidemics 48

“A young man who had run on a rough road developed pain in his heel, especially close to the bottom. The area did not permit any draining of liquid because it was still producing moisture. On the fourth day, after his run, the whole area started turning dark right up to the joint of the ankle and below to the arch of the foot. It did not break out completely, instead he died first. He lived twenty full days after his run.”

Νεηνίσκος ὁδὸν τρηχείην τροχάσας ἤλγει τὴν πτέρνην, μάλιστα τὸ κάτω μέρος, ἀπόστασιν δὲ ὁ τόπος οὐκ ἐλάμβανεν οὐδεμίαν ὡς ξυνάγων ὑγρόν. ἀλλὰ τεταρταίῳ τε ἐόντι αὐτῷ ἐμελαίνετο πᾶς ὁ τόπος ἄχρι τοῦ ἀστραγάλου καλεομένου καὶ τοῦ κοίλου τοῦ κατὰ τὸ στῆθος τοῦ ποδός, καὶ τὸ μελανθὲν οὐ περιερράγη, ἀλλὰ πρότερον ἐτελεύτα· τὰς πάσας δὲ ἐβίου ἡμέρας εἴκοσιν ἀπὸ τοῦ δρόμου.

File:Greek vase with runners at the panathenaic games 530 bC.jpg
These men are running to their doom. A vase for the Panathenaic games

Night Terrors and Anxiety Attacks in Hippocrates

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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