Hippocrates: Unmarried Women are Sad Because of Periods

Hippocrates of Cos, On Girls [Peri Parthenôn] 1

“Let’s talk first concerning the disease which is called sacred and paralyzed people and the many anxieties which frighten people seriously enough that they lose their minds and believe that they see evil spirits by night or even at times by die or sometimes on all hours. Many have hanged themselves before because of this kind of vision, more often women than men.

For a woman’s nature is more depressed and sorrowful. And young women, when they are at the age of marriage and without a husband, suffer terribly at the time of their menstruation, which they did not suffer earlier in life. For blood collects later in their uterus so that it may flow out. When, then, the mouth of the exit does not create an opening, the blood pools up more because of food and the body’s growth. When the blood has nowhere to flow, it rises up toward the heart and the diaphragm. When these organs are filled, the heart is desensitized and from this transformation it becomes numb. Madness overtakes women because of this numbness.”

Πρῶτον περὶ τῆς ἱερῆς νούσου καλεομένης, καὶ περὶ τῶν ἀποπληκτικῶν, καὶ περὶ τῶν δειμάτων, ὁκόσα φοβεῦνται ἰσχυρῶς ἄνθρωποι, ὥστε παραφρονέειν καὶ ὁρῆν δοκέειν δαίμονάς τινας ἐφ᾿ ἑωυτῶν δυσμενέας, ὁκότε μὲν νυκτός, ὁκότε δὲ ἡμέρης, ὁκότε δὲ ἀμφοτέρῃσι τῇσιν ὥρῃσιν. ἔπειτα ἀπὸ τῆς τοιαύτης ὄψιος πολλοὶ ἤδη ἀπηγχονίσθησαν, πλέονες δὲ γυναῖκες ἢ ἄνδρες· ἀθυμοτέρη γὰρ καὶ λυπηροτέρη ἡ φύσις ἡ γυναικείη. αἱ δὲ παρθένοι, ὁκόσῃσιν ὥρη γάμου, παρανδρούμεναι, τοῦτο μᾶλλον πάσχουσιν ἅμα τῇ καθόδῳ τῶν ἐπιμηνίων, πρότερον οὐ μάλα ταῦτα κακοπαθέουσαι. ὕστερον γὰρ τὸ αἷμα ξυλλείβεται ἐς τὰς μήτρας, ὡς ἀπορρευσόμενον· ὁκόταν οὖν τὸ στόμα τῆς ἐξόδου μὴ ᾖ ἀνεστομωμένον, τὸ δὲ αἷμα πλέον ἐπιρρέῃ διά τε σιτία καὶ τὴν αὔξησιν τοῦ σώματος, τηνικαῦτα οὐκ ἔχον τὸ αἷμα ἔκρουν ἀναΐσσει ὑπὸ πλήθους ἐς τὴν καρδίην καὶ ἐς τὴν διάφραξιν. ὁκόταν οὖν ταῦτα πληρωθέωσιν, ἐμωρώθη ἡ καρδίη, εἶτ᾿ ἐκ τῆς μωρώσιος νάρκη, εἶτ᾿ ἐκ τῆς νάρκης παράνοια ἔλαβεν.

Hippocrates should have consulted a woman physician like Trotula

Philo Can’t Trust His Mind: On Senses and Self

Philo, On the Cherubim, 116 (33)

“Is my mind my own private possession? It is a creator of lies, a founder of wandering, of paranoia, of foolishness, a thing revealed to be the opposite of a mind in its mania and depression and eventual old age.

Is what I say my own private possession or the organs of speech? Isn’t a minor sickness enough to weaken the tongue or to sew up the mouth of even the most articulate? Doesn’t the expectation of terror strike and render most people mute?

And I am not revealed to be master even of my perception—instead, I think I am even its servant following wherever it leads to colors, shapes, sounds, smells, tastes and other corporeal things.”

ὁ δὲ νοῦς ἐμόν ἐστιν ἴδιον κτῆμα; ὁ ψευδῶν εἰκαστικός, ὁ πλάνης οἰστικός, ὁ παρανοῶν, ὁ μωραίνων, ὁ εὑρισκόμενος ἄνους ἐν ἐκστάσει καὶ μελαγχολίᾳ καὶ μακρῷ γήρᾳ; ἀλλ᾿ ὁ λόγος κτῆμα ἐμόν; ἢ τὰ φωνῆς ὄργανα; μικρὰ νόσου πρόφασις οὐ τὴν γλῶτταν ἐπήρωσεν, οὐ τὸ στόμα καὶ τῶν πάνυ λογίων ἀπέρραψεν; οὐχὶ δεινοῦ προσδοκία καταπλήξασα μυρίους ἀχανεῖς ἐποίησε; καὶ μὴν οὐδὲ τῆς αἰσθήσεως ἡγεμὼν εὑρίσκομαι, τάχα δέ που καὶ δοῦλος ἀκολουθῶν ᾗ ἂν ἄγῃ, πρὸς χρώματα, πρὸς σχήματα, πρὸς φωνάς, πρὸς ὀσμάς, πρὸς χυλούς, πρὸς τὰ ἄλλα σώματα.

This image has nothing to do with this passage. I just think it is amazing.

Five oil paintings of similar faces making extreme faces
Petrus Staverenus, “Personification of the five senses: Sight “c. 1650

Writing about the Cause of Madness

Pseudo-Hippocrates. Epist. 17 9.352, 354, 356 

“When I [Hippocrates] was near [Democritus], he happened to be writing something eagerly and forcefully when I arrived. So I said. “First, tell me what you are writing about.” And, after he paused for a bit, said “madness.”

So I said, “But what are you writing about madness?” He responded, “What would I write except what it may be, how it afflicts human beings, and in what way it may be treated. This is why,” he continued, “I cut up all these animals you are looking at. It is not because I hate god’s works, but because I am researching the nature and the function of the bile.

For you know that the bile is the cause of madness in humans most of the time, since it appears naturally in most people, even though some have less of it and others have more. Illnesses emerge from an unbalanced amount, implying that the material is sometimes helpful and sometimes harmful.”

I added, “By Zeus, Democritus, you are speaking truthfully and prudently and this is why I think you are blessed for having achieving such a sense of peace. This has certainly not been allotted to me.”

Then he asked, “Why, Hippocrates, has it not?” I responded, “Because fields, my home, children, debts, illnesses, deaths, servants, marriages and all these kinds of things cut off any chance for it.”

At this, that man fell into his customary behavior—he laughed deeply and mocked me and then was silent for the rest of the time.”

ἐπεὶ δὲ ἐπλησίαζον, ἔτυχεν ὅτε ἐπῆλθον αὐτέῳ, τι1 δή ποτε γράφων ἐνθουσιωδῶς καὶ μεθ’ ὁρμῆς. [. . .]

[ΙΠ.] “καὶ πρῶτόν γε τί τοῦτο τυγχάνεις γράφων φράζε.” [. . .]

ὁ δ᾽ ἐπισχὼν ὀλίγον, “περὶ μανίης,” ἔφη. [. . .]

[ΙΠ.] “ἀλλὰ τί περὶ μανίης γράφεις;”

“τί γάρ,” εἶπεν, “ἄλλο, πλὴν ἥτις τε εἴη, καὶ ὅκως ἀνθρώποισιν ἐγγίνεται, καὶ τίνα τρόπον ἀπολωφέοιτο· τά τε γὰρ ζῷα ταῦτα ὁκόσα, ἔφη, ὁρῇς, τουτέου μέντοι γε ἀνατέμνω εἵνεκα, οὐ μισέων θεοῦ ἔργα, χολῆς δὲ διζήμενος φύσιν καὶ θέσιν· οἶσθα γὰρ ἀνθρώπων παρακοπῆς ὡς αἰτίη ἐπιτοπολὺ αὕτη πλεονάσασα, ἐπεὶ πᾶσι μὲν φύσει ἐνυπάρχει, ἀλλὰ παρ’ οἷς μὲν ἔλαττον, παρ’ οἷς δέ τι πλέον· ἡ δ’ ἀμετρίη αὐτέης νοῦσοι τυγχάνουσιν, ὡς ὕλης ὅτε μὲν ἀγαθῆς, ὁτὲ δὲ φαύλης ὑποκειμένης.”

κἀγὼ, “νὴ Δία,” ἔφην, “ὦ Δημόκριτε, ἀληθέως γε καὶ φρονίμως λέγεις, ὅθεν εὐδαίμονά σε κρίνω τοσαύτης ἀπολαύοντα ἡσυχίης· ἡμῖν δὲ μετέχειν ταύτης οὐκ ἐπιτέτραπται.”

ἐρεομένου δὲ “διὰ τί, ὦ Ἱππόκρατες, οὐκ ἐπιτέτραπται;” “ὅτι,” ἔφην, “ἢ ἀγροὶ ἢ οἰκίη ἢ τέκνα ἢ δάνεια ἢ νοῦσοι ἢ θάνατοι ἢ δμῶες ἢ γάμοι ἢ τοιαῦτά τινα τὴν εὐκαιρίην ὑποτάμνεται.” ἐνταῦθα δὴ ὁ ἀνὴρ εἰς τὸ εἰωθὸς πάθος κατηνέχθη, καὶ μάλα ἀθρόον τι ἀνεκάγχασε, καὶ ἐπετώθασε, καὶ τὸ λοιπὸν ἡσυχίην ἦγεν.

Dosso Dossi, 1540

Hippocrates: Unmarried Women are Sad Because of Periods

Hippocrates of Cos, On Girls [Peri Parthenôn] 1

“Let’s talk first concerning the disease which is called sacred and paralyzed people and the many anxieties which frighten people seriously enough that they lose their minds and believe that they see evil spirits by night or even at times by die or sometimes on all hours. Many have hanged themselves before because of this kind of vision, more often women than men.

For a woman’s nature is more depressed and sorrowful. And young women, when they are at the age of marriage and without a husband, suffer terribly at the time of their menstruation, which they did not suffer earlier in life. For blood collects later in their uterus so that it may flow out. When, then, the mouth of the exit does not create an opening, the blood pools up more because of food and the body’s growth. When the blood has nowhere to flow, it rises up toward the heart and the diaphragm. When these organs are filled, the heart is desensitized and from this transformation it becomes numb. Madness overtakes women because of this numbness.”

Πρῶτον περὶ τῆς ἱερῆς νούσου καλεομένης, καὶ περὶ τῶν ἀποπληκτικῶν, καὶ περὶ τῶν δειμάτων, ὁκόσα φοβεῦνται ἰσχυρῶς ἄνθρωποι, ὥστε παραφρονέειν καὶ ὁρῆν δοκέειν δαίμονάς τινας ἐφ᾿ ἑωυτῶν δυσμενέας, ὁκότε μὲν νυκτός, ὁκότε δὲ ἡμέρης, ὁκότε δὲ ἀμφοτέρῃσι τῇσιν ὥρῃσιν. ἔπειτα ἀπὸ τῆς τοιαύτης ὄψιος πολλοὶ ἤδη ἀπηγχονίσθησαν, πλέονες δὲ γυναῖκες ἢ ἄνδρες· ἀθυμοτέρη γὰρ καὶ λυπηροτέρη ἡ φύσις ἡ γυναικείη. αἱ δὲ παρθένοι, ὁκόσῃσιν ὥρη γάμου, παρανδρούμεναι, τοῦτο μᾶλλον πάσχουσιν ἅμα τῇ καθόδῳ τῶν ἐπιμηνίων, πρότερον οὐ μάλα ταῦτα κακοπαθέουσαι. ὕστερον γὰρ τὸ αἷμα ξυλλείβεται ἐς τὰς μήτρας, ὡς ἀπορρευσόμενον· ὁκόταν οὖν τὸ στόμα τῆς ἐξόδου μὴ ᾖ ἀνεστομωμένον, τὸ δὲ αἷμα πλέον ἐπιρρέῃ διά τε σιτία καὶ τὴν αὔξησιν τοῦ σώματος, τηνικαῦτα οὐκ ἔχον τὸ αἷμα ἔκρουν ἀναΐσσει ὑπὸ πλήθους ἐς τὴν καρδίην καὶ ἐς τὴν διάφραξιν. ὁκόταν οὖν ταῦτα πληρωθέωσιν, ἐμωρώθη ἡ καρδίη, εἶτ᾿ ἐκ τῆς μωρώσιος νάρκη, εἶτ᾿ ἐκ τῆς νάρκης παράνοια ἔλαβεν.

Hippocrates should have consulted a woman physician like Trotula

Philo Can’t Feel His Face (When He’s With You): On Sense and Minds

Philo, On the Cherubim, 116 (33)

“Is my mind my own private possession? It is a creator of lies, a founder of wandering, of paranoia, of foolishness, a thing revealed to be the opposite of a mind in its mania and depression and eventual old age.

Is what I say my own private possession or the organs of speech? Isn’t a minor sickness enough to weaken the tongue or to sew up the mouth of even the most articulate? Doesn’t the expectation of terror strike and render most people mute?

And I am not revealed to be master even of my perception—instead, I think I am even its servant following wherever it leads to colors, shapes, sounds, smells, tastes and other corporeal things.”

ὁ δὲ νοῦς ἐμόν ἐστιν ἴδιον κτῆμα; ὁ ψευδῶν εἰκαστικός, ὁ πλάνης οἰστικός, ὁ παρανοῶν, ὁ μωραίνων, ὁ εὑρισκόμενος ἄνους ἐν ἐκστάσει καὶ μελαγχολίᾳ καὶ μακρῷ γήρᾳ; ἀλλ᾿ ὁ λόγος κτῆμα ἐμόν; ἢ τὰ φωνῆς ὄργανα; μικρὰ νόσου πρόφασις οὐ τὴν γλῶτταν ἐπήρωσεν, οὐ τὸ στόμα καὶ τῶν πάνυ λογίων ἀπέρραψεν; οὐχὶ δεινοῦ προσδοκία καταπλήξασα μυρίους ἀχανεῖς ἐποίησε; καὶ μὴν οὐδὲ τῆς αἰσθήσεως ἡγεμὼν εὑρίσκομαι, τάχα δέ που καὶ δοῦλος ἀκολουθῶν ᾗ ἂν ἄγῃ, πρὸς χρώματα, πρὸς σχήματα, πρὸς φωνάς, πρὸς ὀσμάς, πρὸς χυλούς, πρὸς τὰ ἄλλα σώματα.

This, on the other hand.

Searching For the Land of Truth Inside Oneself

 

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 enslaved men and women 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·

Image result for medieval manuscript insane person
Medieval Manuscript Images, Pierpont Morgan Library, Hours of Anne of France. MS M.677 fol. 211r

Sappho After Sophocles

Sappho 1

Many-minded immortal Aphrodite,
Child of Zeus, plot weaver, I implore you:
Don’t with vexations and frustrations break
My heart, O queen.

Instead, come here, if ever in past times
From far off you heard, and heeded, my calls;
And quitting your father’s golden palace,
You came,

After yoking the chariot. Small birds,
Handsome, swift, bore you across the black earth.
Their fast wings whirred from the upper heavens
down through the middle air.

Quick, their arrival. Then you, blessed one,
A smile on your immortal countenance,
Asked: what is it, this time, that’s happened to me;
Why, this time, do I call;

And what does my crazed heart most desire:
“Whom, this time, must I persuade—
Go out, that is, and bring into your arms?
O Sappho, who wrongs you?

Even if she’s fleeing, soon she’ll pursue.
If she’s refusing gifts, she’ll give them.
If she’s not in love, soon she’ll be in love—
Even if against her will.”

Come this time too. Release me from hard cares.
Whatever my heart wishes to see done,
Bring about. And you yourself, be my ally
In this fight.

In Archaic song, Aphrodite is perhaps most commonly represented as a goddess who sports with mortal hearts, disturbing their peace with amorous suffering. And so it should be something of a surprise when Sappho presents the “many-minded” (ποικιλόφρον’) “plot-weaver” (δολόπλοκε) goddess as genial and helpful.

The unusual picture begs the question, is the judgment of love-mad Sappho reliable?

I say that it is not, and suggest looking at the Sappho-Aphrodite relationship through the lens of the Ajax-Athena relationship in Sophocles’ tragedy, “Ajax.”

For our purposes, what matters in the tragedy is this: Ajax believes the goddess is helping him when in fact she is harming him. She distorts his thinking such that he mistakes heads of cattle for Achaeans who have slighted him, and he proceeds to abuse and kill the animals.

The word most strongly linking Sappho-Aphrodite with Ajax-Athena is “ally” (σύμμαχος). The final words of Sappho’s song is the plea to the goddess to “be an ally” (σύμμαχος ἔσσο) in the fight for love. Ajax himself, blind to the goddess’s deception, exhorts her to “always stand by me as an ally” (ἀεί μοι σύμμαχον παρεστάναι [Soph. Aj. 117]). Athena picks up the word: she tongue-in-cheek describes herself as his σύμμαχος (Soph. Aj.190) while working his ruin.

Ajax does not know that he’s suffered “a god-sent sickness” (θεία νόσος [Soph. Aj. 185]) until he’s humiliated himself. His mad actions, while he was engaged in them, appeared to him the god-assisted fulfilment of his wishes. Athena says, “That man, when he was subject to his sickness / Delighted in his troubles” (ἁνὴρ ἐκεῖνος, ἡνίκ᾽ ἦν ἐν τῇ νόσῳ / αὐτὸς μὲν ἥδεθ᾽ οἷσιν εἴχετ᾽ ἐν κακοῖς ([Soph. Aj. 271-272]). And she encouraged him in this: “I egged him on; cast him into my wicked trap” (ὤτρυνον, εἰσέβαλλον εἰς ἕρκη κακά [Soph Aj. 59-60]).

Sappho is trapped in an amorous cycle whose stations are desire, frustration, and satisfaction. And as the song emphasizes, the cycle repeats. Sappho pursues new loves, always with Aphrodite’s intervention. Sappho supposes the goddess helps her to satisfaction, but the traditions of Archaic song would have it that Aphrodite’s hand is in the animating desire and subsequent frustration too. Tellingly, Sappho does not pray for release from what Hegel might call “the bad infinite” of love. Rather, she prays for Aphrodite to keep her running on the track. Like Ajax, she delights in her troubles.

“I pity him his unfortunate condition” (ἐποικτίρω δέ νιν δύστηνον [Soph Aj. 121-122]), Odysseus says of Ajax. Perhaps that should be our emotional response to the speaker of Sappho 1.

Sappho 1

ποικιλόφρον’ ἀθανάτ Ἀφρόδιτα,
παῖ Δίος δολόπλοκε, λίσσομαί σε,
μή μ’ ἄσαισι μηδ’ ὀνίαισι δάμνα,
πότνια, θῦμον,
ἀλλὰ τυίδ’ ἔλθ’, αἴ ποτα κἀτέρωτα
τὰς ἔμας αὔδας ἀίοισα πήλοι
ἔκλυες, πάτρος δὲ δόμον λίποισα
χρύσιον ἦλθες

ἄρμ’ ὐπασδεύξαισα· κάλοι δέ σ’ ἆγον
ὤκεες στροῦθοι περὶ γᾶς μελαίνας
πύκνα δίννεντες πτέρ’ ἀπ’ ὠράνωἴθε-
ρος διὰ μέσσω·

αἶψα δ’ ἐξίκοντο· σὺ δ’, ὦ μάκαιρα,
μειδιαίσαισ’ ἀθανάτωι προσώπωι
ἤρε’ ὄττι δηὖτε πέπονθα κὤττι
δηὖτε κάλημμι

κὤττι μοι μάλιστα θέλω γένεσθαι
μαινόλαι θύμωι· τίνα δηὖτε πείθω
[βαι]σ’ ἄγην ἐς σὰν φιλότατα; τίς σ’, ὦ
Ψάπφ’, ἀδικήει;

καὶ γὰρ αἰ φεύγει, ταχέως διώξει,
αἰ δὲ δῶρα μὴ δέκετ’, ἀλλὰ δώσει,
αἰ δὲ μὴ φίλει, ταχέως φιλήσει
κωὐκ ἐθέλοισα.

ἔλθε μοι καὶ νῦν, χαλέπαν δὲ λῦσον
ἐκ μερίμναν, ὄσσα δέ μοι τέλεσσαι
θῦμος ἰμέρρει, τέλεσον, σὺ δ’ αὔτα
σύμμαχος ἔσσο.

Maria Callas in Donizetti’s “Lucia di Lammermoor.” Here Lucia has gone mad after the loss of her lover.

Larry Benn has a B.A. in English Literature from Harvard College, an M.Phil in English Literature from Oxford University, and a J.D. from Yale Law School. Making amends for a working life misspent in finance, he’s now a hobbyist in ancient languages and blogs at featsofgreek.blogspot.com.

A Happy Side of Madness

Aristotle, On Amazing Things Heard 832b

“The story goes that in Abydos there was a man who was afflicted with madness. He went into the theater and watched for many days as if there were actually people acting and applauded. When he had a respite from his affliction, he said that this was the most enjoyable time of his life.”

Λέγεται δέ τινα ἐν Ἀβύδῳ παρακόψαντα τῇ διανοίᾳ καὶ εἰς τὸ θέατρον ἐρχόμενον ἐπὶ πολλὰς ἡμέρας θεωρεῖν, ὡς ὑποκρινομένων τινῶν, καὶ ἐπισημαίνεσθαι· καὶ ὡς κατέστη τῆς παρακοπῆς, ἔφησεν ἐκεῖνον αὑτῷ τὸν χρόνον ἥδιστα βεβιῶσθαι.

This made me think of Thrasyllos again.

Aelian, 4.25

“Thrasyllos from the deme Aiksône endured an incredible and novel madness. For he left the city and went to the Peiraia and stayed there. He believed that all the ships that sailed in were his and he wrote down their names, checked the list when they left and rejoiced when they returned safely to the harbor again. He spent many years living with this sickness.

When his brother returned from Sicily, he took him to a doctor for treatment and he freed him from that sickness. But he often remembered the avocation of his sickness and used to say that he was never as happy as when he took pleasure at the sight of ships that weren’t his returning safely.”

Θράσυλλος ὁ Αἰξωνεὺς παράδοξον καὶ καινὴν ἐνόσησε μανίαν. ἀπολιπὼν γὰρ τὸ ἄστυ καὶ κατελθὼν ἐς τὸν Πειραιᾶ καὶ ἐνταῦθα οἰκῶν τὰ πλοῖα τὰ καταίροντα ἐν αὐτῷ πάντα ἑαυτοῦ ἐνόμιζεν εἶναι, καὶ ἀπεγράφετο αὐτὰ καὶ αὖ πάλιν ἐξέπεμπε καὶ τοῖς περισωζομένοις καὶ ἐσιοῦσιν ἐς τὸν λιμένα ὑπερέχαιρε· χρόνους δὲ διετέλεσε πολλοὺς συνοικῶν τῷ ἀρρωστήματι τούτῳ. ἐκ Σικελίας δὲ ἀναχθεὶς ὁ ἀδελφὸς αὐτοῦ παρέδωκεν αὐτὸν ἰατρῷ ἰάσασθαι, καὶ ἔπαυσεν αὐτὸν τῆς νόσου οὗτος. ἐμέμνητο δὲ πολλάκις τῆς ἐν μανίᾳ διατριβῆς, καὶ ἔλεγε μηδέποτε ἡσθῆναι τοσοῦτον, ὅσον τότε ἥδετο ἐπὶ ταῖς μηδὲν αὐτῷ προσηκούσαις ναυσὶν

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Bodleian 264

Writing about the Cause of Madness

Pseudo-Hippocrates. Epist. 17 9.352, 354, 356 

“When I [Hippocrates] was near [Democritus], he happened to be writing something eagerly and forcefully when I arrived. So I said. “First, tell me what you are writing about.” And, after he paused for a bit, said “madness.”

So I said, “But what are you writing about madness?” He responded, “What would I write except what it may be, how it afflicts human beings, and in what way it may be treated. This is why,” he continued, “I cut up all these animals you are looking at. It is not because I hate god’s works, but because I am researching the nature and the function of the bile.

For you know that the bile is the cause of madness in humans most of the time, since it appears naturally in most people, even though some have less of it and others have more. Illnesses emerge from an unbalanced amount, implying that the material is sometimes helpful and sometimes harmful.”

I added, “By Zeus, Democritus, you are speaking truthfully and prudently and this is why I think you are blessed for having achieving such a sense of peace. This has certainly not been allotted to me.”

Then he asked, “Why, Hippocrates, has it not?” I responded, “Because fields, my home, children, debts, illnesses, deaths, servants, marriages and all these kinds of things cut off any chance for it.”

At this, that man fell into his customary behavior—he laughed deeply and mocked me and then was silent for the rest of the time.”

ἐπεὶ δὲ ἐπλησίαζον, ἔτυχεν ὅτε ἐπῆλθον αὐτέῳ, τι1 δή ποτε γράφων ἐνθουσιωδῶς καὶ μεθ’ ὁρμῆς. [. . .]

[ΙΠ.] “καὶ πρῶτόν γε τί τοῦτο τυγχάνεις γράφων φράζε.” [. . .]

ὁ δ᾽ ἐπισχὼν ὀλίγον, “περὶ μανίης,” ἔφη. [. . .]

[ΙΠ.] “ἀλλὰ τί περὶ μανίης γράφεις;”

“τί γάρ,” εἶπεν, “ἄλλο, πλὴν ἥτις τε εἴη, καὶ ὅκως ἀνθρώποισιν ἐγγίνεται, καὶ τίνα τρόπον ἀπολωφέοιτο· τά τε γὰρ ζῷα ταῦτα ὁκόσα, ἔφη, ὁρῇς, τουτέου μέντοι γε ἀνατέμνω εἵνεκα, οὐ μισέων θεοῦ ἔργα, χολῆς δὲ διζήμενος φύσιν καὶ θέσιν· οἶσθα γὰρ ἀνθρώπων παρακοπῆς ὡς αἰτίη ἐπιτοπολὺ αὕτη πλεονάσασα, ἐπεὶ πᾶσι μὲν φύσει ἐνυπάρχει, ἀλλὰ παρ’ οἷς μὲν ἔλαττον, παρ’ οἷς δέ τι πλέον· ἡ δ’ ἀμετρίη αὐτέης νοῦσοι τυγχάνουσιν, ὡς ὕλης ὅτε μὲν ἀγαθῆς, ὁτὲ δὲ φαύλης ὑποκειμένης.”

κἀγὼ, “νὴ Δία,” ἔφην, “ὦ Δημόκριτε, ἀληθέως γε καὶ φρονίμως λέγεις, ὅθεν εὐδαίμονά σε κρίνω τοσαύτης ἀπολαύοντα ἡσυχίης· ἡμῖν δὲ μετέχειν ταύτης οὐκ ἐπιτέτραπται.”

ἐρεομένου δὲ “διὰ τί, ὦ Ἱππόκρατες, οὐκ ἐπιτέτραπται;” “ὅτι,” ἔφην, “ἢ ἀγροὶ ἢ οἰκίη ἢ τέκνα ἢ δάνεια ἢ νοῦσοι ἢ θάνατοι ἢ δμῶες ἢ γάμοι ἢ τοιαῦτά τινα τὴν εὐκαιρίην ὑποτάμνεται.” ἐνταῦθα δὴ ὁ ἀνὴρ εἰς τὸ εἰωθὸς πάθος κατηνέχθη, καὶ μάλα ἀθρόον τι ἀνεκάγχασε, καὶ ἐπετώθασε, καὶ τὸ λοιπὸν ἡσυχίην ἦγεν.

Dosso Dossi, 1540

Music Heals the Suffering of the Soul

Apollonius Paradoxographus, Historiae Mirabiles 49

“These things are worth knowing. Theophrastos has explained them in is work On Enthusiasm. For he says that music heals when suffering afflicts the soul and the body such as desperation, phobias, and the madnesses of belief which are more serious. For instrumental flute music, he continues, heals both hip pain and epilepsy.

Similarly is the power attributed to Aristoxenos the musician when he came—for he was getting a prophecy from the prophet of his sister Pasiphilê—for resuscitated a person in Thebes who was bewitched by the sound of a trumpet. For when he heard it he yelled out so much that he behaved indecently. If someone at any point even in war should blow the trumpet, then he should suffer much worse in his madness. So, he exposed him bit by bit to the flute—and, as one might say, he used this as an introduction for him to endure the trumpet as well.

The flute heals even if some part of the body is in pain. When the body is subject to flute music, let the instrumental music persist for five days at least. The toil will be surprisingly less on the first day and the second. This application of the flute treatment is common even elsewhere, but especially so in Thebes up to this day.”

49 ῎Αξια δ’ ἐστὶν ἐπιστάσεως [τὰ εἰρημένα.] <ἃ> Θεόφραστος ἐν τῷ περὶ ἐνθουσιασμοῦ ἐξεῖπεν. φησὶ γὰρ ἐκεῖνος τὴν μουσικὴν πολλὰ τῶν ἐπὶ ψυχὴν καὶ τὸ σῶμα γιγνομένων παθῶν ἰατρεύειν, καθάπερ λιποθυμίαν, φόβους καὶ τὰἐπὶ μακρὸν γιγνομένας τῆς διανοίας ἐκστάσεις. ἰᾶται γάρ, φησίν, ἡ καταύλησις καὶ ἰσχιάδα καὶ ἐπιληψίαν·

καθάπερ πρὸς ᾿Αριστόξενον τὸν μουσικὸν ἐλθόντα—χρήσασθαι αὐτὸν† τοῦ μαντίου τοῦ τῆς Πασιφίλης δαμωτι ἀδελφῆς † —λέγεται [τὸν μουσικὸν] καταστῆναί τινα ἐξιστάμενον ἐν Θήβαις ὑπὸ τὴν τῆς σάλπιγγος φωνήν· ἐπὶ τοσοῦτον γὰρ ἐβόησεν ἀκούων, ὥστε ἀσχημονεῖν· εἰ δέ ποτε καὶ πολεμικὸν σαλπίσειέ τις, πολὺ χεῖρον πάσχειν μαινόμενον. τοῦτον οὖν κατὰ μικρὸν  τῷ αὐλῷ προσάγειν, καὶ ὡς ἄν τις εἴποι ἐκ προσαγωγῆς ἐποίησεν καὶ τὴν σάλπιγγος φωνὴν ὑπομένειν.

θεραπεύει δὲ ἡ καταύλησις καὶ ἐάν τι μέρος τοῦ σώματος ἐν ἀλγήματι ὑπάρχῃ· καταυλουμένου τοῦ σώματος καταύλησις γιγνέσθω ἡμέρας ε′ ὡς ἐλάχιστα, καὶ εὐθέως τῇ πρώτῃ ἡμέρᾳ ἐλάττων ὁ πόνος γενήσεται καὶ τῇ δευτέρᾳ. τὸ δὲ γιγνόμενον διὰ τῆς καταυλήσεως ἐπιχωριάζει καὶ ἀλλαχῇ, μάλιστα δὲ ἐνΘήβαις μέχρι τῶν νῦν χρόνων.

There are similar accounts from Pythagorean Traditions

Porphyry, On the Life of Pythagoras

30. “[Pythagoras] healed psychic and bodily sufferings with rhythm, songs, and incantations. He adapted these treatments to his companions, while he himself heard the harmony of everything because he could understand the unity of the spheres and the harmonies of the stars moving with them. It is not our nature to hear this in the least.”

30. κατεκήλει δὲ ῥυθμοῖς καὶ μέλεσι καὶ ἐπῳδαῖς τὰ ψυχικὰ πάθη καὶ τὰ σωματικά. καὶ τοῖς μὲν ἑταίροις ἡρμόζετο ταῦτα, αὐτὸς δὲ τῆς τοῦ παντὸς ἁρμονίας ἠκροᾶτο συνιεὶς τῆς καθολικῆς τῶν σφαιρῶν καὶ τῶν κατ’ αὐτὰς κινουμένων ἀστέρων ἁρμονίας, ἧς ἡμᾶς μὴ ἀκούειν διὰ σμικρότητα τῆς φύσεως.

32. “Diogenes says that Pythagoras encouraged all men to avoid ambition and lust for fame, because they especially inculcate envy, and also to stay away from large crowds. He used to convene gatherings at his house at dawn himself, accompanying his singing to the lyre and singing some ancient songs of Thales. And he also sang the songs of Hesiod and Homer, as many as appeared to calm his spirit. He would also dance some dances which he believed brought good mobility and health to the body. He used to take walks himself but not with a crowd, taking only two or three companions to shrines or groves, finding the most peaceful and beautiful places.”

32. Διογένης φησὶν ὡς ἅπασι μὲν παρηγγύα φιλοτιμίαν φεύγειν καὶ φιλοδοξίαν, ὥπερ μάλιστα φθόνον ἐργάζεσθαι, ἐκτρέπεσθαι δὲ τὰς μετὰ τῶν πολλῶν ὁμιλίας. τὰς γοῦν διατριβὰς καὶ αὐτὸς ἕωθεν μὲν ἐπὶ τῆς οἰκίας ἐποιεῖτο, ἁρμοζόμενος πρὸς λύραν τὴν ἑαυτοῦ φωνὴν καὶ ᾄδων παιᾶνας ἀρχαίους τινὰς τῶν Θάλητος. καὶ ἐπῇδε τῶν ῾Ομήρου καὶ ῾Ησιόδου ὅσα καθημεροῦν τὴν ψυχὴν ἐδόξαζε. καὶ ὀρχήσεις δέ τινας ὑπωρχεῖτο ὁπόσας εὐκινησίαν καὶ ὑγείαν τῷ σώματι παρασκευάζειν ᾤετο. τοὺς δὲ περιπάτους οὐδ’ αὐτὸς ἐπιφθόνως μετὰ πολλῶν ἐποιεῖτο, ἀλλὰ δεύτερος ἢ τρίτος ἐν ἱεροῖς ἢ ἄλσεσιν, ἐπιλεγόμενος τῶν χωρίων τὰ ἡσυχαίτατα καὶ περικαλλέστατα.

33. “He loved his friends overmuch and was the first to declare that friends possessions are common and that a friend is another self. When they were healthy, he always talked to them; when they were sick, he took care of their bodies. If they were mentally ill, he consoled them, as we said before, some with incantations and spells, others by music. He had songs and paeans for physical ailments: when he sang them, he relieved fatigue. He also could cause forgetfulness of grief, calming of anger, and redirection of desire.”

33.τοὺς δὲ φίλους ὑπερηγάπα, κοινὰ μὲν τὰ τῶν φίλων εἶναι πρῶτος ἀποφηνάμενος, τὸν δὲ φίλον ἄλλον ἑαυτόν. καὶ ὑγιαίνουσι μὲν αὐτοῖς ἀεὶ συνδιέτριβεν, κάμνοντας δὲ τὰ σώματα ἐθεράπευεν, καὶ τὰς ψυχὰς δὲ νοσοῦντας παρεμυθεῖτο, καθάπερ ἔφαμεν, τοὺς μὲν ἐπῳδαῖς καὶ μαγείαις τοὺς δὲ μουσικῇ. ἦν γὰρ αὐτῷ μέλη καὶ πρὸς νόσους σωμάτων παιώνια, ἃ ἐπᾴδων ἀνίστη τοὺς κάμνοντας. ἦν <δ’> ἃ καὶ λύπης λήθην εἰργάζετο καὶ ὀργὰς ἐπράυνε καὶ ἐπιθυμίας ἀτόπους ἐξῄρει.

 

Iamblichus, Life of Pythagoras 111–112

“Pythagoras believed that music produced great benefits for health, should someone apply it in the appropriate manner. For he was known to use this kind of cleansing and not carelessly. And he also called the healing from music that very thing, a purification. And he used a melody as follows during the spring season. He sat in the middle someone who could play the lyre and settled around him in a circle people who could sing. They would sing certain paeans as he played and through this they seemed to become happy, unified, and directed.

At another time they used music in the place of medicine, and there were certain songs composed against sufferings of the mind, especially despair and bitterness—songs which were created as the greatest aids. He also composed others against rage, desires, and every type of wandering of the soul. There was also another kind of performance he discovered for troubles: he also used dancing.

He used the lyre as an instrument since he considered flutes to induce arrogance as a dramatic sound which had no type of freeing resonance. He also used selected words from Homer and Hesiod for the correction of the soul.”

     ῾Υπελάμβανε δὲ καὶ τὴν μουσικὴν μεγάλα συμβάλλεσθαι πρὸς ὑγείαν, ἄν τις αὐτῇ χρῆται κατὰ τοὺς προσήκοντας τρόπους. εἰώθει γὰρ οὐ παρέργως τῇ τοιαύτῃ χρῆσθαι καθάρσει· τοῦτο γὰρ δὴ καὶ προσηγόρευε τὴν διὰ τῆς μουσικῆς ἰατρείαν. ἥπτετο δὲ περὶ τὴν ἐαρινὴν ὥραν τῆς  τοιαύτης μελῳδίας· ἐκάθιζε γὰρ ἐν μέσῳ τινὰ λύρας ἐφαπτόμενον, καὶ κύκλῳ ἐκαθέζοντο οἱ μελῳδεῖν δυνατοί, καὶ οὕτως ἐκείνου κρούοντος συνῇδον παιῶνάς τινας, δι’ ὧν εὐφραίνεσθαι καὶ ἐμμελεῖς καὶ ἔνρυθμοι γίνεσθαι ἐδόκουν. χρῆσθαι δ’ αὐτοὺς καὶ κατὰ τὸν ἄλλον χρόνον τῇ μουσικῇ ἐν ἰατρείας τάξει, καὶ εἶναί τινα μέλη πρὸς τὰ ψυχῆς πεποιημένα πάθη, πρός τε ἀθυμίας καὶ δηγμούς, ἃ δὴ βοηθητικώτατα ἐπινενόητο, καὶ πάλιν αὖ ἕτερα πρός τε τὰς ὀργὰς καὶ πρὸς τοὺς θυμοὺς καὶ πρὸς πᾶσαν παραλλαγὴν τῆς τοιαύτης ψυχῆς, εἶναι δὲ καὶ πρὸς τὰς ἐπιθυμίας ἄλλο γένος μελοποιίας ἐξευρημένον. χρῆσθαι δὲ καὶ ὀρχήσεσιν. ὀργάνῳ δὲ χρῆσθαι λύρᾳ· τοὺς γὰρ αὐλοὺς ὑπε-λάμβανεν ὑβριστικόν τε καὶ πανηγυρικὸν καὶ οὐδαμῶς ἐλευθέριον τὸν ἦχον ἔχειν. χρῆσθαι δὲ καὶ ῾Ομήρου καὶ ῾Ησιόδου λέξεσιν ἐξειλεγμέναις πρὸς ἐπανόρθωσιν ψυχῆς.

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Cat playing a bagpipe in a Book of Hours, Paris, c. 1460