Presocratic Healthcare Plan: Everyone a Doctor, Everyone a Sage

A Letter to Hippocrates: Ps.-Hipp. Epist. 23 (9.392–93 Littré)

“Democritus writes to Hippocrates on the nature of human beings:

“Hippocrates, all people should know the art of medicine, since it it is noble and also advantageous for life and it is a special possession of those people who have deep experience in education and argumentation. I think that the pursuit of wisdom is the sibling and roommate of medicine since wisdom frees the soul of suffering, and medicine rids the body of illnesses.”

Δημόκριτος Ἱπποκράτει περὶ φύσιος ἀνθρώπου.

χρὴ πάντας ἀνθρώπους ἰητρικὴν τέχνην ἐπίστασθαι, ὦ Ἱππόκρατες, καλὸν γὰρ ἅμα καὶ ξυμφέρον ἐς τὸν βίον, τουτέων δὲ μάλιστα τοὺς παιδείας καὶ λόγων ἴδριας γεγενημένους. ἱστορίην σοφίης γὰρ δοκέω ἰητρικῆς ἀδελφὴν καὶ ξύνοικον· σοφίη μὲν γὰρ ψυχὴν ἀναρύεται παθέων, ἰητρικὴ δὲ νούσους σωμάτων ἀφαιρέεται [. . .].

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Ancient Greek Depression and the Brain: Galen and Hippocrates

Galen, De Locis Affectis 8.190-191

“Fear always plagues people with melancholy but they don’t always have the same kind of abnormal (para phusin) thoughts. For example, one person believes that he has grown a shell and because of this he avoids everyone who nears him so that he might not break it. When another hears the roosters singing, just as if the birds strike their wings before their song, he also slaps his arms against his sides and imitates the animals’ voice. Fear comes to another that Atlas who is supporting the universe might drop it because he is worn out and for this reason he will be crushed and he will destroy us with him.

But there are ten thousand other fantasies. The melancholic differ from one another, but even though they all exhibit fear, despair, blaming of life and hatred for people, they do not all want to die. For some, fear of death is the principle source of their depression. Some will seem paradoxical to you because they fear death and desire death at the same time.

For this reason it seems right that Hippocrates divided all of these symptoms into two groups: fear (phobos) and despair (dusthumia). Because of this sort of despair, they hate everyone they see and are always gloomy and they are afraid like children are frightened in deep darkness and uneducated adults too. As external darkness makes nearly all people afraid, except for those who are bold by nature or have been well-educated for it, so too the color of the black bile overshadows places of thought with darkness and makes people afraid.

The fact that the humors and altogether the equilibrium (krâsis) of the body may alter the reality of the mind is agreed upon by the best doctors and philosophers and I have shown already in one publication in which, by pursuing the body’s balances, I demonstrated the abilities of the mind. For this reason, those who are ignorant about the power of humors do not dare to write anything about melancholy. Of these, there are also those of the school of Erasistratos. It is right to be amazed at him for people’s common thoughts, as with many other beliefs about which not a few philosophers and doctors are ignorant. Therefore, nearly everyone calls melancholy a sickness, indicating through this name that its cause is bile.”

ἀεὶ μὲν οὖν  οἱ φόβοι συνεδρεύουσι τοῖς μελαγχολικοῖς, οὐκ ἀεὶ δὲ ταὐτὸν εἶδος τῶν παρὰ φύσιν αὐτοῖς γίγνεται φαντασιῶν, εἴγε ὁ μέν τις ὀστρακοῦς ᾤετο γεγονέναι, καὶ διὰ τοῦτ’ ἐξίστατο τοῖς ἀπαντῶσιν, ὅπως μὴ συντριβείη· θεώμενος δέ τις ἄλλος ἀλεκτρυόνας ᾄδοντας, ὥσπερ ἐκεῖνοι τὰς πτέρυγας προσέκρουον πρὸ ᾠδῆς, οὕτω καὶ αὐτὸς τοὺς βραχίονας προσκρούων ταῖς πλευραῖς ἐμιμεῖτο τὴν φωνὴν τῶν ζώων. φόβος δ’ ἦν ἄλλῳ, μή πως ὁ βαστάζων τὸν κόσμον ῎Ατλας ἀποσείσηται κεκμηκὼς αὐτὸν, οὕτως τε καὶ αὐτὸς συντριβείη καὶ ἡμᾶς αὐτῷ συναπολέσειεν·

ἄλλα τε μυρία τοιαῦτα φαντασιοῦνται. διαφέρονται δὲ ἀλλήλων οἱ μελαγχολικοὶ, τὸ μὲν φοβεῖσθαι καὶ δυσθυμεῖν καὶ μέμφεσθαι τῇ ζωῇ καὶ μισεῖν τοὺς ἀνθρώπους ἅπαντες ἔχοντες, ἀποθανεῖν δ’ ἐπιθυμοῦντες οὐ πάντες, ἀλλ’ ἔστιν ἐνίοις αὐτῶν αὐτὸ δὴ τοῦτο κεφάλαιον τῆς μελαγχολίας, τὸ περὶ τοῦ θανάτου δέος· ἔνιοι δὲ ἀλλόκοτοί σοι δόξουσιν, ἅμα τε καὶ δεδιέναι τὸν θάνατον καὶ θανατᾷν. ὥστε ὀρθῶς ἔοικεν ὁ ῾Ιπποκράτης εἰς δύο ταῦτα ἀναγαγεῖν τὰ συμπτώματα αὐτῶν πάντα, φόβον καὶ δυσθυμίαν· ἐπί γέ τοι τῇ τοιαύτῃ δυσθυμίᾳ  μισοῦσιν πάντας, οὓς ἂν βλέπωσιν, καὶ σκυθρωποὶ διὰ παντός εἰσι, δειμαίνοντες, ὥσπερ ἐν σκότῳ βαθεῖ τά τε παιδία φοβεῖται καὶ τῶν τελείων οἱ ἀπαίδευτοι. καθάπερ γὰρ καὶ τὸ ἔξωθεν σκότος εἰς φόβον ἄγει σχεδὸν ἅπαντας ἀνθρώπους, πλὴν τῶν ἤτοι πάνυ φύσει τολμηρῶν, ἢ πεπαιδευμένων, οὕτως καὶ τῆς μελαίνης χολῆς τὸ χρῶμα παραπλησίως σκότῳ τὸν φρονοῦντα τόπον ἐπισκιάζον ἐργάζεται τοὺς φόβους.

ὅτι γὰρ οἵ τε χυμοὶ καὶ ὅλως ἡ τοῦ σώματος κρᾶσις ἀλλοιοῖ τὰς ἐνεργείας τῆς ψυχῆς, ὡμολόγηται τοῖς ἀρίστοις ἰατροῖς τε καὶ φιλοσόφοις, ἐμοί τε δι’ ἑνὸς ὑπομνήματος ἀποδέδεικται, καθ’ ὃ ταῖς τοῦ σώματος κράσεσιν ἀκολουθούσας ἀπέδειξα τὰς τῆς ψυχῆς δυνάμεις· ὅθεν οὐδὲ γράψαι τι περὶ μελαγχολίας ἐτόλμησαν οἱ τὴν τῶν χυμῶν δύναμιν ἀγνοήσαντες, ἐξ ὧν εἰσι καὶ οἱ περὶ τὸν ᾿Ερασίστρατον.  ἄξιον δέ ἐστι κᾀν τούτῳ θαυμάσαι τὰς κοινὰς ἐννοίας τῶν ἀνθρώπων, ὥσπερ καὶ τἄλλα πολλὰ δόγματα, περὶ ὧν ἠγνόησαν οὐκ ὀλίγοι φιλοσόφων τε καὶ ἰατρῶν· ἅπαντες γοῦν ὀνομάζουσιν τὸ πάθος τοῦτο μελαγχολίαν, ἐνδεικνύμενοι διὰ  τῆς προσηγορίας τὸν αἴτιον αὐτοῦ χυμόν.

 

*Erasistratos was a doctor and author during the Hellenistic period.

I found this passage from reading: Patricia A. Clark and M. Lynn Rose. 2016. “Psychiatric Disability in the Galenic Medical Matrix.” In Christian Laes, Chris Goodey, and M. Lynn Rose (eds.). Disabilities in Roman Antiquity: Disparate Bodies a Capite Ad Calcem. Leiden: 45-72.

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A relief from Ephesus

The modern debate about “mind” verses “brain” has its origins in antiquity and notions of the “soul” and the “body”. Hippocrates presents one of the earliest arguments that everything is physical and biological.

Hippocrates of Cos, On the Sacred Disease 14

 “People should know that our pleasures, happiness, laughter, and jokes from nowhere else [but the brain] and that our griefs, pains, sorrows, depressions and mourning come from the same place. And through it we think especially, and ponder, and see and hear and come to perceive both shameful things and noble things and wicked things and good things as well as sweet and bitter, at times judging them so by custom, at others by understanding what is advantageous based on distinguishing what is pleasurable and not in the right time and [that] these things are not the same to us.

By this very organ we become both sane and delirious and fears and horrors attend us sometimes at night and sometimes at day. This brings us bouts of sleeplessness and makes us mistake-prone at terrible times,  bringing thoughts we cannot follow, and deeds which are unknown, unaccustomed or untried.

Yes, we suffer all these things from or brain when it is not health but is hotter than natural, too cold or too wet or too dry or suffers any other kind of thing contrary to its custom. We go insane because of its moistness. For whenever it is wetter than natural, it is forced to move. And when it moves, neither sight can be still nor hearing. Instead, we hear and see different things at different times and the tongue talks about the kinds of things it sees and hears each time. But a person can think as long as the brain remains still.”

 Εἰδέναι δὲ χρὴ τοὺς ἀνθρώπους, ὅτι ἐξ οὐδενὸς ἡμῖν αἱ ἡδοναὶ γίνονται καὶ αἱ εὐφροσύναι καὶ γέλωτες καὶ παιδιαὶ ἢ ἐντεῦθεν καὶ λῦπαι καὶ ἀνίαι καὶ δυσφροσύναι καὶ κλαυθμοί. Καὶ τούτῳ φρονεῦμεν μάλιστα καὶ νοεῦμεν καὶ βλέπομεν καὶ ἀκούομεν καὶ γινώσκομεν τά τε αἰσχρὰ καὶ τὰ καλὰ καὶ τὰ κακὰ καὶ ἀγαθὰ καὶ ἡδέα καὶ ἀηδέα, τὰ μὲν νόμῳ διακρίνοντες, τὰ δὲ τῷ ξυμφέροντι αἰσθανόμενοι, τῷ δὲ καὶ τὰς ἡδονὰς καὶ τὰς ἀηδίας τοῖσι καιροῖσι διαγινώσκοντες, καὶ οὐ ταὐτὰ ἀρέσκει ἡμῖν. Τῷ δὲ αὐτῷ τούτῳ καὶ μαινόμεθα καὶ παραφρονέομεν, καὶ δείματα καὶ φόβοι παρίστανται ἡμῖν τὰ μὲν νύκτωρ, τὰ δὲ μεθ’ ἡμέρην, καὶ ἐνύπνια καὶ πλάνοι ἄκαιροι, καὶ φροντίδες οὐχ ἱκνεύμεναι, καὶ ἀγνωσίη τῶν καθεστεώτων καὶ ἀηθίη καὶ ἀπειρίη. Καὶ ταῦτα πάσχομεν ἀπὸ τοῦ ἐγκεφάλου πάντα, ὅταν οὗτος μὴ ὑγιαίνῃ, ἀλλ’ ἢ θερμότερος τῆς φύσιος γένηται ἢ ψυχρότερος ἢ ὑγρότερος ἢ ξηρότερος, ἤ τι ἄλλο πεπόνθῃ πάθος παρὰ τὴν φύσιν ὃ μὴ ἐώθει. Καὶ μαινόμεθα μὲν ὑπὸ ὑγρότητος· ὅταν γὰρ ὑγρότερος τῆς φύσιος ᾖ, ἀνάγκη κινεῖσθαι, κινευμένου δὲ μήτε τὴν ὄψιν ἀτρεμίζειν μήτε τὴν ἀκοήν, ἀλλ᾿ ἄλλοτε ἄλλα ὁρᾶν καὶ ἀκούειν, τήν τε γλῶσσαν τοιαῦτα διαλέγεσθαι οἷα ἂν βλέπῃ τε καὶ ἀκούῃ ἑκάστοτε· ὅσον δ᾿ ἂν ἀτρεμήσῃ ὁ ἐγκέφαλος χρόνον, τοσοῦτον καὶ φρονεῖ ὁ ἄνθρωπος.

On the Sacred Disease, 9

“For these reasons I think that the brain has the most power in the human being. For when it happens to be healthy, it is our interpreter of all the things that happen from the air. And air furnishes intelligence. The eyes, and ears, and tongue and hands and feet do the kinds of things the brain decides. Indeed, the portion of intelligence distributed throughout the body comes from the air. The brain is the emissary to understanding. For whenever a person draws breath inside it rushes first to the brain and then it spreads through the rest of the body once it leaves its distilled form in the brain, that very thing which is thought and has judgment. If it were to enter the body first and the rain later, it would leave understanding in the flesh and the arteries and then go hot and impure into the brain, all mixed up with the bile from flesh and blood, with the result that it would uncertain.”

Κατὰ ταῦτα νομίζω τὸν ἐγκέφαλον δυναμιν ἔχειν πλείστην ἐν τῷ ἀνθρώπῳ· οὗτος γὰρ ἡμῖν ἐστι τῶν ἀπὸ τοῦ ἠέρος γινομένων ἑρμηνεύς, ἢν ὑγιαίνων τυγχάνῃ· τὴν δὲ φρόνησιν ὁ ἀὴρ παρέχεται. οἱ δὲ ὀφθαλμοὶ καὶ τὰ ὦτα καὶ ἡ γλῶσσα καὶ αἱ χεῖρες καὶ οἱ πόδες οἷα ἂν ὁ ἐγκέφαλος γινώσκῃ, τοιαῦτα πρήσσουσι·† γίνεται γὰρ ἐν ἅπαντι τῷ σώματι τῆς φρονήσιος, ὡςἂν μετέχῃ τοῦ ἠέρος.† ἐς δὲ τὴν σύνεσιν ὁ ἐγκέφαλός ἐστιν ὁ διαγγέλλων· ὅταν γὰρ σπάσῃ τὸ πνεῦμα ὥνθρωπος ἐς ἑωυτόν, ἐς τὸν ἐγκέφαλον πρῶτον ἀφικνεῖται, καὶ οὕτως ἐς τὸ λοιπὸν σῶμα σκίδναται ὁ ἀήρ, καταλελοιπὼς ἐν τῷ ἐγκεφάλῳ ἑωυτοῦ τὴν ἀκμὴν καὶ ὅ τι ἂν ᾖ φρόνιμόν τε καὶ γνώμην ἔχον· εἰ γὰρ ἐς τὸ σῶμα πρῶτον ἀφικνεῖτο καὶ ὕστερον ἐς τὸν ἐγκέφαλον, ἐν τῇσι σαρξὶ καὶ ἐν τῇσι φλεψὶ καταλελοιπὼς τὴν διάγνωσιν ἐς τὸν ἐγκέφαλον ἂν ἴοιθερμὸς ἐὼν καὶ οὐκ ἀκραιφνής, ἀλλ᾿ ἐπιμεμιγμένος τῇ ἰκμάδι τῇ ἀπό τε τῶν σαρκῶν καὶ τοῦ αἵματος, ὥστε μηκέτι εἶναι ἀκριβής.

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Edmund Wilson. “On Free Will and How the Brain is Like a Colony of Ants.” Harper’sSeptember 2014, 49-52.

“The self does not exist as a paranormal being living on its own within the brain. It is, instead, the central dramatic character of the confabulated scenarios. In these stories, it is always on center stage—if not as participant, then as observer and commentator—because that is where all of the sensory information arrives and is integrated.”

For a good overview of issues of brain, mind and consciousness from multiple disciplinary perspectives, see Dennett, Dale C. 2017. From Bacteria to Bach and Back: The Evolution of Minds. New York.

The Key to a Long Life: Magic (Or Maybe Climate and Diet)

Lucian, Octogenarians 3-5

“Homer claims that Nestor, obviously, the wisest of the Achaians, lived more than three generations, a man the poet explains to us was best trained in both mind and body. And the prophet Teiresis, well tragedy has him living through six generations. It might be credible that a man dedicated to the gods and who followed a reverent diet might live as long as possible.

It is recorded that whole clans of people are very long-lived thanks to their way of life—for example, the people of the Egyptians called holy-authors, the exegetes of myth in Assyria and Arabia, and the people the Indians call Brahmans, men who pursue philosophy with precision. There are also the people called the magoi, that prophetic clan dedicated to the gods among the Persians, Parthians, Bactrians, Khoasmians, Arians, Sacae, Medes, and among many other barbarian people. The magoi are strong and live many years because they learn to use magic and eat with considerable discipline.

There are, in addition, entire peoples who are long-lived: for example, some people record that the Sêres live up to 300 years. According to some authors, this is because of the weather; others claim that it is their soul or their diet that is responsible for the length of their lives—for, they claim that the whole nation drinks only water. It is reported that the people of Athos live 130 years or that the Chaldeans live over a hundred and that they rely on barley bread as a medicine to keep their vision sharp.”

Νέστορα μὲν οὖν τὸν σοφώτατον τῶν Ἀχαιῶν ἐπὶ τρεῖς παρατεῖναι γενεὰς Ὅμηρος λέγει, ὃν συνίστησιν ἡμῖν γεγυμνασμένον ἄριστα καὶ ψυχῇ καὶ σώματι. καὶ Τειρεσίαν δὲ τὸν μάντιν ἡ τραγῳδία μέχρις ἓξ γενεῶν παρατεῖναι λέγει. πιθανὸν δ᾿ ἂν εἴη ἄνδρα θεοῖς ἀνακείμενον καθαρωτέρᾳ διαίτῃ χρώμενον ἐπὶ μήκιστον βιῶναι. καὶ γένη δὲ ὅλα μακρόβια ἱστορεῖται διὰ τὴν δίαιταν, ὥσπερ Αἰγυπτίων οἱ καλούμενοι ἱερογραμματεῖς, Ἀσσυρίων δὲ καὶ Ἀράβων οἱ ἐξηγηταὶ τῶν μύθων, Ἰνδῶν δὲ οἱ καλούμενοι Βραχμᾶνες, ἄνδρες ἀκριβῶς φιλοσοφίᾳ σχολάζοντες, καὶ οἱ καλούμενοι δὲ μάγοι, γένος τοῦτο μαντικὸν καὶ θεοῖς ἀνακείμενον παρά τε Πέρσαις καὶ Πάρθοις καὶ Βάκτροις καὶ Χωρασμίοις καὶ Ἀρείοις καὶ Σάκαις καὶ Μήδοις καὶ παρὰ πολλοῖς ἄλλοις βαρβάροις, ἐρρωμένοι τέ εἰσι καὶ πολυχρόνιοι διὰ τὸ μαγεύειν διαιτώμενοι καὶ αὐτοὶ ἀκριβέστερον. ἤδη δὲ καὶ ἔθνη ὅλα μακροβιώτατα, ὥσπερ Σῆρας μὲν ἱστοροῦσι μέχρι τριακοσίων ζῆν ἐτῶν, οἱ μὲν τῷ ἀέρι, οἱ δὲ τῇ γῇ τὴν αἰτίαν τοῦ μακροῦ γήρως προστιθέντες, οἱ δὲ καὶ τῇ διαίτῃ· ὑδροποτεῖν γάρ φασι τὸ ἔθνος τοῦτο σύμπαν. καὶ Ἀθῴτας δὲ μέχρι τριάκοντα καὶ ἑκατὸν ἐτῶν βιοῦν ἱστορεῖται, καὶ τοὺς Χαλδαίους ὑπὲρ τὰ ἑκατὸν ἔτη βιοῦν λόγος, τούτους μὲν καὶ κριθίνῳ ἄρτῳ χρωμένους, ὡς ὀξυδορκίας τοῦτο φάρμακον·

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The Witch of Endor, by the Master of Otto van Moerdrecht, 15th century

Forget Plagues, Running Can Kill You!

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.

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These men are running to their doom. A vase for the Panathenaic games

Laughing at Babies

Pseudo-Hippocrates, Letter 9.360 (Full text on the Scaife viewer)

 “I [Hippocrates] said, “Know that you should explain the reason for your laughter.” And [Democritus], after glaring at me for a bit, said, “you believe that there are two reasons for my laughter, good things and bad things. But I laugh for one reason: the human being. Humans are full of ignorance but empty of correct affairs, acting like babies in their little plots, and also laboring over endless toil without winning any profit.

Humans travel to the ends of the earth and over the uncharted wilds with unchecked desires, minting silver and gold and never stopping in the pursuit of possession, but always throwing a fit for more, so that there’s never one bit less than others have. And then, they are not at all ashamed to call themselves happy.”

[ΙΠ.] “ἴσθι δὲ νῦν περὶ σέο γέλωτος τῷ βίῳ λόγον δώσων.”

ὁ δὲ μάλα τρανὸν ἐπιδών μοι, “δύο,” φησὶ, “τοῦ ἐμοῦ γέλωτος αἰτίας δοκέεις, ἀγαθὰ καὶ φαῦλα· ἐγὼ δὲ ἕνα γελῶ τὸν ἄνθρωπον, ἀνοίης μὲν γέμοντα, κενεὸν δὲ πρηγμάτων ὀρθῶν, πάσῃσιν ἐπιβουλῇσι νηπιάζοντα, καὶ μηδεμιῆς ἕνεκεν ὠφελείης ἀλγέοντα τοὺς ἀνηνύτους μόχθους, πείρατα γῆς καὶ ἀορίστους μυχοὺς ἀμέτροισιν ἐπιθυμίῃσιν ὁδεύοντα, ἄργυρον τήκοντα καὶ χρυσὸν, καὶ μὴ παυόμενον τῆς κτήσιος ταύτης, αἰεὶ δὲ θορυβεύμενον περὶ τὸ πλέον, ὅκως αὐτοῦ ἐλάσσων μὴ γένηται· καὶ οὐδὲν αἰσχύνεται λεγόμενος εὐδαίμων [. . .].”

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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

Have We Tried Using Bay Leaves on Coronavirus?

From the annals of quack cures not to tell presidents about….

Pliny, Natural History 23. 157

“Some people have suggested using ten berries in a drink against scorpion stings. You can use the same to relieve a relaxed uvula: gargle quarter pound of berries or leaves reduced in three measure of water when it is still warm. To treat a headache, use an uneven number of berries crushed and warmed in oil. The leaves of the delphic bay, once pounded, may stop the spread of the plague if you smell them: this works even better when they are burned.”

quidam adversus scorpionum ictus decem bacas dari iubent potu, item et in remedio uvae iacentis quadrantem pondo bacarum foliorumve decoqui in aquae sextariis tribus ad tertias, eam calidam gargarizare et in capitis dolore inpari numero bacas cum oleo conterere et calfacere.  laurus Delphicae folia trita olfactaque subinde pestilentiae contagia prohibent, tanto magis si et urantur.

There’s a new version of Perseus using the Scaife viewer: check out the passages here.

A Healthy Mind in A Healthy (Greek) Body

Xenophon, Memorabilia 3.12

“For all of the uses of the body it makes a big difference to keep it in as good a condition as possible. Even for thinking, in which the use of the body seems least important, who does not know that many things fail in its practice because the body is not healthy? Forgetfulness, depression, ill temper and madness often strike the mind so badly because of bodily afflictions that it drives out understanding.

There is great stability for those who have strong bodies and there is, at least, no danger from suffering something like this because of physical affliction. No, it is likely that the useful help will develop as the opposite to those things that happen from affliction. And, indeed, what wouldn’t someone who has some sense try to forestall the opposite to those things I have mentioned?”

πάσαις δὲ ταῖς τοῦ σώματος χρείαις πολὺ διαφέρει ὡς βέλτιστα τὸ σῶμα ἔχειν· 6ἐπεὶ καὶ ἐν ᾧ δοκεῖς ἐλαχίστην σώματος χρείαν εἶναι, ἐν τῷ διανοεῖσθαι, τίς οὐκ οἶδεν, ὅτι καὶ ἐν τούτῳ πολλοὶ μεγάλα σφάλλονται διὰ τὸ μὴ ὑγιαίνειν τὸ σῶμα; καὶ λήθη δὲ καὶ ἀθυμία καὶ δυσκολία καὶ μανία πολλάκις πολλοῖς διὰ τὴν τοῦ σώματος καχεξίαν εἰς τὴν διάνοιαν ἐμπίπτουσιν οὕτως, ὥστε καὶ τὰς ἐπιστήμας ἐκβάλλειν. 7τοῖς δὲ τὰ σώματα εὖ ἔχουσι πολλὴ ἀσφάλεια καὶ οὐδεὶς κίνδυνος διά γε τὴν τοῦ σώματος καχεξίαν τοιοῦτόν τι παθεῖν, εἰκὸς δὲ μᾶλλον πρὸς τὰ ἐναντία τῶν διὰ τὴν καχεξίαν γιγνομένων τὴν εὐεξίαν χρήσιμον εἶναι. καίτοι τῶν γε τοῖς εἰρημένοις ἐναντίων ἕνεκα τί οὐκ ἄν τις νοῦν ἔχων ὑπομείνειεν;

There’s a new version of Persues using the Scaife Viewer: check out the passage above here.

Xenophon elaborates on some of this earlier

Xenophon, Memorabilia 3.5

“Certainly it is necessary—since the city does not provide public expenses for war—not to overlook it privately, nor otherwise to care for yourself less. Know well that you be no worse off in any other struggle or action because you have put your body in better shape. For the body is useful in everything people do. In all functions of the body it makes a big difference that the body is as healthy as possible. Even in something you might think the body is of little use—thinking—who doesn’t know that great errors come from having a sick body?

Forgetfulness, loss of spirit, ill-temper and madness often impinge upon perception because of the weakness of the body so badly that all knowledge is expelled. But for those who are healthy in body it is a great protection and they suffer no suffer no such risk of suffering this kind of thing because of the weakness of their body. It is probably that for those who have a healthy condition they will have the opposite experience. And, certainly, won’t anyone with some sense endure anything for the opposite of these things that have been mentioned?”

Anyway, is it not shameful to grow old because of carelessness before seeing how beautiful and strong a person you might be thanks to your body? It is not possible to witness this for someone who doesn’t make an effort. For it is not willing to develop on its own.”

Οὔτοι χρὴ ὅτι ἡ πόλις οὐκ ἀσκεῖ δημοσίᾳ τὰ πρὸς τὸν πόλεμον, διὰ τοῦτο καὶ ἰδίᾳ ἀμελεῖν, ἀλλὰ μηδὲν ἧττον ἐπιμελεῖσθαι. εὖ γὰρ ἴσθι, ὅτι οὐδὲ ἐν ἄλλῳ οὐδενὶ ἀγῶνι οὐδὲ ἐν πράξει οὐδεμιᾷ μεῖον ἕξεις διὰ τὸ βέλτιον τὸ σῶμα παρεσκευάσθαι· πρὸς πάντα γάρ, ὅσα πράττουσιν ἄνθρωποι, χρήσιμον τὸ σῶμά ἐστιν· ἐν πάσαις δὲ ταῖς τοῦ σώματος χρείαις πολὺ διαφέρει ὡς βέλτιστα τὸ σῶμα ἔχειν· ἐπεὶ καὶ ἐν ᾧ δοκεῖς ἐλαχίστην σώματος χρείαν εἶναι, ἐν τῷ διανοεῖσθαι, τίς οὐκ οἶδεν, ὅτι καὶ ἐν τούτῳ πολλοὶ μεγάλα σφάλλονται διὰ τὸ μὴ ὑγιαίνειν τὸ σῶμα; καὶ λήθη δὲ καὶ ἀθυμία καὶ δυσκολία καὶ μανία πολλάκις πολλοῖς διὰ τὴν τοῦ σώματος καχεξίαν εἰς τὴν διάνοιαν ἐμπίπτουσιν οὕτως, ὥστε καὶ τὰς ἐπιστήμας ἐκβάλλειν. τοῖς δὲ τὰ σώματα εὖ ἔχουσι πολλὴ ἀσφάλεια καὶ οὐδεὶς κίνδυνος διά γε τὴν τοῦ σώματος καχεξίαν τοιοῦτόν τι παθεῖν, εἰκὸς δὲ μᾶλλον πρὸς τὰ ἐναντία τῶν διὰ τὴν καχεξίαν γιγνομένων τὴν εὐεξίαν χρήσιμον εἶναι. καίτοι τῶν γε τοῖς εἰρημένοις ἐναντίων ἕνεκα τί οὐκ ἄν τις νοῦν ἔχων ὑπομείνειεν;

Αἰσχρὸν δὲ καὶ τὸ διὰ τὴν ἀμέλειαν γηρᾶναι, πρὶν ἰδεῖν ἑαυτὸν ποῖος ἂν κάλλιστος καὶ κράτιστος τῷ σώματι γένοιτο. ταῦτα δὲ οὐκ ἔστιν ἰδεῖν ἀμελοῦντα· οὐ γὰρ ἐθέλει αὐτόματα γίγνεσθαι.

Diogenes Laertius, 1.37.2

“When someone asked who is lucky, [Thales said] “whoever has a healthy body, a sophisticated mind, and teachable nature.”

τίς εὐδαίμων, “ὁ τὸ μὲν σῶμα ὑγιής, τὴν δὲ ψυχὴν εὔπορος, τὴν δὲ φύσιν εὐπαίδευτος.”

Juvenal, Satire 10.356

“We must beg for a healthy mind in a healthy body”

orandum est ut sit mens sana in corpore sano

Zuordnung der Tierkreiszeichen zu den Körperteilen; Homo signorum, Heinrich von Laufenberg, Regimen, ca. 1450/60

A Description of Genius or Madness: An Epistle on Democritus

Hippocrates, Letter 10

A man of ours takes the greatest risks in the city now, Hippocrates, who both in the present moment and in the future has been a hope for fame for the city. May this, by the all the gods, never be a source of envy! When he has become so sick because of the great wisdom which possesses him that as a result he was afraid he might not obtain it—well, that’s how Democritus himself lost hits mind, and then abandoned our city of Abdera.

When he forgot everything, even himself before, he was awake both night and day and was laughing at everything great and small and believing that he would accomplish nothing at all for his whole life. Someone marries, another goes into business, another is a public speaker, another serves in office, he is old, he votes, he votes against things, he is sick, he is wounded, he dies. He laughs at everything, even when he sees the downcast and angry or even those who are happy.

The man is researching into the matters of Hades and he is writing these things and he says that the air is full of ghosts and he heeds the voices of birds. He often gets up alone at night and seems to be singing songs in the silence. And he claims that he often travels into the boundlessness and says that there are an endless number of Democriteis like himself. He lives with his skin ruined as ruined judgment. We fear these things, Hippocrates, and we are anxious about them: so save us, and come home quickly and help our country, do not put us off.”

     Κινδυνεύεται τὰ μέγιστα τῇ πόλει νῦν, ῾Ιππόκρατες, ἀνὴρ τῶν ἡμετέρων, ὃς καὶ τῷ παρόντι χρόνῳ καὶ τῷ μέλλοντι αἰεὶ κλέος ἠλπίζετο τῇ πόλει· μηδὲ νῦν ὅδε, πάντες θεοὶ, φθονηθείη· οὕτως ὑπὸ πολλῆς τῆς κατεχούσης αὐτὸν σοφίης νενόσηκεν, ὥστε φόβος οὐχ ὁ τυχὼν, ἂν φθαρῇ τὸν λογισμὸν Δημόκριτος, ὄντως δὴ τὴν πόλιν ἡμῶν ᾿Αβδηριτῶν καταλειφθήσεσθαι. ᾿Εκλαθόμενος γὰρ ἁπάντων καὶ ἑωυτοῦ πρότερον, ἐγρηγορὼς καὶ νύκτα καὶ ἡμέρην, γελῶν ἕκαστα μικρὰ καὶ μεγάλα, καὶ μηδὲν οἰόμενος εἶναι τὸν βίον ὅλον διατελεῖ. Γαμεῖ τις, ὁ δὲ ἐμπορεύεται, ὁ δὲ δημηγορεῖ, ἄλλος ἄρχει, πρεσβεύει, χειροτονεῖται, ἀποχειροτονεῖται, νοσεῖ, τιτρώσκεται,  τέθνηκεν, ὁ δὲ γελᾷ πάντα, τοὺς μὲν κατηφεῖς τε καὶ σκυθρωποὺς, τοὺς δὲ χαίροντας ὁρῶν. Ζητεῖ δὲ ὁ ἀνὴρ καὶ περὶ τῶν ἐν Αδου,

Ζητεῖ δὲ ὁ ἀνὴρ καὶ περὶ τῶν ἐν Αδου, καὶ γράφει ταῦτα, καὶ εἰδώλων φησὶ πλήρη τὸν ἠέρα εἶναι, καὶ ὀρνέων φωνὰς ὠτακουστεῖ, καὶ πολλάκις νύκτωρ ἐξαναστὰς μοῦνος ἡσυχῇ ᾠδὰς ᾄδοντι ἔοικε, καὶ ἀποδημεῖν ἐνίοτε λέγει ἐς τὴν ἀπειρίην, καὶ Δημοκρίτους εἶναι ὁμοίους ἑωυτῷ ἀναριθμήτους, καὶ συνδιεφθορὼς τῇ γνώμῃ τὸ χρῶμα ζῇ. Ταῦτα φοβούμεθα, ῾Ιππόκρατες, ταῦτα ταραττόμεθα, ἀλλὰ σῶζε, καὶ ταχὺς ἐλθὼν νουθέτησον τὴν ἡμῶν πατρίδα, μηδὲ ἡμᾶς ἀποβάλῃς·

Suda s.v. γλουτῶν

“Democritus of Abdera was called the “Laugher” because he laughed at the useless seriousness of human beings”

ὅτι ὁ Δημόκριτος ὁ ᾿Αβδηρίτης ἐπεκλήθη Γελασῖνος διὰ τὸ γελᾶν πρὸς τὸ κενόσπουδον τῶν ἀνθρώπων.

 

More on Democritus:

Robert Burton’s Sketch

Aulus Gellius with Laberius’ Play on Democritus’ Blinding

From ‘The Book of Macharius on the eye’, late 14th-century. BL, Sloane MS 981, f.68.

How To Talk to a (Potentially Deranged) Patient

Rufus of Ephesus, Quest. Medic. 2

“It is right to ask someone who is sick questions from which something of the matters concerning the sickness might be diagnosed and might be treated better. First, I advise to make inquiries from the one who is sick himself. For you might from this learn how much the person is sick or healthy in respect to judgment along with his strength and weakness and what type of sickness and what place he has suffered.

If the patient answers right away and properly and plausibly and without stumbling in speech or sense and if it is according to is typical matter—if he is otherwise orderly, in a gentle and orderly way, but, if otherwise bold or fearful, in a brash or timid manner—it is right to consider him to be in his right mind. But if you ask him some things and he should answer others or forget in the middle of speaking, if his speech is unsteady and unclear and there are shifts from his first manner to the opposite, these are all signs of being deranged.”

     ᾿Ερωτήματα χρὴ τὸν νοσοῦντα ἐρωτᾶν, ἐξ ὧν ἂν καὶ διαγνωσθείη τι τῶν περὶ τὴν νόσον ἀκριβέστερον καὶ θεραπευθείη κάλλιον. πρῶτον δὲ ἐκεῖνο ὑποτίθημι τὰς πεύσεις αὐτοῦ τοῦ νοσοῦντος ποιεῖσθαι. μάθοις γὰρ ἂν ἐνθένδε ὅσα τε κατὰ γνώμην νοσεῖ ἢ ὑγιαίνει ὁ ἄνθρωπος καὶ ῥώμην αὐτοῦ καὶ ἀσθένειαν, καὶ τίνα ἰδέαν νόσου καὶ τίνα τόπον πεπονηκὼς <εἴη>. εἰ μὲν γὰρ ἐφεξῆς τε ἀποκρίνοιτο καὶ μνημονικῶς καὶ τὰ εἰκότα καὶ μηδαμῆ σφαλλόμενος μήτε τῇ γλώττῃ μήτε τῇ γνώμῃ καὶ εἰ καθ’ ὁρμὴν τὴν οἰκείαν, —εἰ μέν ἐστιν ἄλλως κόσμιος, πράως καὶ

κοσμίως, ὁ δ’ αὖ φύσει θρασὺς ἢ δειλὸς θρασέως ἢ δεδοικ<ότ>ως—τοῦτον μὲν χρὴ νομίζειν τὰ γοῦν κατὰ γνώμην καλῶς ἔχειν. εἰ δὲ καὶ ἄλλα σὺ μὲν ἐρωτᾷς, ὁ δὲ ἄλλα ἀποκρίνοιτο καὶ εἰ μεταξὺ λέγων ἐπιλανθάνοιτο, αἱ δὲ τρομώδεις καὶ ἀσαφεῖς γλῶσσαι καὶ αἱ μεταστάσεις ἀπὸ τοῦ ἀρχαίου τρόπου πρὸς τὸ ἐναντίον, πάντα ταῦτα παρακρουστικά.

 

Image result for medieval manuscript medicine doctor
Sloane MS 1975, f. 91v