“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.”
“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.
“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.”
“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.”
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.
“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?”
“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.”
“Salt-ferrying vessels produce an endless multitude of rats—as some people claim—because the female rats get pregnant without intercourse whenever they lick the salt.”
“Amyntas in his work which he named Stages writes that in the Caspian land there are many herds of cattle and horses almost beyond counting. He adds this as well, that in some seasons an unconquerable plague of rats blights the land. He continues with evidence, saying that even though the rivers flow at that of year with a huge surge, the rats swim fearlessly and they even hold on to each other’s tales, biting down on one another, to form a bridge and they they cross the strait in this way.
After swimming into the farmland, he says, they grind down the roots of crops and swarm over trees and once they use their fruits for their meals they sever the branches too just because they are not able to eat them. For this reason, the Caspians—in order to ward off this invasion of rats and the ruin they bring—do not kill the predatory birds which come in turn, flying down from the clouds, and fulfill their nature by freeing the Caspians of this plague.
Caspian foxes are so numerous that they frequent both the sheepfolds in the country and they also appear in cities. By Zeus, a fox will show up in a house not to steal something or ruin it, but like some kind of pet. The Caspian foxes wag their tails just like pet dogs in our land.
The rats of the terrible plague afflicting the Caspians are almost the same in size when you look a them as the ikhneumenos of Egypt, but they are wild, and terrible, and they have teeth strong enough to cut and even eat metal. The rats in Teridon, Babylonia are like this too—and traders bring their skins to sell among the Persians. Indeed, these skins are soft and can be sewn together as a tunic to warm people. And they call them kandutanes, because it is dear to them.
Here is something amazing about these rats: if a pregnant female is caught and her fetus is removed, when the female fetus is dissected and examined, it also has a baby.”
“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.
“This work is about that disease which people call “sacred”. It does not seem to me to be more divine or more sacred than any of the rest of the diseases, but it also has a natural cause and people have assumed it is sacred because of their own inexperience and their considerable wonder over how different it seems to them.”
“Those who first claimed that the disease is divinely caused seem to me to be something like the wizards, snake-oil salesmen, faith-healers, and quacks of today, those kinds of men who pretend to great piety and superior knowledge. These kinds of healers shelter themselves and use superstition as a shield against their own helplessness when they have nothing they can do to help. They claim that this affliction is sacred so it won’t be clear that they don’t know anything. They add a ready-made story and throw in a treatment in order to keep their own position strong.”
As Vivian Nutton makes clear in the overview of Mental Illness in the Ancient World (available in Brill’s New Pauly), Hippocrates Breaks from Ancient Near Eastern and Early Greek tradition here in offering physical explanations for mental illness of all kinds instead of divine explanations. Platonic and Aristotelian traditions follow with variations on somatism (the body as the cause), adding in addition to the humors, bile, and disharmony among the organs, habits (excessive consumption, actions) and environments. These approaches were refined by Hellenistic doctors and the work of Rufus and Galen where treatments also came to include psychotherapeutic as well as the physical treatments. The swing towards demonic possession as an explanation during Late Antiquity and the Christian middle ages took mental health approaches back towards the ‘sacred’ explanations of pre-rational antiquity.
Some other posts about mental health from antiquity. Oftentimes translators keep the ancient Greek term melancholy (“black bile”)
Epictetus, Treatises Collected by Arrian, 2.15: To those who cling tenaciously to any judgments they have made
“Whenever some people hear these words—that it is right to be consistent, that the moral person is free by nature and never compelled, while everything else may be hindered, forced, enslaved, subjected to others—they imagine that it is right that they maintain every judgment they have made without compromising at all.
But the first issue is that the judgment should be a good one. For, if I wish to maintain the state of my body, it should be when it is healthy, well-exercised. If you show me that you have the tones of a fevered mind and brag about it, I will say ‘Dude, look for a therapist. This is not health, but sickness.’ “
“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.”
