MEDICINE AND PHILOSOPHY IN CLASSICAL ANTIQUITY

(Ron) #1
114 Hippocratic Corpus and Diocles of Carystus

atrestoringthe health of a sick body,^43 but rather at bringing about the

least harmful, or least painful, state for a sick body, which may amount

to combating symptoms such as pain^44 or, more generally, to making the

disease more tolerable.

If Celsus is correct in portraying dietetics as a relatively late development

in Greek therapeutics,^45 this must refer to dieteticmedicine, the application

of dietetic principles to the treatment of diseases. Rather than thinking

that dietetics was originally a part of medicine and was only later, under

the influence of changing social and cultural circumstances,^46 divided into

a therapeutic part (the treatment of diseases) and a hygienic part (the

preservation of health and hygiene), one may also defend the view that

dietetics as a way of looking after the body was of an older origin and

had, by the fifth centurybce, developed into an established corpus of

knowledge primarily based on experience which was subsequently applied

to the treatment of diseases.^47

3 the aims of therapeutic activity

With these considerations we are at the heart of what may be called, with the

usualcaveatsand reservations about the diversity the Hippocratic writings

display, ‘Hippocratic medicine’. For the ambivalence just noted – preser-

vation of health, or treatment of disease, or providing palliative care – is, in

a way, characteristic of Hippocratic approaches to health and disease as a

whole. Here the need for terminological clarification makes itself particu-

larly felt, for neither the Greek  nor its English derivative ‘therapy’

is specific with regard to this question about the aim(s) to be achieved. This

brings us to a consideration of the terms in which the doctor’s activities are

referred to in the Hippocratic Corpus.

As Nadia van Brock has shown,^48 among the various words used to signify

the doctor’s activity – such as


(‘cure’),  -
(‘treat’),  +


(‘care’),e  (‘help, benefit’),<# (‘remedy, assist’),  




(‘care’), 

= 
(‘treat’), 
(‘protect’) – perhaps"9


 

(‘set free, release’),H
=
(‘make healthy’), and the passiveH#


(^43) SeeOn Regimen in Acute Diseases 41 ( 2. 310 L.) and 44 ( 2. 316 – 18 L.).
(^44) E.g.On Diseases 3. 16 ( 7. 150 L.): ‘This also stops the pains’ ($  1 S- -
).
(^45) For other evidence to suggest that this was the case, see Longrigg ( 1999 ).
(^46) On this see Edelstein ( 1967 a) 303 – 16.
(^47) SeeOn Ancient Medicine 7 ( 1. 586 L.): ‘How do these two [i.e. development of a regimen in health
and the use of regimen as treatment of disease] differ, except in that the latter has more different
kinds and is more varied and requires more effort? But the former is the starting-point, and came
before the latter ("% .  # 8 !    #).’
(^48) N. van Brock ( 1961 ).

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